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. Author manuscript; available in PMC: 2021 May 1.
Published in final edited form as: J Autism Dev Disord. 2020 May;50(5):1834–1840. doi: 10.1007/s10803-019-03921-5

Table 3.

Candidate genes in each of the primary biological pathways.

Gene Symbol Sleep Phenotype Syndrome Associated with Autism

Dopaminergic Synapse

MAOA Poorer sleep quality; lower sleep efficiency (indexed by higher quantitative sleep disturbance scores); insomnia Brunner Syndrome
SCN1A Increased sleep disturbances; abnormal non-rapid eye movement sleep architecture; sleep dysregulation Early Infantile Epileptic Encephalopathy; Dravet Syndrome
CACNA1C Increased (longer) sleep latency; reduced REM Sleep Timothy Syndrome
SLC6A3 Sleep-wake cycle; sleep architecture N/A

Serotonergic Synapse

MAOA Sleep-wake cycle—including lower homeostatic drive; poorer sleep continuity. N/A
CACNA1C Shorter sleep duration; fatigue; early morning awakening Wu Type of X-linked Syndromic Mental Retardation
HTR2A Obstructive sleep apnea, chronic fatigue syndrome N/A
SLC6A4 Increased risk of sleep bruxism; increased complaint of sleep onset problems; shorter sleep duration N/A

MECP2 and Associated Rett Syndrome

MECP2 Phase-specific sleep loss; sleep fragmentation; increased daytime napping with age; Rett Syndrome
BDNF Regulation of sleep slow wave oscillations; decreased spectral power in the alpha band in stage one and decreased theta power in stages two and three of nonrapid-eye-movement sleep N/A
RBFOX1 Sleep timing N/A
UBE3A Short sleep duration; increased sleep onset latency; reduced capacity to accumulate sleep pressure Angelman Syndrome

SIDS Susceptibility Pathways

MECP2 Phase-specific sleep loss; sleep fragmentation; increased daytime napping with age; Rett Syndrome
BDNF Regulation of sleep slow wave oscillations; decreased spectral power in the alpha band in stage one and decreased theta power in stages two and three of nonrapid-eye-movement sleep N/A
SLC6A4 Increased risk of sleep bruxism; increased complaint of sleep onset problems; shorter sleep duration N/A
MAOA Poorer sleep quality; lower sleep efficiency (indexed by higher quantitative sleep disturbance scores); insomnia Brunner Syndrome