{"id":46272,"date":"2022-12-20T11:38:22","date_gmt":"2022-12-20T11:38:22","guid":{"rendered":"https:\/\/biomedpharmajournal.org\/?p=46272"},"modified":"2022-12-31T05:49:24","modified_gmt":"2022-12-31T05:49:24","slug":"in-silico-analysis-of-common-autism-spectrum-disorder-genetic-risk-variations","status":"publish","type":"post","link":"https:\/\/biomedpharmajournal.org\/staging\/vol15no4\/in-silico-analysis-of-common-autism-spectrum-disorder-genetic-risk-variations\/","title":{"rendered":"In silico Analysis of Common Autism Spectrum Disorder Genetic Risk Variations"},"content":{"rendered":"<p><strong>Introduction<\/strong><\/p>\n<p>Autism spectrum disorder is a complex developmental disorder that involves persistent challenges with social interaction, restricted interests, repetitive behaviors, impaired communication ability and deficits in social-emotional reciprocity<sup>1<\/sup>. As per Global Burden of Disease Study (GBD) autism affects 52.9 million children under the age of five<sup>2<\/sup>. According to WHO 2021 report, the majority of young children suffering from autism live in underdeveloped nations or low and middle-income countries. In South Asia and Sub-Saharan Africa, more than one million children suffer from ASD, and the Middle East, Central Asia, and North Africa have the highest rates of childhood autism<sup>3<\/sup>.<\/p>\n<p>Children diagnosed with ASD at the age of two to four years are reported to have an accelerated total brain volume growth in the frontal and temporal region and as they reach the age of ten to fifteen years, the brain&#8217;s volumetric capacity declines<sup>4<\/sup>.\u00a0 ASD is referred to as a \u201cspectrum\u201d disorder since there is a wide diversification of its types and severity of symptoms<sup>5<\/sup>. One of the first indicators of ASD is a delay in language development and\u00a0children with ASD commonly show impaired language development\u00a0leading\u00a0to a lack of social communication<sup>1<\/sup>. Autism is caused by a combination of inherited, nongenetic, and environmental factors, and the majority of them appear to influence key aspects of early brain development<sup>6<\/sup>. Some appear to affect the\u00a0nerve cells interactions with one another in\u00a0the brain,\u00a0while others appear to influence how various areas of the brain communicate with one another<sup>7<\/sup>.<\/p>\n<p>Variations in gene and genomes studies have identified an increasing number of SNPs associated with ASD over the past decade<sup>8,9<\/sup>. It has been estimated that SNPs explain between 17 and 60% of ASD, hence\u00a0their contribution must not be overlooked<sup>10,11<\/sup>. The functions of the genetic variants responsible for the association with ASD are, however, poorly understood. A single nucleotide polymorphism (SNP) can lead to translation of the incorrect amino acid, resulting in defective or non-functional proteins. Such mutations in the lysine-specific methyltransferase 2H enzyme have been reported to\u00a0alter histone methylation and affects brain development, increasing the risk of ASD and other neural disorders<sup> 12,13<\/sup>. Abnormal regulation of gene expression, disruption of proper neural development, and chromatin deregulation, results in aberrant chromatin remodeling. This interferes with the usual expression of genes essential in brain development, as well as abnormalities in synaptic adaptability and ultimately leads to ASD<sup>14<\/sup>.<\/p>\n<p>In the present study,\u00a0<em>in silico<\/em> analysis was carried out to\u00a0identify different genes rare mutations associated with ASD as risk factors. These SNPs possess the potential to serve as important biomarkers for early detection\u00a0of ASD, monitoring the course of ASD, and to develop possible drug therapies for ASD [Figure 1].<\/p>\n<p><strong>Methodology<\/strong><\/p>\n<p>Online bioinformatics tools were used to extract the data. Genetics Home Reference (GHR) database which is a MedlinePlus trusted health information, provided by National Library for Medicine was used to collect data of the genes whose mutations led to autism spectrum disorder which is found under the tab Genetics followed by Genetic Conditions<sup>15<\/sup>. Pathogenic and non-pathogenic mutant alleles associated with ASD were studied using the database retrieved from variation viewer tab under the related information column of National Center for Biotechnology Information (NCBI) site for the said gene which we found out from Genetics Home Reference database<sup>16<\/sup>. Location of the gene, families to which they belong, and function of the proteins encoded by them were analyzed by MedlinePlus database and documented. NCBI-gene site was used to identify transcript mutation and Rapid Stain Identification Series (rsIDs). The NCBI-Single Nucleotide Polymorphisms (SNP) database was used to examine and identify mutations in codon sequences that resulted in amino acid sequence changes. Variation and phenotype, clinical significance, and effect of the mutated genes on the amino acid sequence was recorded.