Psychiatric Clinics of North America
Volume 33, Issue 1 , Pages 83-105, March 2010

The Genetics of Autism: Key Issues, Recent Findings, and Clinical Implications

  • Paul El-Fishawy, MD, JD

      Affiliations

    • Child Study Center, Yale University School of Medicine, 230 South Frontage Road, New Haven, CT 06520, USA
    • Department of Genetics, Yale University School of Medicine, 230 South Frontage Road, New Haven, CT 06520, USA
  • ,
  • Matthew W. State, MD, PhD

      Affiliations

    • Child Study Center, Yale University School of Medicine, 230 South Frontage Road, New Haven, CT 06520, USA
    • Department of Genetics, Yale University School of Medicine, 230 South Frontage Road, New Haven, CT 06520, USA
    • Department of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA
    • Program on Neurogenetics, Yale University School of Medicine, 230 South Frontage Road, New Haven, CT 06520, USA
    • Corresponding Author InformationCorresponding author. Department of Genetics, Yale University School of Medicine, 230 South Frontage Road, New Haven, CT 06520.

Autism spectrum disorders (ASDs) are highly heritable. Gene discovery promises to help illuminate the pathophysiology of these syndromes, yielding opportunities for the development of novel treatments and understanding of their natural history. Although the underlying genetic architecture of ASDs is not yet known, the literature demonstrates that it is not a monogenic disorder with mendelian inheritance, rather a group of complex genetic syndromes with risk deriving from genetic variations in multiple genes. This article reviews the origins of the common versus rare variant debate, highlights recent findings in the field, and addresses the clinical implications of common and rare variant discoveries.

Keywords: Autism genetics, Rare variants, Copy number variation, Association

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PII: S0193-953X(09)00104-X

doi:10.1016/j.psc.2009.12.002

Psychiatric Clinics of North America
Volume 33, Issue 1 , Pages 83-105, March 2010