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Patterns and rates of exonic de novo mutations in autism spectrum disorders

Identifieur interne : 001724 ( PascalFrancis/Curation ); précédent : 001723; suivant : 001725

Patterns and rates of exonic de novo mutations in autism spectrum disorders

Auteurs : Benjamin M. Neale [États-Unis] ; YAN KOU [États-Unis] ; LI LIU [États-Unis] ; Avi Ma'Ayan [États-Unis] ; Kaitlin E. Samocha [États-Unis] ; Aniko Sabo [États-Unis] ; Chiao-Feng Lin [États-Unis] ; Christine Stevens [États-Unis] ; Li-San Wang [États-Unis] ; Vladimir Makarov [États-Unis] ; Paz Polak [États-Unis] ; Seungtai Yoon [États-Unis] ; Jared Maguire [États-Unis] ; Emily L. Crawford [États-Unis] ; Nicholas G. Campbell [États-Unis] ; Evan T. Geher [États-Unis] ; Otto Valladares [États-Unis] ; Chad Schafer [États-Unis] ; Han Liul [États-Unis] ; TUO ZHAO [États-Unis] ; GUIQING CAI [États-Unis] ; Jayon Lihm [États-Unis] ; Ruth Dannenfelser [États-Unis] ; Omar Jabado [États-Unis] ; Zuleyma Peralta [États-Unis] ; Uma Nagaswamy [États-Unis] ; Donna Muzny [États-Unis] ; Jeffrey G. Reid [États-Unis] ; Irene Newsham [États-Unis] ; YUANQING WU [États-Unis] ; Lora Lewis [États-Unis] ; YI HAN [États-Unis] ; Benjamin F. Voight [États-Unis] ; Elaine Lim [États-Unis] ; Elizabeth Rossin [États-Unis] ; Andrew Kirby [États-Unis] ; Jason Flannick [États-Unis] ; Menachem Fromer [États-Unis] ; Khalid Shakir [États-Unis] ; Tim Fennell [États-Unis] ; Kiran Garimella [États-Unis] ; Eric Banks [États-Unis] ; Ryan Poplin [États-Unis] ; Stacey Gabriel [États-Unis] ; Mark Depristo [États-Unis] ; Jack R. Wimbish [États-Unis] ; Braden E. Boone [États-Unis] ; Shawn E. Levy [États-Unis] ; Catalina Betancur [France] ; Shamil Sunyaev [États-Unis] ; Eric Boerwinkle [États-Unis] ; Joseph D. Buxbaum [États-Unis] ; Edwin H. Jr Cook [États-Unis] ; Bernie Devlin ; Richard A. Gibbs [États-Unis] ; Kathryn Roeder [États-Unis] ; Gerard D. Schellenberg [États-Unis] ; James S. Sutcliffe [États-Unis] ; Mark J. Daly [États-Unis]

Source :

RBID : Pascal:12-0377985

Descripteurs français

English descriptors

Abstract

Autism spectrum disorders (ASD) are believed to have genetic and environmental origins, yet in only a modest fraction of individuals can specific causes be identified1,2, To identify further genetic risk factors, here we assess the role of de novo mutations in ASD by sequencing the exomes of ASD cases and their parents (n = 175 trios). Fewer than half of the cases (46.3%) carry a missense or nonsense de novo variant, and the overall rate of mutation is only modestly higher than the expected rate. In contrast, the proteins encoded by genes that harboured de novo missense or nonsense mutations showed a higher degree of connectivity among themselves and to previous ASD genes3 as indexed by protein-protein interaction screens. The small increase in the rate of de novo events, when taken together with the protein interaction results, are consistent with an important but limited role for de novo point mutations in ASD, similar to that documented for de novo copy number variants. Genetic models incorporating these data indicate that most of the observed de novo events are unconnected to ASD; those that do confer risk are distributed across many genes and are incompletely penetrant (that is, not necessarily sufficient for disease). Our results support polygenic models in which spontaneous coding mutations in any of a large number of genes increases risk by 5- to 20-fold. Despite the challenge posed by such models, results from de novo events and a large parallel case-control study provide strong evidence in favour of CHD8 and KATNAL2 as genuine autism risk factors.
pA  
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Pascal:12-0377985

