Autism & Developmental

Partial tetrasomy of chromosome 3q and mosaicism in a child with autism.

Oliveira et al. (2003) · Journal of autism and developmental disorders 2003
★ The Verdict

Extra copies of chromosome 3q, seen here for the first time in autism, may explain some dual diagnoses of autism plus intellectual disability.

✓ Read this if BCBAs working with school-age children who have both autism and significant cognitive delays.
✗ Skip if Clinicians serving only high-functioning ASD without ID.

01Research in Context

01

What this study did

Doctors looked at one young learners boy who had both autism and intellectual disability.

They checked his chromosomes and found an extra copy of part of chromosome 3q in some cells.

This mix of normal and abnormal cells is called mosaicism.

02

What they found

The boy carried a rare glitch: four copies of 3q instead of the usual two in about half his cells.

No one had ever linked this exact chromosome change to autism before.

03

How this fits with other research

Chicoine et al. (2015) pooled 57 male Rett cases and showed most have clear MECP2 mutations.

Guiomar’s boy lacked Rett features, so the new 3q finding adds a separate genetic road to autism.

Casey et al. (2009) explain that tiny genetic errors can disrupt brain growth through the mTOR pathway.

The 3q region holds genes that touch the same pathway, giving a possible reason why this boy had both autism and low IQ.

04

Why it matters

When a child presents with both autism and intellectual disability, consider ordering a full chromosome test.

Finding a rare copy-number change like 3q tetrasomy gives families a clearer cause and helps you plan realistic goals.

Share the report with the medical team so they can watch for any organ issues tied to 3q duplications.

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Flag any client with both autism and ID for medical genetics referral if no cause is known.

02At a glance

Intervention
not applicable
Design
case study
Sample size
1
Population
autism spectrum disorder, intellectual disability
Finding
not reported

03Original abstract

In this report we describe the case of an 11-year-old male with autism and mental retardation, presenting a tetrasomy of chromosome 3q. Cytogenetic analysis showed a mosaic for an unbalanced karyotype consisting of mos46,XY,add(12)(p13.3)(56)/46,XY(45). FISH using WCP and subtelomeric probes identified the extra material on 12p to be an inverted duplication of the distal segment of chromosome 3q. Anomalies in chromosome 3q have not been previously described in association with autism, although association with psychomotor delays and behavior problems has been frequently reported and are here further discussed. This chromosomal 3q segment is therefore likely to include genes involved in specific neurodevelopment pathways, and further analysis of the region is warranted for the identification of the molecular alterations that lead to the autistic features described.

Journal of autism and developmental disorders, 2003 · doi:10.1023/a:1022943627660