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A version of a gene has been linked to autism in families that have more than one child with the disorder. Inheriting two
copies of this version more than doubled a child’s risk of developing an autism spectrum disorder, scientists supported
by the National Institutes of Health’s (NIH) National Institute of Mental Health (NIMH) National Institute on Child
Health and Human Development (NICHD) have discovered.

In a large sample totaling 1,231 cases, they traced the connection to a tiny variation in the part of the gene that turns it
on and off. People with autism spectrum disorders were more likely than others to have inherited this version, which
cuts gene expression by half, likely impairing development of parts of the brain implicated in the disorder, report
doctors online during the week of the October 16, 2006 in the Proceedings of the National Academy of Sciences.

Autism is one of the most heritable mental disorders. If one identical twin has it, so will the other in nearly 9 out of 10
cases. If one sibling has the disorder, the other siblings run a 35-fold greater-than-normal risk of having it. Still,
scientists have so far had only mixed success in identifying the genes involved.

While most previous studies had focused on genes expressed in the brain, this team of doctors saw a clue in the fact
that some people with autism also have gastrointestinal, immunological or neurological symptoms in addition to
behavioral impairments. They focused on a gene that affects such peripheral functions as well as the development of
the cortex and cerebellum, brain areas disturbed in autism. Moreover, it is located in a suspect area of chromosome 7
that has been previously linked to autism spectrum disorders.  

To explore this possible connection, the researchers looked for associations between the brain disorder and nine
markers in the MET gene, sites where letters in the genetic code vary among individuals. They tested two samples: the
first, 204 families, including 26 with more than one child with autism spectrum disorders, the second, 539 families,
including 452 with such multiple affected children.

One marker, the C version, emerged as over-transmitted at “highly significant” levels in people with autism spectrum
disorders in both samples. Moreover, this association held only for families with more than one affected child and was
strongest in a sub-sample of those with more narrowly-defined autism. The C version was significantly less prevalent in
a group of 189 unrelated controls than in the individuals with autism or their parents.

“Since autism likely involves complex interactions between many different genes and other factors, common genetic
predisposing factors are likely more influential in families with multiple affected members. Some cases in families with
only one affected member more likely stem from rarer genetic glitches or other sporadic events”explained one doctor.

The researchers propose that in some individuals with autism spectrum disorders who also develop digestive and
immune system or non-specific neurological problems, the MET gene variant might play a role in impairing both brain
and peripheral organ development.
“We know that autism is the most heritable of neuropsychiatric disorders, but, thus far, we have not identified genes
that consistently are associated with this developmental brain disease. This new finding is an important clue, which if
replicated in an independent sample, will take us closer to understanding the genetic basis of autism.” said NIMH
Director.
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Gene linked to families with more than one autistic child
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