Abstract
Autism spectrum disorders (ASD) are strikingly more prevalent in males, but the molecular mechanisms responsible for ASD sex-differential risk are poorly understood. Abnormally shorter telomeres have been associated with autism. Examination of relative telomere lengths (RTL) among non-syndromic male (N = 14) and female (N = 10) children with autism revealed that only autistic male children had significantly shorter RTL than typically-developing controls (N = 24) and paired siblings (N = 10). While average RTL of autistic girls did not differ significantly from controls, it was substantially longer than autistic boys. Our findings indicate a sexually-dimorphic pattern of RTL in childhood autism and could have important implications for RTL as a potential biomarker and the role/s of telomeres in the molecular mechanisms responsible for ASD sex-biased prevalence and etiology.
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Abbreviations
- ASD:
-
Autism spectrum disorders
- ADI-R:
-
Autism diagnostic interview-revised
- ANOVA:
-
Analysis of variance
- CV:
-
Coefficient of variation
- DSM-IV-TR:
-
Diagnostic and statistical manual of mental disorders, fourth edition, text revision
- ICD-10:
-
International statistical classification of diseases and related health problems version 10
- MMQPCR:
-
Monochrome multiplex quantitative PCR (qPCR)
- RTL:
-
Relative telomere length
- TERRA:
-
Telomeric repeat-containing RNA
- TL:
-
Telomere length
- TPE:
-
Telomere position effect
- T/S ratio:
-
Relative telomere to single-copy gene ratio
References
Alonso-Alvarez, C., Bertrand, S., Faivre, B., Chastel, O., & Sorci, G. (2007). Testosterone and oxidative stress: The oxidation handicap hypothesis. Proceedings of the Biological Sciences, 274, 819–825. https://doi.org/10.1098/rspb.2006.3764
Arnett, A. B., Trinh, S., & Bernier, R. A. (2018). The state of research on the genetics of autism spectrum disorder: Methodological, clinical and conceptual progress. Current Opinion in Psychology, 27, 1–5. https://doi.org/10.1016/j.copsyc.2018.07.004
Arnoult, N., Van Beneden, A., & Decottignies, A. (2012). Telomere length regulates TERRA levels through increased trimethylation of telomeric H3K9 and HP1alpha. Nature Structural & Molecular Biology, 19, 948–956. https://doi.org/10.1038/nsmb.2364
Aviv, A. (2002). Telomeres, sex, reactive oxygen species, and human cardiovascular aging. Journal of Molecular Medicine, 80, 689–695. https://doi.org/10.1007/s00109-002-0377-8
Azzalin, C. M., Reichenbach, P., Khoriauli, L., Giulotto, E., & Lingner, J. (2007). Telomeric repeat containing RNA and RNA surveillance factors at mammalian chromosome ends. Science, 318, 798–801. https://doi.org/10.1126/science.1147182
Baron-Cohen, S., Baron-Cohen, S., Auyeung, B., Nørgaard-Pedersen, B., Hougaard, D. M., Abdallah, M. W., Melgaard, L., Cohen, A. S., Chakrabarti, B., Ruta, L., & Lombardo, M. V. (2015). Elevated fetal steroidogenic activity in autism. Molecular Psychiatry, 20, 369–376. https://doi.org/10.1038/mp.2014.48
Barrett, E. L., & Richardson, D. S. (2011). Sex differences in telomeres and lifespan. Aging Cell, 10, 913–921. https://doi.org/10.1111/j.1474-9726.2011.00741.x
Bjørklund, G., Meguid, N. A., El-Bana, M. A., Tinkov, A. A., Saad, K., Dadar, M., Hemimi, M., Skalny, A. V., Hosnedlová, B., Kizek, R., & Osredkar, J. (2020). Oxidative stress in autism spectrum disorder. Molecular Neurobiology, 57, 2314–2332. https://doi.org/10.1007/s12035-019-01742-2
Blasco, M. A. (2005). Telomeres and human disease: Ageing, cancer and beyond. Nature Reviews Genetics, 6, 611–622. https://doi.org/10.1038/nrg1656
Blasco, M. A. (2007). The epigenetic regulation of mammalian telomeres. Nature Reviews Genetics, 8, 299. https://doi.org/10.1038/nrg2047