<\/p>\n<p><strong>Result and Discussions<\/strong><\/p>\n<p>The current investigation discovered that ASD is associated with mutations in the activity dependent neuroprotector homeobox (ADNP), AT-rich interaction domain 1B (ARID1B), ASH1 like histone lysine methyltransferase (ASH1L), chromodomain helicase DNA binding protein 2 (CHD2), chromodomain helicase DNA binding protein 8 (CHD8), dual specificity tyrosine phosphorylation regulated kinase 1A (DYRK1A), pogo transposable element derived with ZNF domain (POGZ), SH3 and multiple ankyrin repeat domains 3 (SHANK3), and synaptic Ras GTPase activating protein 1 (SYNGAP1) genes (Table 1).<\/p>\n<p><strong>Table 1:\u00a0Table showing genes responsible for ASD, their location and function.<\/strong><\/p>\n<table style=\"width: 95%;\" border=\"1\" cellspacing=\"0\" cellpadding=\"4\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\" width=\"104\"><strong>GENES<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"236\"><strong>LOCATION<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"496\"><strong>NORMAL FUNCTION IN CELL<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"104\"><strong>ADNP<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"236\">Long arm (q) of Chromosome 20 band 13 (Location: 20q13.13)<\/td>\n<td style=\"text-align: center;\" width=\"496\">Encodes for the protein involved in proper brain development by controlling the expression of other genes through chromatin remodeling.<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"104\"><strong>ARID1B<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"236\">Long arm (q) of Chromosome 6 band 25 (Location: 6q25.3)<\/p>\n<p>&nbsp;<\/td>\n<td style=\"text-align: center;\" width=\"496\">Provides instructions to encode a protein composed of several SWI\/SNF protein complexes, forming a subunit which regulates gene activity by chromatin remodeling and functions as a tumour suppressor.<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"104\"><strong>ASH1L<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"236\">Long arm (q) of Chromosome 1 band 22 (Location: 1q22)<\/td>\n<td style=\"text-align: center;\" width=\"496\">Provides instructions for making a histone methyltransferase enzyme known as lysine-specific methyltransferase 2H. This enzyme stimulates the expression of genes involved in brain development.<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"104\"><strong>CHD2<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"236\">Long arm (q) of Chromosome 15 band 26 (Location: 15q26.1)<\/td>\n<td style=\"text-align: center;\" width=\"496\">This gene encodes a chromodomain DNA helicase protein 2 that regulates gene activity via chromatin remodeling. It aids in the modulation of neuron growth and function.<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"104\"><strong>DYRK1A<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"236\">Long arm (q) of Chromosome 21 (Location: 21q22.2)<\/td>\n<td style=\"text-align: center;\" width=\"496\">DYRK1A is involved in phosphorylation and in the formation and maturation of dendritic spines from dendrites.<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"104\"><strong>POGZ<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"236\">Long arm (q) of chromosome 1 (Location: 1q21.3)<\/td>\n<td style=\"text-align: center;\" width=\"496\">POGZ protein regulates gene expression by altering how tightly sections of DNA are packed by binding to chromatin for chromatin remodeling.<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"104\"><strong>SHANK3<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"236\">Long arm (q) of Chromosome 22 (Location: 22q13.3)<\/td>\n<td style=\"text-align: center;\" width=\"496\">SHANK3 protein ensures that the signals sent by one neuron are received by another.\u00a0It serves as a framework for the connections between neurons and is\u00a0also involved in dendritic spine development and maturation.<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"104\"><strong>SYNGAP1<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"236\">Short arm (p) of chromosome 6 (Location: 6p21.32)<\/td>\n<td style=\"text-align: center;\" width=\"496\">SynGAP controls\u00a0neuronal adaptations, supports correct brain circuitry.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0<\/strong><strong>Activity dependent neuroprotector homeobox (<em>ADNP<\/em>)<\/strong>:<\/p>\n<p><em>ADNP <\/em>gene produces a neuro-protective peptide that operates during early embryogenesis, particularly during neurulation, and promotes glia-derived, survival-promoting chemicals that protect impaired\u00a0nerve cells from cell death<sup>17, 18<\/sup>. <em>ADNP <\/em>gene is located on Chromosome 20 band 13&#8217;s long arm (q) and the encoded protein controls the expression of genes like <em>BRG1<\/em> and <em>CHD4<\/em>, which are involved in normal brain development through chromatin remodeling<sup>19<\/sup>. The substantial neuroprotective activity of ADNP protein can be attributed entirely to the NAP domain, an octapeptide Asn-Ala-Pro-Val-Ser-Ile-Pro-Alaor NAPVSPIQ<sup>20<\/sup>. ADNP protein binds to DNA and interacts with SWI\/SNF complexes by connecting the C-terminus to three of its key components throughout the remodeling process, which affect the shape of chromatin directly<sup>21,22<\/sup>. The majority of <em>ADNP <\/em>variants leads to\u00a0the formation of short ADNP protein that can bind to DNA but not interact with SWI\/SNF complexes. Variations at the terminus of a protein are typically unlikely to influence protein function<sup>23<\/sup>.