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Editorial comment
Suggestive evidence on the genetic linkbetween mitochondria dysfunction andautismAn editorial comment to Marui T, Funatogawa I, Koishi S et al. ‘‘The NADH-ubiquinone oxidoreductase 1
alpha subcomplex 5 (NDUFA5) gene variants are associated with autism’’ (1)
Among the psychiatric disorders with a stronggenetic component, autism is at the top of the list.Genetics accounts for 90% of the vulnerability forAutism. As for any complex trait, a number ofgenetic variants either from one or several genescontribute to the disease each with a small sizeeffect. Thus, no one single gene will explain all ofthe susceptibility to Autism. In this issue of theActa Psychiatrica Scandinativa, Marui et al. (1)reported association of genetic variants known assingle-nucleotide polymorphism (SNP) in a mito-chondrial gene the NADH-ubiquinone oxidore-ductase 1 a subcomplex 5 (NDUFA5) with Autism.They conducted the study in two independentsamples, a case–control and a replication sample offamilies mainly to account for the small sample sizeof the first cohort. Individual SNP analyses showedassociation with two SNPs in the case–controlstudy but not in the family sample. When these twoSNPs were combined in haplotypes, the A allele forSNP rs12666974 and the T allele for SNPrs3779262 are less frequently present amongpatients and not transmitted to the affected chil-dren in the family sample. The authors did notreport the Odds ratio or the size effect of thisgenetic contribution that most likely are low.Although mitochondrial dysfunction has beenreported in autism spectrum (8%) (2), it is notclear whether this dysfunction contributes directlyor indirectly to the susceptibility of Autism.
Similarly, this association study is the first toestablish a relationship between a mitochondrialgene and Autism. This study is based on acandidate gene for Autism and conducted in twoindependent samples, a conventional approach inmolecular genetics. Whether the results that emergefrom this study are false positive may depend onfuture studies. As the authors indicated in themanuscript, future studies will be necessary tofurther understand or confirm the role of NDUFA5in Autism. These studies may include larger samplesizes, presence of mitochondrial dysfunction, anddifferent ethnic background. Ultimately, the valid-ity of any genetic finding relies on biologicalinterpretation and experimental evidence.
Sandra VillafuerteMolecular & Behavioral Neuroscience Institute,
University of Michigan,Ann Arbor, MI, USA
E-mail: [email protected]
References
1. Marui T, Funatogawa I, Koishi S et al. The NADH-ubiqui-none oxidoreductase 1 alpha subcomplex 5 (NDUFA5)gene variants are associated with autism. Acta PsychiatrScand 2011;123:118–124.
2. Hass R. Autism and mitochondrial disease. Dev Disabil ResRev 2010;16:144–153.
Acta Psychiatr Scand 2011: 123: 95All rights reservedDOI: 10.1111/j.1600-0447.2010.01654.x
� 2011 John Wiley & Sons A/S
ACTA PSYCHIATRICASCANDINAVICA
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