Scientists have made a groundbreaking discovery that could usher in a new era of personalized treatments for autism: they have identified a common genetic flaw linked to the disorder.
While it has long been recognized that autism often runs in families, the precise ways specific genetic changes contribute to the condition have remained elusiveâuntil now.
Researchers at Kobe University in Japan have uncovered that many autism-associated mutations disrupt the brainâs natural âmaintenanceâ systemâa vital internal process responsible for clearing out waste and damaged materials to keep brain cells functioning smoothly.
When this cleanup system breaks down, waste accumulates inside nerve cells, impairing their ability to send and receive signalsâa malfunction the study shows is present in numerous cases of autism.
Some of the core traits of autismâsuch as difficulties with language, learning, and social interactionâmay be better understood through this newly uncovered breakdown in the brainâs maintenance system.
Published in Cell Genomics, the study aimed to uncover the true functions of certain high-risk genetic variations found in the brain. While researchers have long known that some genetic abnormalities are more common in autistic individuals, until now, there was no systematic way to study how these mutations actually affect brain cells in the lab.
To tackle this challenge, the team at Kobe University created a groundbreaking library of 63 specially engineered cell linesâgenetically identical cells cultivated under controlled conditionsâeach carrying one of the key genetic variants strongly linked to autism spectrum disorders (ASD).
These cell lines were made from mouse embryonic stem cells, which have the unique ability to develop into any tissue type in the body, including brain cells. Importantly, no human embryos were used in the process.
Using CRISPR gene-editing technology, the researchers precisely introduced the mutations into the cells. This allowed them to replicate âautism in a dish,â a powerful model to study the disorder in a controlled laboratory setting.
By growing various types of brain tissue from these altered cellsâand even creating adult mice with the same mutationsâthe scientists gained an unprecedented tool to explore how genetic changes impact brain development, structure, and behavior over time.
Their findings were striking. A common thread across many mutations was a malfunction in the brainâs waste-disposal system. Neuronsâthe brain cells responsible for transmitting electrical signals and governing thought, emotion, and behaviorâstruggled to clear out damaged internal components.
The study explains that âa lack of quality control of these proteins may be a causal factor of neuronal defects.â This is particularly significant because neurons constantly produce new proteins locally to keep signals flowing.
When the system canât remove old or damaged parts, it becomes clogged and fails, potentially disrupting the brain networks that support social skills, learning, and communication.
Interestingly, the implications may extend beyond autism. Many of the same genetic variations are also linked to other mental health conditions such as bipolar disorder and schizophrenia. The researchers note, âThis library may be useful for studying other neuropsychiatric disorders as well.â
By understanding what these mutations do, scientists hope to identify new drug targets and eventually develop treatments tailored to each individualâs genetic makeupâa huge leap toward personalized medicine.
This discovery marks a paradigm shift in autism research. Instead of just identifying risk genes, it uncovers the biochemical chain of events that may spark the disorderâthough practical treatments are still likely years away.
The urgency of such research is underscored by rising autism rates worldwide. A 2021 study revealed a staggering 787% increase in autism diagnoses in the UK between 1998 and 2019. Meanwhile, over 200,000 people in England are currently waiting for an autism assessmentâthree times the number in 2021, according to recent NHS data.
Public figures like environmental activist Greta Thunberg and tech entrepreneur Elon Musk, both diagnosed with autism spectrum conditions, highlight the wide spectrum of how autism presents.
Not everyone with autism sees it as a disease needing a cure. Many view it as a natural difference deserving recognition and accommodation rather than treatment.
The Kobe University study adds to a growing body of research exploring genetic links to autism. Earlier this year, scientists found that myotonic dystrophy type 1 (DM1), a rare genetic disorder, may explain some autism casesâpeople with DM1 were 14 times more likely to develop autism.
Other studies suggest environmental factors also play a role. For example, research last year connected exposure to bisphenol A (BPA)âa common plastic ingredient found in metal food cans and pacifiersâwith an increased risk of autism in boys.
Higher BPA levels in pregnant womenâs urine were linked to a threefold increase in autistic behaviors by age two, and a sixfold higher chance of an autism diagnosis by age eleven.
BPA is widely used to harden plastics and prevent metal corrosion, but itâs also called a âgender-bendingâ chemical because of its suspected effects on hormonal and sexual development in humans, fish, and other species.