Abstract
BACKGROUND: Rare mutations affecting the FOXP2 transcription factor cause a monogenic speech and language disorder. We hypothesized that neural pathways downstream of FOXP2 influence more common phenotypes, such as specific language impairment.
METHODS: We performed genomic screening for regions bound by FOXP2 using chromatin immunoprecipitation, which led us to focus on one particular gene that was a strong candidate for involvement in language impairments. We then tested for associations between single-nucleotide polymorphisms (SNPs) in this gene and language deficits in a well-characterized set of 184 families affected with specific language impairment.
RESULTS: We found that FOXP2 binds to and dramatically down-regulates CNTNAP2, a gene that encodes a neurexin and is expressed in the developing human cortex. On analyzing CNTNAP2 polymorphisms in children with typical specific language impairment, we detected significant quantitative associations with nonsense-word repetition, a heritable behavioral marker of this disorder (peak association, P=5.0x10(-5) at SNP rs17236239). Intriguingly, this region coincides with one associated with language delays in children with autism.
CONCLUSIONS: The FOXP2-CNTNAP2 pathway provides a mechanistic link between clinically distinct syndromes involving disrupted language.
Original language | English |
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Pages (from-to) | 2337-45 |
Number of pages | 9 |
Journal | New England Journal of Medicine |
Volume | 359 |
Issue number | 22 |
DOIs | |
Publication status | Published - 27 Nov 2008 |
Keywords
- Child
- Chromatin Immunoprecipitation
- Down-Regulation
- Female
- Forkhead Transcription Factors/genetics
- Gene Expression Regulation
- Genetic Markers
- Genome-Wide Association Study
- Haplotypes
- Humans
- Language Development Disorders/genetics
- Male
- Membrane Proteins/genetics
- Nerve Tissue Proteins/genetics
- Phenotype
- Polymerase Chain Reaction
- Polymorphism, Single Nucleotide