Skip to main content

Advertisement

Log in

Towards Identifying Genetic Biomarkers for Gastrointestinal Dysfunction in Autism

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

This study investigated genetic biomarkers for gastrointestinal dysfunction symptoms in order to provide further information on the genetic risk for GI dysfunction associated with autism. The single nucleotide polymorphisms of sixty participants with autism and/or gastrointestinal dysfunction were analyzed. The autism group had a moderate statistical significance for the Prolactin (PRL) (OR 6.35, p value 0.069) and Interleukin 10 (IL-10) (OR 0.25, p value 0.087) SNPs. The GI dysfunction group had a strong statistical significance for the Cluster of Differentiation 38 (CD38) (OR 6.88, p value 0.005) and oxytocin receptor (OXTR) (OR 0.27, p value 0.036) SNPs. The potential use of PRL, IL-10, CD38, and OXTR SNP expression as biomarkers for GI dysfunction in autism warrants further research.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Abbreviations

ASD:

Autism spectrum disorder

CD38:

Cluster of differentiation 38

CNV:

Copy number variation

COMT:

Catechol-O-methyltransferase

GI:

Gastrointestinal

HLA-DQA1*0201:

Major histocompatibility complex, class II, DQ alpha 1

HTR3A:

5-Hydroxytryptamine receptor 3A

IL10:

Interleukin 10

INF-γ:

Interferon gamma

MTHFR:

Methylenetrtrahydrofolate reductase

NCIB:

National Center for Biotechnology Information

NFKB1:

Nuclear factor kappa B subunit 1

OR:

Odds ratio

OXTR:

Oxytocin receptor

PON1:

Paraoxonase 1

PRL:

Prolactin

SNPs:

Single nucleotide polymorphisms

TH:

Tyrosine hydroxylase

TNF-α:

Tumor necrosis factor alpha

VIP:

Vasoactive intestinal peptide

χ2 :

Chi square

References

  • Adams, J. B., Johansen, L. J., Powell, L. D., Quig, D., & Rubin, R. A. (2011). Gastrointestinal flora and gastrointestinal status in children with autism–comparisons to typical children and correlation with autism severity. BMC Gastroenterology,11(1), 22.

    PubMed  PubMed Central  Google Scholar 

  • Al-Sadi, R., Guo, S., Ye, D., Rawat, M., & Ma, T. Y. (2016). TNF-α modulation of intestinal tight junction permeability is mediated by NIK/IKK-α axis activation of the canonical NF-κB Pathway. The American Journal of Pathology,186(5), 1151–1165.

    PubMed  PubMed Central  Google Scholar 

  • Anderson, B., Schnetz-Boutaud, N., Bartlett, J., Wotawa, A., Wright, H., Abramson, R., et al. (2009). Examination of association of genes in the serotonin system to autism. Neurogenetics,10(3), 209.

    PubMed  PubMed Central  Google Scholar 

  • Bessenyei, B., Marka, M., Urban, L., Zeher, M., & Semsei, I. (2004). Single nucleotide polymorphisms: Aging and diseases. Biogerontology,5(5), 291–303.

    PubMed  Google Scholar 

  • Bjørklund, G., Meguid, N. A., El-Ansary, A., El-Bana, M. A., Dadar, M., Aaseth, J., et al. (2018). Diagnostic and severity-tracking biomarkers for autism spectrum disorder. Journal of Molecular Neuroscience,66(4), 492–511.

    PubMed  Google Scholar 

  • Black, C., Kaye, J. A., & Jick, H. (2002). Relation of childhood gastrointestinal disorders to autism: Nested case-control study using data from the UK General Practice Research Database. BMJ,325(7361), 419–421.

    PubMed  PubMed Central  Google Scholar 

  • Bresnahan, M., Hornig, M., Schultz, A. F., Gunnes, N., Hirtz, D., Lie, K. K., et al. (2015). Association of maternal report of infant and toddler gastrointestinal symptoms with autism: Evidence from a prospective birth cohort. JAMA Psychiatry,72(5), 466–474.

    PubMed  PubMed Central  Google Scholar 

  • Brophy, V. H., Jampsa, R. L., Clendenning, J. B., McKinstry, L. A., Jarvik, G. P., & Furlong, C. E. (2001). Effects of 5′ regulatory-region polymorphisms on paraoxonase-gene (PON1) expression. The American Journal of Human Genetics,68(6), 1428–1436.

