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Title: 2 new genetic links predispose people to autism, large study shows
Source: CBC News
URL Source: http://www.cbc.ca/health/story/2007/02/18/autism.html
Published: Feb 18, 2007
Author: CBC News
Post Date: 2007-02-19 02:45:44 by scrapper2
Keywords: autism, genetic links, DNA studied
Views: 403
Comments: 44

An international team of scientists including several Canadians has discovered genetic links that put children at greater risk of developing autism.

About 1,500 families offered DNA to scientists searching for a cause for autism spectrum disorder. The results appear in Sunday's issue of Nature Genetics.

Stephen Scherer of the Hospital for Sick Children in Toronto led the Canadian arm of the research, identifying two key genetic causes for autism.

"Now we can think about this condition in a much different way," said Scherer. "We have an understanding of what's going on in the developing brain in these individuals so we can think about ways to actually deal with this issue."

The work involved abnormalities in chromosomes, gene codes and proteins. Between seven to 12 per cent of the families showed individuals sharing possibly detrimental chromosome abnormalities.

A linkage analysis that searched for regions of the genome that might be shared by individuals with autism spectrum disorder turned up a region on chromosome 11 that has not previously been linked to risk of developing autism.

Autism affects one in 160 children. The complexity of the genetics helps explain why it is described as a spectrum, with no two children exactly alike. Environmental factors may also play a role, scientists say.

The Fenton family of Halifax is a case in point. Liam, 14, has Asperger's syndrome. He is able to do Grade 8 schoolwork but has problems relating to others. His 10-year-old brother, Rhys, has a more classic form of autism and has difficulties with language, learning and social interactions.

"We need to find out why," said their mother, Jo-Lynn Fenton. "Obviously, I have two children with autism, somebody has no children with autism, so there's a reason, and the best way to find out is to look at what's different."

The findings may help steer scientists toward new drugs and behavioural therapies tailored to specific children or groups of children, said Dr. Lonnie Zwaigenbaum, director of the Autism Research Centre in Edmonton.

"At some point it may be that this kind of genetic research identifies subgroups of children with autism where the response to intervention may actually somehow relate to the genetics."

New treatments are years away, but the findings may help parents come to terms with why their children are different, and help them to understand that the disorder is not due to something they did during pregnancy.

The study also underlines that if one child is born with autism, there is a greater likelihood their siblings will be, as well.

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#2. To: scrapper2 (#0)

They would be better served to look at all the vaccines that babies are given these days instead of wasting time on genetics.

Lod  posted on  2007-02-19   10:00:57 ET  Reply   Untrace   Trace   Private Reply  


#3. To: lodwick, angle, All (#2)

They would be better served to look at all the vaccines that babies are given these days instead of wasting time on genetics.

DNA was analyzed - the results were not pulled out of a hat courtesy of pharma. I think it's pretty hard to deny a genetic link although this may bring out a certain level of parental guilt now sadly enough.

But I'll grant you that perhaps the different variations of autism have a multi- factoral cause - there's a genetic predispositon to autism and it makes those kids more susceptical to negative reactions in varying degrees to certain vaccinations as well.

Here's another article from the Globe and Mail that gives some interesting facts not covered in the one I posted:

http://www.theglobeandmail.com/servlet/story/RTGAM.20070219.wxautism19/B NStory/s pecialScienceandHealth/home

"Canadian breakthrough offers hope on autism: Project makes possible DNA test to identify children most likely at risk to condition"

By Carolyn Abraham

A massive international effort led by Canadian scientists has homed in on the genes behind autism - a breakthrough that could revolutionize how the mysterious and surprisingly common condition is both detected and treated.

Touting it as the most significant advance in the field in 30 years, researchers say the landmark project has put within reach a DNA test to identify children with autism early enough to counter the condition's worst effects.

"I don't think it's inconceivable that we're going to be able to prevent autism down the road," said study leader Peter Szatmari, director of the Offord Centre for Child Studies at McMaster Children's Hospital in Hamilton. "The clinical implications of this discovery are unprecedented."

