Characterization of a family with rare deletions in CNTNAP5 and DOCK4 suggests novel risk loci for autism and dyslexia.
Open accessAbstract
BACKGROUND: Autism spectrum disorders (ASDs) are characterized by social, communication, and behavioral deficits and complex genetic etiology. A recent study of 517 ASD families implicated DOCK4 by single nucleotide polymorphism (SNP) association and a microdeletion in an affected sibling pair. METHODS: The DOCK4 microdeletion on 7q31.1 was further characterized in this family using QuantiSNP analysis of 1M SNP array data and reverse transcription polymerase chain reaction. Extended family members were tested by polymerase chain reaction amplification of junction fragments. DOCK4 dosage was measured in additional samples using SNP arrays. Since QuantiSNP analysis identified a novel CNTNAP5 microdeletion in the same affected sibling pair, this gene was sequenced in 143 additional ASD families. Further polymerase chain reaction-restriction fragment length polymorphism analysis included 380 ASD cases and suitable control subjects. RESULTS: The maternally inherited microdeletion encompassed chr7:110,663,978-111,257,682 and led to a DOCK4-IMMP2L fusion transcript. It was also detected in five extended family members with no ASD. However, six of nine individuals with this microdeletion had poor reading ability, which prompted us to screen 606 other dyslexia cases. This led to the identification of a second DOCK4 microdeletion co-segregating with dyslexia. Assessment of genomic background in the original ASD family detected a paternal 2q14.3 microdeletion disrupting CNTNAP5 that was also transmitted to both affected siblings. Analysis of other ASD cohorts revealed four additional rare missense changes in CNTNAP5. No exonic deletions of DOCK4 or CNTNAP5 were seen in 2091 control subjects. CONCLUSIONS: This study highlights two new risk factors for ASD and dyslexia and demonstrates the importance of performing a high-resolution assessment of genomic background, even after detection of a rare and likely damaging microdeletion using a targeted approach.
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DOCK4 is one of few genes associated with both autism spectrum disorder (ASD) and dyslexia.
“DOCK4 (dedicator for cytokinesis 4), a guanine nucleotide exchange factor (GEF) for the small GTPase Rac1, is one of few genes that are associated with both ASD and dyslexia.”
From Two Autism/Dyslexia Linked Variations of DOCK4 Disrupt the Gene Function on Rac1/Rap1 Activation, Neurite Outgrowth, and Synapse Development (2020) · cites this paper as Pagnamenta et al., 2010
The Results report DOCK4 deletions in an ASD family and a deletion co-segregating with dyslexia in another family. The Discussion cautions that larger studies are needed to confirm DOCK4’s relevance to reading ability; the paper also does not establish that it is one of only a few genes linked to both conditions. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredTwo specific DOCK4 variations, Exon27-52 deletion (Dock4-945VS) and rs2074130 missense (Dock4-R853H), are associated with dyslexia and/or ASD with reading difficulties.
“Two DOCK4 variations, Exon27-52 deletion (protein product: Dock4-945VS) and a missense mutation at rs2074130 (protein product: Dock4-R853H), are associated with dyslexia and/or ASD with reading difficulties.”
From Two Autism/Dyslexia Linked Variations of DOCK4 Disrupt the Gene Function on Rac1/Rap1 Activation, Neurite Outgrowth, and Synapse Development (2020) · cites this paper as Pagnamenta et al., 2010
The Results (page unavailable) describe a DOCK4 deletion in an ASD family whose carriers had poor reading ability, and a second deletion that co-segregated with dyslexia. The Discussion cautions that larger studies are needed to confirm DOCK4’s relevance to reading ability. Our copy does not identify the deletion as Exon27–52 or its product as Dock4-945VS, and it does not report the rs2074130/Dock4-R853H missense variant. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe Exon27-52 deletion in DOCK4 causes a frameshift after amino acid 945, producing Dock4-945VS (1-945 aa + Val + Ser) with a premature stop.
“This variant leads to the deletion of the DHR2-containing C-terminal coding sequence of DOCK4 (Exons 27-52), which causes a frameshift of Dock4 protein coding after 945 aa; two missense amino acids, namely Valine (Val) and Serine (Ser), is translated after 945 aa, followed by a premature stop codon (Pagnamenta et al., 2010).”
From Two Autism/Dyslexia Linked Variations of DOCK4 Disrupt the Gene Function on Rac1/Rap1 Activation, Neurite Outgrowth, and Synapse Development (2020) · cites this paper as Pagnamenta et al., 2010
The Results (page unavailable) report an out-of-frame DOCK4–IMMP2L fusion transcript predicted to translate Valine–Serine followed by a premature stop codon. Our copy does not specify a frameshift after amino acid 945 or identify exons 27–52 as the deleted sequence, so those details are not verified by this source. (LLM, conf=0.84)
Experimental — accuracy not yet measuredSeveral microdeletions lead to loss of various lengths of the C-terminal portion of Dock4 protein, which is responsible for its Rac1-activating ability.
