Autism & Developmental

Chromosomal abnormalities in a series of children with autistic disorder.

Konstantareas et al. (1999) · Journal of autism and developmental disorders 1999
★ The Verdict

Chromosome glitches show up in a small slice of autistic kids and track with cognitive delay, but newer microarray tools find far more than the old karyotype method.

✓ Read this if BCBAs who sit in diagnostic clinics or help with interdisciplinary autism assessments.
✗ Skip if Practitioners focused only on pure behavior reduction with no medical liaison role.

01Research in Context

01

What this study did

Doctors looked at the chromosomes of 127 children with autism. Only eight kids had usable karyotype pictures. The team wanted to see if any pieces of DNA were missing or extra. They also checked if those DNA changes linked to IQ or autism severity.

02

What they found

Eight children showed different chromosome problems. These kids scored lower on cognitive tests. Their autism ratings, however, looked the same as the rest. In short, DNA changes mattered for smarts, not for core autism traits.

03

How this fits with other research

Gaily et al. (1998) ran a near-copy study one year earlier. They tested 92 kids and found a 3 % anomaly rate. Konstantareas et al. (1999) saw roughly 6 %. The numbers differ because more children were checked and lab methods improved.

Al-Mamari et al. (2015) and Duerden et al. (2012) used a sharper tool called chromosomal microarray. They found problems in 24–27 % of autistic patients. Their higher yield does not clash with the 1999 data; it simply shows better technology finds smaller DNA bits.

Hutchins et al. (2020) extended the idea to girls only. CMA again spotted causal variants in 22 % of females. Together these newer papers supersede the old karyotype counts and push microarray to the front of genetic work-ups.

04

Why it matters

You may meet children with both autism and low IQ. A microarray test can reveal a cause in about one of every four cases. A clear genetic answer helps families plan and can guide medical care. When you write assessment plans, list chromosomal microarray before older karyotype requests.

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Add ‘consider chromosomal microarray referral’ to your intake checklist for any child with autism plus unexplained intellectual disability.

02At a glance

Intervention
not applicable
Design
case series
Sample size
127
Population
autism spectrum disorder
Finding
not reported

03Original abstract

In a series of 127 children diagnosed with autistic disorder the karyotypes of 8, on whom data were available, showed the following chromosomal abnormalities: breakage, a 47 XY pattern, trisomy 13, inversion-duplication of chromosome 15, 47 XY, +der (15) (pter q15: p11 pter), 47 XXY and 46 XY, inv (2) (p11:q13pat, 3q+). Compared to those who were not karyotyped or had normal karyotypes, the children with abnormalities, although cognitively more delayed, were not rated as more severely autistic. Facial dysmorphias and minor physical anomalies tended to be more frequent in the chromosomally deviant subgroup. No differences in demographic characteristics or parental ages were evident. Results are consistent with the view of variability of expression of marker chromosome deviations and a greater severity of retardation and symptoms of autism in those affected. The relevance of the findings to a multimodal genetic etiology of autistic disorder is discussed.

Journal of autism and developmental disorders, 1999 · doi:10.1023/a:1022155201662