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Published on: September 6, 2024
A case of autism and uniparental disomy of chromosome 1
Thomas H Wassink1, Molly Losh, Rebecca S Frantz
1Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA. thomas-wassink@uiowa.edu
Insights
Maternal uniparental disomy (UPD) of chromosome 1 was identified in a child with autism. This genetic finding may unmask recessive mutations contributing to autism spectrum disorder.
Area of Science:
- Genetics
- Neurodevelopmental Disorders
- Autism Spectrum Disorder Research
Background:
- Autism spectrum disorder (ASD) is a complex neurodevelopmental condition with a significant genetic component.
- Understanding the genetic underpinnings of ASD is crucial for diagnosis and potential therapeutic strategies.
Observation:
- A male child diagnosed with autism exhibited maternal uniparental disomy (UPD) of chromosome 1.
- The child presented with core autism symptoms, including language impairment, social communication deficits, and repetitive behaviors, along with associated features like mild intellectual disability and hyperactivity.
- The mother, who had a history of psychiatric illness, showed personality and social traits resembling autism.
Findings:
- Genome-wide linkage analysis revealed non-Mendelian inheritance and UPD of chromosome 1 in the affected child.
- Detailed genotyping demonstrated alternating regions of heterodisomy and isodisomy on chromosome 1.
- One region of isodisomy overlaps a known region of interest for autism on chromosome 1 (150-160 Mb).
Implications:
- Maternal UPD of chromosome 1 may contribute to autism by unmasking recessive disease-causing mutations.
- This finding highlights the role of uniparental disomy in neurodevelopmental disorders.
- Further research into chromosome 1 UPD and its interaction with recessive mutations could offer new insights into autism etiology.
Abstract:
We report a male child with autism found to have maternal uniparental disomy (UPD) of chromosome 1. The child met diagnostic criteria for the three symptom domains of autism: language impairment, deficient social communication and excessively rigid and repetitive behaviours. He also had a variety of features often associated with autism, including mild mental retardation, small head circumference, hyperactivity, poor fine motor skills, slightly dysmorphic facial features and a heightened interest in olfactory stimulation. His brother, who did not have chromosome 1 UPD, was also autistic. The mother, but not the father, had a history of psychiatric illness and a number of personality and social traits similar to the core features of autism. The discovery of the cytogenetic abnormality was made during the course of a genome-wide linkage screen, wherein genotypes at 6 out of 17 chromosome 1 markers were non-Mendelian and all transmissions were consistent with UPD. Further genotyping (a total of 54 markers) revealed alternating regions of heterodisomy and isodisomy. Whereas chromosome 1 UPD has not been shown to cause disease by effects on imprinting, numerous reports exist of the abnormality unmasking recessive disease-causing mutations. In agreement with this, one of the regions of isodisomy overlaps an emerging chromosome 1 region of interest in autism located at 150-160 Mb.
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