Le document en format XML

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<affiliation wicri:level="1">
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<s1>Division of Genetics, Department of Medicine Brigham & Women's Hospital and Harvard Medical School</s1>
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<author>
<name sortKey="Yoon, Seungtai" sort="Yoon, Seungtai" uniqKey="Yoon S" first="Seungtai" last="Yoon">Seungtai Yoon</name>
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<affiliation wicri:level="1">
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<s1>Department of Psychiatry, Mount Sinai School of Medicine</s1>
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<author>
<name sortKey="Maguire, Jared" sort="Maguire, Jared" uniqKey="Maguire J" first="Jared" last="Maguire">Jared Maguire</name>
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<author>
<name sortKey="Crawford, Emily L" sort="Crawford, Emily L" uniqKey="Crawford E" first="Emily L." last="Crawford">Emily L. Crawford</name>
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<author>
<name sortKey="Campbell, Nicholas G" sort="Campbell, Nicholas G" uniqKey="Campbell N" first="Nicholas G." last="Campbell">Nicholas G. Campbell</name>
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<s1>Vanderbilt Brain institute, Departments of Molecular Physiology & Biophysics and Psychiatry, Vanderbilt University</s1>
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<author>
<name sortKey="Geher, Evan T" sort="Geher, Evan T" uniqKey="Geher E" first="Evan T." last="Geher">Evan T. Geher</name>
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<s1>Patho ogy and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania</s1>
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<author>
<name sortKey="Valladares, Otto" sort="Valladares, Otto" uniqKey="Valladares O" first="Otto" last="Valladares">Otto Valladares</name>
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<s1>Patho ogy and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania</s1>
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<author>
<name sortKey="Schafer, Chad" sort="Schafer, Chad" uniqKey="Schafer C" first="Chad" last="Schafer">Chad Schafer</name>
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<inist:fA14 i1="05">
<s1>Department of Statistics, Carnegie Mellon University</s1>
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<author>
<name sortKey="Liul, Han" sort="Liul, Han" uniqKey="Liul H" first="Han" last="Liul">Han Liul</name>
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<s1>Biostatistics Department and Computer Science Department, Johns Hopkins University</s1>
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<author>
<name sortKey="Tuo Zhao" sort="Tuo Zhao" uniqKey="Tuo Zhao" last="Tuo Zhao">TUO ZHAO</name>
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<s1>Biostatistics Department and Computer Science Department, Johns Hopkins University</s1>
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<author>
<name sortKey="Guiqing Cai" sort="Guiqing Cai" uniqKey="Guiqing Cai" last="Guiqing Cai">GUIQING CAI</name>
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<s1>Seaver Autism Center for Research and Treatment, Mount Sinai School of Medicine</s1>
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<country>États-Unis</country>
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<affiliation wicri:level="1">
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<s1>Department of Psychiatry, Mount Sinai School of Medicine</s1>
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<country>États-Unis</country>
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<author>
<name sortKey="Lihm, Jayon" sort="Lihm, Jayon" uniqKey="Lihm J" first="Jayon" last="Lihm">Jayon Lihm</name>
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<s1>Seaver Autism Center for Research and Treatment, Mount Sinai School of Medicine</s1>
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<country>États-Unis</country>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="08">
<s1>Department of Psychiatry, Mount Sinai School of Medicine</s1>
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<author>
<name sortKey="Dannenfelser, Ruth" sort="Dannenfelser, Ruth" uniqKey="Dannenfelser R" first="Ruth" last="Dannenfelser">Ruth Dannenfelser</name>
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<inist:fA14 i1="03">
