Assessment & Research

The HOPA gene dodecamer duplication is not a significant etiological factor in autism.

Michaelis et al. (2000) · Journal of autism and developmental disorders 2000
★ The Verdict

The HOPA gene duplication is not a useful marker for autism risk.

✓ Read this if BCBAs who explain autism causes to families during intake or parent training.
✗ Skip if RBTs who only run skill programs and don't discuss etiology.

01Research in Context

01

What this study did

Researchers looked at the HOPA gene in the kids with autism. They checked for a 12-letter DNA repeat that some people carry. Then they compared the rate to the kids without autism.

The test was simple: count how many kids in each group had the extra DNA letters.

02

What they found

Both groups had the same number of kids with the HOPA duplication. The gene change showed up in a large share of kids with autism and a large share of kids without.

This means the HOPA duplication does not cause autism.

03

How this fits with other research

Li et al. (2016) found a small link between mom's obesity and autism risk. This study looked at a different risk factor but also used careful matching between groups.

Yu et al. (2022) showed that early antibiotic use looks risky until you control for family factors. Like our study, once you match kids properly, the risk disappears.

Berkovits et al. (2014) found small links between dopamine genes and ADHD traits in autism. Their positive finding came from a much larger sample, showing why bigger studies matter.

04

Why it matters

You can stop worrying about the HOPA gene when explaining autism causes to families. Focus on proven factors like maternal health and early intervention instead. This saves time during assessments and keeps the conversation grounded in facts.

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Remove any mention of HOPA gene testing from your parent handouts.

02At a glance

Intervention
not applicable
Design
other
Sample size
202
Population
autism spectrum disorder
Finding
null

03Original abstract

A recent study has suggested that a dodecamer duplication in the HOPA gene in Xq13 may occur in a significant portion of male patients with autism. We have determined the incidence of this duplication in 202 patients from the South Carolina Autism Study. The incidence of the duplication was not significantly different between patients and controls. Three of the female patients inherited the duplication from nonautistic fathers. In addition, there was no systematic skewing of X inactivation in the female patients with the duplication, or in nonautistic mothers and sisters with the duplication. These findings suggest that the dodecamer duplication in the HOPA gene does not play a significant role in the etiology of autism.

Journal of autism and developmental disorders, 2000 · doi:10.1023/a:1005583517994