Tracing Autism Traits in Large Multiplex Families to Identify Endophenotypes of the Broader Autism Phenotype

Int J Mol Sci. 2020 Oct 27;21(21):7965. doi: 10.3390/ijms21217965.

Abstract

Families comprising many individuals with Autism Spectrum Disorders (ASD) may carry a dominant predisposing mutation. We implemented rigorous phenotyping of the "Broader Autism Phenotype" (BAP) in large multiplex ASD families using a novel endophenotype approach for the identification and characterisation of distinct BAP endophenotypes. We evaluated ASD/BAP features using standardised tests and a semi-structured interview to assess social, intellectual, executive and adaptive functioning in 110 individuals, including two large multiplex families (Family A: 30; Family B: 35) and an independent sample of small families (n = 45). Our protocol identified four distinct psychological endophenotypes of the BAP that were evident across these independent samples, and showed high sensitivity (97%) and specificity (82%) for individuals classified with the BAP. Patterns of inheritance of identified endophenotypes varied between the two large multiplex families, supporting their utility for identifying genes in ASD.

Keywords: Broader Autism Phenotype; autism spectrum disorder; genetic; multiplex family.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Autism Spectrum Disorder / diagnosis*
  • Autism Spectrum Disorder / psychology
  • Child
  • Child, Preschool
  • Early Diagnosis
  • Endophenotypes / analysis*
  • Family / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pedigree
  • Young Adult