    PubMed  Google Scholar 

  • Chang, W. H., Lee, I. H., Chen, K. C., Chi, M. H., Chiu, N.-T., Yao, W. J., et al. (2014). Oxytocin receptor gene rs53576 polymorphism modulates oxytocin–dopamine interaction and neuroticism traits—a SPECT study. Psychoneuroendocrinology,47, 212–220.

    PubMed  Google Scholar 

  • Chen, F. S., Kumsta, R., von Dawans, B., Monakhov, M., Ebstein, R. P., & Heinrichs, M. (2011). Common oxytocin receptor gene (OXTR) polymorphism and social support interact to reduce stress in humans. Proceedings of the National Academy of Sciences,108(50), 19937–19942.

    Google Scholar 

  • Cheng, S., Grow, M. A., Pallaud, C., Klitz, W., Erlich, H. A., Visvikis, S., et al. (1999). A multilocus genotyping assay for candidate markers of cardiovascular disease risk. Genome Research,9(10), 936–949.

    PubMed  PubMed Central  Google Scholar 

  • Cordeiro, C. A., Moreira, P. R., Andrade, M. S., Dutra, W. O., Campos, W. R., Oréfice, F., et al. (2008). Interleukin-10 gene polymorphism (− 1082G/A) is associated with toxoplasmic retinochoroiditis. Investigative Ophthalmology & Visual Science,49(5), 1979–1982.

    Google Scholar 

  • Curtin, K., Wolff, R. K., Herrick, J. S., Abo, R., & Slattery, M. L. (2010). Exploring multilocus associations of inflammation genes and colorectal cancer risk using hapConstructor. BMC Medical Genetics,11(1), 170.

    PubMed  PubMed Central  Google Scholar 

  • De Bakker, P. I., McVean, G., Sabeti, P. C., Miretti, M. M., Green, T., Marchini, J., et al. (2006). A high-resolution HLA and SNP haplotype map for disease association studies in the extended human MHC. Nature Genetics,38(10), 1166.

    PubMed  PubMed Central  Google Scholar 

  • Devkota, S., Wang, Y., Musch, M. W., Leone, V., Fehlner-Peach, H., Nadimpalli, A., et al. (2012). Dietary-fat-induced taurocholic acid promotes pathobiont expansion and colitis in Il10-/-mice. Nature,487(7405), 104–108.

    PubMed  PubMed Central  Google Scholar 

  • Easton, D. F., Pharoah, P. D., Antoniou, A. C., Tischkowitz, M., Tavtigian, S. V., Nathanson, K. L., et al. (2015). Gene-panel sequencing and the prediction of breast-cancer risk. New England Journal of Medicine,372(23), 2243–2257.

    PubMed  Google Scholar 

  • Feldman, R., Gordon, I., Influs, M., Gutbir, T., & Ebstein, R. P. (2013). Parental oxytocin and early caregiving jointly shape children’s oxytocin response and social reciprocity. Neuropsychopharmacology,38(7), 1154.

    PubMed  PubMed Central  Google Scholar 

  • Feldman, R., Zagoory-Sharon, O., Weisman, O., Schneiderman, I., Gordon, I., Maoz, R., et al. (2012). Sensitive parenting is associated with plasma oxytocin and polymorphisms in the OXTR and CD38 genes. Biological Psychiatry,72(3), 175–181.

    PubMed  Google Scholar 

  • Franke, A., McGovern, D. P., Barrett, J. C., Wang, K., Radford-Smith, G. L., Ahmad, T., et al. (2010). Genome-wide meta-analysis increases to 71 the number of confirmed Crohn’s disease susceptibility loci. Nature Genetics,42(12), 1118.

    PubMed  PubMed Central  Google Scholar 

  • Gorrindo, P., Williams, K. C., Lee, E. B., Walker, L. S., McGrew, S. G., & Levitt, P. (2012). Gastrointestinal dysfunction in autism: Parental report, clinical evaluation, and associated factors. Autism Research,5(2), 101–108.

    PubMed  PubMed Central  Google Scholar 

  • Hernández-Bello, J., Palafox-Sanchez, C. A., García-Arellano, S., Reyes-Castillo, Z., Pereira-Suárez, A. L., Parra-Rojas, I., et al. (2018). Association of extrapituitary prolactin promoter polymorphism with disease susceptibility and anti-RNP antibodies in Mexican patients with systemic lupus erythematosus. Archives of Medical Science,14(5), 1025.

    PubMed  Google Scholar 

  • Higashida, H., Yokoyama, S., Kikuchi, M., & Munesue, T. (2012). CD38 and its role in oxytocin secretion and social behavior. Hormones and Behavior,61(3), 351–358.

