Association between Autism Spectrum Disorder and Cancer - a Review from the Literature
https://doi.org/10.33700/jhrs.3.1.103
Keywords:
autism spectrum disorder, cancer, genetics, prevention, treatmentAbstract
Introduction: Autism spectrum disorder (ASD) is neurodevelopmental polygenic disorder with strong genetic component. In adult period, it is associated with many chronic diseases including diabetes, hypertension, cardiovascular disease, and cancer.
The aim of this article is to show possible connection between autism spectrum disorder and some kinds of cancers, and to show possible pathways for prevention and treatment.
Methodology: The PubMed and Google Scholar databases were searched using the keywords: autism spectrum disorder, genetics, cancer, prevention and treatment.
Results: Autism spectrum disorder is associated with high rates of genomic aberrations, including chromosomal rearrangements and de novo copy-number variations. Autism and cancer share 43 risk genes, suggesting that common mechanisms underlying the functions of some of these genes could conceivably be leveraged to develop therapies not just for cancer but for autism as well. Pleiotropy, whereby gene variants exert effects on multiple phenotypes, has been the source of increasing research attention with ASD and cancer.
Germline loss-of-function PTEN mutations increase the rate of benign and malignant tumors and also manifest as ASD and macrocephaly. Mutations in TSC1 and TSC2 genes cause tuberous sclerosis complex which is characterized by cortical tubers, and neurocognitive phenotypes including epilepsy, ASD, and intellectual disability (ID).
Conclusion: There is may be an association between autism and specific forms of cancer. Further epidemiologic research in large populations is needed to elucidate the association between autism and cancer and identify explanatory factors. Approved drugs targeting oncogenic pathways might also have therapeutic value for treating autism spectrum disorder.
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Aguilera, A. and Garcia-Muse, T. (2013) Causes of genome instability. Annu Rev Genet; 47, 1–32. DOI: https://doi.org/10.1146/annurev-genet-111212-133232
American Cancer Society. (2024). Cancer Facts & Figures. Available from URL: https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/2024-cancer-facts-figures.html.
Bourgeron, T. (2015). From the genetic architec-ture to synaptic plasticity in autism spectrum disorder. Nat Rev; 16, 551–563. DOI: https://doi.org/10.1038/nrn3992
Boulay A., Lane H.A. (2007). The mammalian target of rapamycin kinase and tumor growth inhibition. Recent Results Canc Res; 172:99–124. https://doi.org/10.1007/978-3-540-31209-3_7. DOI: https://doi.org/10.1007/978-3-540-31209-3_7
Butler, M.G., Dasouki, M.J., Zhou, X.P., Talebi-zadeh, Z., Brown, M., et al. (2005). Subset of individuals with autism spectrum disorders and extreme macrocephaly associated with germline PTEN tumour suppressor gene mu-tations. Journal of Medical Genetics; 42, 318–321. DOI: https://doi.org/10.1136/jmg.2004.024646
Center for Disease Control (2023). Autism Preva-lence Higher, According to Data from 11 ADDM Communities. Available from: https://www.cdc.gov/.
Chiang, H. L., Liu, C. J., Hu, Y. W., Chen, S. C., Hu, L. Y., Shen, C. C., Yeh, C. M., Chen, T. J., & Gau, S. S. (2015). Risk of cancer in children, adolescents, and young adults with autistic disorder. The Journal of pediatrics, 166(2), 418–23.e1. https://doi.org/10.1016/j.jpeds.2014.10.029. DOI: https://doi.org/10.1016/j.jpeds.2014.10.029
Crawley, J. N., Heyer, W. D., & LaSalle, J. M. (2016). Autism and Cancer Share Risk Genes, Pathways, and Drug Targets. Trends in genetics: TIG, 32(3), 139–146. https://doi.org/10.1016/j.tig.2016.01.001. DOI: https://doi.org/10.1016/j.tig.2016.01.001
