iBet uBet web content aggregator. Adding the entire web to your favor.
iBet uBet web content aggregator. Adding the entire web to your favor.



Link to original content: https://doi.org/10.1038/ng.835
Exome sequencing in sporadic autism spectrum disorders identifies severe de novo mutations | Nature Genetics
Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Letter
  • Published:

Exome sequencing in sporadic autism spectrum disorders identifies severe de novo mutations

A Corrigendum to this article was published on 28 March 2012

This article has been updated

Abstract

Evidence for the etiology of autism spectrum disorders (ASDs) has consistently pointed to a strong genetic component complicated by substantial locus heterogeneity1,2. We sequenced the exomes of 20 individuals with sporadic ASD (cases) and their parents, reasoning that these families would be enriched for de novo mutations of major effect. We identified 21 de novo mutations, 11 of which were protein altering. Protein-altering mutations were significantly enriched for changes at highly conserved residues. We identified potentially causative de novo events in 4 out of 20 probands, particularly among more severely affected individuals, in FOXP1, GRIN2B, SCN1A and LAMC3. In the FOXP1 mutation carrier, we also observed a rare inherited CNTNAP2 missense variant, and we provide functional support for a multi-hit model for disease risk3. Our results show that trio-based exome sequencing is a powerful approach for identifying new candidate genes for ASDs and suggest that de novo mutations may contribute substantially to the genetic etiology of ASDs.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Evaluation of de novo mutations by simulation and proband severity and pedigree of family 12817.

Similar content being viewed by others

Change history

  • 09 March 2012

    In the version of this article initially published, the missense variant in CNTNAP2 identified in proband 12817 was incorrectly listed as p.His275Ala in the main text and Figure 1. The correct notation for this variant is p.His275Arg. In addition, the raw sequence reads have now been deposited in the National Database for Autism Research under accession number NDARCOL0001878. These errors have been corrected in the HTML and PDF versions of the article.

References

  1. Bailey, A. et al. Autism as a strongly genetic disorder: evidence from a British twin study. Psychol. Med. 25, 63–77 (1995).

    Article  CAS  Google Scholar 

  2. O'Roak, B.J. & State, M.W. Autism genetics: strategies, challenges, and opportunities. Autism Res. 1, 4–17 (2008).

    Article  Google Scholar 

  3. Girirajan, S. et al. A recurrent 16p12.1 microdeletion supports a two-hit model for severe developmental delay. Nat. Genet. 42, 203–209 (2010).

    Article  CAS  Google Scholar 

  4. Abrahams, B.S. & Geschwind, D.H. Advances in autism genetics: on the threshold of a new neurobiology. Nat. Rev. Genet. 9, 341–355 (2008).

    Article  CAS  Google Scholar 

  5. Sebat, J. et al. Strong association of de novo copy number mutations with autism. Science 316, 445–449 (2007).

    Article  CAS  Google Scholar 

  6. Marshall, C.R. et al. Structural variation of chromosomes in autism spectrum disorder. Am. J. Hum. Genet. 82, 477–488 (2008).

    Article  CAS  Google Scholar 

  7. Durkin, M.S. et al. Advanced parental age and the risk of autism spectrum disorder. Am. J. Epidemiol. 168, 1268–1276 (2008).

    Article  Google Scholar 

  8. Ng, S.B. et al. Targeted capture and massively parallel sequencing of 12 human exomes. Nature 461, 272–276 (2009).

    Article  CAS  Google Scholar 

  9. Bailey, J.A. et al. Recent segmental duplications in the human genome. Science 297, 1003–1007 (2002).

    CAS  Google Scholar 

  10. de Kovel, C.G. et al. Recurrent microdeletions at 15q11.2 and 16p13.11 predispose to idiopathic generalized epilepsies. Brain 133, 23–32 (2010).

    Article  Google Scholar 

  11. Stefansson, H. et al. Large recurrent microdeletions associated with schizophrenia. Nature 455, 232–236 (2008).

    Article  CAS  Google Scholar 

  12. Kirov, G. et al. Support for the involvement of large CNVs in the pathogenesis of schizophrenia. Hum. Mol. Genet. 18, 1497–1503 (2009).