    PubMed  Google Scholar 

  • Hofmann, S., Laass, M., Fehrs, A., Schuppan, D., Zevallos, V., Salminger, D., et al. (2018). IL10 promoter haplotypes may contribute to altered cytokine expression and systemic inflammation in celiac disease. Clinical Immunology,190, 15–21.

    PubMed  Google Scholar 

  • Hovey, D., Zettergren, A., Jonsson, L., Melke, J., Anckarsäter, H., Lichtenstein, P., et al. (2014). Associations between oxytocin-related genes and autistic-like traits. Social Neuroscience,9(4), 378–386.

    PubMed  Google Scholar 

  • İşeri, S. Ö., Şener, G., Sağlam, B., Gedik, N., Ercan, F., & Yeğen, B. Ç. (2005). Oxytocin ameliorates oxidative colonic inflammation by a neutrophil-dependent mechanism. Peptides,26(3), 483–491.

    PubMed  Google Scholar 

  • Ivanova, S. A., Osmanova, D. Z., Boiko, A. S., Pozhidaev, I. V., Freidin, M. B., Fedorenko, O. Y., et al. (2017). Prolactin gene polymorphism (− 1149 G/T) is associated with hyperprolactinemia in patients with schizophrenia treated with antipsychotics. Schizophrenia Research,182, 110–114.

    PubMed  Google Scholar 

  • Izcue, A., Coombes, J. L., & Powrie, F. (2006). Regulatory T cells suppress systemic and mucosal immune activation to control intestinal inflammation. Immunological Reviews,212(1), 256–271.

    PubMed  Google Scholar 

  • Jacob, S., Brune, C. W., Carter, C., Leventhal, B. L., Lord, C., & Cook, E. H., Jr. (2007). Association of the oxytocin receptor gene (OXTR) in Caucasian children and adolescents with autism. Neuroscience Letters,417(1), 6–9.

    PubMed  PubMed Central  Google Scholar 

  • Jeste, D., Lieberman, J. A., Fassler, D., & Peele, R. (2013). Diagnostic and Statistical Manuel of Mental Disorders DSM-5 (5th ed.). Washington, DC: American Psychiatric Publishing.

    Google Scholar 

  • Jiang, X., Matson, J. L., Cervantes, P. E., Matheis, M., & Burns, C. O. (2017). Gastrointestinal issues in infants and children with autism and developmental delays. Journal of Developmental and Physical Disabilities,29(3), 407–417.

    Google Scholar 

  • Kim, J., Kim, Y., & Lee, K.-A. (2014). Ethnic differences in gastric cancer genetic susceptibility: Allele flips of interleukin gene. World Journal of Gastroenterology,20(16), 4558.

    PubMed  PubMed Central  Google Scholar 

  • Laugsand, E. A., Fladvad, T., Skorpen, F., Maltoni, M., Kaasa, S., Fayers, P., et al. (2011). Clinical and genetic factors associated with nausea and vomiting in cancer patients receiving opioids. European Journal of Cancer,47(11), 1682–1691.

    PubMed  Google Scholar 

  • Lee, Y. H., Bae, S.-C., & Song, G. G. (2015). Meta-analysis of associations between functional prolactin − 1149 G/T polymorphism and susceptibility to rheumatoid arthritis and systemic lupus erythematosus. Clinical Rheumatology,34(4), 683–690.

    PubMed  Google Scholar 

  • Lee, Y. C., Raychaudhuri, S., Cui, J., De Vivo, I., Ding, B., Alfredsson, L., et al. (2009). The PRL–1149 G/T polymorphism and rheumatoid arthritis susceptibility. Arthritis and Rheumatism,60(5), 1250–1254.

    PubMed  PubMed Central  Google Scholar 

  • Leibbrand, R., Cuntz, U., & Hiller, W. (2002). Assessment of functional gastrointestinal disorders using the Gastro-Questionnaire. International Journal of Behavioral Medicine,9(2), 155–172.

    PubMed  Google Scholar 

  • Li, X., Yang, H., Duan, Z., Chang, Q., Wei, X., Li, C., et al. (2018). A case series study of hypopituitarism in older patients with and without gastrointestinal symptoms. Postgraduate Medicine,130(5), 501–506.

    PubMed  Google Scholar 

  • Liu, Y. J., Guo, Y. F., Zhang, L. S., Pei, Y. F., Yu, N., Yu, P., et al. (2010). Biological pathway-based genome-wide association analysis identified the vasoactive intestinal peptide (VIP) pathway important for obesity. Obesity (Silver Spring),18(12), 2339–2346.