Crespi, B. (2011). Autism and cancer risk. Autism Research, 4(4), 302–310. DOI: https://doi.org/10.1002/aur.208
Darbro, B. W., Singh, R., Zimmerman, M. B., Ma-hajan, V. B., & Bassuk, A. G. (2016). Autism Linked to Increased Oncogene Mutations but Decreased Cancer Rate. PloS one, 11(3), e0149041. https://doi.org/10.1371/journal.pone.0149041. DOI: https://doi.org/10.1371/journal.pone.0149041
Dell, D. D., Feleccia, M., Hicks, L., Longstreth-Papsun, E., Politsky, S., & Trommer, C. (2008). Care of patients with autism spec-trum disorder undergoing surgery for can-cer. Oncology nursing forum, 35(2), 177–182. https://doi.org/10.1188/08.ONF.177-182. DOI: https://doi.org/10.1188/08.ONF.177-182
Fischer, P. M. (2009). Cap in hand: Targeting eIF4E. Cell Cycle; 8, 2535–2541. DOI: https://doi.org/10.4161/cc.8.16.9301
Forés-Martos, J., Catalá-López, F., Sánchez-Valle, J., Ibáñez, K., Tejero, H., Palma-Gudiel, H., Climent, J., Pancaldi, V., Fañanás, L., Arango, C., Parellada, M., Baudot, A., Vogt, D., Ru-benstein, J. L., Valencia, A., & Tabarés-Seisdedos, R. (2019). Transcriptomic metaa-nalyses of autistic brains reveals shared gene expression and biological pathway abnor-malities with cancer. Molecular autism, 10, 17. https://doi.org/10.1186/s13229-019-0262-8. DOI: https://doi.org/10.1186/s13229-019-0262-8
Gabrielli, A. P., Manzardo, A. M., & Butler, M. G. (2019). GeneAnalytics Pathways and Profil-ing of Shared Autism and Cancer Genes. International journal of molecular sciences, 20(5), 1166. https://doi.org/10.3390/ijms20051166. DOI: https://doi.org/10.3390/ijms20051166
Gannon, William T, Martinez, Jose E., Anderson, Stephanie J, Swingle, Hanes M. Cancer and Copy Number Variants in an Autism Diag-nostic Clinic. Journal of Developmental & Behavioral Pediatrics; 34(5): 379-381, June 2013. doi: 10.1097/DBP.0b013e318294c958. DOI: https://doi.org/10.1097/DBP.0b013e318294c958
Kao, H. T., Buka, S. L., Kelsey, K. T., Gruber, D. F., & Porton, B. (2010). The correlation between rates of cancer and autism: an exploratory ecological investigation. PloS one, 5(2), e9372. https://doi.org/10.1371/journal.pone.0009372. DOI: https://doi.org/10.1371/journal.pone.0009372
Kilincaslan, A.; Kok, B.E.; Tekturk, P.; Yalcinkaya, C.; Ozkara, C.; Yapici, Z. (2017). Beneficial effects of everolimus on autism and attention-deficit/hyperactivity disorder symptoms in a group of patients with tuber-ous sclerosis complex. J Child Adolesc Psy-chopharmacol; 27, 383–388. DOI: https://doi.org/10.1089/cap.2016.0100
Kotajima-Murakami, H., Kobayashi, T., Kashii, H. et al. Effects of rapamycin on social inter-action deficits and gene expression in mice exposed to valproic acid in utero. Mol Brain 12, 3 (2019). https://doi.org/10.1186/s13041-018-0423-2. DOI: https://doi.org/10.1186/s13041-018-0423-2
Kwon, C.H., Luikart, B.W., Powell, C.M., Zhou, J., Matheny, S.A., et al. (2006). Pten regulates neuronal arborization and social interaction in mice. Neuron, 50, 377–388. DOI: https://doi.org/10.1016/j.neuron.2006.03.023
LaSalle, J.M. et al. (2015). Epigenetic regulation of UBE3A and roles in human neurodevel-opmental disorders. Epigenomics 7, 1213–1218. DOI: https://doi.org/10.2217/epi.15.70
Liu, Q., Yin, W., Meijsen, J. J., Reichenberg, A., Gådin, J. R., Schork, A. J., Adami, H. O., Kolevzon, A., Sandin, S., & Fang, F. (2022). Cancer risk in individuals with autism spec-trum disorder. Annals of oncology : official journal of the European Society for Medical Oncology, 33(7), 713–719. https://doi.org/10.1016/j.annonc.2022.04.006. DOI: https://doi.org/10.1016/j.annonc.2022.04.006
Lord, C., Elsabbagh, M., Baird, G., Veenstra-Vanderweele J. (2018). Autism spectrum dis-order. Lancet; 392(10146): 508520. DOI: https://doi.org/10.1016/S0140-6736(18)31129-2
