Annunziata Silvia, Bulgheroni Sara, D'Arrigo Stefano, Esposito Silvia, Taddei Matilde, Saletti Veronica, Alfei Enrico, Sciacca Francesca Luisa, Rizzo Ambra, Pantaleoni Chiara, Riva Daria
Developmental Neurology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
Child Neurology and Psychiatry Unit, Brain and Behavioral Sciences Department, University of Pavia, 27100, Pavia, Italy.
J Autism Dev Disord. 2023 Feb;53(2):615-623. doi: 10.1007/s10803-020-04833-5. Epub 2021 Jan 4.
Autism spectrum disorder (ASD) is a heterogeneous neurodevelopmental condition with a strong genetic basis. We accurately assessed 209 ASD subjects, categorized in complex (47) and essential (162), and performed array comparative genomic hybridization to identify pathogenic and recurrent Copy Number Variants (CNVs). We found 117 CNVs in 75 patients, 11 classified as pathogenic. The complex ASD subjects have higher frequency of pathogenic CNVs with a diagnostic yield of 12.8%. Familiality, cognitive and verbal abilities, severity of autistic symptoms, neuroimaging and neurophysiological findings are not related to genetic data. This study identifies loci of interest for ASD and highlights the importance of a careful phenotypic characterization, as complex ASD is related to higher rate of pathogenic CNVs.
自闭症谱系障碍(ASD)是一种具有强大遗传基础的异质性神经发育疾病。我们准确评估了209名ASD受试者,分为复杂型(47名)和特发型(162名),并进行了阵列比较基因组杂交以鉴定致病性和复发性拷贝数变异(CNV)。我们在75名患者中发现了117个CNV,其中11个被分类为致病性的。复杂型ASD受试者中致病性CNV的频率更高,诊断率为12.8%。家族性、认知和语言能力、自闭症症状的严重程度、神经影像学和神经生理学发现与遗传数据无关。本研究确定了ASD的相关基因座,并强调了仔细进行表型特征描述的重要性,因为复杂型ASD与更高的致病性CNV发生率相关。