    Google Scholar 

  • Lopez Vicchi, F., & Becu-Villalobos, D. (2017). Prolactin: The bright and the dark side. Endocrinology,158(6), 1556–1559.

    PubMed  Google Scholar 

  • Lv, H., Jiang, Y., Li, J., Zhang, M., Shang, Z., Zheng, J., et al. (2014). Association between polymorphisms in the promoter region of interleukin-10 and susceptibility to inflammatory bowel disease. Molecular Biology Reports,41(3), 1299–1310.

    PubMed  Google Scholar 

  • Miteva, L. D., Stanilov, N. S., Deliysky, T. S., & Stanilova, S. A. (2014). Significance of − 1082A/G polymorphism of IL10 gene for progression of colorectal cancer and IL-10 expression. Tumor Biology, 35(12), 12655–12664.

    PubMed  Google Scholar 

  • Munesue, T., Yokoyama, S., Nakamura, K., Anitha, A., Yamada, K., Hayashi, K., et al. (2010). Two genetic variants of CD38 in subjects with autism spectrum disorder and controls. Neuroscience Research,67(2), 181–191.

    PubMed  Google Scholar 

  • National Center for Biotechnology Information. (2014). SNP FAQ archive. Clustered RefSNPs (rs) and other data computed in house. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK44417/.

  • Ohlsson, B., Truedsson, M., Djerf, P., & Sundler, F. (2006). Oxytocin is expressed throughout the human gastrointestinal tract. Regulatory Peptides,135(1–2), 7–11.

    PubMed  Google Scholar 

  • Park, J., Ro, M., Pyun, J.-A., Nam, M., Bang, H. J., Yang, J. W., et al. (2014). MTHFR 1298A > C is a risk factor for autism spectrum disorder in the Korean population. Psychiatry Research,215(1), 258.

    PubMed  Google Scholar 

  • Parker, K. J., Garner, J. P., Libove, R. A., Hyde, S. A., Hornbeak, K. B., Carson, D. S., et al. (2014). Plasma oxytocin concentrations and OXTR polymorphisms predict social impairments in children with and without autism spectrum disorder. Proceedings of the National Academy of Sciences,111(33), 12258–12263.

    Google Scholar 

  • Peuskens, J., Pani, L., Detraux, J., & De Hert, M. (2014). The effects of novel and newly approved antipsychotics on serum prolactin levels: A comprehensive review. CNS Drugs,28(5), 421–453.

    PubMed  PubMed Central  Google Scholar 

  • Prosperi, M., Santocchi, E., Balboni, G., Narzisi, A., Bozza, M., Fulceri, F., et al. (2017). Behavioral phenotype of ASD preschoolers with gastrointestinal symptoms or food selectivity. Journal of Autism and Developmental Disorders,47(11), 3574–3588.

    PubMed  Google Scholar 

  • Rijlaarsdam, J., van IJzendoorn, M. H., Verhulst, F. C., Jaddoe, V. W., Felix, J. F., Tiemeier, H., et al. (2017). Prenatal stress exposure, oxytocin receptor gene (OXTR) methylation, and child autistic traits: The moderating role of OXTR rs53576 genotype. Autism Research,10(3), 430–438.

    PubMed  Google Scholar 

  • Rotondo, A., Mazzanti, C., Dell’Osso, L., Rucci, P., Sullivan, P., Bouanani, S., et al. (2002). Catechol o-methyltransferase, serotonin transporter, and tryptophan hydroxylase gene polymorphisms in bipolar disorder patients with and without comorbid panic disorder. American Journal of Psychiatry,159(1), 23–29.

    PubMed  Google Scholar 

  • Seretis, C., Seretis, F., Liakos, N., Pappas, A., Keramidaris, D., Gourgiotis, S., et al. (2011). Constipation-predominant irritable bowel syndrome associated to hyperprolactinemia. Case Reports in Gastroenterology,5(3), 523–527.

    PubMed  PubMed Central  Google Scholar 

  • Singh, R., Ghoshal, U. C., Kumar, S., & Mittal, B. (2017). Genetic variants of immune-related genes IL17F and IL10 are associated with functional dyspepsia: A case–control study. Indian Journal of Gastroenterology,36(5), 343–352.

    PubMed  Google Scholar 

  • Strauss, J. S., Freeman, N. L., Shaikh, S. A., Vetró, Á., Kiss, E., Kapornai, K., et al. (2010). No association between oxytocin or prolactin gene variants and childhood-onset mood disorders. Psychoneuroendocrinology,35(9), 1422–1428.