Doctors currently rely on psychological tests to diagnose autism spectrum disorders in children at age 2 or 3. But a DNA test could identify those affected as babies, or perhaps even before they are born.

The findings, based on the largest autism DNA collection ever assembled, could also allow parents who have children with autism to learn through genetic screening their chances of having another affected child.

"If you know ahead [of time] of your predisposition to autism, you can make an informed decision," said Marie Jolicoeur, a Burlington, Ont., mother who has two sons with autism disorders and whose family contributed DNA to the project.

Using new genome scanning tools, researchers have found that several different autism-related genes can play a role in different families. This helps to explain why no two children - not even identical twins - have identical symptoms.

The researchers have pinpointed at least five areas of the genome that harbour genes linked to autism susceptibility, including those crucial for brain function. They have also found a genetic mutation tied to the disorder in girls - who are four times less likely than boys to develop autism disorders.

The work has also highlighted how autism can spring from genetic quirks not seen in either parent - suggesting that a genetic glitch has randomly emerged in the sperm or egg cells of the father or mother prior to conception.

Co-author Steve Scherer, senior scientist of genetics and genomic biology at Toronto's Hospital for Sick Children, said, "It may be that 5 to 10 per cent of autism cases are arising from these de novo [new] mutations."

The research, released yesterday in an advance online publication of the journal Nature Genetics, is the first part of a two-phase study run by the Autism Genome Project. It involves more than 137 researchers from 50 academic institutions in eight countries and the study of nearly 8,000 people from 1,600 families who have at least two members diagnosed with an ASD.

Dr. Szatmari, who set the ground rules for the unprecedented collaboration that began in 2002, said "the effort has meant the putting aside of individual ambitions to work together as a team."

Autism disorders have only recently been recognized as the most common serious developmental condition of childhood, affecting roughly one in 165 children. Experts refer to it as a spectrum because the complex neurological condition can range so widely in severity.

Some suffer severe cognitive impairment, others are savants. Many battle gastrointestinal problems and show a strong preference for strict routines and repetitive behaviours. But social deficits are its hallmark, impaired language, communication and the ability to interact with others.

Once considered rare, autism disorders seem to have risen dramatically over the last two decades. But Dr. Szatmari said many experts believe the increase can largely be explained by greater awareness, different diagnostic criteria and the specialized resources often made available to those with an ASD compared with another form of developmental condition.

Despite the growing awareness, autism's causes have stumped experts. Many suspect environmental triggers - prenatal hormones, toxins, food allergies and infections. But experts have long known genes play a major role. Autism disorders tend to run in families; if one identical twin has an ASD, there is a 65- to 92-per-cent chance the other will also develop the disorder. Doctors also see subtle forms of autism in parents that may not have been diagnosed.

"Still, for 99 per cent of autism cases, we don't know the underlying genes," Dr. Scherer said.

But with onetime scientific competitors sharing their families, researchers say they had enough statistical power to make connections. They also had the technology to run genome-wide scans and detect a type of genetic mutation only recently discovered.

These mutations, known as copy number variations, or CNVs, involve vast stretches of genetic code that are misplaced, repeated or deleted.

Late last year, Dr. Scherer and other colleagues reported that these quirks were far more common in the general population than expected - that people can carry extra copies of genes or be missing them completely and still be healthy.

But in this study, the scientists found certain CNVs were linked to autism - particularly if it was not seen in either parent or 500 DNA control samples and if it encompassed a genome region believed to be involved in brain function.

"These CNVs arise randomly all the time," Dr. Scherer said, "but sometimes, [depending on where they arise] they result in ASD."

Among the key findings is the involvement of a gene called Neurexin1, which researchers believe has an impact on how neurons communicate with each other. They have also found a suspicious region of Chromosome 11 that houses genes involved in the brain chemical glutamate, an important neurotransmitter.

"Nobody knew glutamate was involved in autism," Dr. Szatmari said. But it is known to be involved in epilepsy, he said, "and 20 per cent of children with autism also have epilepsy.

"All these straggly little threads are beginning to tie together into a string."

The second phase of the project, is to map the specific genes that contribute to autism.

But in uncovering "the genetic architecture" in the first phase, Dr. Scherer said autism seems much like cancer, a condition with many faces, arising from many different types of genetic mutations.