<s1>Department of Pharmacology and Systems Therapeutics, Mount Sinai School of Medicine</s1>
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<author>
<name sortKey="Jabado, Omar" sort="Jabado, Omar" uniqKey="Jabado O" first="Omar" last="Jabado">Omar Jabado</name>
<affiliation wicri:level="1">
<inist:fA14 i1="12">
<s1>Department of Genetics and Genomic Sciences, Mount Sinai School of Medicine</s1>
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<country>États-Unis</country>
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<author>
<name sortKey="Peralta, Zuleyma" sort="Peralta, Zuleyma" uniqKey="Peralta Z" first="Zuleyma" last="Peralta">Zuleyma Peralta</name>
<affiliation wicri:level="1">
<inist:fA14 i1="12">
<s1>Department of Genetics and Genomic Sciences, Mount Sinai School of Medicine</s1>
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<country>États-Unis</country>
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<author>
<name sortKey="Nagaswamy, Uma" sort="Nagaswamy, Uma" uniqKey="Nagaswamy U" first="Uma" last="Nagaswamy">Uma Nagaswamy</name>
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<s1>Human Genome Sequencing Center, Baylor College of Medicine</s1>
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<country>États-Unis</country>
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<author>
<name sortKey="Muzny, Donna" sort="Muzny, Donna" uniqKey="Muzny D" first="Donna" last="Muzny">Donna Muzny</name>
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<s1>Human Genome Sequencing Center, Baylor College of Medicine</s1>
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<author>
<name sortKey="Reid, Jeffrey G" sort="Reid, Jeffrey G" uniqKey="Reid J" first="Jeffrey G." last="Reid">Jeffrey G. Reid</name>
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<s1>Human Genome Sequencing Center, Baylor College of Medicine</s1>
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<author>
<name sortKey="Newsham, Irene" sort="Newsham, Irene" uniqKey="Newsham I" first="Irene" last="Newsham">Irene Newsham</name>
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<s1>Human Genome Sequencing Center, Baylor College of Medicine</s1>
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<author>
<name sortKey="Yuanqing Wu" sort="Yuanqing Wu" uniqKey="Yuanqing Wu" last="Yuanqing Wu">YUANQING WU</name>
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<s1>Human Genome Sequencing Center, Baylor College of Medicine</s1>
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<author>
<name sortKey="Lewis, Lora" sort="Lewis, Lora" uniqKey="Lewis L" first="Lora" last="Lewis">Lora Lewis</name>
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<s1>Human Genome Sequencing Center, Baylor College of Medicine</s1>
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<author>
<name sortKey="Yi Han" sort="Yi Han" uniqKey="Yi Han" last="Yi Han">YI HAN</name>
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<author>
<name sortKey="Voight, Benjamin F" sort="Voight, Benjamin F" uniqKey="Voight B" first="Benjamin F." last="Voight">Benjamin F. Voight</name>
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<country>États-Unis</country>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="13">
<s1>Department of Pharmacology, University of Pennsylvania, Perelman School of Medicine</s1>
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<author>
<name sortKey="Lim, Elaine" sort="Lim, Elaine" uniqKey="Lim E" first="Elaine" last="Lim">Elaine Lim</name>
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<country>États-Unis</country>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, 7 Cambridge Center</s1>
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<author>
<name sortKey="Rossin, Elizabeth" sort="Rossin, Elizabeth" uniqKey="Rossin E" first="Elizabeth" last="Rossin">Elizabeth Rossin</name>
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<s1>Analytic and Translational Genetics Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School</s1>
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<country>États-Unis</country>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, 7 Cambridge Center</s1>
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<name sortKey="Kirby, Andrew" sort="Kirby, Andrew" uniqKey="Kirby A" first="Andrew" last="Kirby">Andrew Kirby</name>
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<s1>Analytic and Translational Genetics Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School</s1>
