A common genetic variant in the neurexin superfamily member CNTNAP2 is associated with increased risk for selective mutism and social anxiety-related traits
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Background Selective mutism (SM), considered an early-onset variant of social anxiety disorder, shares features of impaired social interaction and communication with autism spectrum disorders (ASDs) suggesting a possible shared pathophysiology. We examined association of a susceptibility gene, contactin-associated protein-like 2 (CNTNAP2), for ASDs and specific language impairment with SM and social anxiety-related traits.Methods Sample 1 subjects were 99 nuclear families including 106 children with SM. Sample 2 subjects were young adults who completed measures of social interactional anxiety (n = 1028) and childhood behavioral inhibition (n = 920). Five single nucleotide polymorphisms in CNTNAP2 (including rs7794745 and rs2710102, previously associated with ASDs) were genotyped.Results Analyses revealed nominal significance (p = .018) for association of SM with rs2710102, which, with rs6944808, was part of a common haplotype associated with SM (permutation p = .022). Adjusting for sex and ancestral proportion, each copy of the rs2710102*a risk allele in the young adults was associated with increased odds of being >1 SD above the mean on the Social Interactional Anxiety Scale (odds ratio = 1.33, p = .015) and Retrospective Self-Report of Inhibition (odds ratio = 1.40, p = .010).Conclusions Although association was found with rs2710102, the risk allele (a) for the traits studied here is the nonrisk allele for ASD and specific language impairment. These findings suggest a partially shared etiology between ASDs and SM and raise questions about which aspects of these syndromes are potentially influenced by CNTNAP2 and mechanism(s) by which these influences may be conveyed.
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Variants in CNTNAP2 have been linked to mutism and social anxiety.
“Recently, CNTNAP2 variants have been associated with mutism and social anxiety [67].”
From Genetics of autism spectrum disorders (2011) · cites this paper as [67]
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- Authors
- Stein, M. B., Yang, B.-Z., Chavira, D. A., Hitchcock, C. A., Sung, S. C., Shipon-Blum, E., & Gelernter, J.
- Affiliations
- University of California San Diego (US)
- Yale University (US)
- Corresponding author
- Stein, Murray B.
- ORCID
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2011-05
- Volume
- 69
- Issue
- 9
- Pages
- 825-831
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC3079072
- OpenAlex
- W2047534565
- Cited by
- 89
- References
- 73
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 7 · 2022: 5 · 2021: 9 · 2020: 2 · 2019: 7 · 2018: 4 · 2017: 5 · 2016: 5 · 2015: 10 · 2014: 6 · 2013: 7 · 2012: 6
- FWCI
- 8.32
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (MH64122, K01 MH072952)
- National Institute on Drug Abuse (K01 DA024758)
- Veterans Affairs Merit Grant
- Veterans Affairs Connecticut Reserve Educational Assistance Program
- Mental Illness Research, Education, and Clinical Center
- GlaxoSmithKline
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Keywords
- selective mutism, social anxiety, CNTNAP2, genetic susceptibility, single nucleotide polymorphisms, autism spectrum disorder, specific language impairment, shared etiology, haplotype association
- MeSH terms
- Adolescent, Alleles, Child, Child, Preschool, Female, Genotype, Haplotypes, Humans, Male, Membrane Proteins, Mutism, Nerve Tissue Proteins, Phobic Disorders, Psychiatric Status Rating Scales, Surveys and Questionnaires, Genetic Variation, Linear Models, Odds Ratio, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Genetic Association Studies, Self Report
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