\u00a0Decreased ADNP expression in haploinsufficient populations has been shown to effectively deregulate the feedback loop by blocking wild-type protein from interacting to the promoter binding domain or occupying alternate target sequences<sup>23<\/sup>. These changes likely explain the intellectual disability in case of ASD. Around 24 mutations (small intragenic deletions, insertions, missense, and splice site variations) were found in <em>ADNP<\/em> Normal coding amino acids like tyrosine and leucine are mutated to terminating codons by frameshift mutations in\u00a0<em>ADNP<\/em> gene, which may result in the creation of shortened proteins and disordered chromatin remodeling. Activation of many genes, as well as the development and function of several human tissues and organs, including the brain are all affected by chromatin remodeling disruptions. Furthermore, some of these mutations may prevent the production of neurotransmitters like epinephrine and norepinephrine, which are important for neural communication and mood regulation by encoding different amino acids. For example, a mutation of asparagine which is required for neurotransmitter production to lysine.<\/p>\n<p><strong>AT-rich interaction domain 1B (<em>ARID1B<\/em>)<\/strong><\/p>\n<p><em>ARID1B<\/em> plays a pivotal role in controlling gene activity by forming a DNA-binding protein of the Brahma-associated factor chromatin remodeling complexes of numerous distinct SWI\/SNF protein complexes which modulate gene activity by chromatin remodeling<sup>24, 25<\/sup>. ARID1B contains over 2,000 amino acid residues yet it has only two characterized protein domains, an AT-rich interaction domain (ARID) and domain of undefined function 3518 (DUF3518)<sup>22<\/sup>. ARID1B&#8217;s DNA-binding ability is impaired, and the BAF complex&#8217;s function is jeopardized as a result of missense mutations in the ARID domain<sup>26<\/sup>. In BAF complexes, the DUF3518 domain has been shown to interact with the BRG1 and BRM helicase subunits<sup>24<\/sup>. Because the ARID1B component may bind to DNA, it is thought to contribute in the targeting of SWI\/SNF complexes to the chromatin ought to be remodeled<sup>24<\/sup>. Missense mutations in any of these domains can cause BAF complexes to become non &#8211; functional. Nonsense-mediated mRNA decay (NMD) is primarily triggered by nonsense and frameshift mutations, which cause premature translation termination<sup>27<\/sup>. As a result, these mutations result in the NMD of the ARID1B mRNA rather than the expression of mutant ARID1B protein. Truncating mutations that circumvent NMD typically result in a distinct and more extreme phenotype than the dominant negative impacts of the mutant protein<sup>25<\/sup>. Human learning and memory may be affected by frameshift mutations in the <em>ARID1B<\/em> gene, which replace glutamine with arginine, glycine, or serine. Similarly, mutations causing normal coding amino acids like threonine and alanine to a different branched amino proline is likely to disrupt the structure of the ARID1B protein. Stop-gain mutation of glycine affects immunomodulatory in the peripheral nervous system. ARID1B gene variants linked to ASD may lead to a reduction ARID1B protein level or a disturbance in the protein&#8217;s chromatin remodeling activity. As a result, the ARID1B gene plays an essential part in brain development. Further research needs to be conducted to determine whether individuals with ARID1B haploinsufficiency have altered brain development, which contributes to the intellectual disability and speech difficulty defined by ASD<sup>28,29<\/sup>.<strong>\u00a0<\/strong><\/p>\n<p><strong>Table 2:\u00a0Table showing pathogenic alleles of the genes* responsible for ASD.<\/strong><\/p>\n<table style=\"width: 95%;\" border=\"1\" cellspacing=\"0\" cellpadding=\"4\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\" width=\"106\"><strong>GENE<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"130\"><strong>rsID<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"213\"><strong>AMINO ACID SEQ CHANGE<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"189\"><strong>Consequence of mutation<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"224\"><strong>VARIATION TYPE<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" rowspan=\"12\" width=\"106\"><strong><em>ADNP<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"130\">rs587777525<\/td>\n<td style=\"text-align: center;\" width=\"213\">Y [Tyr]\u00a0\u21d2\u00a0Ter[*] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs587777523<\/td>\n<td style=\"text-align: center;\" width=\"213\">N [Asn]\u00a0\u21d2\u00a0K [Lys]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs587777522<\/td>\n<td style=\"text-align: center;\" width=\"213\">L [Leu]\u00a0\u21d2\u00a0I [Ile]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1057518978<\/td>\n<td style=\"text-align: center;\" width=\"213\">Y [Tyr]\u00a0\u21d2\u00a0V [Val]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs886042026<\/td>\n<td style=\"text-align: center;\" width=\"213\">K [Lys]\u00a0\u21d2\u00a0Q [Gln]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs779340209<\/td>\n<td style=\"text-align: center;\" width=\"213\">S [Ser]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop-gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1131691770<\/td>\n<td style=\"text-align: center;\" width=\"213\">L [Leu]\u00a0\u21d2\u00a0Ter [*] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">\u00a0Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs886041116<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs587777526<\/td>\n<td style=\"text-align: center;\" width=\"213\">Y [Tyr]\u00a0\u21d2\u00a0Y [Tyr]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1135401808<\/td>\n<td style=\"text-align: center;\" width=\"213\">Y [Tyr]\u00a0\u21d2\u00a0Ter [*] [OCH]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs886041449<\/td>\n<td style=\"text-align: center;\" width=\"213\">L [Leu]\u00a0\u21d2\u00a0P [Pro]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Deletion<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs587777524<\/td>\n<td style=\"text-align: center;\" width=\"213\">S [Ser]\u00a0\u21d2\u00a0Ter [*] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" rowspan=\"13\" width=\"106\"><strong><em>ARID1B<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"130\">rs587777114<\/td>\n<td style=\"text-align: center;\" width=\"213\">S [Ser]\u00a0\u21d2\u00a0P [Pro]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Intron Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs867707366<\/td>\n<td style=\"text-align: center;\" width=\"213\">S [Ser]\u00a0\u21d2\u00a0L [Leu]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs387907143<\/td>\n<td style=\"text-align: center;\" width=\"213\">K [Lys]\u00a0\u21d2\u00a0Ter [*] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs750447037<\/td>\n<td style=\"text-align: center;\" width=\"213\">Q [Gln]\u00a0\u21d2\u00a0K [Lys]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs797045282<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs886041819<\/td>\n<td style=\"text-align: center;\" width=\"213\">W [Trp]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1028186690<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs797045283<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1057517704<\/td>\n<td style=\"text-align: center;\" width=\"213\">Q [Gln]\u00a0\u21d2\u00a0E [Glu]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs879253747<\/td>\n<td style=\"text-align: center;\" width=\"213\">Q [Gln]\u00a0\u21d2\u00a0Ter [*] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs902091666<\/td>\n<td style=\"text-align: center;\" width=\"213\">K [Lys]\u00a0\u21d2\u00a0E [Glu]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs758570139<\/td>\n<td style=\"text-align: center;\" width=\"213\">Y [Tyr]\u00a0\u21d2\u00a0Y [Tyr]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs387907144<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" rowspan=\"14\" width=\"106\"><strong><em>ASH1L <\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"130\">rs863225241<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Q [Gln]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Missense variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1293246328<\/td>\n<td style=\"text-align: center;\" width=\"213\">A [Ala]\u00a0\u21d2\u00a0S [Ser]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Missense variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs864309548<\/td>\n<td style=\"text-align: center;\" width=\"213\">Q [Gln]\u00a0\u21d2\u00a0Ter [*] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs398122998<\/td>\n<td style=\"text-align: center;\" width=\"213\">W [Trp]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1057523601<\/td>\n<td style=\"text-align: center;\" width=\"213\">Q [Gln]\u00a0\u21d2\u00a0Ter [ *] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs797044912<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0R [Arg]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs761127171<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs767106034<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0R [Arg]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs777803897<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0R [Arg]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs773860345<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs775406327<\/td>\n<td style=\"text-align: center;\" width=\"213\">S [Ser]\u00a0\u21d2\u00a0L [Leu]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs2272457<\/td>\n<td style=\"text-align: center;\" width=\"213\">Y [Tyr]\u00a0\u21d2\u00a0Y [Tyr]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1057519228<\/td>\n<td style=\"text-align: center;\" width=\"213\">T [Thr]\u00a0\u21d2\u00a0T [Thr]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Synonymous Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs397514739<\/td>\n<td style=\"text-align: center;\" width=\"213\">T [Thr]\u00a0\u21d2\u00a0L [Leu]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Splice Donor Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" rowspan=\"11\" width=\"106\"><strong><em>DYRK1A<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"130\">rs886041658<\/td>\n<td style=\"text-align: center;\" width=\"213\">Y [Tyr]\u00a0\u21d2\u00a0Ter [*] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs797044522<\/td>\n<td style=\"text-align: center;\" width=\"213\">D [Asp]\u00a0\u21d2\u00a0R [Arg]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs886039652<\/td>\n<td style=\"text-align: center;\" width=\"213\">V [Val]\u00a0\u21d2\u00a0F [Phe]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs797045042<\/td>\n<td style=\"text-align: center;\" width=\"213\">A [Ala]\u00a0\u21d2\u00a0G [Gly]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs724159956<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0T [Thr]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1064794006<\/td>\n<td style=\"text-align: center;\" width=\"213\">K [Lys]\u00a0\u21d2\u00a0N [Asn]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs797045539<\/td>\n<td style=\"text-align: center;\" width=\"213\">P [Pro]\u00a0\u21d2\u00a0T [Thr]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Insertion<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs724159953<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs797044520<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs797045041<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Q [Gln]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Missense variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1064796713<\/td>\n<td style=\"text-align: center;\" width=\"213\">N [Asn]\u00a0\u21d2\u00a0I [Ile]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" rowspan=\"11\" width=\"106\"><strong><em>POGZ<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"130\">rs1235715459<\/td>\n<td style=\"text-align: center;\" width=\"213\">P [Pro]\u00a0\u21d2\u00a0S [Ser]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs869312834<\/td>\n<td style=\"text-align: center;\" width=\"213\">Q [Gln]\u00a0\u21d2\u00a0Ter [*] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs869320764<\/td>\n<td style=\"text-align: center;\" width=\"213\">E [Glu]\u00a0\u21d2\u00a0T [Thr]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Deletion<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs864321667<\/td>\n<td style=\"text-align: center;\" width=\"213\">L [Leu]\u00a0\u21d2\u00a0C [Cys]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs796052217<\/td>\n<td style=\"text-align: center;\" width=\"213\">Q [Gln]\u00a0\u21d2\u00a0R [Arg]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Deletion<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1085307702<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs864321673<\/td>\n<td style=\"text-align: center;\" width=\"213\">S [Ser]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1057518170<\/td>\n<td style=\"text-align: center;\" width=\"213\">M [Met]\u00a0\u21d2\u00a0V [Val]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Deletion<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs869320763<\/td>\n<td style=\"text-align: center;\" width=\"213\">E [Glu]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs142133690<\/td>\n<td style=\"text-align: center;\" width=\"213\">Y [Tyr]\u00a0\u21d2\u00a0Ter [*] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs864321675<\/td>\n<td style=\"text-align: center;\" width=\"213\">L [Leu]\u00a0\u21d2\u00a0F [Phe]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">INDEL<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" rowspan=\"12\" width=\"106\"><strong><em>SHANK3<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"130\">rs886041467<\/td>\n<td style=\"text-align: center;\" width=\"213\">P [Pro]\u00a0\u21d2\u00a0L [Leu]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1294272918<\/td>\n<td style=\"text-align: center;\" width=\"213\">Q [Gln]\u00a0\u21d2\u00a0E [Glu]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs886041430<\/td>\n<td style=\"text-align: center;\" width=\"213\">L [Leu]\u00a0\u21d2\u00a0R [Arg]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs762292772<\/td>\n<td style=\"text-align: center;\" width=\"213\">A [Ala]\u00a0\u21d2\u00a0P [Pro]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs761720914<\/td>\n<td style=\"text-align: center;\" width=\"213\">E [Glu]\u00a0\u21d2\u00a0K [Lys]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs886041238<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0L [Leu]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1238131472<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1057519395<\/td>\n<td style=\"text-align: center;\" width=\"213\">S [Ser]\u00a0\u21d2\u00a0R [Arg]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1064793514<\/td>\n<td