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<name sortKey="Wimbish, Jack R" sort="Wimbish, Jack R" uniqKey="Wimbish J" first="Jack R." last="Wimbish">Jack R. Wimbish</name>
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<name sortKey="Levy, Shawn E" sort="Levy, Shawn E" uniqKey="Levy S" first="Shawn E." last="Levy">Shawn E. Levy</name>
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<s1>INSERM U952 and CNRS UMR 7224 and UPMC Univ Paris 06</s1>
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<s1>Division of Genetics, Department of Medicine Brigham & Women's Hospital and Harvard Medical School</s1>
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<s1>Human Genetics Center, University of Texas Health Science Center at Houston</s1>
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<name sortKey="Buxbaum, Joseph D" sort="Buxbaum, Joseph D" uniqKey="Buxbaum J" first="Joseph D." last="Buxbaum">Joseph D. Buxbaum</name>
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<s1>Department of Psychiatry, Mount Sinai School of Medicine</s1>
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<s1>Department of Genetics and Genomic Sciences, Mount Sinai School of Medicine</s1>
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<name sortKey="Cook, Edwin H Jr" sort="Cook, Edwin H Jr" uniqKey="Cook E" first="Edwin H. Jr" last="Cook">Edwin H. Jr Cook</name>
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<s1>Department of Psychiatry, University of Illinois at Chicago</s1>
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<name sortKey="Devlin, Bernie" sort="Devlin, Bernie" uniqKey="Devlin B" first="Bernie" last="Devlin">Bernie Devlin</name>
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<name sortKey="Gibbs, Richard A" sort="Gibbs, Richard A" uniqKey="Gibbs R" first="Richard A." last="Gibbs">Richard A. Gibbs</name>
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<name sortKey="Roeder, Kathryn" sort="Roeder, Kathryn" uniqKey="Roeder K" first="Kathryn" last="Roeder">Kathryn Roeder</name>
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<s1>Department of Statistics, Carnegie Mellon University</s1>
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<s1>Vanderbilt Brain institute, Departments of Molecular Physiology & Biophysics and Psychiatry, Vanderbilt University</s1>
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<title xml:lang="en" level="a">Patterns and rates of exonic de novo mutations in autism spectrum disorders</title>
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<author>
<name sortKey="Buxbaum, Joseph D" sort="Buxbaum, Joseph D" uniqKey="Buxbaum J" first="Joseph D." last="Buxbaum">Joseph D. Buxbaum</name>
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<s1>Department of Psychiatry, Mount Sinai School of Medicine</s1>
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<s1>Department of Genetics and Genomic Sciences, Mount Sinai School of Medicine</s1>
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<s1>Department of Psychiatry, University of Illinois at Chicago</s1>
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<name sortKey="Devlin, Bernie" sort="Devlin, Bernie" uniqKey="Devlin B" first="Bernie" last="Devlin">Bernie Devlin</name>
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<name sortKey="Gibbs, Richard A" sort="Gibbs, Richard A" uniqKey="Gibbs R" first="Richard A." last="Gibbs">Richard A. Gibbs</name>
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<name sortKey="Roeder, Kathryn" sort="Roeder, Kathryn" uniqKey="Roeder K" first="Kathryn" last="Roeder">Kathryn Roeder</name>
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<author>
<name sortKey="Sutcliffe, James S" sort="Sutcliffe, James S" uniqKey="Sutcliffe J" first="James S." last="Sutcliffe">James S. Sutcliffe</name>
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<name sortKey="Daly, Mark J" sort="Daly, Mark J" uniqKey="Daly M" first="Mark J." last="Daly">Mark J. Daly</name>
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</analytic>
<series>
<title level="j" type="main">Nature : (London)</title>
<title level="j" type="abbreviated">Nature : (Lond.)</title>
<idno type="ISSN">0028-0836</idno>
<imprint>
<date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Nature : (London)</title>
<title level="j" type="abbreviated">Nature : (Lond.)</title>
<idno type="ISSN">0028-0836</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Autism</term>
