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. 2020 May 27;26(5):1442–1444. doi: 10.1038/s41380-020-0778-5

Table 1.

GI manifestations and distress in ASD patients and animal models.

Gene GI manifestation GI distress Study type ENS phenotype Reference
CHD8/chd8 Slow GI transit Constipation and diarrhea ASD patients, Danio rerio 50% reduction of enteric neurons in hindgut of chd8 morphants Bernier et al. [7]
NOS1 Achalasia Eating and drinking problems ASD patients Not analyzed Shteyer et al. [8]
Nos1 Hypertensive and poorly relaxing lower esophageal sphincter Eating and drinking problems Nos −/− mice Interstitial cells of Cajal impaired Sivarao et al. [9]
Tcf4 Slow GI transit Constipation Tcf4 +/− mice Pitt–Hopkins mouse model Not analyzed Grubisic et al. [10]
Slc6a4 (Sert) Slow GI transit, villus height and crypt depth decreased in mucosal structure Constipation Sert Ala56 mice Reduced number of neurons in plexus of small and large intestines and TH, CGRP, or GABA positive neurons Margolis et al. [12]
Foxp1 Achalasia, impaired relaxation of the lower esophageal sphincter, slow GI transit, reduced thickness of tunica muscularis in esophagus and colon Eating and drinking problems, constipation Foxp1 +/− mice Not analyzed Fröhlich et al. [11]
Nlgn3 Increased GI transit GABA-mediated alterations of colon motility Diarrhea NL3R451C mice Hyperplasia in small intestine, dysregulation of GABAergic neurons Hosie et al. [13]
NLGN3 Various GI complaints Diarrhea poor bowel control, esophagitis, esophageal regurgitation, abdominal pain ASD patients with NLGN3 p.R451C variant Not analyzed Hosie et al. [13]
Nlgn3 Faster colonic migrating motor complexes, increased colonic diameter Not described, likely diarrhea Nlgn3 −/− mice No changes in ENS, inhibitory interneurons Leembruggen et al. [14]
shank3a/shank3b Slow GI transit, reduced peristalsis and motility, serotonin-positive enteroendocrine cells reduced Constipation and/or diarrhea, reflux, cyclical vomiting Danio rerio Phelan-McDermid syndrome (ASD) shank3abΔC+/ No changes James et al. [15]