The role of genetic factors and pre- and perinatal influences in the etiology of autism spectrum disorders - indications for genetic referral
Psychiatr Pol. 2016;50(3):543-54.
doi: 10.12740/PP/43234.
[Article in
English,
Polish]
Authors
Filip Rybakowski
1
, Izabela Chojnicka
2
, Piotr Dziechciarz
3
, Andrea Horvath
3
, Małgorzata Janas-Kozik
4
, Anetta Jeziorek
5
, Ewa Pisula
6
, Anna Piwowarczyk
3
, Agnieszka Słopień
7
, Joanna Sykut-Cegielska
8
, Hanna Szajewska
3
, Krzysztof Szczałuba
9
, Krystyna Szymańska
10
, Anna Waligórska
11
, Aneta Wojciechowska
12
, Michał Wroniszewski
13
, Anna Dunajska
2
Affiliations
- 1 Klinika Psychiatrii Dzieci i Młodzieży IPiN w Warszawie.
- 2 Poradnia Zaburzeń Komunikowania Kliniki Audiologii i Foniatrii, Instytut Fizjologii i Patologii Słuchu w Kajetanach.
- 3 Klinika Pediatrii WUM.
- 4 Klinika Psychiatrii i Psychoterapii ŚUM w Katowicach.
- 5 Klinika Neurologii WUM.
- 6 Katedra Psychologii Rehabilitacyjnej Uniwersytetu Warszawskiego.
- 7 Klinika Psychiatrii Dzieci i Młodzieży UM w Poznaniu.
- 8 Klinika Chorób Metabolicznych, Centrum Zdrowia Dziecka w Warszawie.
- 9 Poradnia Genetyczna Medgen w Warszawie.
- 10 Klinika Psychiatrii Wieku Rozwojowego WUM.
- 11 Centrum Terapii Autyzmu SOTIS w Warszawie.
- 12 Zakład Pedagogiki Specjalnej UAM w Poznaniu.
- 13 Fundacja Synapsis w Warszawie.
Abstract
Autism spectrum disorders (ASD) are caused by disruptions in early stages of central nervous system development and are usually diagnosed in first years of life. Despite common features such as impairment of socio-communicative development and stereotypical behaviours, ASD are characterised by heterogeneous course and clinical picture. The most important aetiological factors comprise genetic and environmental influences acting at prenatal, perinatal and neonatal period. The role of rare variants with large effect i.e. copy number variants in genes regulating synapse formation and intrasynaptic connections is emphasised. Common variants with small effect may also be involved, i.e. polymorphisms in genes encoding prosocial peptides system - oxytocin and vasopressin. The environmental factors may include harmful effects acting during pregnancy and labour, however their specificity until now is not confirmed, and in some of them a primary genetic origin cannot be excluded. In several instances, especially with comorbid disorders - intellectual disability, epilepsy and dysmorphias - a detailed molecular diagnostics is warranted, which currently may elucidate the genetic background of disorder in about 20% of cases.
Keywords:
aetiopathogenesis; autism spectrum disorders; genetics.
MeSH terms
-
Asphyxia Neonatorum / epidemiology*
-
Asphyxia Neonatorum / genetics
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Autism Spectrum Disorder / epidemiology*
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Autism Spectrum Disorder / genetics
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Child Development Disorders, Pervasive / epidemiology*
-
Child Development Disorders, Pervasive / genetics
-
Comorbidity
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Female
-
Humans
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Male
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Pregnancy
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Pregnancy Complications / epidemiology*
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Premature Birth / epidemiology
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Prenatal Exposure Delayed Effects / epidemiology*
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Prenatal Exposure Delayed Effects / genetics