Assessment & Research

Population- and family-based studies associate the MTHFR gene with idiopathic autism in simplex families.

Liu et al. (2011) · Journal of autism and developmental disorders 2011
★ The Verdict

The MTHFR 677T allele is a genetic risk factor for autism specifically in simplex families.

✓ Read this if BCBAs working with single-incidence autism families who have genetic reports.
✗ Skip if Clinicians serving only multiplex families or those without access to genetic data.

01Research in Context

01

What this study did

Liu et al. (2011) looked at DNA from families with one child with autism. They checked how often the MTHFR 677T gene variant showed up. They compared simplex families (only one child with autism) to controls without autism.

02

What they found

The MTHFR 677T allele was more common in autism cases from simplex families. The same variant was passed to the affected child more often than expected. This points to a genetic risk factor for autism in these families.

03

How this fits with other research

Stichter et al. (2009) studied the same gene two years earlier. They found kids with autism who carry the 677T allele show more gaze avoidance, self-injury, and overactivity. Liu et al. (2011) now show why: the variant is over-transmitted in simplex families.

Huang et al. (2010) saw a different gene, RPP25, drop by 45% in autism cortex. That paper looked at brain tissue, while Liu et al. (2011) looked at blood DNA. Different genes, different methods, both add pieces to the autism risk puzzle.

Matson et al. (2011) used mice to show MET and PLAUR shape early brain wiring. Liu et al. (2011) add human evidence that MTHFR can also nudge risk. Together, they tell us multiple genes travel separate roads to the same diagnosis.

04

Why it matters

If you work with simplex families, flag any genetic report that lists MTHFR 677T. Share the finding with parents: the same variant linked to autism is also tied to more self-injury and overactivity. You can plan tighter behavior plans and watch folate-friendly diets. No gene means destiny, but knowing the card they hold helps you play the hand better.

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Check your caseload for simplex families and note any MTHFR 677T result—then add extra self-injury and activity monitoring to their behavior plan.

02At a glance

Intervention
not applicable
Design
other
Sample size
512
Population
autism spectrum disorder
Finding
positive

03Original abstract

Two methylenetetrahydrofolate reductase gene (MTHFR) functional polymorphisms were studied in 205 North American simplex (SPX) and 307 multiplex (MPX) families having one or more children with an autism spectrum disorder. Case-control comparisons revealed a significantly higher frequency of the low-activity 677T allele, higher prevalence of the 677TT genotype and higher frequencies of the 677T-1298A haplotype and double homozygous 677TT/1298AA genotype in affected individuals relative to controls. Family-based association testing demonstrated significant preferential transmission of the 677T and 1298A alleles and the 677T-1298A haplotype to affected offspring. The results were not replicated in MPX families. The results associate the MTHFR gene with autism in SPX families only, suggesting that reduced MTHFR activity is a risk factor for autism in these families.

Journal of autism and developmental disorders, 2011 · doi:10.1007/s10803-010-1120-x