style=\"text-align: center;\" width=\"213\">L [Leu]\u00a0\u21d2\u00a0R [Arg]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Deletion<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1131691727<\/td>\n<td style=\"text-align: center;\" width=\"213\">P [Pro]\u00a0\u21d2\u00a0H [His]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1064795759<\/td>\n<td style=\"text-align: center;\" width=\"213\">Q [Gln]\u00a0\u21d2\u00a0Ter [*] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs121918316<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" rowspan=\"11\" width=\"106\"><strong><em>SYNGAP1<\/em><\/strong><\/td>\n<td style=\"text-align: center;\" width=\"130\">rs587780470<\/td>\n<td style=\"text-align: center;\" width=\"213\">L [Leu]\u00a0\u21d2\u00a0C [Cys]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1131691635<\/td>\n<td style=\"text-align: center;\" width=\"213\">L [Leu]\u00a0\u21d2\u00a0S [Ser]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1060503386<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1057519400<\/td>\n<td style=\"text-align: center;\" width=\"213\">S [Ser]\u00a0\u21d2\u00a0Q [Gln]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1060503383<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">Rs797046029<\/td>\n<td style=\"text-align: center;\" width=\"213\">L [Leu]\u00a0\u21d2\u00a0P [Pro]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs797046028<\/td>\n<td style=\"text-align: center;\" width=\"213\">V [Val]\u00a0\u21d2\u00a0Ter [*] [AMB]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1057519405<\/td>\n<td style=\"text-align: center;\" width=\"213\">P [Pro]\u00a0\u21d2\u00a0R [Arg]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Frameshift Variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Indel<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs397514670<\/td>\n<td style=\"text-align: center;\" width=\"213\">P [Pro]\u00a0\u21d2\u00a0L [Leu]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Missense variant<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs1131692154<\/td>\n<td style=\"text-align: center;\" width=\"213\">R [Arg]\u00a0\u21d2\u00a0Ter [*] [OPA]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"130\">rs121918315<\/td>\n<td style=\"text-align: center;\" width=\"213\">K [Lys]\u00a0\u21d2\u00a0Ter [*] [OCH]<\/td>\n<td style=\"text-align: center;\" width=\"189\">Stop Gained<\/td>\n<td style=\"text-align: center;\" width=\"224\">Single Nucleotide Variation<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>*(only some data is provided)<strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><\/p>\n<table style=\"width: 70%;\" border=\"1\" cellpadding=\"5\">\n<tbody>\n<tr>\n<td><a href=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2022\/10\/Vol15No4_Sil_Poo_fig1.jpg\"><img decoding=\"async\" class=\"alignnone size-thumbnail wp-image-46277\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2022\/10\/Vol15No4_Sil_Poo_fig1-150x150.jpg\" alt=\"Vol15No4_Sil_Poo_fig1\" width=\"150\" height=\"150\" srcset=\"https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2022\/10\/Vol15No4_Sil_Poo_fig1-150x150.jpg 150w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2022\/10\/Vol15No4_Sil_Poo_fig1-256x256.jpg 256w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2022\/10\/Vol15No4_Sil_Poo_fig1.jpg 818w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/a><\/td>\n<td><strong>Figure 1: Mutated genes that cause impairment of brain function leading to ASD.<\/strong><\/p>\n<p><a href=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2022\/10\/Vol15No4_Sil_Poo_fig1.jpg\" target=\"_blank\">Click here to view figure<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>ASH1 like histone lysine methyltransferase<\/strong> <strong>(<\/strong><strong><em>ASH1L<\/em><\/strong><strong>)<\/strong><\/p>\n<p>The lysine-specific methyltransferase 2H enzyme is produced by<em>ASH1L <\/em>gene and can be found in a range of organs and tissues throughout the body<sup>31<\/sup>. Lysine-specific methyltransferase 2H\u00a0functions as a histone methyltransferase enzyme that modify histone\u00a0proteins<em>. <\/em>Histone methyltransferases control the function of few genes by methylation of histone<sup>27<\/sup>. Additionally, certain genes involved in brain development are activated by lysine-specific methyltransferase 2H. Histone methylation is disrupted by the lack of a functioning lysine-specific methyltransferase 2H enzyme<sup>32<\/sup>. Loss of\u00a0ASH1L gene has been shown to impair embryonic and postnatal brain development, as well as the formation of neuronal networks in the developing hypothalamus, which is required for optimal feeding behaviors and initial postnatal growth<sup>32, 33<\/sup>. At least seven <em>ASH1L <\/em>gene mutations were found to be associated with ASD. Some <em>ASH1L<\/em> gene mutations linked to ASD induce a single amino acid alteration in the lysine-specific methyltransferase 2H enzyme, while others disrupt genetic material from the <em>ASH1L<\/em> gene sequence or produce an early stop signal, rendering the enzyme inactive and affecting neural connection. For example; when alanine to serine and arginine to glutamine missense mutations occur in <em>ASH1L <\/em>gene, alanine production is impaired, which is a source of energy in the CNS, and the body&#8217;s metabolism is also affected as arginine production is hindered.