Department of Medical Microbiology and Immunology, University of California Davis School of Medicine, Davis, CA, USA.
Perinatal Origins of Disparities Center, University of California Davis, Davis, CA, USA.
Mol Diagn Ther. 2022 Nov;26(6):569-579. doi: 10.1007/s40291-022-00608-z. Epub 2022 Aug 13.
Despite decades of investigation into the genetics of autism spectrum disorder (ASD), a current consensus in the field persists that ASD risk is too heterogeneous to be diagnosed by a single set of genetic variants. As such, ASD research has broadened to include assessment of other molecular biomarkers implicated in the condition that may be reflective of environmental exposures or gene by environment interactions. Epigenetic variance, and specifically differential DNA methylation, have emerged as areas of particularly high interest to ASD, as the epigenetic markers from specific chromatin loci collectively can reflect influences of multiple genetic and environmental factors and can also result in differential gene expression patterns. This review examines recent studies of the ASD epigenome, detailing common gene pathways found to be differentially methylated in people with ASD, and considers how these discoveries may inform our understanding of ASD etiology. We also consider future applications of epigenetics in ASD research and clinical practice, focusing on substratification, biomarker development, and experimental preclinical models of ASD that test causality. In combination with other -omics approaches, epigenomics allows an improved conceptualization of the multifactorial nature of ASD, and opens future lines of inquiry for both basic research and clinical practice.
尽管对自闭症谱系障碍 (ASD) 的遗传学进行了数十年的研究,但该领域目前仍存在一个共识,即 ASD 风险过于异质,无法仅通过一组遗传变异来诊断。因此,ASD 研究已经扩大到包括对其他可能反映环境暴露或基因与环境相互作用的有条件分子生物标志物的评估。表观遗传变异,特别是 DNA 甲基化的差异,已成为 ASD 特别关注的领域,因为特定染色质基因座的表观遗传标记可以共同反映多种遗传和环境因素的影响,也可以导致不同的基因表达模式。这篇综述检查了 ASD 表观基因组的最新研究,详细说明了在 ASD 患者中发现的差异甲基化的常见基因途径,并考虑了这些发现如何帮助我们理解 ASD 的病因。我们还考虑了表观遗传学在 ASD 研究和临床实践中的未来应用,重点是亚分类、生物标志物开发和 ASD 的实验临床前模型,以测试因果关系。与其他“组学”方法相结合,表观基因组学使人们能够更好地理解 ASD 的多因素性质,并为基础研究和临床实践开辟了未来的探究途径。