Summary Statistics:
ASD Reports: 33
Recent Reports: 1
Annotated variants: 45
Associated CNVs: 10
Evidence score: 3
Gene Score: 4
Relevance to Autism
A rare mutation in the ATRX gene has been identified with ASD (Gong et al., 2008).
Molecular Function
The protein encoded by this gene contains an ATPase/helicase domain, and thus it belongs to the SWI/SNF family of chromatin remodeling proteins. Mutations in this gene are associated with an X-linked mental retardation (XLMR) syndrome most often accompanied by alpha-thalassemia (ATRX) syndrome. These mutations have been shown to cause diverse changes in the pattern of DNA methylation, which may provide a link between chromatin remodeling, DNA methylation, and gene expression in developmental processes. Multiple alternatively spliced transcript variants encoding distinct isoforms have been reported.
References
Primary
Alpha thalassaemia-mental retardation, X linked.
ID
Epilepsy, ASD
Support
Characterization of intellectual disability and autism comorbidity through gene panel sequencing.
ID, ASD or autistic traits
Support
Hybridisation-based resequencing of 17 X-linked intellectual disability genes in 135 patients reveals novel mutations in ATRX, SLC6A8 and PQBP1.
ID
Support
High prevalence of multilocus pathogenic variation in neurodevelopmental disorders in the Turkish population
DD, ID
Support
Genes that Affect Brain Structure and Function Identified by Rare Variant Analyses of Mendelian Neurologic Disease.
ID
Microcephaly
Support
ID
ASD, epilepsy/seizures
Support
Lessons Learned from Large-Scale, First-Tier Clinical Exome Sequencing in a Highly Consanguineous Population.
Macrocephaly, developmental regression
Stereotypies
Support
Analysis of X chromosome inactivation in autism spectrum disorders.
ASD
Support
The landscape of somatic mutation in cerebral cortex of autistic and neurotypical individuals revealed by ultra-deep whole-genome sequencing
ASD
Support
ATRX mutation in two adult brothers with non-specific moderate intellectual disability identified by exome sequencing.
ID, epilepsy/seizures
Support
X-linked alpha-thalassemia/impaired intellectual d
Support
Exome Pool-Seq in neurodevelopmental disorders.
DD
Hypotonia
Support
Excess of de novo variants in genes involved in chromatin remodelling in patients with marfanoid habitus and intellectual disability
ID
Marfanoid habitus
Support
Large-scale discovery of novel genetic causes of developmental disorders.
ASD, DD
Support
X-linked intellectual disability-hypotonic facies
Support
Targeted sequencing and functional analysis reveal brain-size-related genes and their networks in autism spectrum disorders.
ASD
Support
Splicing mutation in the ATR-X gene can lead to a dysmorphic mental retardation phenotype without alpha-thalassemia.
ID
Autistic behavior
Support
Genetic landscape of autism spectrum disorder in Vietnamese children
ASD
Support
Efficient strategy for the molecular diagnosis of intellectual disability using targeted high-throughput sequencing.
ID
Support
Brief Report: Evidence of Autism Spectrum Disorder Caused by a Mutation in ATRX Gene: A Case Report
ASD, DD, ID
Support
Using medical exome sequencing to identify the causes of neurodevelopmental disorders: experience of two clinical units and 216 patients.
ID
Support
Mutations in a putative global transcriptional regulator cause X-linked mental retardation with alpha-thalassemia (ATR-X syndrome).
ID
Support
Exome sequencing of 457 autism families recruited online provides evidence for autism risk genes
ASD
Support
Massively parallel sequencing of patients with intellectual disability, congenital anomalies and/or autism spectrum disorders with a targeted gene ...
DD, ID, ASD
MCA
Support
Genetic care in geographically isolated small island communities: 8 years of experience in the Dutch Caribbean
ID
Support
Genomic diagnosis for children with intellectual disability and/or developmental delay.
ID
Hypotonia, spasticity
Support
Impact of on-site clinical genetics consultations on diagnostic rate in children and young adults with autism spectrum disorder.
ASD
Support
Using whole-exome sequencing to identify inherited causes of autism.
ASD
Support
Prevalence and phenotypic impact of rare potentially damaging variants in autism spectrum disorder
ASD
Support
Novel ATRX gene damaging missense mutation c.6740A>C segregates with profound to severe intellectual deficiency without alpha thalassaemia.
ID
Stereotypies, absent speech
Recent Recommendation
Rosiglitazone REMS restrictions removed.