    Article  CAS  Google Scholar 

  13. Vissers, L.E. et al. A de novo paradigm for mental retardation. Nat. Genet. 42, 1109–1112 (2010).

    Article  CAS  Google Scholar 

  14. Lynch, M. Rate, molecular spectrum, and consequences of human mutation. Proc. Natl. Acad. Sci. USA 107, 961–968 (2010).

    Article  CAS  Google Scholar 

  15. Durbin, R.M. et al. A map of human genome variation from population-scale sequencing. Nature 467, 1061–1073 (2010).

    Article  CAS  Google Scholar 

  16. Adzhubei, I.A. et al. A method and server for predicting damaging missense mutations. Nat. Methods 7, 248–249 (2010).

    Article  CAS  Google Scholar 

  17. Grantham, R. Amino acid difference formula to help explain protein evolution. Science 185, 862–864 (1974).

    Article  CAS  Google Scholar 

  18. Cooper, G.M. et al. Distribution and intensity of constraint in mammalian genomic sequence. Genome Res. 15, 901–913 (2005).

    Article  CAS  Google Scholar 

  19. Cooper, G.M. et al. Single-nucleotide evolutionary constraint scores highlight disease-causing mutations. Nat. Methods 7, 250–251 (2010).

    Article  CAS  Google Scholar 

  20. Gotham, K., Pickles, A. & Lord, C. Standardizing ADOS scores for a measure of severity in autism spectrum disorders. J. Autism Dev. Disord. 39, 693–705 (2009).

    Article  Google Scholar 

  21. Endele, S. et al. Mutations in GRIN2A and GRIN2B encoding regulatory subunits of NMDA receptors cause variable neurodevelopmental phenotypes. Nat. Genet. 42, 1021–1026 (2010).

    Article  CAS  Google Scholar 

  22. Claes, L. et al. De novo mutations in the sodium-channel gene SCN1A cause severe myoclonic epilepsy of infancy. Am. J. Hum. Genet. 68, 1327–1332 (2001).

    Article  CAS  Google Scholar 

  23. Weiss, L.A. et al. Sodium channels SCN1A, SCN2A and SCN3A in familial autism. Mol. Psychiatry 8, 186–194 (2003).

    Article  CAS  Google Scholar 

  24. Mulley, J.C. et al. SCN1A mutations and epilepsy. Hum. Mutat. 25, 535–542 (2005).

    Article  CAS  Google Scholar 

  25. Lein, E.S. et al. Genome-wide atlas of gene expression in the adult mouse brain. Nature 445, 168–176 (2007).

    Article  CAS  Google Scholar 

  26. Hamdan, F.F. et al. De novo mutations in FOXP1 in cases with intellectual disability, autism, and language impairment. Am. J. Hum. Genet. 87, 671–678 (2010).

    Article  CAS  Google Scholar 

  27. Horn, D. et al. Identification of FOXP1 deletions in three unrelated patients with mental retardation and significant speech and language deficits. Hum. Mutat. 31, E1851–E1860 (2010).

    Article  CAS  Google Scholar 

  28. Lai, C.S., Fisher, S.E., Hurst, J.A., Vargha-Khadem, F. & Monaco, A.P. A forkhead-domain gene is mutated in a severe speech and language disorder. Nature 413, 519–523 (2001).

    Article  CAS  Google Scholar 

  29. Feuk, L. et al. Absence of a paternally inherited FOXP2 gene in developmental verbal dyspraxia. Am. J. Hum. Genet. 79, 965–972 (2006).

    Article  CAS  Google Scholar 

  30. MacDermot, K.D. et al. Identification of FOXP2 truncation as a novel cause of developmental speech and language deficits. Am. J. Hum. Genet. 76, 1074–1080 (2005).

    Article  CAS  Google Scholar 

  31. Vernes, S.C. et al. Functional genetic analysis of mutations implicated in a human speech and language disorder. Hum. Mol. Genet. 15, 3154–3167 (2006).