Brann, D. W., Dhandapani, K., Wakade, C., Mahesh, V. B., & Khan, M. M. (2007). Neurotrophic and neuroprotective actions of estrogen: Basic mechanisms and clinical implications. Steroids, 72, 381–405. https://doi.org/10.1016/j.steroids.2007.02.003
Cawthon, R. M. (2009). Telomere length measurement by a novel monochrome multiplex quantitative PCR method. Nucleic Acids Research, 37, e21. https://doi.org/10.1093/nar/gkn1027
Darrow, S. M., Verhoeven, J. E., Révész, D., Lindqvist, D., Penninx, B. W., Delucchi, K. L., Wolkowitz, O. M., & Mathews, C. A. (2016). The association between psychiatric disorders and telomere length: A meta-analysis involving 14,827 persons. Psychosomatic Medicine, 78, 776–787. https://doi.org/10.1097/psy.0000000000000356
De Rubeis, S., He, X., Goldberg, A. P., Poultney, C. S., Samocha, K., Ercument Cicek, A., Kou, Y., Liu, L., Fromer, M., Walker, S., & Singh, T. (2014). Synaptic, transcriptional and chromatin genes disrupted in autism. Nature, 515, 209–215. https://doi.org/10.1038/nature13772
Drury, S. S., Shachet, A., Brett, Z. H., Wren, M., Esteves, K., Shirtcliff, E. A., Phan, J., Mabile, E., & Theall, K. P. (2014). Growing up or growing old? Cellular aging linked with testosterone reactivity to stress in youth. American Journal of the Medical Sciences, 348, 92–100. https://doi.org/10.1097/maj.0000000000000299
Eitan, E., Hutchison, E. R., & Mattson, M. P. (2014). Telomere shortening in neurological disorders: An abundance of unanswered questions. Trends in Neurosciences, 37, 256–263. https://doi.org/10.1016/j.tins.2014.02.010
Fombonne, E. (2009). Epidemiology of pervasive developmental disorders. Pediatric Research, 65, 591–598. https://doi.org/10.1203/PDR.0b013e31819e7203
Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x
Lai, M. C., Lombardo, M. V., Auyeung, B., Chakrabarti, B., & Baron-Cohen, S. (2015). Sex/gender differences and autism: Setting the scene for future research. Journal of the American Academy of Child and Adolescent Psychiatry, 54, 11–24. https://doi.org/10.1016/j.jaac.2014.10.003
Lee, D. C., Im, J. A., Kim, J. H., Lee, H. R., & Shim, J. Y. (2005). Effect of long-term hormone therapy on telomere length in postmenopausal women. Yonsei Medical Journal, 46, 471–479. https://doi.org/10.3349/ymj.2005.46.4.471
Lewis, C. R., Taguinod, F., Jepsen, W. M., Cohen, J., Agrawal, K., Huentelman, M. J., Smith, C. J., Ringenbach, S. D., & Braden, B. B. (2020). Telomere length and autism spectrum disorder within the family: Relationships with cognition and sensory symptoms. Autism Research, 13, 1094–1101. https://doi.org/10.1002/aur.2307
Li, Z., Tang, J., Li, H., Chen, S., He, Y., Liao, Y., Wei, Z., Wan, G., Xiang, X., Xia, K., & Chen, X. (2014). Shorter telomere length in peripheral blood leukocytes is associated with childhood autism. Science and Reports, 4, 7073. https://doi.org/10.1038/srep07073
López-Otín, C., Blasco, M. A., Partridge, L., Serrano, M., & Kroemer, G. (2013). The hallmarks of aging. Cell, 153, 1194–1217. https://doi.org/10.1016/j.cell.2013.05.039
Lord, C., Elsabbagh, M., Baird, G., & Veenstra-Vanderweele, J. (2018). Autism spectrum disorder. Lancet, 392, 508–520. https://doi.org/10.1016/s0140-6736(18)31129-2
Lord, C., Risi, S., DiLavore, P. S., Shulman, C., Thurm, A., & Pickles, A. (2006). Autism from 2 to 9 years of age. Archives of General Psychiatry, 63, 694–701. https://doi.org/10.1001/archpsyc.63.6.694
McCarthy, M. M., De Vries, G. J., & Forger, N. G. (2017). Sexual differentiation of the brain: a fresh look at mode, mechanisms, and meaning. In D. W. Pfaff & M. Joels (Eds.), Hormones, brain, and behavior (Vol. 5, pp. 3–32). Academic Press.
