Evidence map›Paper›PMID 34312540›Full record

ArticleNature genetics2021

Recent ultra-rare inherited variants implicate new autism candidate risk genes.

Amy B Wilfert, Tychele N Turner, Shwetha C Murali, PingHsun Hsieh, Arvis Sulovari, Tianyun Wang, Bradley P Coe, Hui Guo, Kendra Hoekzema, Trygve E Bakken and 8 more

Open access · greenAbstract read
In one paragraph

Article in Nature genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed
17.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 141 citations in OpenAlex.

  1. Trial
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  9. Genetic confounding in the associations between maternal health and autism.medRxiv : the preprint server for health sciences · 2026
    Article
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  15. Article
  16. Review
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  18. Genomic landscape of autism spectrum disorder in Brazil.Genetics and molecular biology · 2026
    Article
  19. Article
  20. Genetic and Cortical Cell-Type Liability Architecture of Autism.bioRxiv : the preprint server for biology · 2025
    Article

43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 13 institutions in 2 countries.

Amy B WilfertDepartment of Genome Sciences, University of Washington School of Medicine, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-8590-222X
Tychele N TurnerDepartment of Genome Sciences, University of Washington School of Medicine, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-8246-6477
Shwetha C MuraliDepartment of Genome Sciences, University of Washington School of Medicine, Seattle, WA, USA.
PingHsun HsiehDepartment of Genome Sciences, University of Washington School of Medicine, Seattle, WA, USA.
Arvis SulovariDepartment of Genome Sciences, University of Washington School of Medicine, Seattle, WA, USA.
Tianyun WangDepartment of Genome Sciences, University of Washington School of Medicine, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-5179-087X
Bradley P CoeDepartment of Genome Sciences, University of Washington School of Medicine, Seattle, WA, USA.
Hui GuoDepartment of Genome Sciences, University of Washington School of Medicine, Seattle, WA, USA.
Kendra HoekzemaDepartment of Genome Sciences, University of Washington School of Medicine, Seattle, WA, USA.
Trygve E BakkenAllen Institute for Brain Science, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-3373-7386
Lara H WinterkornNew York Genome Center, New York, NY, USA.
Uday S EvaniNew York Genome Center, New York, NY, USA.
Marta Byrska-BishopNew York Genome Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-9118-1032
Rachel K EarlDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Raphael A BernierDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
SPARK Consortium
Michael C ZodyNew York Genome Center, New York, NY, USA.ORCID http://orcid.org/0000-0001-6594-7199
Evan E EichlerDepartment of Genome Sciences, University of Washington School of Medicine, Seattle, WA, USA. eee@gs.washington.edu.ORCID http://orcid.org/0000-0002-8246-4014
Simons Foundation · USUniversity of Washington · USColumbia University Irving Medical Center · USNew York Genome Center · USBoston Children's Hospital · USHoward Hughes Medical Institute · USOregon Health & Science University · USUniversity of California, Los Angeles · USUniversity of Iowa · USAllen Institute for Brain Science · USBroad Institute · USCentral South University · CNColumbia University · US

Funding

New York Center for Collaborative Research In Common Disease Genomics: Genome Aggregation and Joint Variant Calling for CCDG Freeze2UM1HG008901 · NHGRI · NEW YORK GENOME CENTER · PI MANIATIS, THOMAS P, WIGLER, MICHAEL H · 2016 to 2020
$56.6M
Sporadic Mutations and Autism Spectrum DisordersR01MH101221 · NIMH · UNIVERSITY OF WASHINGTON · PI EICHLER, EVAN · 2013 to 2025
$9.2M
Center for Genomic and Phenomic Studies in AutismU24MH081810 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LAJONCHERE, CLARA M · 2007 to 2011
$8.3M
NHGRI Genome Sequencing Program Coordinating CenterU24HG008956 · NHGRI · RUTGERS, THE STATE UNIV OF N.J. · PI BUYSKE, STEVEN G, MATISE, TARA C. · 2016 to 2020
$4.9M
Phenotypic Characterization of Gene Disrupting Mutations in ASDR01MH100047 · NIMH · UNIVERSITY OF WASHINGTON · PI BERNIER, RAPHAEL A · 2014 to 2018
$2.1M
Nature and contribution of noncoding, regulatory mutations in neurodevelopmental disordersR00MH117165 · NIMH · WASHINGTON UNIVERSITY · PI TURNER, TYCHELE NAOMI · 2019 to 2021
$743k
The fitness effects of de novo structural variantsK99HG011041 · NHGRI · UNIVERSITY OF WASHINGTON · PI HSIEH, PINGHSUN · 2020 to 2021
$264k
Nature and contribution of noncoding, regulatory mutations in neurodevelopmental disordersK99MH117165 · NIMH · UNIVERSITY OF WASHINGTON · PI TURNER, TYCHELE NAOMI · 2018 to 2018
$92k
Howard Hughes Medical InstituteNHGRI NIH HHS K99 HG011041NHGRI NIH HHS U24 HG008956NHGRI NIH HHS UM1 HG008901NIMH NIH HHS K99 MH117165NIMH NIH HHS R00 MH117165NIMH NIH HHS R01 MH100047NIMH NIH HHS R01 MH101221NIMH NIH HHS U24 MH081810U.S. Department of Health & Human Services | National Institutes of Health (NIH) K99HG011041
6 · The paper itself

Abstract

Autism is a highly heritable complex disorder in which de novo mutation (DNM) variation contributes significantly to risk. Using whole-genome sequencing data from 3,474 families, we investigate another source of large-effect risk variation, ultra-rare variants. We report and replicate a transmission disequilibrium of private, likely gene-disruptive (LGD) variants in probands but find that 95% of this burden resides outside of known DNM-enriched genes. This variant class more strongly affects multiplex family probands and supports a multi-hit model for autism. Candidate genes with private LGD variants preferentially transmitted to probands converge on the E3 ubiquitin-protein ligase complex, intracellular transport and Erb signaling protein networks. We estimate that these variants are approximately 2.5 generations old and significantly younger than other variants of similar type and frequency in siblings. Overall, private LGD variants are under strong purifying selection and appear to act on a distinct set of genes not yet associated with autism.

Indexed as

Genetic Predisposition to DiseaseAutism Spectrum DisorderAutistic DisorderEvolution, MolecularGene DosageHaplotypesHumansLinkage DisequilibriumModels, GeneticMutationPedigreePolymorphism, Single NucleotideProtein Interaction MapsProteinsSiblingsWhole Genome SequencingProteins

Identifiers

PMID34312540
PMCPMC8459613
OpenAlexW3184987452

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.