    PubMed  PubMed Central  Google Scholar 

  • Tadić, A., Elsässer, A., Storm, N., Baade, U., Wagner, S., Basşkaya, Ö., et al. (2010). Association analysis between gene variants of the tyrosine hydroxylase and the serotonin transporter in borderline personality disorder. The World Journal of Biological Psychiatry,11(1), 45–58.

    PubMed  Google Scholar 

  • Tost, H., Kolachana, B., Hakimi, S., Lemaitre, H., Verchinski, B. A., Mattay, V. S., et al. (2010). A common allele in the oxytocin receptor gene (OXTR) impacts prosocial temperament and human hypothalamic-limbic structure and function. Proceedings of the National Academy of Sciences,107(31), 13936–13941.

    Google Scholar 

  • Treadwell, E. L., Wiley, K., Word, B., Melchior, W., Tolleson, W. H., Gopee, N., et al. (2015). Prolactin and dehydroepiandrosterone levels in women with systemic lupus erythematosus: The role of the extrapituitary prolactin promoter polymorphism at − 1149G/T. Journal of Immunology Research,1, 2. https://doi.org/10.1155/2015/435658.

    Article  Google Scholar 

  • Walter, S. A., Aardal-eriksson, E., Thorell, L.-H., Bodemar, G., & Hallböök, O. (2006). Pre-experimental stress in patients with irritable bowel syndrome: High cortisol values already before symptom provocation with rectal distensions. Neurogastroenterology and Motility,18(12), 1069–1077.

    PubMed  Google Scholar 

  • Welch, M. G., Anwar, M., Chang, C. Y., Gross, K. J., Ruggiero, D. A., Tamir, H., et al. (2010). Combined administration of secretin and oxytocin inhibits chronic colitis and associated activation of forebrain neurons. Neurogastroenterology and Motility,22(6), 654.

    PubMed  PubMed Central  Google Scholar 

  • Welch, M. G., Margolis, K. G., Li, Z., & Gershon, M. D. (2014). Oxytocin regulates gastrointestinal motility, inflammation, macromolecular permeability, and mucosal maintenance in mice. American Journal of Physiology-Heart and Circulatory Physiology.,307(8), G848–G862.

    Google Scholar 

  • Wu, W., Sun, M., Zhang, H.-P., Chen, T., Wu, R., Liu, C., et al. (2014). Prolactin mediates psychological stress-induced dysfunction of regulatory T cells to facilitate intestinal inflammation. Gut,63(12), 1883–1892.

    PubMed  PubMed Central  Google Scholar 

  • Yrigollen, C. M., Han, S. S., Kochetkova, A., Babitz, T., Chang, J. T., Volkmar, F. R., et al. (2008). Genes controlling affiliative behavior as candidate genes for autism. Biological Psychiatry,63(10), 911–916.

    PubMed  PubMed Central  Google Scholar 

  • Zhang, R., Zhang, H.-F., Han, J.-S., & Han, S.-P. (2017). Genes related to oxytocin and arginine-vasopressin pathways: Associations with autism spectrum disorders. Neuroscience Bulletin,33(2), 238–246.

    PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgments

The authors thank the participants and their families. Dr Elisa Hill-Yardin was supported by an Australian Research Council Future Fellowship FT160100126 and an RMIT University Vice Chancellor’s Senior Research Fellowship. The dataset and materials from the participants recruited for this study are available from Miss Anya Shindler.

Author information

Authors and Affiliations

Authors

Contributions

AF, NB, and AS designed the research approach and analysis strategy, AS conducted the research and statistical analyses. AS, EH, SP, AF, and NB drafted the manuscript; EH, SP, AF, and NB further contributed important intellectual content and confirmed the accuracy and integrity of the work.

Corresponding author

Correspondence to A. E. Shindler.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Ethical Approval

The La Trobe University Human Ethics Committee approved this study and monitored the human subject protection procedures. The number provided for this study by the human ethics committee is 15-102.

Informed Consent

Written and informed consent for publication was obtained from the participants in this study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (DOCX 81 kb)

Supplementary material 2 (XLSX 46 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Shindler, A.E., Hill-Yardin, E.L., Petrovski, S. et al. Towards Identifying Genetic Biomarkers for Gastrointestinal Dysfunction in Autism. J Autism Dev Disord 50, 76–86 (2020). https://doi.org/10.1007/s10803-019-04231-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-019-04231-6

Keywords

Navigation