TY - JOUR A1 - Leblond, Claire S. A1 - Heinrich, Jutta A1 - Delorme, Richard A1 - Proepper, Christian A1 - Betancur, Catalina A1 - Huguet, Guillaume A1 - Konyukh, Marina A1 - Chaste, Pauline A1 - Ey, Elodie A1 - Rastam, Maria A1 - Anckarsäter, Henrik A1 - Nygren, Gudrun A1 - Gillberg, I. Carina A1 - Melke, Jonas A1 - Toro, Roberto A1 - Regnault, Beatrice A1 - Fauchereau, Fabien A1 - Mercati, Oriane A1 - Lemière, Nathalie A1 - Skuse, David A1 - Poot, Martin A1 - Holt, Richard A1 - Monaco, Anthony P. A1 - Järvelä, Irma A1 - Kantojärvi, Katri A1 - Vanhala, Raija A1 - Curran, Sarah A1 - Collier, David A. A1 - Bolton, Patrick F. A1 - Geburtig-Chiocchetti, Andreas A1 - Klauck, Sabine M. A1 - Poustka, Fritz A1 - Freitag, Christine M. A1 - Waltes, Regina A1 - Kopp, Marnie A1 - Duketis, Eftichia A1 - Bacchelli, Elena A1 - Minopoli, Fiorella A1 - Ruta, Liliana A1 - Battaglia, Agatino A1 - Mazzone, Luigi A1 - Maestrini, Elena A1 - Sequeira, Ana F. A1 - Oliveira, Barbara A1 - Vicente, Astrid M. A1 - Oliveira, Guiomar A1 - Pinto, Dalila A1 - Scherer, Stephen W. A1 - Zelenika, Diana A1 - Delepine, Marc A1 - Lathrop, Mark A1 - Bonneau, Dominique A1 - Guinchat, Vincent A1 - Devillard, Françoise A1 - Assouline, Brigitte A1 - Mouren, Marie-Christine A1 - Leboyer, Marion A1 - Gillberg, Christopher A1 - Böckers, Tobias M. A1 - Bourgeron, Thomas T1 - Genetic and functional analyses of SHANK2 mutations suggest a multiple hit model of Autism spectrum disorders T2 - PLoS Genetics, volume 8, issue 2, e1002521 (2012) N2 - Autism spectrum disorders (ASD) are a heterogeneous group of neurodevelopmental disorders with a complex inheritance pattern. While many rare variants in synaptic proteins have been identified in patients with ASD, little is known about their effects at the synapse and their interactions with other genetic variations. Here, following the discovery of two de novo SHANK2 deletions by the Autism Genome Project, we identified a novel 421 kb de novo SHANK2 deletion in a patient with autism. We then sequenced SHANK2 in 455 patients with ASD and 431 controls and integrated these results with those reported by Berkel et al. 2010 (n = 396 patients and n = 659 controls). We observed a significant enrichment of variants affecting conserved amino acids in 29 of 851 (3.4%) patients and in 16 of 1,090 (1.5%) controls (P = 0.004, OR = 2.37, 95% CI = 1.23-4.70). In neuronal cell cultures, the variants identified in patients were associated with a reduced synaptic density at dendrites compared to the variants only detected in controls (P = 0.0013). Interestingly, the three patients with de novo SHANK2 deletions also carried inherited CNVs at 15q11-q13 previously associated with neuropsychiatric disorders. In two cases, the nicotinic receptor CHRNA7 was duplicated and in one case the synaptic translation repressor CYFIP1 was deleted. These results strengthen the role of synaptic gene dysfunction in ASD but also highlight the presence of putative modifier genes, which is in keeping with the "multiple hit model" for ASD. A better knowledge of these genetic interactions will be necessary to understand the complex inheritance pattern of ASD. Y1 - 2012 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/25001 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-250017 SN - 1553-7404 SN - 1553-7390 VL - 8 IS - (2): e1002521 PB - Public Library of Science CY - San Francisco, Calif. ER -