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Lisa Belkin

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Are Older Fathers A Root Of Autism?

Posted: 08/22/2012 3:01 pm

Do men have a biological clock? Should they be haunted by its tick, as women have long been? Should they at least be aware that it exists? 

A study released today in the journal Nature (and first reported by Benedict Carey in the New York Times) is the latest in a series of data confirming that the age of a father at conception can affect the mental health of his child. 

The study looked specifically at autism and schizophrenia, the two conditions that have most often been linked to genetic changes in older fathers. While not a huge risk for each individual -- the chance of a man age 40 or older having a child with either mutation is about 2 percent -- collectively it could explain the jump in autism diagnoses in recent decades. Experts interviewed by the Times suggested that such mutations may be shown to be responsible for 15 to 30 percent of all cases of autism. 

What is new about this data is the specificity with which it tracks the increased likelihood that sperm will mutate over time. As Carey writes: 

The research team found that the average child born to a 20-year-old father had 25 random mutations that could be traced to paternal genetic material. The number increased steadily by two mutations a year, reaching 65 mutations for offspring of 40-year-old men. The average number of mutations coming from the mother's side was 15, no matter her age, the study found.

So, what will be the effect of this kind of knowledge? In an essay in the New York Times Magazine back in 2009, I asked exactly that, looking at the already significant evidence that older fathers put children at risk (not just for autism and schizophrenia, but also bipolar disorder, lower IQ and even the odds of being conceived in the first place) and wondering whether these facts would make a dent in long-held cultural assumptions.

"The message to women," I mused, has always been "youare the direct cause of your baby's health" while the message to men was "You, too, could be Tony Randall." But I wondered:

If those underlying assumptions were to change, would all that follows from them change as well? A world in which each man heard his clock tick even a fraction as urgently as each woman could be a very different world indeed. All those silver-haired sex symbols, and balding sugar daddies, and average-Joe divorced guys who are on their second families because they can be while their exes are raising their first set of kids -- what if all of them became, in women's eyes, too darned old?

It certainly hasn't happened in the three years plus since I wrote that. I haven't heard of men racing to sperm banks to save samples for their future, the way young women are reported to be freezing their eggs. And while there is a growing acceptance of women dating men who are younger, I don't think that calculations about sperm health are the reason.

What will it take before men hear a tick tick in the night? Or is our view of age as a mother's problem too ingrained to shift? 

 
 
 

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HUFFPOST SUPER USER
John Richard Smith
Social Justice Advocacy
10:57 AM on 09/01/2012
Genes and Environment : No longer clear boundaries

"From prior studies of shared autism in twins, scientists had estimated that 90 percent of autism risk was attributable to genes and only 10 percent to non-genetic environmental factors. But the new study — the largest ever of twins in which at least one in each pair has autism — shows almost the opposite: It found that genes account for 38 percent of autism risk, with environmental factors explaining the remaining 62 percent.

"It took me a bit by surprise that the heritability of autism was so much lower than previous studies calculated," said Joachim Hallmayer, MD, the first author of the new paper, which appears in the July 4 issue of Archives of General Psychiatry. "Our work suggests that the role of environmental factors has been underestimated." Hallmayer is an associate professor of psychiatry and behavioral sciences at Stanford. "

"Our research shows us that we need to be studying both genetic and environmental factors as well as how they interact with each other," Hallmayer said. "We need to explore areas of environmental risk that are shared by both twin individuals and impact the development of the child."

And what might the unknown environmental risk factors be?

"That's the multimillion dollar question," Hallmayer said. "I think a lot about it." Autism's manifestation in very young children points to something that happens in early life, potentially even during pregnancy, hesaid.

------------------------------------------

So far genetics 10 - 15 % ...
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HUFFPOST SUPER USER
John Richard Smith
Social Justice Advocacy
10:47 AM on 09/01/2012
Time for a Reality check.

"The study looked specifically at autism and schizophrenia, the two conditions that have most often been linked to genetic changes in older fathers. "

* Genetics have so far been identified in only some 10 - 15% of ASD all up.

"the chance of a man age 40 or older having a child with either mutation is about 2 percent"

* Influenza virus - "The latest research shows a 7 fold elevation of risk of schizophrenia following exposure in the first trimester of pregnancy."

* "We found that 20% of prenatally rubella-exposed subjects were diagnosed with adult schizophrenia, suggesting a 10 to 20-fold increase in risk."

http://schizophreniabulletin.oxfordjournals.org/content/32/2/200.full

------------------------------------

Autism Genome Project

"Despite genotyping over a million SNPs covering the genome, no single SNP shows significant association with ASD or selected phenotypes at a genome-wide level.

variance explained by these allele scores was small (Vm< 1%).

individual SNPs and their en masse effect on risk, as inferred from the allele-scoreresults, it is reasonable to conclude that common variants affect ASD risk but their individual effects are modest.

