Human Genetics and Cognitive Functions Unit, Institut Pasteur, 75015 Paris, France; email:
Annu Rev Genomics Hum Genet. 2013;14:191-213. doi: 10.1146/annurev-genom-091212-153431. Epub 2013 Jul 22.
The autism spectrum disorders (ASD) are characterized by impairments in social interaction and stereotyped behaviors. For the majority of individuals with ASD, the causes of the disorder remain unknown; however, in up to 25% of cases, a genetic cause can be identified. Chromosomal rearrangements as well as rare and de novo copy-number variants are present in ∼10-20% of individuals with ASD, compared with 1-2% in the general population and/or unaffected siblings. Rare and de novo coding-sequence mutations affecting neuronal genes have also been identified in ∼5-10% of individuals with ASD. Common variants such as single-nucleotide polymorphisms seem to contribute to ASD susceptibility, but, taken individually, their effects appear to be small. Despite a heterogeneous genetic landscape, the genes implicated thus far-which are involved in chromatin remodeling, metabolism, mRNA translation, and synaptic function-seem to converge in common pathways affecting neuronal and synaptic homeostasis. Animal models developed to study these genes should lead to a better understanding of the diversity of the genetic landscapes of ASD.
自闭症谱系障碍(ASD)的特征是社交互动和刻板行为受损。对于大多数 ASD 患者来说,疾病的原因仍然未知;然而,在多达 25%的病例中,可以确定遗传原因。与一般人群和/或未受影响的兄弟姐妹的 1-2%相比,约 10-20%的 ASD 患者存在染色体重排以及罕见的新生拷贝数变异。在约 5-10%的 ASD 患者中也发现了影响神经元基因的罕见新生编码序列突变。常见的变异,如单核苷酸多态性,似乎与 ASD 的易感性有关,但就个体而言,其影响似乎很小。尽管遗传景观存在异质性,但迄今为止涉及染色质重塑、代谢、mRNA 翻译和突触功能的基因似乎都集中在影响神经元和突触稳态的共同途径上。为研究这些基因而开发的动物模型应有助于更好地了解 ASD 遗传景观的多样性。