<\/p>\n<p><strong>Chromodomain helicase DNA binding protein 2 (<em>CHD2<\/em>)<\/strong><\/p>\n<p><em>CHD2<\/em> gene codes for chromodomain DNA helicase protein 2 (CHD2) which controls gene activity through chromatin remodeling and is present in all cells of the body<sup>34<\/sup>. This protein plays a significant role in the function and growth of neurons present in the brain. It is proposed that the protein translated from the mutant CHD2 gene causes enhanced neuronal excitability due to the action of GABAergic neuron excitability or other electrophysiological channels and\u00a0cause convulsions, and have little or no effect on RNA expression levels<sup>35<\/sup>. <em>CHD2<\/em> related neurodevelopmental disorders are autosomal dominant disorders caused by a <em>de novo<\/em> pathogenic variant. Twenty-seven <em>CHD2 <\/em>gene variants linked to ASD were investigated. These mutations may result in moderate alterations in the expression of multiple genes, due to their induced functional disruption of the CHD2 protein, all of which affect development of brain and increase the possibility\u00a0of ASD. For example, valine is used for energy production while serine helps in biosynthesis of purines and pyrimidines. The frameshift mutation in <em>CHD2<\/em> gene of valine and serine results in a stop codon that completely disrupts chromatin remodeling and can possibly lead to ASD.<\/p>\n<p><strong>Dual specificity tyrosine phosphorylation regulated kinase 1A<\/strong> (<strong><em>DYRK1A<\/em>)<\/strong><\/p>\n<p><em>DYRK1A<\/em> encodes a kinase enzyme involved in the phosphorylation of proteins which helps in regulating the activity of proliferation and differentiation of cells and play important role in the development of the nervous system<sup>31<\/sup>. Dendritic spines assist convey nerve impulses and facilitate communication between neurons, and the DYRK1A enzyme is involved in their production and maturation from dendrites in neurons<sup>36<\/sup>. A nonsense mutation results in the synthesis of a kinase domain protein with a C-terminally shortened C-terminus (DYRK1A-E396ter), which is then processed by the proteasome into an\u00a0inactive form, demonstrating overall loss-of-function of DYRK1A<sup>37<\/sup>. Anxiety, microcephaly (an abnormally small head), intellectual disabilities, and speech issues are other\u00a0specific traits seen in ASD patients with <em>DYRK1A<\/em> gene mutations<sup>38<\/sup>. Chronic seizures (epilepsy), distinctive facial features, poor muscular tone (hypotonia), foot deformities, and walking impairments may be experienced by\u00a0these\u00a0individuals<sup>38<\/sup>. At least twenty-five\u00a0<em>DYRK1A<\/em>gene mutations associated with ASD were identified. DYRK1A enzyme dysfunction or absence causes aberrant gene expression regulation and affects normal brain development. For example, frameshift mutation in <em>DYRK1A<\/em> gene changes normal coding tyrosine to a termination codon which can lead to production of a truncated protein which in turn can have many determinantal effects on the brain.<\/p>\n<p><strong>Pogo transposable element derived with ZNF domain<\/strong> (<strong><em>POGZ<\/em>)<\/strong><\/p>\n<p>POGZ proteins are zinc finger proteins which are able to bind to the chromatin for chromatin remodeling owing to its structure which consist of a unique pattern of amino acids and one or more zinc ions and they are capable of binding. Zinc finger domain&#8217;s folded form stabilizes the protein, and allows it to interact with\u00a0many other molecules<sup>39<\/sup>. POGZ protein modulates gene expression, which is critical for brain development, by interacting with the SP1 transcription factor, heterochromatin protein 1 (HP1), and chromodomain helicase DNA-binding protein 4 (CHD4) and acting as a chromatin regulator <sup>40, 41<\/sup>. The large majority of previously reported de novo POGZ gene mutations in patients with neurodevelopmental disorders (NDDs) are nonsense and frameshift mutations dispersed between the C2H2 Zn finger and centromere protein-B-like DNA-binding (CENP-DB) domains, as well as within the CENP-DB domain itself. The large majority of reported de novo POGZ genetic variants in patients with neurodevelopmental disorders (NDDs) are nonsense and frameshift mutations dispersed between the C2H2 Zn finger and centromere protein-B-like DNA-binding (CENP-DB) domains, including within the CENP-DB domain itself <sup>42<\/sup>. Twenty-two pathogenic mutations in the POGZ gene were investigated, which may result in a POGZ protein with reduced chromatin binding ability, causing aberrant chromatin remodeling and eventually compromising the normal expression of genes essential in brain development<sup>42<\/sup>. Mutations in UTR-5&#8242; and frameshift mutations in the POGZ gene can affect expression level and mRNA translation kinetics by producing DNA binding elements or\u00a0cis-regulatory motifs.