Diagnosis and Management of Autism Spectrum Disorder in the Era of Genomics Rare Disorders Can Pave the Way for Targeted Treatments

被引:24
作者
Baker, Elizabeth [1 ]
Jeste, Shafali Spurling [1 ]
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Semel Inst Neurosci & Human Behav, Dept Psychiat & Biobehav Sci, Los Angeles, CA 90095 USA
关键词
Neurodevelopmental disorders; Autism spectrum disorders; Genetics; Copy number variants; Chromosomal microarray; Whole-exome sequencing; DE-NOVO MUTATIONS; TUBEROUS SCLEROSIS; PRACTICE PARAMETER; SEX-DIFFERENCES; GENETICS; ABNORMALITIES; BEHAVIORS; AMERICAN; EPILEPSY; CHILDREN;
D O I
10.1016/j.pcl.2015.03.003
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Although the diagnosis of autism spectrum disorder (ASD) is based on behavioral signs and symptoms, the evaluation of a child with ASD has become increasingly focused on the identification of the genetic etiology of the disorder. In this review, we begin with a clinical overview of ASD, highlighting the heterogeneity of the disorder. We then discuss the genetics of ASD and present updated guidelines on genetic testing. We then consider the insights gained from the identification of both single gene disorders and rare variants, with regard to clinical phenomenology and potential treatment targets.
引用
收藏
页码:607 / +
页数:13
相关论文
共 43 条
  • [1] [Anonymous], COMM ED INT CHILDR A
  • [2] Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP)
    Baird, Gillian
    Simonoff, Emily
    Pickles, Andrew
    Chandler, Susie
    Loucas, Tom
    Meldrum, David
    Charman, Tony
    [J]. LANCET, 2006, 368 (9531) : 210 - 215
  • [3] The inv dup (15) or idic (15) syndrome (Tetrasomy 15q)
    Battaglia, Agatino
    [J]. ORPHANET JOURNAL OF RARE DISEASES, 2008, 3 (1)
  • [4] Sex differences in cognitive domains and their clinical correlates in higher-functioning autism spectrum disorders
    Bolte, Sven
    Duketis, Eftichia
    Poustka, Fritz
    Holtmann, Martin
    [J]. AUTISM, 2011, 15 (04) : 497 - 511
  • [5] Neuro-epileptic determinants of autism spectrum disorders in tuberous sclerosis complex
    Bolton, PF
    Park, RJ
    Higgins, JNP
    Griffiths, PD
    Pickles, A
    [J]. BRAIN, 2002, 125 : 1247 - 1255
  • [6] Carter MJ, 2014, THER RECREAT J, V48, P275
  • [7] A survey of seizures and current treatments in 15q duplication syndrome
    Conant, Kerry D.
    Finucane, Brenda
    Cleary, Nicole
    Martin, Ashley
    Muss, Candace
    Delany, Mary
    Murphy, Erin K.
    Rabe, Olivia
    Luchsinger, Kadi
    Spence, Sarah J.
    Schanen, Carolyn
    Devinsky, Orrin
    Cook, Edwin H.
    LaSalle, Janine
    Reiter, Lawrence T.
    Thibert, Ronald L.
    [J]. EPILEPSIA, 2014, 55 (03) : 396 - 402
  • [8] How Different Are Girls and Boys Above and Below the Diagnostic Threshold for Autism Spectrum Disorders?
    Dworzynski, Katharina
    Ronald, Angelica
    Bolton, Patrick
    Happe, Francesca
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2012, 51 (08) : 788 - 797
  • [9] Reversal of learning deficits in a Tsc2+/- mouse model of tuberous sclerosis
    Ehninger, Dan
    Han, Sangyeul
    Shilyansky, Carrie
    Zhou, Yu
    Li, Weidong
    Kwiatkowski, David J.
    Ramesh, Vijaya
    Silva, Alcino J.
    [J]. NATURE MEDICINE, 2008, 14 (08) : 843 - 848
  • [10] EEG abnormalities and epilepsy in autistic spectrum disorders: Clinical and familial correlates
    Ekinci, Ozalp
    Arman, Ayse Rodopman
    Isik, Ugur
    Bez, Yasin
    Berkem, Meral
    [J]. EPILEPSY & BEHAVIOR, 2010, 17 (02) : 178 - 182