"We have to be careful," he said, "not to overinterpret the results."

Genetic counsellors at Sick Kids are already preparing for questions from parents, many of whom heard the study results at a meeting last November.

Generally, parents with one affected child are told they have a 5- to 10-per- cent chance of having another child with an ASD.

But Ms. Shuman said that's a general estimate based on population averages, and for some parents the chances could be much higher or lower.

For Ms. Jolicoeur, it is too late to consider how she and her husband, Craig Marshall, would use the information, having already had their three children, two of whom have autism. Her eldest son, Eric, 18, who read the National Geographic with his father at the age of 3, was diagnosed at age 7 with Asperger syndrome, a high-functioning form of autism, usually characterized by normal intelligence, obsessive interests in particular subjects and striking talents. But Eric's diagnosis came only after his brother Luc, 14, was diagnosed at 3 with pervasive developmental disorder, a more severe form of autism.

Still, Ms. Jolicoeur believes the discoveries, and those ahead, will be important for her youngest son, Marc, 12, who does not have a spectrum disorder and was born before Luc and Eric were diagnosed. "Marc has already said he doesn't think he would have children," she said. "But then he says, 'No, I think I would maybe have one.'"

People often ask her how she and her husband cope. "I tell them life is chaotic, busy, but it's all we have ever known," Ms. Jolicoeur said. "It is also loud and fun."

Her family has been part of Dr. Szatmari's research for more than 10 years. Ms. Jolicoeur understands that talk of screening for autism traits is controversial, since those at the mild end of the spectrum, and their advocates, see their unusual personality traits as characteristics society should accept.

But she said "it is valid" for people to have all the information they can to make their own decisions. "I didn't sign up to raise children with special needs," she said, "but they are your kids, and you love them unconditionally."

scrapper2  posted on  2007-02-19   11:48:11 ET  Reply   Untrace   Trace   Private Reply  


#9. To: scrapper2 (#3)

"Still, for 99 per cent of autism cases, we don't know the underlying genes," Dr. Scherer said.

DNA was analyzed - the results were not pulled out of a hat courtesy of pharma.

Fact is, you don't know where they came up with their results any more than we do.

There's an awful lot riding on disproving the vaccine causation.

angle  posted on  2007-02-19   12:35:25 ET  Reply   Untrace   Trace   Private Reply  


#14. To: angle (#9)

"Still, for 99 per cent of autism cases, we don't know the underlying genes," Dr. Scherer said.

Scientists have not mapped the entire genome series for this disease. That will come in the future no doubt.

The scientists never claimed that this was a definitive study - but the results are "promising" showing a genetic link.

http://www.medpageto day.com/Neurology/Autism/tb/5082

I don't know why there's so much grousing on this forum about a break through in science which may actually help potential parents who carry these gene abnormalities make informed decisions.

Just because this does not support the alternative medicine mindset, is this a valid reason to dismiss anything coming out of conventional research labs as part of a conspiracy of big pharma?? What help do the "it's all vaccinations fault" sector give to prospective parents to assist them to make informed decisions prior to giving birth to an autistic child? Oh I get it - just don't do any vaccinations and your autitistic child will grow out of it by age 6, well as long as he does not die of small pox before that time. Come on people, smell the coffee. Vaccinations have been around for a very long time and I don't have autism,you don't have autism. Were we just "lucky?"

Fyi...."The study was funded by the non-profit organization Autism Speaks and by the National Institutes of Health. The authors disclosed no financial conflicts."

scrapper2  posted on  2007-02-19   12:53:07 ET  Reply   Untrace   Trace   Private Reply  


#15. To: scrapper2 (#14)

The study was funded by the non-profit organization Autism Speaks

Bob Wright, chairman and CEO of NBC Universal, and his wife, Suzanne, joined this fight last fall when their grandson was diagnosed with autism. (MSNBC.COM is a joint venture of Microsoft and NBC Universal.)

The Wrights are launching a new organization, Autism Speaks, which will focus on research, treatment and education.

