Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Radboud University Medical Center, The Netherlands.
Autism. 2022 Feb;26(2):361-372. doi: 10.1177/13623613211019547. Epub 2021 Aug 4.
Autism spectrum disorders are complex, with a strong genetic basis. Genetic research in autism spectrum disorders is limited by the fact that these disorders are largely heterogeneous so that patients are variable in their clinical presentations. To address this limitation, we investigated the genetics of individual dimensions of the autism spectrum disorder phenotypes, or autistic-like traits. These autistic-like traits are continuous variations in autistic behaviours that occur in the general population. Therefore, we meta-analysed data from four different population cohorts in which autistic-like traits were measured. We performed a set of genetic analyses to identify common variants for autistic-like traits, understand how these variants related to autism spectrum disorders, and how they contribute to neurobiological processes. Our results showed genetic associations with specific autistic-like traits and a link to the immune system. We offer an example of the potential to use a dimensional approach when dealing with heterogeneous, complex disorder like autism spectrum disorder. Decomposing the complex autism spectrum disorder phenotype in its core features can inform on the specific biology of these features which is likely to account to clinical variability in patients.
自闭症谱系障碍是复杂的,具有很强的遗传基础。自闭症谱系障碍的遗传研究受到这些障碍在很大程度上存在异质性的限制,因此患者的临床表现各不相同。为了解决这一限制,我们研究了自闭症谱系障碍表型或类似自闭症特征的个体维度的遗传学。这些类似自闭症的特征是自闭症行为的连续变化,发生在普通人群中。因此,我们对来自四个不同人群队列的数据分析进行了荟萃分析,这些队列都对类似自闭症的特征进行了测量。我们进行了一系列遗传分析,以确定与类似自闭症特征相关的常见变体,了解这些变体与自闭症谱系障碍的关系,以及它们如何影响神经生物学过程。我们的结果显示了与特定类似自闭症特征的遗传关联,以及与免疫系统的联系。我们提供了一个例子,说明在处理像自闭症谱系障碍这样复杂的异质障碍时,采用维度方法的潜力。分解自闭症谱系障碍的复杂表型的核心特征可以提供这些特征的特定生物学信息,这可能解释了患者之间的临床变异性。