<term>De novo</term>
<term>Human</term>
<term>Mutation</term>
<term>Spectrum</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>De novo</term>
<term>Mutation</term>
<term>Autisme</term>
<term>Spectre</term>
<term>Homme</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Homme</term>
</keywords>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">Autism spectrum disorders (ASD) are believed to have genetic and environmental origins, yet in only a modest fraction of individuals can specific causes be identified
<sup>1,2</sup>
, To identify further genetic risk factors, here we assess the role of de novo mutations in ASD by sequencing the exomes of ASD cases and their parents (n = 175 trios). Fewer than half of the cases (46.3%) carry a missense or nonsense de novo variant, and the overall rate of mutation is only modestly higher than the expected rate. In contrast, the proteins encoded by genes that harboured de novo missense or nonsense mutations showed a higher degree of connectivity among themselves and to previous ASD genes
<sup>3</sup>
as indexed by protein-protein interaction screens. The small increase in the rate of de novo events, when taken together with the protein interaction results, are consistent with an important but limited role for de novo point mutations in ASD, similar to that documented for de novo copy number variants. Genetic models incorporating these data indicate that most of the observed de novo events are unconnected to ASD; those that do confer risk are distributed across many genes and are incompletely penetrant (that is, not necessarily sufficient for disease). Our results support polygenic models in which spontaneous coding mutations in any of a large number of genes increases risk by 5- to 20-fold. Despite the challenge posed by such models, results from de novo events and a large parallel case-control study provide strong evidence in favour of CHD8 and KATNAL2 as genuine autism risk factors.</div>
</front>
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<sZ>45 aut.</sZ>
<sZ>50 aut.</sZ>
<sZ>59 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Department of Pharmacology and Systems Therapeutics, Mount Sinai School of Medicine</s1>
<s2>New York, New York 10029</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>23 aut.</sZ>
</fA14>
<fA14 i1="04">
<s1>Seaver Autism Center for Research and Treatment, Mount Sinai School of Medicine</s1>
<s2>New York, New York 10029</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>21 aut.</sZ>
<sZ>22 aut.</sZ>
<sZ>52 aut.</sZ>
</fA14>
<fA14 i1="05">
<s1>Department of Statistics, Carnegie Mellon University</s1>
<s2>Pittsburgh, Pennsylvania 15232</s2>
<s3>USA</s3>
<sZ>3 aut.</sZ>
<sZ>18 aut.</sZ>
<sZ>56 aut.</sZ>
</fA14>
<fA14 i1="06">
<s1>Human Genome Sequencing Center, Baylor College of Medicine</s1>
<s2>Houston, Texas 77030</s2>
<s3>USA</s3>
<sZ>6 aut.</sZ>
<sZ>26 aut.</sZ>
<sZ>27 aut.</sZ>
<sZ>28 aut.</sZ>
<sZ>29 aut.</sZ>
<sZ>30 aut.</sZ>
<sZ>31 aut.</sZ>
<sZ>32 aut.</sZ>
<sZ>51 aut.</sZ>
<sZ>55 aut.</sZ>
</fA14>
<fA14 i1="07">
<s1>Patho ogy and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania</s1>
<s2>Philadelphia, Pennsylvania 19104</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 aut.</sZ>
<sZ>57 aut.</sZ>
</fA14>
<fA14 i1="08">
<s1>Department of Psychiatry, Mount Sinai School of Medicine</s1>
<s2>New York, New York 10029</s2>
<s3>USA</s3>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>21 aut.</sZ>
<sZ>22 aut.</sZ>
<sZ>52 aut.</sZ>
</fA14>
<fA14 i1="09">
<s1>Division of Genetics, Department of Medicine Brigham & Women's Hospital and Harvard Medical School</s1>
<s2>Boston, Massachusetts 02115</s2>
<s3>USA</s3>
<sZ>11 aut.</sZ>
<sZ>50 aut.</sZ>
</fA14>
<fA14 i1="10">
<s1>Vanderbilt Brain institute, Departments of Molecular Physiology & Biophysics and Psychiatry, Vanderbilt University</s1>
<s2>Nashville, Tennessee 37232</s2>
<s3>USA</s3>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>58 aut.</sZ>
</fA14>
<fA14 i1="11">
<s1>Biostatistics Department and Computer Science Department, Johns Hopkins University</s1>
<s2>Baltimore, Maryland 21205</s2>
<s3>USA</s3>
<sZ>19 aut.</sZ>
<sZ>20 aut.</sZ>
</fA14>
<fA14 i1="12">
<s1>Department of Genetics and Genomic Sciences, Mount Sinai School of Medicine</s1>
<s2>New York, New York 10029</s2>
<s3>USA</s3>
<sZ>24 aut.</sZ>
<sZ>25 aut.</sZ>
<sZ>52 aut.</sZ>
</fA14>
<fA14 i1="13">
