Autism Ontario Genetics Webinar

Thursday October 29, 2020 12:00 – 1:00 pm Panelist

Stephen Scherer, PhD - Scientist Ny Hoang, MS, CGC – Genetic Counsellor Ryan Yuen, PhD - Scientist Evdokia Anagnostou, MD - Child Neurologist Autism Spectrum Disorders

weak genetic factor Complex Multifactorial Condition strong genetic factor

environmental factors Genetic contribution is highly variable

Strong genetic Moderate genetic Weaker genetic factor factor factor

Examples of genetic factors: SHANK3, NRXN1, CHD8, ARID1B, 16p13.11, 22q11 Genetic contribution is a biological difference

Cell DNA sequence

Protein Genetic contribution is a biological difference

chromosome

Cell DNA sequence

genetic variant

Protein not working Protein Protein not working DNA sequence

genetic variant

Deletions & Duplications Single Nucleotide Variations

1q21.1 deletions/ duplications CHD8, ARID1B, SCN2A, SYNGAP1, 16p13.11 deletions/ duplications SHANK3, ANK2, GRIN2B, CHD2 NRXN3, ASTN2, MBD5, PTCHD1 DNA sequence

genetic variant

Repeat Expansions Example: Fragile X syndrome (FMR1) CGGCGGCGGCGGCGG Normal repeat size: 5-40

CGGCGGCGGCGGCGGCGGCGGCGGCGG Syndrome repeat size: >200 DNA sequence

genetic variant

Repeat Expansions

Fragile X syndrome (FMR1), repeat >200 • Disorders linked to well- CGG defined repeat pattern (motif) Friedreich Ataxia (FXN), repeat >100 • Only one pattern per disorder GAA • Myotonic dystrophy Type 1 (DMPK), repeat >50 Normal repeat size range CTG known Huntington’s Disease (HTT), repeat >35 CAG Spinocerebellar Ataxia Type 10 (ATXN10), repeat >800 A T T C T DNA sequence

genetic variant Important Differences: • Many implicated in ASD; not just one CDON IGF1 FGF14 MYOCD CACNB1 DMPK New Discovery MBOAT7 FXN

• For any given gene, different repeat patterns uncovered CACNB1:

AAG

AAGAAGGAG

AAGGAGGAG DNA sequence

genetic variant Important Differences: • Many genes implicated in ASD; not just one gene

• For any given gene, different repeat patterns uncovered New Discovery

• Normal repeat size range is unknown

Need to study these repeat patterns in more people with and without ASD