1. Mutations in ASH1L confer susceptibility to Tourette syndrome
- Author
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Fan He, Wenhan Luo, Zuzhou Huang, Xueying Feng, Yuze Yan, Yanzhao Wei, Fengyuan Che, Mengmeng Han, Chunmei Wu, Yi Zheng, Xue Sun, Hong Xie, Ji-Song Guan, Jinchuan Xing, Xuzhan Zhang, Lang Chen, Ni Ran, Miaomiao Tian, Huanhuan Huang, Jiani Li, Yixia Guo, Hui Li, Hongzai Guan, Mingji Yi, Chuanyue Wang, Lanlan Zheng, Yinlin Ge, Zhaochuan Yang, Tao Zhu, Xueping Zheng, Xiuhai Wang, Xu Ma, Christian P. Schaaf, Fuli Yu, Guiju Wang, Haiyan Wang, Yeting Zhang, Yinglei Xu, Qinan Chen, Zhongcui Jing, Wenmiao Liu, Yucui Zang, Hui Liang, Hao Deng, Shiguo Liu, Xiangrong Sun, Ru Zhang, and Jingli Wang
- Subjects
0301 basic medicine ,Proband ,Genetics ,Tics ,Point mutation ,Transmission disequilibrium test ,Biology ,medicine.disease ,Tourette syndrome ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,Psychiatry and Mental health ,030104 developmental biology ,0302 clinical medicine ,medicine ,Haloperidol ,Autism ,Molecular Biology ,Gene ,030217 neurology & neurosurgery ,medicine.drug - Abstract
Tourette syndrome (TS) is a childhood-onset neuropsychiatric disorder characterized by repetitive motor movements and vocal tics. The clinical manifestations of TS are complex and often overlap with other neuropsychiatric disorders. TS is highly heritable; however, the underlying genetic basis and molecular and neuronal mechanisms of TS remain largely unknown. We performed whole-exome sequencing of a hundred trios (probands and their parents) with detailed records of their clinical presentations and identified a risk gene, ASH1L, that was both de novo mutated and associated with TS based on a transmission disequilibrium test. As a replication, we performed follow-up targeted sequencing of ASH1L in additional 524 unrelated TS samples and replicated the association (P value = 0.001). The point mutations in ASH1L cause defects in its enzymatic activity. Therefore, we established a transgenic mouse line and performed an array of anatomical, behavioral, and functional assays to investigate ASH1L function. The Ash1l+/− mice manifested tic-like behaviors and compulsive behaviors that could be rescued by the tic-relieving drug haloperidol. We also found that Ash1l disruption leads to hyper-activation and elevated dopamine-releasing events in the dorsal striatum, all of which could explain the neural mechanisms for the behavioral abnormalities in mice. Taken together, our results provide compelling evidence that ASH1L is a TS risk gene.
- Published
- 2019
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