Un pont génétique entre la médecine et la neurodiversité pour l’autisme
Titre original en anglais : A Genetic Bridge Between Medicine and Neurodiversity for Autism
Leblond, C. S., Rolland, T., Barthome, E., Mougin, Z., Fleury, M., Ecker, C., Bonnot-Briey, S., Cliquet, F., Tabet, A., Maruani, A., Chaumette, B., Green, J., Delorme, R., & Bourgeron, T. (2024). A Genetic Bridge Between Medicine and Neurodiversity for Autism. Annual Review of Genetics, 58(1), 487-512. https://doi.org/10.1146/annurev-genet-111523-102614
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Auteurs
Résumé
L’autisme représente un vaste spectre d’individus divers présentant des architectures génétiques sous-jacentes et des besoins variables. Chez certains individus, une seule variante génétique de novo ou ultra-rare a un effet important sur l’intensité de dimensions spécifiques du phénotype, tandis que, chez d’autres, une combinaison de milliers de variantes couramment trouvées dans la population générale est impliquée. Les variantes à fort impact sont retrouvées chez jusqu’à 30 % des individus autistes présentant une déficience intellectuelle, un retard significatif de la parole, un retard moteur et/ou des crises épileptiques. Les variantes communes sont partagées avec celles retrouvées chez les individus présentant un trouble du déficit de l’attention avec hyperactivité, des troubles dépressifs majeurs, un niveau d’instruction plus élevé et de meilleures performances cognitives, ce qui suggère des architectures génétiques qui se chevauchent. Les variantes génétiques modulent la fonction des protéines de remodelage de la chromatine et des protéines synaptiques qui influencent la connectivité des circuits neuronaux et, en interaction avec l’environnement de chaque individu, la trajectoire cognitive et personnelle ultérieure de l’enfant. Globalement, cette hétérogénéité génétique reflète la diversité phénotypique des individus autistes et fournit un pont utile entre les perspectives biomédicales et de neurodiversité. Nous proposons que la recherche participative et multidisciplinaire utilise ces informations afin de mieux comprendre les évaluations, les traitements et les aménagements dont les individus autistes et les familles ont besoin.
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