McCarthy, M. M., & Wright, C. L. (2017). Convergence of sex differences and the neuroimmune system in autism spectrum disorder. Biological Psychiatry, 81, 402–410. https://doi.org/10.1016/j.biopsych.2016.10.004
Müezzinler, A., Zaineddin, A. K., & Brenner, H. (2013). A systematic review of leukocyte telomere length and age in adults. Ageing Research Reviews, 12, 509–519. https://doi.org/10.1016/j.arr.2013.01.003
Nelson, C. A., Varcin, K. J., Coman, N. K., De Vivo, I., & Tager-Flusberg, H. (2015). Shortened telomeres in families with a propensity to autism. Journal of the American Academy of Child and Adolescent Psychiatry, 54, 588–594. https://doi.org/10.1016/j.jaac.2015.04.006
Ottaviani, A., Gilson, E., & Magdinier, F. (2008). Telomeric position effect: From the yeast paradigm to human pathologies? Biochimie, 90, 93–107. https://doi.org/10.1016/j.biochi.2007.07.022
Panahi, Y., Salasar Moghaddam, F., Ghasemi, Z., Hadi Jafari, M., Shervin Badv, R., Eskandari, M. R., & Pedram, M. (2016). Selection of suitable reference genes for analysis of salivary transcriptome in non-syndromic autistic male children. International Journal of Molecular Sciences. https://doi.org/10.3390/ijms17101711
Pangrazzi, L., Balasco, L., & Bozzi, Y. (2020). Oxidative stress and immune system dysfunction in autism spectrum disorders. International Journal of Molecular Sciences. https://doi.org/10.3390/ijms21093293
Regan, J. C., & Partridge, L. (2013). Gender and longevity: Why do men die earlier than women? Comparative and experimental evidence. Best Practice & Research Clinical Endocrinology & Metabolism, 27, 467–479. https://doi.org/10.1016/j.beem.2013.05.016
Robin, J. D., Ludlow, A. T., Batten, K., Magdinier, F., Stadler, G., Wagner, K. R., Shay, J. W., & Wright, W. E. (2014). Telomere position effect: Regulation of gene expression with progressive telomere shortening over long distances. Genes & Development, 28, 2464–2476. https://doi.org/10.1101/gad.251041.114
Rose, S., Melnyk, S., Pavliv, O., Bai, S., Nick, T. G., Frye, R. E., & James, S. J. (2012). Evidence of oxidative damage and inflammation associated with low glutathione redox status in the autism brain. Translational Psychiatry, 2, e134. https://doi.org/10.1038/tp.2012.61
Rossignol, D. A., & Frye, R. E. (2014). Evidence linking oxidative stress, mitochondrial dysfunction, and inflammation in the brain of individuals with autism. Frontiers in Physiology, 5, 150. https://doi.org/10.3389/fphys.2014.00150
Rutter, M., Le Couteur, A., & Lord, C. (2008). ADI-R: Autism diagnostic interview—revised: Manual. Western Psychological Services.
Sambrook, J., & Russell, D. W. (2001). Molecular cloning: A laboratory manual (Vol. 2). Cold Spring Harbor laboratory Press.
