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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: 405
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  


#4. To: scrapper2 (#3)

Strange how they try to divert the issue.

We all have a genetic link to death if we are exposed to cyanide gas.

If 1 out 150 children and when broken down 1 out of 80 boys get autism from mercury laced vaccines. Then the problem really isn’t our genes is it?

intotheabyss  posted on  2007-02-19   11:56:10 ET  Reply   Untrace   Trace   Private Reply  


#7. To: intotheabyss (#4)

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.

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.

Boys are 4 times more likely to suffer from an autism disorder than girls. Autism runs in families. No 2 autistic cases have the identical symptoms.

If vaccinations were the cause of autism, you would have more uniformity in symptoms and gender rates of acquiring autism would be similar and also the rates of autism would have increased/correlated with the years when more vaccinations were gov't mandated. I've never seen any evidence of this.

I'd agree with those who worry that there are too many vaccinations mandated by gov't for the very young but on the other hand I don't see the wisdom of some purists who say vaccinations are an un-necessary evil. It's no fun if your kid comes down with polio or small pox.

scrapper2  posted on  2007-02-19   12:21:15 ET  Reply   Untrace   Trace   Private Reply  


#31. To: scrapper2 (#7)

Wake up! and read the following.

The Age of Autism: The Amish Elephant

By DAN OLMSTED UPI Senior Editor

A specter is haunting the medical and journalism establishments of the United States: Where are the unvaccinated people with autism?

That is just about the only way to explain what now appears to be a collective resistance to considering that question. And like all unanswered questions, this raises another one: Why?

What is the problem with quickly and firmly establishing that the autism rate is about the same everywhere and for everybody in the United States, vaccinated or unvaccinated? Wouldn't that stop all the scientifically illiterate chatter by parents who believe vaccinations made their children autistic? Wouldn't it put to rest concerns that -- despite the removal of a mercury-containing preservative in most U.S. vaccines -- hundreds of millions of children in the developing world are possibly at risk if that preservative is in fact linked to autism?

Calling this issue The Amish Elephant reflects reporting earlier this year in Age of Autism that the largely unvaccinated Amish may have a relatively low rate of autism. That apparent dissimilarity is, in effect, a proverbial elephant in the living room -- studiously ignored by people who don't want to deal with it and don't believe they will have to.

Here are a few cases in point.

Earlier this month the National Consumers League conference in Washington held a session on communicating issues around vaccine safety. I was on the panel and talked about the Amish and autism. In the Q&A session that followed, the first question was for me.

"Is this a proper role for a journalist, or is this just a straw dog set up there with a preliminary answer? It not only showed up where you wrote it. It was all over the place. You did very, very well for UPI (at which point I said, 'Thank you -- please tell my bosses that!') but the question is, did you do very, very well for America?

"Is it appropriate for a journalist -- you weren't reporting, you were investigating. And I just wonder if you think it's an appropriate role for you to play."

My answer: "There's different roles for the press. That's certainly a reasonable question. That is investigative reporting. This idea is something that's already been discarded -- that there's any reason why you would want to look in an unvaccinated population.

"One of my favorite comments about journalism is that it's the wild card of American democracy. The First Amendment says we can do (in the sense of reporting about) whatever we want. So one of our privileges is to get an idea in our head and go look at it."

My questioner was not finished. "I wasn't questioning whether you have a First Amendment right to do it. I think this is more of a question of the ethics, of what value we are bringing to the debate."

My response: "That's probably not a good one for me to answer. Obviously I thought it was ethical."

At that point a fellow panelist, Dr. Louis Cooper, former president of the American Academy of Pediatrics and a staunch vaccine defender, spoke up. "I would jump in and say I thought it was ethical and I think it was useful," said Cooper, a courtly and unfailingly courteous Manhattan pediatrician.

"As you've learned, it was annoying to many people. I wasn't annoyed by it because I thought you kept the process and the debate and the discussion going forward. And we have to do that for one another."

That did not end the discussion. A few minutes later a public-health professor from -- where else? Harvard -- did her own version of Jeopardy!, offering the correct "answer" in the form of a question.

"This question is for Dan. Did you mention the outbreak of polio that happened in the Amish community in the Netherlands that caused widespread problems there, and also the fact that there'd been some context with respect to history in our country in trying to reach out to the Amish to actually encourage them to try to benefit from some of the vaccine technology to the extent that we could?

"So there's been a long history in this country of the CDC trying to reach out to them to the extent that they could. Also with respect to polio, I think what's really amazing is it's such a great story, this is such an exciting time, in the sense that we are very close to global eradication. What that means is we've gone from 1988 when we had 350,000 estimated paralytic polio cases in the world every year to roughly a thousand. It's very exciting that in fact we don't have the terror or the hysteria and all of the fear that surrounded disease.

