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Table 1 Genotypic and phenotypic characteristics of monogenic conditions with ASD features

From: Autism spectrum disorder: prospects for treatment using gene therapy

Monogenic ASD

Mutated gene

Chromosome

Protein function

Autism prevalence

Other characteristics

Fragile X syndrome

FMR1 (encodes FMRP)

X

Binds and transports specific mRNAs from the nucleus to the ribosome [123]

~ 30% [124]

Long/narrow face, macroorchidism, long ears and philtrum, mild to moderate intellectual disability, hyperactivity, intellectual disability (ID), seizures

Rett syndrome

MECP2

X

Chromatin modification [125]

~ 60% [124]

Microcephaly, breathing irregularities, language deficits, repetitive/stereotyped hand movements, epilepsy, ID

MECP2 duplication syndrome

MECP2

X

Chromatin modification [125]

~ 100% [126]

Brachycephaly, spasticity, recurrent respiratory infections, gastrointestinal hypermotility, genitourinary abnormalities, epilepsy, ID

Tuberous sclerosis

TSC1

TSC2

9

16

Inhibition of translation via mTORC1 inhibition [127]

~ 50% [124]

Benign tumours in multiple organs, epilepsy

Angelman syndrome

UBE3A

15

Targeting of proteins for destruction via ubiquitin-tagging [41]

~ 30% [124]

Cheerful demeanour, microcephaly, epilepsy, speech deficits, sleep disturbance, epilepsy, ID

  1. Abbreviations: FMR1 fragile X mental retardation 1, FMRP fragile X mental retardation protein, MECP2 methyl-CpG-binding protein 2, TSC1 tuberous sclerosis 1, TSC2 tuberous sclerosis 2, UBE3A ubiquitin-protein ligase E3A