Characterization of an autism-associated segmental maternal heterodisomy of the chromosome 15q11-13 region.
Maternal duplication of chromosome 15q11-q13 may underlie some cases of autism—consider genetic referral when developmental delay and language deficits co-occur.
01Research in Context
What this study did
Doctors looked at one six-year-old girl with autism and delayed talking. They ran a full genetic test and found a rare change on her chromosome 15. The change was a maternal duplication, meaning she had an extra copy of a key stretch of DNA that came from her mom.
What they found
The extra DNA on 15q11-q13 lined up with her autism and learning delays. This single case supports the idea that too much genetic material in this spot can cause autism. It gives families and doctors a clear place to look when both autism and language problems show up together.
How this fits with other research
Poulson (1998) already flagged chromosome 15q as the top cytogenetic lead for autism, so the new case lands in a well-known hotspot.
Walley et al. (2005) seems to disagree at first glance. They saw a girl with the same 15q11-13 duplication, but it came from dad, not mom, and only the child had autism while relatives were fine. The difference is parent-of-origin: maternal copies often cause stronger effects than paternal ones, so both papers actually fit together.
Hall et al. (2007) extends the story. They found a teen with the same maternal duplication who had severe visual-spatial problems but no autism, showing the outcome can vary even with the same genetic change.
Why it matters
If you work with a child who has both autism and language delay, think about a genetics referral. A simple blood test can spot the 15q duplication and help families understand the cause, plan for services, and connect with support groups focused on this chromosome region.
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02At a glance
03Original abstract
Cytogenetic abnormalities in the Prader-Willi/Angelman syndrome (PWS/AS) critical region have been described in individuals with autism. Maternal duplications and linkage disequilibrium in families with autism suggest the existence of a susceptibility locus at 15q11-q13. Here, we describe a 6-year-old girl diagnosed with autism, developmental delay, and delayed expressive and receptive language. The karyotype was designated de novo 47, XX, idic(15)(q13). Fluorescence in situ hybridization (FISH) and molecular analysis with 15q11-q13 markers revealed an additional copy of the region being of maternal origin. Duplication of the 15q11-q13 segment represents the most consistent known chromosomal abnormality reported in association with autism. This present case report reinforces the hypothesis that additional copies of this chromosome segment are causally related to autism.
Journal of autism and developmental disorders, 2007 · doi:10.1007/s10803-006-0225-8