...In 2006, Autism Speaks has already awarded 62 research grants, totaling $6.8 million dollars

http://www.naar.org/research/ r esearch.asp

"Autism Speaks like every other Autism organization in the U.S. has in my opinion, written off the existing half a million children that are alive today with Autism. These groups are looking only to a 'possible' halt to the future children yet to be born, and/or drugs to push to the current sufferers. Are we suppose to say Thank You? No Thanks."

angle  posted on  2007-02-19   15:55:50 ET  Reply   Untrace   Trace   Private Reply  


#17. To: angle (#15)

"Autism Speaks like every other Autism organization in the U.S. has in my opinion, written off the existing half a million children that are alive today with Autism. These groups are looking only to a 'possible' halt to the future children yet to be born, and/or drugs to push to the current sufferers. Are we suppose to say Thank You? No Thanks."

Well, first off, the founders of Autism Speaks, Bob and Suzanne Wright, have a grandson diagnosed with autism, so it find it unlikely that they would fund an organization that "writes off" the existing half million children with autism.

Secondly, Autism Speaks is non-profit like the medical article states - it's not owned or funded by big pharma that I can see. It's mainly funded by individuals'donations and the ongoing philanthropy of very rich folks like Suzanne and Bob Wright.

Thirdly, if drugs are being researched/tested to give autistic children a chance at leading a quality life, how is that not a blessing? I have no thyroid and without my medication, which fyi I must take daily for life, I would not be alive today and it would not matter how much magnesium I added to my diet, I would die. So from my perspective - having been given a second chance at leading a healthy existence due to big pharma, I view the possibility of discovering medication for autism as a beneficial event, not an evil to be feared.

Fourthly,if a pre-natal test comes from Autism Speaks research and allows a couple to make informed choices about whether to have autism-disabled children ( maybe they will adopt instead?) or whether to terminate a pregnancy, how is that your or my business? We are not walking in those couples' shoes, we will not be helping them with the costs and stresses put on their marriage if they knowingly have an autistic child, so we have no right to sit in judgement of what choices these couples will make for their family's futures.

scrapper2  posted on  2007-02-19   16:25:30 ET  Reply   Untrace   Trace   Private Reply  


#19. To: scrapper2 (#17)

Clearly, you missed the point of the writer's comments.

Do you have any close people with autism? I do.

My position is that I think that this research and the timing of its release should be scrutinized.

At this point, from my readings, autism has a statistical link with the mercury- laced vaccinations. I think this link should be aggresively "independently" researched as well. Could prevent a significant autism problem with the next generation, if linked and acted upon.

angle  posted on  2007-02-19   16:36:45 ET  Reply   Untrace   Trace   Private Reply  


Replies to Comment # 19.

#25. To: angle, robin, lodwick, Yertle Turtle (#19) (Edited)

Clearly, you missed the point of the writer's comments.

Do you have any close people with autism? I do.

My position is that I think that this research and the timing of its release should be scrutinized.

At this point, from my readings, autism has a statistical link with the mercury- laced vaccinations. I think this link should be aggresively "independently" researched as well. Could prevent a significant autism problem with the next generation, if linked and acted upon.

Because you and I have differing opinions on the quote you posted does not mean I "missed" the writer's point.

No I don't know anyone with autism. But how does having "someone close with autism" give your opinions more gravitas than mine? Unless you are a physician or research scientist with medical expertise and advanced knowledge about this disease, we both speak from a layman's vantage point.

As for your readings that suggest a statistical link between autism and mercury laced vaccinations...perhaps you did not read about the following independent study done in Denmark that found no statistical link between autism and thermiserol vaccines. The study covered "All children between 2 and 10 years old who were diagnosed with autism during the period from 1971–2000."

***Fyi, Denmark stopped using thimerosal-containing vaccines in 1991.***

Yet, inexplicably " From 1991 until 2000 the incidence increased and continued to rise after the removal of thimerosal from vaccines, including increases among children born after the discontinuation of thimerosal."

http ://pediatrics.aappublications.org/cgi/content/abstract/112/3/604

scrapper2  posted on  2007-02-19 17:10:59 ET  Reply   Untrace   Trace   Private Reply  


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