“For instance, several microdeletions lead to loss of various lengths of the C-terminal portion of Dock4 protein 19, 21, 26, which is responsible for its Rac1-activating ability 27.”
From Autism-like social deficit generated by Dock4 deficiency is rescued by restoration of Rac1 activity and NMDA receptor function. (2021) · cites this paper as [19]
The Results report distinct DOCK4 deletions: a 594-kb IMMP2L–DOCK4 deletion and a 132-kb deletion of DOCK4 exons 38–52. They do not establish that these deletions produce proteins missing different lengths of the C-terminal portion; for the 594-kb deletion, the reported fusion transcript is likely subject to nonsense-mediated decay. The Rac1-activation clause has a separate citation in the citing sentence, although this paper’s Discussion does describe DOCK4 as a Rac1-activating factor. Page numbers were not available in our copy. (LLM, conf=0.82)
Experimental — accuracy not yet measuredRecent studies have identified DOCK4 variations associated with ASD, including single nucleotide variations and chromosome microdeletions or duplications.
“Recent studies have identified a number of DOCK4 variations associated with ASD, including both single nucleotide variations (SNVs) and chromosome microdeletions or duplications (Supplementary Table 1) 18–26.”
From Autism-like social deficit generated by Dock4 deficiency is rescued by restoration of Rac1 activity and NMDA receptor function. (2021) · cites this paper as [19]
DOCK4 is located at chromosome band 7q31.1, an autism-susceptible locus.
“DOCK4 is located at chromosome band 7q31.1 18, 19, an autism-susceptible locus resided by several ASD-associated genes involved in development and language regulation.”
From Autism-like social deficit generated by Dock4 deficiency is rescued by restoration of Rac1 activity and NMDA receptor function. (2021) · cites this paper as [19]
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References 45 · Cited by 139
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- Authors
- Pagnamenta, A. T., Bacchelli, E., de Jonge, M. V., Mirza, G., Scerri, T. S., Minopoli, F., Chiocchetti, A., Ludwig, K. U., Hoffmann, P., Paracchini, S., Lowy, E., Harold, D. H., Chapman, J. A., Klauck, S. M., Poustka, F., Houben, R. H., Staal, W. G., Ophoff, R. A., O'Donovan, M. C., Williams, J., Nöthen, M. M., Schulte-Körne, G., Deloukas, P., Ragoussis, J., Bailey, A. J., Maestrini, E., & Monaco, A. P.
- Affiliations
- Centre for Human Genetics (GB)
- University of Bologna (IT)
- German Cancer Research Center (DE)
- University of Bonn (DE)
- Goethe University Frankfurt (DE)
- University Medical Center Utrecht (NL)
- University of California, Los Angeles (US)
- Wellcome Sanger Institute (GB)
- Warneford Hospital (GB)
- Corresponding author
- Monaco, Anthony P.
- ORCID
- Pagnamenta, Alistair T.
- Bacchelli, Elena
- Scerri, Thomas S.
- Chiocchetti, Andreas
- Ludwig, Kerstin U.
- Hoffmann, Per
- Paracchini, Silvia
- Lowy, Ernesto
- Harold, Denise H.
- Chapman, Jade A.
- Staal, Wouter G.
- Ophoff, Roel A.
- Williams, Julie
- Nöthen, Markus M.
- Deloukas, Panos
- Ragoussis, Jiannis
- Maestrini, Elena
- Monaco, Anthony P.
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2010-08
- Volume
- 68
- Issue
- 4
- Pages
- 320-328
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC2941017
- OpenAlex
- W2022575794
- Cited by
- 139
- References
- 45
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 6 · 2023: 11 · 2022: 9 · 2021: 9 · 2020: 8 · 2019: 8 · 2018: 6 · 2017: 7 · 2016: 8 · 2015: 10 · 2014: 15 · 2013: 11 · 2012: 9
- FWCI
- 6.12
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Biological Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- Nancy Lurie Marks Family Foundation
- Simons Foundation
- Wellcome Trust (075491/Z/04, 068545/Z/02)
- Deutsche Forschungsgemeinschaft
- European Union in the Sixth Framework Program
- LifeScienceHealth
- Dyslexia genes and neurobiological pathways
- National Institute of Mental Health
- United Kingdom Medical Research Council (G0000934)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomic variations and chromosomal abnormalities
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Keywords
- autism spectrum disorder, dyslexia, DOCK4, microdeletion, genetic susceptibility loci, missense mutations, genetic background
- MeSH terms
- Adult, Child, Child Development Disorders, Pervasive, Child, Preschool, DNA, Dyslexia, Female, Gene Expression Regulation, Humans, Male, Middle Aged, Pedigree, Reference Values, Severity of Illness Index, Transcription, Genetic, Cell Adhesion Molecules, Neuronal, Case-Control Studies, Sequence Deletion, Polymorphism, Single Nucleotide, GTPase-Activating Proteins
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