GEN288R001
missense_variant
c.5027G>C
p.Gly1676Ala
Familial
Maternal
Multiplex
GEN288R002
missense_variant
c.4031A>G
p.Lys1344Arg
Familial
Maternal
Simplex
GEN288R003
copy_number_loss
GEN288R004
missense_variant
c.2302A>G
p.Lys768Glu
GEN288R005
missense_variant
c.2316T>C
p.Cys755Arg
GEN288R006
missense_variant
c.2429C>A
p.Thr810Asn
Multiplex
GEN288R007
missense_variant
c.3058A>G
p.Asn1002Ser
GEN288R008
missense_variant
c.3583A>T
p.Arg1195Trp
GEN288R009
missense_variant
c.3729A>G
p.Gln1243=
GEN288R010
missense_variant
c.3967A>G
p.Tyr1305Cys
GEN288R011
stop_gained
c.4635C>T
p.Thr1545=
GEN288R012
stop_gained
c.4641G>T
p.Glu1530Ter
GEN288R013
splice_site_variant
T>A
Familial
Maternal
Multi-generational
GEN288R014
missense_variant
c.5282T>C
p.Met1761Thr
GEN288R015
stop_gained
c.7156C>T
p.Arg2386Ter
Familial
Maternal
Multiplex
GEN288R016
missense_variant
c.1825C>G
p.Pro609Ala
Familial
Maternal
Multiplex
GEN288R017
missense_variant
c.1565C>G
p.Ser522Cys
Familial
Maternal
Multiplex
GEN288R018
frameshift_variant
c.7378dup
p.Tyr2460LeufsTer38
De novo
Simplex
GEN288R019
missense_variant
c.6139C>T
p.Leu2047=
Familial
Maternal
Multi-generational
GEN288R020
stop_gained
c.109C>T
p.Arg37Ter
Familial
Maternal
Multiplex
GEN288R021
stop_gained
c.109C>T
p.Arg37Ter
Familial
Maternal
Simplex
GEN288R022
missense_variant
c.1013C>G
p.Ser338Cys
Familial
Maternal
Multiplex
GEN288R023
missense_variant
c.308T>A
p.Val103Glu
Familial
Maternal
Multiplex
GEN288R024
missense_variant
c.1676C>T
p.Ser559Leu
Familial
Maternal
Simplex
GEN288R025
missense_variant
c.6740A>C
p.His2247Pro
Familial
Maternal
Multi-generational
GEN288R026
missense_variant
c.1423C>T
p.His475Tyr
Familial
Maternal
GEN288R027
missense_variant
c.4865C>T
p.Ala1622Val
Familial
Maternal
Multiplex
GEN288R028
missense_variant
c.6280G>A
p.Val2094Ile
Familial
Simplex
GEN288R029
missense_variant
c.6863G>A
p.Arg2288His
Familial
Maternal
GEN288R030
missense_variant
c.4244A>G
p.Asn1415Ser
Familial
Maternal
GEN288R031
missense_variant
c.7253A>T
p.Tyr2418Phe
Unknown
GEN288R032
missense_variant
c.6740A>C
p.His2247Pro
Familial
Maternal
GEN288R033
missense_variant
c.622C>T
p.Arg208Cys
Unknown
GEN288R034
stop_gained
c.109C>T
p.Arg37Ter
Familial
Maternal
GEN288R035
missense_variant
c.1972C>T
p.Arg658Cys
Familial
Maternal
Simplex
GEN288R036
stop_gained
c.-117C>T
Familial
Maternal
Simplex
GEN288R037
missense_variant
ENSG00000085224:ENST00000395603:exon20:c.T5212C:p.F1738L,ENSG00000085224:ENST00000373344:exon21:c.T5
De novo
GEN288R038
missense_variant
c.2388A>C
p.Lys796Asn
Familial
Maternal
Simplex
GEN288R039
missense_variant
c.533T>C
p.Val178Ala
Unknown
GEN288R040
frameshift_variant
c.7367_7371del
p.Met2456ArgfsTer40
De novo
GEN288R041
missense_variant
c.4862C>T
p.Thr1621Met
Familial
Maternal
Simplex
GEN288R042
copy_number_loss
Familial
Maternal
Simplex
GEN288R043a
missense_variant
c.1085C>T
p.Thr362Ile
Familial
Both parents
Simplex
GEN288R044
splice_region_variant
c.4957-4A>G
Familial
Maternal
Multiplex
GEN288R045
missense_variant
c.4921T>C
p.Trp1641Arg
Unknown
Simplex
No Common Variants Available
X
Deletion-Duplication
21
X
Deletion-Duplication
16
Summary Statistics:
# of Reports: 1
# of Models: 1
Model Summary
The Atrx mutant mouse model shows alterations in behavior, with mutants exhibiting decreased conditioned fear response and spatial learning. Additionally, mice display increased aggression, as measured by an increased number of tail rattling events in the three-chamber social approach test, increased agitation in the presence of a handler as quantified by a score that reflects biting, trunk curl and vocalization, and decreased latency to attack in male mice in the resident-intruder test. Male mutants also exhibit increased depression as measured by an increase in the time spent immobile in the forced swim test. The model also shows sensory deficits, as demonstrated by diminished olfaction.