McBride, K.L., Varga, E.A., Pastore, M.T., Prior, T.W., Manickam, K., et al. (2010). Confirma-tion study of PTEN mutations among indi-viduals with autism or developmental de-lays/mental retardation and macrocephaly. Autism Research; 3, 137–141. DOI: https://doi.org/10.1002/aur.132
Numis, A. L., Major, P., Montenegro, M. A., Muzykewicz, D. A., Pulsifer, M. B., & Thiele, E. A. (2011). Identification of risk factors for autism spectrum disorders in tuberous scle-rosis complex. Neurology, 76(11), 981–987. https://doi.org/10.1212/WNL.0b013e3182104347. DOI: https://doi.org/10.1212/WNL.0b013e3182104347
Szatmari, P., Paterson, A. D., Zwaigenbaum, L., Roberts, W., Brian, J., Liu, X. Q., Vincent, J. B., Skaug, J. L., Thompson, A. P., Senman, L., Feuk, L., Qian, C., Bryson, S. E., Jones, M. B., Marshall, C. R., Scherer, S. W., Vieland, V. J., Bartlett, C., Mangin, L. V., … Meyer, K. J. (2007). Mapping autism risk loci using ge-netic linkage and chromosomal rearrange-ments. Nature genetics, 39(3), 319–328. https://doi.org/10.1038/ng1985. DOI: https://doi.org/10.1038/ng1985
Martincorena, I. and Campbell, P.J. (2015). So-matic mutation in cancer and normal cells. Science 349, 1483–1489. DOI: https://doi.org/10.1126/science.aab4082
Neves-Pereira, M., Mu¨ller, B., Massie, D., Wil-liams, J.H., O’Brien, P.C., et al. (2009). De-regulation of EIF4E: A novel mechanism for autism. Journal of Medical Genetics; 46, 759–765. DOI: https://doi.org/10.1136/jmg.2009.066852
Pinto, D. et al. (2014) Convergence of genes and cellular pathways dysregulated in autism spectrum disorders. Am J Hum Genet; 94, 677–694. DOI: https://doi.org/10.1016/j.ajhg.2014.03.018
Vorstman, J. A., Staal, W. G., van Daalen, E., van Engeland, H., Hochstenbach, P. F., & Franke, L. (2006). Identification of novel autism candidate regions through analysis of re-ported cytogenetic abnormalities associated with autism. Molecular psychiatry, 11(1), 1–28. https://doi.org/10.1038/sj.mp.4001781. DOI: https://doi.org/10.1038/sj.mp.4001757
Vuattoux, D., Colomer-Lahiguera, S., Fernandez, P. A., Jequier Gygax, M., Choucair, M. L., Beck-Popovic, M., Diezi, M., Manificat, S., Latifyan, S., Ramelet, A. S., Eicher, M., Cha-bane, N., & Renella, R. (2021). Cancer Care of Children, Adolescents and Adults With Autism Spectrum Disorders: Key Infor-mation and Strategies for Oncology Teams. Frontiers in oncology, 10, 595734. https://doi.org/10.3389/fonc.2020.595734. DOI: https://doi.org/10.3389/fonc.2020.595734
Vukovic, V., Banda, A., Carneiro, L., Dogan, S., Knapp, P., McMahon, M., Milutinovic, D., Soylar, P., Sykes, K., Tosun, B., Yava, A., Trajkovski, V., Wells, J., & Cuypers, M. (2023). The importance of cancer prevention policies to inform and guide preventative and screening measures for people with in-tellectual disabilities: The COST project "Cancer- Understanding Prevention in Intel-lectual Disabilities". Journal of intellectual disabilities : JOID, 17446295231213752. Advance online publication. https://doi.org/10.1177/17446295231213752. DOI: https://doi.org/10.1177/17446295231213752
Wells, J. (2023). A COST Action to address chal-lenges facing people with intellectual disa-bilities accessing cancer prevention and re-sponse services across Europe – Introducing CUPID - Cancer- Understanding Prevention in Intellectual Disabilities. Journal of Health and Rehabilitation Sciences, 1(1), 12–16. https://doi.org/10.33700/jhrs.1.1.46. DOI: https://doi.org/10.33700/jhrs.1.1.46
Yavuz, B. R., Arici, M. K., Demirel, H. C., Tsai, C. J., Jang, H., Nussinov, R., & Tuncbag, N. (2023). Neurodevelopmental disorders and cancer networks share pathways, but differ in mechanisms, signaling strength, and out-come. NPJ genomic medicine, 8(1), 37. https://doi.org/10.1038/s41525-023-00377-6. DOI: https://doi.org/10.1038/s41525-023-00377-6
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