    Article  CAS  Google Scholar 

  32. Li, S., Weidenfeld, J. & Morrisey, E.E. Transcriptional and DNA binding activity of the Foxp1/2/4 family is modulated by heterotypic and homotypic protein interactions. Mol. Cell. Biol. 24, 809–822 (2004).

    Article  CAS  Google Scholar 

  33. Teramitsu, I., Kudo, L.C., London, S.E., Geschwind, D.H. & White, S.A. Parallel FoxP1 and FoxP2 expression in songbird and human brain predicts functional interaction. J. Neurosci. 24, 3152–3163 (2004).

    Article  CAS  Google Scholar 

  34. Bakkaloglu, B. et al. Molecular cytogenetic analysis and resequencing of contactin associated protein-like 2 in autism spectrum disorders. Am. J. Hum. Genet. 82, 165–173 (2008).

    Article  CAS  Google Scholar 

  35. Vernes, S.C. et al. A functional genetic link between distinct developmental language disorders. N. Engl. J. Med. 359, 2337–2345 (2008).

    Article  CAS  Google Scholar 

  36. Arking, D.E. et al. A common genetic variant in the neurexin superfamily member CNTNAP2 increases familial risk of autism. Am. J. Hum. Genet. 82, 160–164 (2008).

    Article  CAS  Google Scholar 

  37. Alarcón, M. et al. Linkage, association, and gene-expression analyses identify CNTNAP2 as an autism-susceptibility gene. Am. J. Hum. Genet. 82, 150–159 (2008).

    Article  Google Scholar 

  38. Banerjee-Basu, S. & Packer, A. SFARI Gene: an evolving database for the autism research community. Dis. Model Mech. 3, 133–135 (2010).

    Article  Google Scholar 

  39. Fischbach, G.D. & Lord, C. The Simons Simplex Collection: a resource for identification of autism genetic risk factors. Neuron 68, 192–195 (2010).

    Article  CAS  Google Scholar 

  40. Hurley, R.S., Losh, M., Parlier, M., Reznick, J.S. & Piven, J. The broad autism phenotype questionnaire. J. Autism Dev. Disord. 37, 1679–1690 (2007).

    Article  Google Scholar 

  41. Constantino, J.N. & Todd, R.D. Intergenerational transmission of subthreshold autistic traits in the general population. Biol. Psychiatry 57, 655–660 (2005).

    Article  Google Scholar 

  42. Selzer, R.R. et al. Analysis of chromosome breakpoints in neuroblastoma at sub-kilobase resolution using fine-tiling oligonucleotide array CGH. Genes Chromosom. Cancer 44, 305–319 (2005).

    Article  CAS  Google Scholar 

  43. Itsara, A. et al. Population analysis of large copy number variants and hotspots of human genetic disease. Am. J. Hum. Genet. 84, 148–161 (2009).

    Article  CAS  Google Scholar 

  44. Igartua, C. et al. Targeted enrichment of specific regions in the human genome by array hybridization. Curr. Protoc. Hum. Genet. Chapter 18, Unit 18 3 (2010).

    PubMed  Google Scholar 

  45. Ng, S.B. et al. Exome sequencing identifies MLL2 mutations as a cause of Kabuki syndrome. Nat. Genet. 42, 790–793 (2010).

    Article  CAS  Google Scholar 

  46. Roach, J.C. et al. Analysis of genetic inheritance in a family quartet by whole-genome sequencing. Science 328, 636–639 (2010).

    Article  CAS  Google Scholar 

  47. Li, H. & Durbin, R. Fast and accurate short read alignment with Burrows-Wheeler transform. Bioinformatics 25, 1754–1760 (2009).

    Article  CAS  Google Scholar 

  48. Li, H. et al. The Sequence Alignment/Map format and SAMtools. Bioinformatics 25, 2078–2079 (2009).

    Article  Google Scholar 

  49. Bailey, J.A., Yavor, A.M., Massa, H.F., Trask, B.J. & Eichler, E.E. Segmental duplications: organization and impact within the current human genome project assembly. Genome Res. 11, 1005–1017 (2001).