Sanders, J. L., & Newman, A. B. (2013). Telomere length in epidemiology: A biomarker of aging, age-related disease, both, or neither? Epidemiologic Reviews, 35, 112–131. https://doi.org/10.1093/epirev/mxs008
Schoeftner, S., & Blasco, M. A. (2008). Developmentally regulated transcription of mammalian telomeres by DNA-dependent RNA polymerase II. Nature Cell Biology, 10, 228–236. https://doi.org/10.1038/ncb1685
Steinhausen, H. C., & Erdin, A. (1992). Abnormal psychosocial situations and ICD-10 diagnoses in children and adolescents attending a psychiatric service. Journal of Child Psychology and Psychiatry, 33, 731–740. https://doi.org/10.1111/j.1469-7610.1992.tb00908.x
Tick, B., Bolton, P., Happe, F., Rutter, M., & Rijsdijk, F. (2016). Heritability of autism spectrum disorders: A meta-analysis of twin studies. Journal of Child Psychology and Psychiatry, 57, 585–595. https://doi.org/10.1111/jcpp.12499
von Zglinicki, T. (2002). Oxidative stress shortens telomeres. Trends in Biochemical Sciences, 27, 339–344. https://doi.org/10.1016/S0968-0004(02)02110-2
von Zglinicki, T., Burkle, A., & Kirkwood, T. B. (2001). Stress, DNA damage and ageing—an integrative approach. Experimental Gerontology, 36, 1049–1062. https://doi.org/10.1016/S0531-5565(01)00111-5
Werling, D. M. (2016). The role of sex-differential biology in risk for autism spectrum disorder. Biology of Sex Differences, 7, 58. https://doi.org/10.1186/s13293-016-0112-8
Werling, D. M., Parikshak, N. N., & Geschwind, D. H. (2016). Gene expression in human brain implicates sexually dimorphic pathways in autism spectrum disorders. Nature Communications, 7, 10717. https://doi.org/10.1038/ncomms10717
Windham, G. C., Lyall, K., Anderson, M., & Kharrazi, M. (2016). Autism spectrum disorder risk in relation to maternal mid-pregnancy serum hormone and protein markers from prenatal screening in California. Journal of Autism and Developmental Disorders, 46, 478–488. https://doi.org/10.1007/s10803-015-2587-2
Ye, J., Renault, V. M., Jamet, K., & Gilson, E. (2014). Transcriptional outcome of telomere signalling. Nature Reviews Genetics, 15, 491–503. https://doi.org/10.1038/nrg3743
Acknowledgments
We would like to thank Zahra Ghasemi, Mandana HadiJafari, Karim Dadashi Noshahr, and Elham Rostami for their help in the recruitment of the patients, sample collection, identification of the locally-matched healthy controls, and independent ADI-R. We would like to thank Joseph A. Baur, Ph.D. (Dept. of Physiology, University of Pennsylvania), F. Bradley Johnson, MD, Ph.D. (Dept. of Pathology and Laboratory Medicine, University of Pennsylvania), and John P. Murnane, Ph.D. (Dept. of Radiation Oncology, University of California, San Francisco) for careful reading of an earlier version of this manuscript and providing valuable comments. We are also thankful to Mohammad H. Rahbar, Ph.D. (Dept. of Internal Medicine, UT Health Science Center at Houston) for his helpful comments and suggestions during the 2015 IMFAR meeting in Shanghai, China.
Funding
This work was supported by Zanjan University of Medical Sciences (ZUMS) Grant Numbers A-12-534/1-4 and A-12-534/6-8.
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MP had the initial concept and supervised the project. MP and YP designed the study. YP set up and carried out the MMQPCR experiments. MRE, RSB, and MVF were involved in the initial recruitment of the autistic children, and they also took care of the clinical examination of the patients, diagnosis, and clinical follow-ups. MRE was in charge of the initial round of ADI-R. FSM and KhB were involved in the second round of independent ADI-R, saliva sample collection, and identification of candidate control subjects, and they also took care of gDNA extractions. ME was in charge of comparing and matching independent ADI-R scores and analysis. HP was involved in the statistical analysis of the data. YP and MP analyzed the data. YP provided the initial draft of the manuscript by getting feedback from team members. MP wrote and revised the full manuscript for submission. All authors read and approved the final manuscript.
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Panahi, Y., Salasar Moghaddam, F., Babaei, K. et al. Sexual Dimorphism in Telomere Length in Childhood Autism. J Autism Dev Disord 53, 2050–2061 (2023). https://doi.org/10.1007/s10803-022-05486-2
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DOI: https://doi.org/10.1007/s10803-022-05486-2