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Is Autism Caused by Genes?

Yes, in many cases, genes play a major role in causing autism. But it’s not always just one gene — autism is often caused by a mix of:

  • Inherited genes from the parents
  • New (spontaneous) changes in the child’s DNA.
  • Epigenetic changes (factors that affect how genes work, without changing the gene itself).
  • Environmental influences during pregnancy or early life.

What Do the Studies Say?

Studies show that:

• Around 60% of autism cases have a clear genetic reason.
• Between 15% to 40% of children with autism have specific gene mutations that we can identify using modern genetic testing.
• In some cases, no clear genetic cause is found yet, but research is still ongoing.

How Is Genetic Testing Done?

Doctors can now test children with autism using:

1- Fragile X test – especially for boys.
2- MECP2 gene test – mainly for girls (to check for Rett syndrome).
3- Whole Exome Sequencing (WES) – looks at thousands of genes at once.
4- Family studies – checking parents’ DNA to see if the gene change is inherited.

What Did the Research Find?

A study done in Egypt on 70 children with autism found:

  • 44 children (about 63%) had a clear genetic cause
  • Some had gene changes passed from their parents
  • Others had rare or new mutations
The types of gene changes found included:
  • Autosomal dominant mutations (in one gene copy).
  • X-linked mutations (mainly affect boys, but sometimes girls too).
  • Autosomal recessive mutations (need two copies of the gene to be affected).
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 Examples of Genes Linked to Autism

Some of the genes that were found to be related to autism include:

  • CNTNAP2, CHD1, GRIN2A, TET3, SETD1A – involved in brain development, learning, and communication.
  • NAA10, PCDH19, IL1RAPL1, ATRX – linked to intellectual disability and autistic behavior.
  • DEGS1, HNMT – rare genes that affect brain function and can lead to severe developmental delays.
Each gene affects brain development in different ways — some control how brain cells connect, others affect learning, memory, or even mood.

A Wider View: Beyond the Brain

New research shows that autism isn’t just a brain disorder — it may involve the immune system and hormones too.

Hormonal Imbalance:
  • Hormones like testosterone and cortisol can affect how the brain grows and functions.
  • A gene called CYP17A1 helps make these hormones. Changes in this gene may be linked to autism.
The types of gene changes found
Immune System:
  • Some children with autism have inflammation in the brain.
  • The gut microbiome (bacteria in the digestive system) can also affect behavior and brain function.
  • Cytokines (inflammatory chemicals) are often imbalanced in autistic individuals.

What Does This Mean for the Future?

This research shows us that:

  • Autism can have many causes, but genes are a big part of the story.
  • Understanding these genes can help us diagnose autism earlier.
  • It also opens the door for personalized treatments in the future — based on each child’s unique genetic profile.

Summary

• Autism is often caused by a combination of genetic and environmental factors.
• Modern genetic testing can help explain many cases of autism.
• In some cases, no clear genetic cause is found yet, but research is still ongoing.
• Multiple body systems — the brain, hormones, and immune system — may all be involved.
• This new understanding helps us move toward more holistic and personalized care for people with autism.