    Article  CAS  Google Scholar 

  50. Sudmant, P.H. et al. Diversity of human copy number variation and multicopy genes. Science 330, 641–646 (2010).

    Article  CAS  Google Scholar 

  51. Hach, F. et al. mrsFAST: a cache-oblivious algorithm for short-read mapping. Nat. Methods 7, 576–577 (2010).

    Article  CAS  Google Scholar 

  52. Andrés, A.M. et al. Balancing selection maintains a form of ERAP2 that undergoes nonsense-mediated decay and affects antigen presentation. PLoS Genet. 6, e1001157 (2010).

    Article  Google Scholar 

Download references

Acknowledgements

We would like to thank and recognize the following ongoing studies that produced and provided exome variant calls for comparison: National Heart, Lung, and Blood Institute (NHBLI) Lung Cohort Sequencing Project (HL 1029230), NHLBI Women's Health Initiative (WHI) Sequencing Project (HL 102924), National Institute of Environmental Health Sciences (NIEHS) SNPs (HHSN273200800010C), NHLBI/National Human Genome Research Institute (NHGRI) SeattleSeq (HL 094976), NHGRI Next Generation Mendelian Genetics (HG 005608) and the Northwest Genomics Center (HL 102926). We also thank M.-C. King and S. Stray for processing and managing DNA samples, B.H. King and E. Bliss for their work in subject recruitment and phenotype collection, E. Turner, C. Igartua, I. Stanaway, M. Dennis and B. Coe for thoughtful discussions, M. State for providing SNP genotyping data and especially the families that volunteered their time to participate in this research. This work was supported by US National Institutes of Health grant HD065285 (E.E.E. and J.S.), Wellcome Trust core award 075491/Z/04 (S.E.F. and P.D.), the Max Planck Society (S.E.F.) and grants from the Simons Foundation Autism Research Initiative (SFARI) (191889, 137578 and 137593) (E.E.E., R.B., S.E.F. and P.D.). E.E.E. is an Investigator of the Howard Hughes Medical Institute.

Author information

Authors and Affiliations

Authors

Contributions

E.E.E., J.S. and B.J.O. designed the study and drafted the manuscript. E.E.E. and J.S. supervised the study. R.B. analyzed the clinical information and contributed to the manuscript. S.E.F. and P.D. designed cell-based functional experiments, analyzed data, interpreted results and contributed to the manuscript. S.G., C.B. and L.V. generated and analyzed array CGH data. C.L. performed Illumina GAIIx sequencing. B.J.O. and E.K. developed the analysis pipeline and analyzed sequence data. A.P.M. and S.B.N. designed and optimized capture protocol. B.J.O., L.V., A.P.M. and S.B.N. constructed exome libraries. B.J.O., L.V., A.P.M. and J.J.S. performed mutation validation and haplotype characterization. B.J.O. and J.J.S. performed the evaluation of 12817 lymphoblast cell lines. P.D. performed functional experiments. M.J.R. and D.A.N. performed sequencing of control samples.

Corresponding authors

Correspondence to Jay Shendure or Evan E Eichler.

Ethics declarations

Competing interests

E.E.E. is on the scientific advisory board for Pacific Biosciences. J.S. is a member of the scientific advisory boards of Tandem Technologies, Stratos Genomics, Good Start Genetics, Halo Genomics and Adaptive TCR. B.J.O. is an inventor on patent PCT/US2009/30620: Mutations in Contactin Associated Protein 2 are Associated with Increased Risk for Idiopathic Autism.

Supplementary information

Supplementary Text and Figures

Supplementary Note, Supplementary Figures 1–5 and Supplementary Tables 2–4 and 6–9. (PDF 5445 kb)

Supplementary Table 1

Core descriptive clinical values on ASD probands (XLSX 34 kb)

Supplementary Table 5

Variant positions of 21 genes with identified de novo events from 1000 genomes pilot data, 20 HapMap, and 20 ASD probands (XLSX 126 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

O'Roak, B., Deriziotis, P., Lee, C. et al. Exome sequencing in sporadic autism spectrum disorders identifies severe de novo mutations. Nat Genet 43, 585–589 (2011). https://doi.org/10.1038/ng.835

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ng.835

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing