Autism spectrum disorders (ASD) are much more common in males than in females. Studies using both linkage and candidate gene association approaches have identified genetic variants specific to families in which all affected cases were male, suggesting that sex may interact with or otherwise influence the expression of specific genes in association with ASD. In this study, we specifically evaluated the sex-specific genetic effects of ASD with a family-based genome-wide association study approach using the data from the Autism Genetic Resource Exchange repository. We evaluated the male-specific genetic effects of ASD in 374 multiplex families of European ancestry in which all affected were male (male-only; MO) and identified a novel genome-wide significant association in the pseudoautosomal boundary on chromosome Xp22.33/Yp11.31 in the MO families of predominantly paternal origin (rs2535443, p ¼ 3.8 Â 10 À8 ). Five markers that reside within a 550 kb intergenic region on chromosome 13q33.3, between the MYO16 and IRS2 genes, also showed suggestive association with ASD in the MO families (p ¼ 3.3 Â 10 À5 to 5.3 Â 10 À7 ). In contrast, none of these markers appeared to be associated with ASD in the families containing any affected females. Our results suggest that the pseudoautosomal boundary on Xp22.33/Yp11.31 may harbor male-specific genetic variants for ASD. Ó 2013 Wiley Periodicals, Inc.Key words: autism; GWAS; sex-specific; pseudoautosomal
INTRODUCTIONAutism spectrum disorders (ASD) are neurodevelopmental disorders characterized by clinical symptoms of diverse impairments in social interactions, reciprocal communication, and repetitive and stereotyped patterns of behaviors and interests. Numerous studies have affirmed the heritability of ASDs. Evidence indicates that ASD has complex inheritance patterns [Bailey et al., 1995;Fombonne, 2005;Lauritsen et al., 2005;Freitag, 2007]. Yet despite the high heritability estimate of over 90% [Bailey et al., 1995], genetic variants that have been reported to be associated with ASD have either failed to be replicated or accounted for only a small proportion of cases [Santangelo and Tsatsanis, 2005]. Furthermore, the wide range of clinical manifestations of ASD suggests that it may in fact comprise multiple disorders that have separate etiologies but share behavioral commonalities. This phenotypic heterogeneity How to Cite this Article:
742Neuropsychiatric Genetics may imply genetic heterogeneity and may at least partially explain the limited success in consistently identifying common genetic variants of ASD in prior studies. Recent studies suggest that approximately 10-15% of ASD may be due to genetic syndromes with known comorbidities with ASD (e.g., fragile X syndrome, tuberous sclerosis) or rare chromosomal abnormalities [Folstein and Rosen-Sheidley, 2001;Freitag, 2007], while the etiology of the majority of familial ASD cases remains unclear. One potentially more efficient approach to identify susceptibility loci for ASD is to separate samples into more homogenous subgr...