---------------------------------------------------

Yes genetics from Dad will play a part in ASD , so will Mum, the prenatal environment , epilepsy , immune system dysfunction ,autoimmune disease, depression , inflammation , the gut , bacteria, the human biome, environmental chemicals toxins and viruses.

ASD does not follow one common pathway it is a complex and intricate disease with many complex and intricate relationships.
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jf12
Esta vez saldré como las otras y me escaparé.
07:24 AM on 08/28/2012
http://www.nytimes.com/2012/08/26/opinion/sunday/immune-disorders-and-autism.html?pagewanted=all
"it begins in the womb"
"the mother’s ... inflammatory response — seems at fault."
"especially in the mother"
"Gene variants associated with autoimmune disease — genes of the immune system — also increase the risk of autism, especially when they occur in the mother."
shylove2
warfare state is pathological
08:03 PM on 08/25/2012
and there aren't mutations in eggs? Plus hey know that genes cause autism... genes that regulation production and organization of proteins, not behavior. Maybe instead the increasing electromagnetic atmosphere is affecting the collective consciousness. Perhaps minds then affects the brain as an interface between mind and body.
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HUFFPOST COMMUNITY MODERATOR
Bike Commuter
No More Hurting People
01:45 PM on 08/29/2012
"and there aren't mutations in eggs?:

Not in the same way. A woman is born with all of the eggs she will ever have. As a woman gets older, the quality of the eggs can deteriorate. Also, the vast majority are lost by the age of 40. This can affect the genetic outcome of offspring and lead to mutations in the offspring (genetic errors introduced in the offspring).

However, sperm are created throughout the life of the male from the successive division of precursor cells. This increases the odds of division errors (mutation) with each successive split. In the above referenced study the researchers found that this does in fact cause fathers to pass along more mutations than mothers.
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01:07 PM on 08/25/2012
I will take loads of flack for this but it's just true. I see lots of the kids that are at my kids school that have health problems or mental problems or are just not to smart or a bit off and most have parents that are older. Lots of them have moms that were late 30s to early 40s when they had them. It's true and as we are going into a age when many women don't have kids till their eggs are starting to deteriorate there are more and more kids like this.
01:59 AM on 08/25/2012
Why would men be racing to the sperm bank? What's the scientific evidence that sperm frozen for 25 years is any better than sperm produced by a 25 yeat older man?

Nothing. But it's very easy to jump to trivially false conclusions when the main spearhead of the article is feministic and NOT scientific.

Having said that... I was never in favor of "grandparents parents". And the examples in my immediate circle of friends have proven me quite right about that... without ANY genetic testing.
04:43 PM on 08/24/2012
There are genetic advantages to younger sperm and eggs. But having kids when the parents are teenagers has its own problems. So you balance the issues.
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HUFFPOST SUPER USER
Kate Perez
04:13 PM on 08/24/2012
I'm amazed by all the anti-reality thought here. It's a biological fact that older fathers produce more mutated sperm than younger fathers (as well as lower sperm levels.) Both genders produce better reproductive material in their 20s than in their late 30s - 50s. There is a reason that almost all mammal species in nature have a rule that the dominant, strongest (and younger) male breeds all females and the weaker, older males are "bachelors," or get killed off. Serious livestock breeders only use the most perfect males as well. No one is saying autism happens EVERY time an older male procreates, or even most of the time, just as EVERY mother over 35 doesn't produce a baby with Down's Syndrome. Older genetic material is a risk factor in for many genetic ailments in the offspring. If we don't like that, Mother Nature doesn't care.
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phal4875
The world is run by cats; we just feed them.
02:49 PM on 08/24/2012
A Tony Randall of 80+ years never seemed like good father material. I mean that in terms of the number of years he would have been likely to live, not anything to do with his character. Having a child when a person might only be alive for five or ten years of that child's life seems a bit selfish.
10:14 PM on 08/23/2012
Lisa, you say that a false focus on vaccines has delayed the real causes of autism. That seems very ironic since some studies actually have found association with vocal tics, language delays and thimerosal, however the vast majority of studies are so horrendously designed with a bias to not finding vaccines as causal that- wait for it- vaccines do not seem to be causal.
11:44 AM on 08/23/2012
This would have been a much better article, if it had stuck to science and not got into throwing digs at men. That being said, it stands to reason that older parents, both mothers and fathers, have a greater chance of passing defective genes onto their child. Doesn't men two 40 year olds shouldn't have a child, but they should be informed of the increased risk.
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Filthy
05:45 PM on 08/23/2012
Why would older parents have a greater chance of passing defective genes?
08:16 PM on 08/23/2012
Because sperm generated by older men have more mutations per sperm.

