Freitag C M
Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Autismus-Therapie- und Forschungszentrum, Universitätsklinikum Frankfurt, Goethe-Universität Frankfurt am Main, Deutschordenstr. 50, 60528, Frankfurt am Main, Deutschland.
Nervenarzt. 2017 Jul;88(7):760-764. doi: 10.1007/s00115-017-0351-x.
Autism spectrum disorders (ASD) are pervasive developmental disorders comprising problems in social interaction, communication, and stereotyped behavior and interests. They show a prevalence of around 0.8% in children, adolescents, and adults, and a skewed sex distribution (about 4:1 = male:female). ASD are predominantly genetically determined disorders. Heritability estimates from twin studies range between 64 and 91%. Recurrence risk in siblings is 20-fold elevated. De novo and inherited monogenetic disorders, mutations, sex chromosomal abnormalities, cytogenetic and imprinting disorders as well as common variants are associated with ASD. Genetic disorders implicating a specific additional intervention are of specific clinical relevance. Genetic testing and counselling should be provided for all families and individuals with ASD. This article gives an overview on current basic genetic research in ASD, its clinical relevance and genetic counselling in ASD.
自闭症谱系障碍(ASD)是广泛性发育障碍,包括社交互动、沟通以及刻板行为和兴趣方面的问题。在儿童、青少年和成人中,其患病率约为0.8%,且性别分布不均衡(男性:女性约为4:1)。ASD主要是由基因决定的疾病。双胞胎研究得出的遗传度估计值在64%至91%之间。兄弟姐妹的复发风险升高了20倍。新发和遗传的单基因疾病、突变、性染色体异常、细胞遗传学和印记障碍以及常见变异都与ASD有关。涉及特定额外干预的遗传疾病具有特殊的临床意义。应为所有患有ASD的家庭和个人提供基因检测和咨询。本文概述了目前ASD的基础遗传学研究、其临床意义以及ASD的遗传咨询。