<s1>Department of Pharmacology, University of Pennsylvania, Perelman School of Medicine</s1>
<s2>Philadelphia, Pennsylvania 19104</s2>
<s3>USA</s3>
<sZ>33 aut.</sZ>
</fA14>
<fA14 i1="14">
<s1>HudsonAlpha Institute for Biotechnology</s1>
<s2>Huntsville, Alabama 35806</s2>
<s3>USA</s3>
<sZ>46 aut.</sZ>
<sZ>47 aut.</sZ>
<sZ>48 aut.</sZ>
</fA14>
<fA14 i1="15">
<s1>INSERM U952 and CNRS UMR 7224 and UPMC Univ Paris 06</s1>
<s2>75005 Paris</s2>
<s3>FRA</s3>
<sZ>49 aut.</sZ>
</fA14>
<fA14 i1="16">
<s1>Human Genetics Center, University of Texas Health Science Center at Houston</s1>
<s2>Houston, Texas 77030</s2>
<s3>USA</s3>
<sZ>51 aut.</sZ>
</fA14>
<fA14 i1="17">
<s1>Friedman Brain Institute, Mount Sinai School of Medicine</s1>
<s2>New York, New York 10029</s2>
<s3>USA</s3>
<sZ>52 aut.</sZ>
</fA14>
<fA14 i1="18">
<s1>Department of Psychiatry, University of Illinois at Chicago</s1>
<s2>Chicago, Illinois 60608</s2>
<s3>USA</s3>
<sZ>53 aut.</sZ>
</fA14>
<fA20>
<s1>242-245</s1>
</fA20>
<fA21>
<s1>2012</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>142</s2>
<s5>354000509296380250</s5>
</fA43>
<fA44>
<s0>0000</s0>
<s1>© 2012 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>20 ref.</s0>
</fA45>
<fA47 i1="01" i2="1">
<s0>12-0377985</s0>
</fA47>
<fA60>
<s1>P</s1>
<s3>CR</s3>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>Nature : (London)</s0>
</fA64>
<fA66 i1="01">
<s0>GBR</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Autism spectrum disorders (ASD) are believed to have genetic and environmental origins, yet in only a modest fraction of individuals can specific causes be identified
<sup>1,2</sup>
, To identify further genetic risk factors, here we assess the role of de novo mutations in ASD by sequencing the exomes of ASD cases and their parents (n = 175 trios). Fewer than half of the cases (46.3%) carry a missense or nonsense de novo variant, and the overall rate of mutation is only modestly higher than the expected rate. In contrast, the proteins encoded by genes that harboured de novo missense or nonsense mutations showed a higher degree of connectivity among themselves and to previous ASD genes
<sup>3</sup>
as indexed by protein-protein interaction screens. The small increase in the rate of de novo events, when taken together with the protein interaction results, are consistent with an important but limited role for de novo point mutations in ASD, similar to that documented for de novo copy number variants. Genetic models incorporating these data indicate that most of the observed de novo events are unconnected to ASD; those that do confer risk are distributed across many genes and are incompletely penetrant (that is, not necessarily sufficient for disease). Our results support polygenic models in which spontaneous coding mutations in any of a large number of genes increases risk by 5- to 20-fold. Despite the challenge posed by such models, results from de novo events and a large parallel case-control study provide strong evidence in favour of CHD8 and KATNAL2 as genuine autism risk factors.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002A07C03</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B18D04B</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>De novo</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>De novo</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>De novo</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Mutation</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Mutation</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Mutación</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Autisme</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Autism</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Autismo</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Spectre</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Spectrum</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Espectro</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Homme</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Human</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>05</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Trouble du développement</s0>
<s5>19</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Developmental disorder</s0>
<s5>19</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Trastorno desarrollo</s0>
<s5>19</s5>
</fC07>
<fN21>
<s1>289</s1>
</fN21>
</pA>
</standard>
</inist>
</record>

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