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Sex differences in the developing human cortex intersect with genetic risk of neurodevelopmental disorders
Kelsey Hennick1,2,3,4,5,6,7, Yang Sui8,7, Druha Karunakaran9
1Department of Neurological Surgery, University of California, San Francisco, CA 94143, USA.
Biorxiv : the Preprint Server for Biology
|September 15, 2025
Summary
Autism shows sex differences in vulnerability. This study reveals X chromosome genes and gene expression patterns contribute to sex-biased autism risk in the developing brain.
Area of Science:
- Neuroscience
- Genetics
- Developmental Biology
Background:
- Autism spectrum disorder (ASD) is highly heritable and diagnosed more frequently in males.
- Understanding sex-biased vulnerability in neurodevelopmental disorders (NDDs) is crucial.
Purpose of the Study:
- To identify molecular mechanisms underlying sex differences in NDD vulnerability.
- To investigate the role of prenatal brain development in sex-biased autism risk.
Main Methods:
- Generated transcriptomic and epigenomic profiles of the developing human cerebral cortex from male and female samples.
- Intersected sex-biased molecular signatures with de novo mutations in autistic individuals.
- Constructed gene regulatory maps for X-linked NDD risk genes.
Main Results:
- NDD risk genes show higher expression in females, with MEF2C identified as a key transcription factor.
- X chromosome genes significantly contribute to NDD pathobiology.
- Identified distinct vulnerability mechanisms: coding variation in females and noncoding variation in males.
Conclusions:
- The X chromosome plays a significant role in both sex differences in brain development and NDD vulnerability.
- Proposes a model where coding variation drives female-biased NDD risk, while noncoding variation drives male-biased risk.
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