"I just want to remind everyone that one thing that's very important in the context of reporting these stories is making sure that people do remember and also realize with infectious disease is these things can come back, and until they are eradicated they can come back and devastate us just as much as they did before, except now there are a lot more people.

"There's some related news that people might find interesting. A headline in the Washington Post today, 'Polio outbreak occurs among Amish families.' So I thought people might be interested in that."

At that point the moderator, Dr. Roger Bernier of the Centers for Disease Control, said time was getting short -- why was I not surprised? -- and asked for the next "question."

One thing I've noticed is the more that people want to lecture instead of learn, the more they speak in breathless run-on sentences that are hard to stop, slow down or even diagram. They leave one with the unspoken idea that dialogue -- opening the door to new information -- is somehow dangerous.

These exchanges reminded me of the response I got from Dr. Julie Gerberding, the CDC director, when I asked her this summer, verbatim: "Has the government ever looked at the autism rate in an unvaccinated U.S. population, and if not, why not?"

Her answer, verbatim:

--

In this country, we have very high levels of vaccination as you probably know, and I think this year we have record immunization levels among all of our children, so to (select an unvaccinated group) that on a population basis would be representative to look at incidence in that population compared to the other population would be something that could be done.

But as we're learning, just trying to look at autism in a community the size of Atlanta, it's very, very difficult to get an effective numerator and denominator to get a reliable diagnosis.

I think those kind of studies could be done and should be done. You'd have to adjust for the strong genetic component that also distinguishes, for example, people in Amish communities who may elect not to be immunized (and) also have genetic connectivity that would make them different from populations that are in other sectors of the United States. So drawing some conclusions from them would be very difficult.

I think with reference to the timing of all of this, good science does take time, and it's part of one of the messages I feel like I've learned from the feedback that we've gotten from parents groups this summer (in) struggling with developing a more robust and a faster research agenda, is let's speed this up. Let's look for the early studies that could give us at least some hypotheses to test and evaluate and get information flowing through the research pipeline as quickly as we can.

So we are committed to doing that, and as I mentioned, in terms of just measuring the frequency of autism in the population some pretty big steps have been taken. We're careful not to jump ahead of our data, but we think we will be able to provide more accurate information in the next year or so than we've been able to do up to this point. And I know that is our responsibility.

We've also benefited from some increased investments in these areas that have allowed us to do this, and so we thank Congress and we thank the administration for supporting those investments, not just at CDC but also at NIH and FDA.

--

The latest response to my pesky persistence comes not from academia or government but from my own profession. Last week the prestigious Columbia Journalism Review published an article whose main thrust -- with which I concur -- was that a vigorous debate over a possible link between vaccines and autism was being thwarted by the self-induced timidity of the press.

Some reporters told the author, Daniel Schulman, that they have basically given up on the story because the criticism -- some of it from their own editors -- was so fierce, and the story was so complicated.

Schulman described Age of Autism's efforts to come at the issue "sideways," looking for possible clues to the cause of the disorder in the natural history of autism. And he mentioned our reporting on the Amish:

"Privately, two reporters told me that, while intriguing, Olmsted's reporting on the Amish is misguided, since it may simply reflect genetic differences among an isolated gene pool. ... Both reporters believed that Olmsted has made up his mind on the question and is reporting the facts that support his conclusions."

Ouch. Being slammed by one's peers is never enjoyable, although reporters need to have thick skins and realize they dish this kind of thing out every day. (And those anonymous sources really are annoying, especially when I am happy to be quoted by name about everything.)

What's interesting about the reporters' "private" remarks is the degree of presumed expertise they suggest -- that looking at the Amish is misguided "since it may simply reflect genetic differences among an isolated gene pool." Really? Where did these guys get their doctorate in genetics, Harvard?

This assertion -- that the Amish gene pool could explain everything, based on no data that I'm aware of -- is the kind of self-interested speculation masquerading as expertise that has beset the autism-vaccines discussion for far too long. The term I learned for it long ago is "convenient reasoning," and it does not always have to be conscious.

The Amish have all kinds of standard genetic mental and developmental disorders -- from bipolar to retardation -- and a lot more genetic issues to boot from this supposedly protective "isolated gene pool." The doctors who actually know something about the Amish have never suggested to me that genes have anything to do with a low rate of autism. They seem perplexed.

In upcoming columns, we'll put that question to the right people -- geneticists -- and tell you what we find. It's called reporting.

intotheabyss  posted on  2007-02-20   11:27:02 ET  Reply   Untrace   Trace   Private Reply  


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