Table 1.
ASD-related syndromes
Syndrome | Gene(s) associated with the syndrome |
Proportion of patients with the syndrome that have an ASD |
Proportion of patients with an ASD that have the syndrome |
Refs |
---|---|---|---|---|
15q duplication — Angelman syndrome |
UBE3A (and others) | >40% | 1–2% | 101-103 |
16p11 deletion | Unknown | High | ∼1% | 20, 35, 44 |
22q deletion | SHANK3 | High | ∼1% | 21, 22, 104 |
Cortical dysplasia-focal epilepsy syndrome |
CNTNAP2 | ∼70% | Rare | 37 |
Fragile X syndrome | FMR1 | 25% of males; 6% of females | 1–2% | 105 |
Joubert syndrome | Several loci | 25% | Rare | 106 |
Potocki–Lupski syndrome | Chromosome position 17p11 |
∼90% | Unknown | 107 |
Smith–Lemli–Optiz syndrome |
DHCR7 | 50% | Rare | 108 |
Rett syndrome | MECP2 | All individuals have Rett syndrome |
∼0.5% | 109 |
Timothy syndrome | CACNA1C | 60–80% | Unknown | 24 |
Tuberous sclerosis | TSC1 and TSC2 | 20% | ∼1% | 110 |
The rates quoted in the table depend on the population that is being evaluated. For example, rates are higher in individuals from simplex families compared with multiplex families, and are higher in dysmorphic and mental retardation populations compared with idiopathic populations. ‘High’ is used for syndromes in which no good estimates exist (that is, only a handful of individuals with the syndrome in question have been identified). It should also be noted that none of the studies cited here indicates that assessment for the autism spectrum disorder (ASD) was performed blind to a patient's primary diagnosis. An expanded version of the table with additional variables can be found in Supplementary information S1 (table). CACNA1C, calcium channel voltage-dependent L type alpha 1C subunit; CNTNAP2, contactin associated protein-like 2; DHCR7, 7-dehydrocholesterol reductase; FMR1, fragile X mental retardation 1; MECP2, methyl CpG binding protein 2; SHANK3, SH3 and multiple ankyrin repeat domains 3; TSC1, tuberous sclerosis 1; TSC2, tuberous sclerosis 2; UBE3A, ubiquitin protein ligase E3A.