W&N
11:27 AM on 08/24/2012
I'm not a doctor, but the evidence all points that direction. Probably has to do with the aging process. We see it everywhere in nature. Doesn't mean it will happen, just the odds are higher.
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phal4875
The world is run by cats; we just feed them.
02:51 PM on 08/24/2012
I did not see it as any "dig" at men. If the article is about an increased risk of having autistic children when fathers are older, how could the article skip all talk about men?
09:24 AM on 08/23/2012
Isn't it well documented that older women have a much larger risk for having children with Autism than younger women?

Isn't this just another study funded by the feminist lobby in an attempt to "prove" something by using a preselected sample and no control group?

You have a very colored past, feminist "studies." Try the scientific method, it works.
HUFFPOST SUPER USER
Filthy
05:53 PM on 08/23/2012
The correlation between older moms and autistic children is only a correlate. Snow correlates to cold weather but snow doesn't cause cold weather. Epidemiology relies on multivariate analysis to give clues, show significant correlations not conclusions. There's no political agenda in epidemiology. Might be political and social agendas driving the editorial decisions at magazines like this one, with respect to what studies are deemed newsworthy, but no agenda with the study itself. Careful where you're pointing that criticism.
09:10 AM on 08/24/2012
"The correlation between older moms and autistic children is only a correlate. Snow correlates to cold weather but snow doesn't cause cold weather." You mixed up your analogy there, Sparky. Old moms are to autistic children as cold weather is to snow. And yes, cold weather IS a cause of snow. Careful when dealing in analogies.
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phal4875
The world is run by cats; we just feed them.
02:51 PM on 08/24/2012
That had been the perceived wisdom. This study may have changed it.
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jf12
Esta vez saldré como las otras y me escaparé.
08:51 AM on 08/23/2012
Many more children are now born to older women, whose husbands tend to be older too.
02:06 AM on 08/23/2012
But I know younger dads, mid 20s to early 30s that have had children that had been diagnosed with Autism and other mental problems. Their wives were of the same age bracket also. Not sure how that fits in with your assertion that it is the older males mostly.

I think it has more to do with looking back in the families ancestry and the genes, myself.
08:51 AM on 08/23/2012
Its not her assertion, its the assertion of the researchers who did the study. My husband and I were both in our 20s when we had our son (high-functioning on the spectrum). But I believe the research. Its a well designed study, and it shows that when you analyze population-level data, autism correlates with older fathers but not older mothers. It doesn't mean you can't have a kid with autism in your 20s or that you are guaranteed a child with autism if you become a father in your 40s. What it means is that becoming a father when you are older brings greater RISK.
HUFFPOST SUPER USER
Filthy
06:04 PM on 08/23/2012
The researchers who did the study were stating a correlation of significance based on the variables in their data set. They are not stating, and are not capable of stating, that their is a causative link between old age of a parent and autism. Epidemiology gives clues, not causes. But it's also limited to what factors a researcher can weight for or examine.

Give you an example: If older moms were 30% more likely to give their child aspirin and aspirin led to autism then you would see a correlation between older women and autistic children. But if you didn't look at aspirin, if that wasn't part of your data set then you would attribute the significance to the age of the mom. If older moms were more likely to own cats, have sandboxes, use mothballs, have gardens or own more smoke detectors AND any of these activities had an effect on autism you would not be able to uncover the underlying correlations unless they were part of your data set.
02:02 AM on 08/23/2012
The study suggested that up to 30% of autism could be related to father's age. Since the rate of autism has increased far more than this, something else is going on. I don't know what.
07:04 AM on 08/23/2012
How about supporting your assertion that the rate has increased by far more than 30% with actual data?

W&N
HUFFPOST SUPER USER
Filthy
06:12 PM on 08/23/2012
http://en.wikipedia.org/wiki/File:US-autism-6-17-1996-2007.png

This is rates of autism per 1000 babies born 96-07 - is that what you were looking for or something more specific? A woman over 40 I believe is presently said to have a 4/1000 chance of having an autistic child.
06:21 PM on 08/23/2012
In its first analysis, using data from 2000, the CDC estimated that 1 in 150 children had some form of the disorder. The latest estimate of 1 in 88 is already being touted as evidence that something in the environment is driving up cases.
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phal4875
The world is run by cats; we just feed them.
02:55 PM on 08/24/2012
Is it possible that autism is now more diagnosed than it used to be? Since autism is not specific in the way that a brain tumor would be, our diagnostic criteria may have changed.