<\/p>\n<p><strong>SH3 and multiple ankyrin repeat domains 3 (<em>SHANK3<\/em>)<\/strong><\/p>\n<p>SHANK3 protein is vital in the working of synapses because it works as a platform that maintains the connections between neurons, ensuring that signals sent by one neuron are recognized by another<sup>43<\/sup>. The N-terminal region of <em>SHANK3 <\/em>comprising of the Shank\/ProSAP N-terminal (SPN) domain and a set of ankyrin (Ank) repeats has been reported with several missense mutations<sup>44<\/sup>. These mutations impact the Abi1 binding site in SHANK3, which is the core location of the SHANK protein, and missense mutations cause alterations outside of established interacting motifs in the C-terminal region of SHANK proteins, making it impossible to evaluate the precise role of these mutations<sup>44<\/sup>. In the\u00a0N-terminal motif of Shank\/ProSAP\u00a0(SPN), which is essential in dendritic spine growth and maturation, seven ankyrin repeats (Ank) have been identified as a hotspot for missense mutations<sup>45<\/sup>. It has already been reported that disruption in communication between neurons contributes to the development of ASD<sup>46<\/sup>. A minimum of 24\u00a0<em>SHANK3<\/em>gene mutations associated with ASD were identified out of which most of them impairing SHANK3 protein function or synthesis. For example, mutation of proline to alanine impedes the assembly of several proteins and the rate of peptide bond production by the ribosome, cds-synon mutation of arginine and tyrosine, frameshift mutation of glutamic acid into a stop codon that handicaps memory and focus power, and missense mutation of isoleucine into phenylalanine may directly affects gene function.<\/p>\n<p><strong>S<\/strong><strong>ynaptic Ras GTPase activating protein 1 (<em>SYNGAP1<\/em>)<\/strong><\/p>\n<p>SynGAP protein is encoded by <em>SYNGAP1<\/em> gene, located in synapses in the brain, and regulates important biochemical signaling pathways that enable learning and memory<sup>47<\/sup>. SynGAP regulates synapse adaptations and promotes proper brain architecture by linking nerve cells, and it is especially vital\u00a0during a crucial stage of early developing brain that influences long-term psychological capability<sup>48<\/sup>. Pre-mRNA splicing in the SYNGAP1 gene is dependent on the concordance of &#8220;cis&#8221; sequences that define exon-intron boundaries, which is required for proper protein translation, and regulatory sequences recognized by splicing machinery. Improper exon and intron recognition reported by point mutations at these consensus sequences may lead to the development of an abnormal transcript of the affected gene<sup>45<\/sup>. At least thirty\u00a0<em>SYNGAP1<\/em>gene mutations were identified, these mutations hampered or completely blocked the function or production of SynGAP protein associated with ASD. These mutations may be the underlying cause of behavioral impairments associated with ASD. For example, frameshift mutation of amino acids (tryptophan, leucine, valine and arginine) to stop codons and also mutations affecting normal coding the branched-chain amino acids like leucine, isoleucine, and valine with multiple functions in the brain can affect the synaptic plasticity in the brain.<\/p>\n<p><b>Conclusion<\/b><\/p>\n<p>The relevance of SNPs in ASD-associated genes as a risk factor was investigated in this study using <em>in silico<\/em> analysis. Mutations in the <em>ADNP<\/em>, <em>ARID1B<\/em>, <em>ASH1L<\/em>, <em>CHD2<\/em>, and <em>POGZ<\/em> genes have been identified to disrupt the development and functioning of the brain by altering gene regulation and causing abnormal chromatin modeling. Many of the SNP mutations studied result in a premature stop signal, resulting in a nonfunctional enzyme that is exceptionally short. Furthermore, these mutations in other genes associated with ASD, <em>SHANK3<\/em> and <em>SYNGAP1<\/em> disrupt the function of synapses and, as a result, cell-to-cell communication. These mutations may cause changes in synaptic adaption, which may exacerbate the behavioral problems associated with ASD. These SNPs can act as biomarkers and provide insight into the etiology of ASD. Furthermore, the\u00a0SNPs identified above may aid in the development of ASD medical interventions. More examination and validation of the identified SNPs will be required to assess their clinical importance and applicability in translation research as novel targets.<\/p>\n<p><strong>Acknowledgment<\/strong><\/p>\n<p>This work was supported by DBT STAR College grant and Gargi College, University of Delhi.<\/p>\n<p><strong>Conflict of Interest<\/strong><\/p>\n<p>The authors have no conflict of interest to declare.<\/p>\n<p><strong>Funding Sources<\/strong><\/p>\n<p>Not Applicable<\/p>\n<p><strong>References<\/strong><\/p>\n<ol>\n<li>Hodges, H., Fealko, C., &amp; Soares, N. (2020). Autism spectrum disorder: definition, epidemiology, causes, and clinical evaluation. 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