Model Type:
Genetic
Model Genotype:
Homozygous
Mutation:
Mice were generated with conditional inactivation of Atrx in post- mitotic excitatory neurons starting at E11.5, by crossing 129SV female mice heterozygous for Atrx^loxP sites (MGI:3528480) with C57BL/6 male mice expressing Cre recombinase under the control of NEX-Cre gene promotor (MGI:2668659). To obtain homozygous Atrx^loxP females, 129SV female mice heterozygous for Atrx^loxP sites were crossed with C57BL/6;129SV male mice expressing NEX-Cre and have a floxed Atrx allele, offspring homozygous for Atrx^loxP expressing NEX-Cre were knockouts.
Allele Type: Conditional knockout
Strain of Origin: 129P2/OlaHsd; (129X1/SvJ x 129S1/Sv)F1-Kitl+
Genetic Background: 129SV x C57BL/6;129SV
ES Cell Line: E14TG2a; R1
Mutant ES Cell Line:
Model Source: Richard Gibbons; Klaus-Armin Nave
Decreased
View More
Description: ATRX mutant mice exhibited a significant decrease in the percentage of time spent swimming compared to controls.
Morris water maze test
3-6 months
General locomotor activity1
Increased
View More
Description: ATRX mutant mice exhibited a significant increase in total distance travelled, average velocity, and total distance travelled in the center compared to controls.
Open field test
3-6 months
Increased
View More
Description: ATRX mutant mice exhibited increased instances of self scratching compared to controls.
Grooming behavior assessments
3-6 months
Increased
View More
Description: ATRX mutant mice exhibited a significantly increased amount of time spent grooming compared to controls.
Grooming behavior assessments
3-6 months
Decreased
View More
Description: ATRX mutant male and female mice exhibited significantly decreased amounts of time spent sniffing an almond and banana compared to controls.
Response to olfactory stimuli
3-6 months
Startle response: acoustic stimulus1
Increased
View More
Description: ATRX mutant male mice exhibited a significantly increased startle response to an acoustic stimulus compared to controls.
Prepulse inhibition
3-6 months
Decreased
View More
Description: ATRX mutant male mice displayed significantly decreased pre-pulse inhibition compared to controls.
Prepulse inhibition
3-6 months
Decreased
View More
Description: ATRX mutant female mice displayed no change in pre-pulse inhibition compared to controls.
Prepulse inhibition
3-6 months
Increased
View More
Description: ATRX mutant male and female mice exhibited increased agitation in the presence of a handler compared to controls, as quantified by a score that reflects biting, trunk curl and vocalization events during handling.
General observations
3-6 months
Increased
View More
Description: ATRX mutant male mice exhibited significantly more tail rattling events at a stranger mouse compared to controls.
Exp Paradigm: stranger mouse in chamber 1 (s1), object in chamber 2
Three-chamber social approach test
3-6 months
Increased
View More
Description: ATRX mutant male mice exhibited a decreased latency to attack compared to controls, showing a significant increase in aggression.
Resident-intruder test
3-6 months
Increased
View More
Description: ATRX mutant female mice exhibited a significant decrease in the percentage of time spent immobile compared to controls.
Forced swim test
3-6 months
Increased
View More
Description: ATRX mutant mice exhibited a significant decrease in the amount of time spent in the dark area compared to controls.
Light-dark exploration test
3-6 months
Decreased
View More
Description: ATRX mutant mice spent significantly less time freezing compared to control mice at 1.5 and 24 hours after foot shock.
Fear conditioning test
3 months
Decreased
View More
Description: ATRX mutant male mice exhibited a significant increase in the percentage of time spent immobile compared to controls.
Forced swim test
3-6 months
Decreased
View More
Description: ATRX mutant mice exhibited significantly impaired spatial learning compared to control mice, as evidenced by an increased latency to locate the platform.
Morris water maze test
3-6 months
Decreased
View More
Description: Atrx mutant mice exhibited a decrease in the expression of ATRX protein in the cortical plate compared to controls.
Immunohistochemistry
E13.5
Decreased
View More
Description: Atrx mutant mice exhibited a decrease in the expression of ATRX protein in NeuN-positive neurons compared to controls.
Exp Paradigm: cortex, hippocampus
Immunohistochemistry
P20
No change
Open field test
3-6 months
General locomotor activity1
No change
Light-dark exploration test
3-6 months
No change
Fear conditioning test
3 months
Startle response: acoustic stimulus1
No change
Prepulse inhibition
3-6 months
No change
Three-chamber social approach test
3-6 months
No change
Resident-intruder test
3-6 months
No change
Three-chamber social approach test
3-6 months
No change
Three-chamber social approach test
3-6 months
Not Reported:
Summary Statistics:
Total Interactions: 7
Total Publications: 5
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