Using Extended Pedigrees to Identify Novel Autism Spectrum Disorder (ASD) Candidate Genes Marc Woodbury-Smith1,2, Andrew D. Paterson2,6, Bhooma Thiruvahindrapduram2, Anath C. Lionel2, Christian R. Marshall2, Daniele Merico2, , Bridget A. Fernandez3, Eric Duku1, Irene O’Conner1, Christina Chrysler1, Ann Thompson1, Kristiina Tammimies2, Susan Walker2, Ryan K. C. Yuen2, Mohammed Uddin2, Jennifer L Howe2, Morgan Parlier5, Kathy Whitten3, Peter Szatmari7, Veronica J. Vieland4,, Joseph Piven5, & Stephen W. Scherer2. Supplementary information 1 Supplementary Figure 1: Population stratification analysis 0.06 Population eigenvector2 ASD CEU 0.04 CHB CHD COGEND 0.02 KORA YRI 0.00 −0.05 −0.04 −0.03 −0.02 −0.01 0.00 0.01 eigenvector1 Key: ASD=autism spectrum disorder; CEU=Northern/Western European in Utah; CHB=Han Chinese in Beijing, China; CHD= Chinese in Metropolitan Denver; COGEND=COGEND controls; KORA=KORA controls; YRI=Yoruba in Ibadan, Nigeria. 2 Supplementary Figure 2: Examples of extended pedigrees 3 4 Supplementary Table 1: Clinical Descriptions of Family Segregating CNV at 11q13.3 Clinical Details Family Diagnosisa l-2 Bipolar Disorder, (male) suspected Asperger disorder ll-2 Depression (female) ll-3 (female) Bipolar Disorder ll-5 (male) Non-ASD, Non-BAP lll-1 (female) Anxiety lll-2 (male) ASD: Autism-high functioning ADI-R=Autism ADOS M4=Autism IQb - - WAIS-lll: FSIQ=117 (93rd % ile; HA ), VIQ=111 (92nd % ile; HA ), PIQ=121(90th % ile; S) Languagec Adaptive Behaviorc Other - - - CELF 4 Core Language: 121 (92nd %ile) Expressive Language: 118 (88th %ile) CTOPP: PA: 112 (79th %ile); PM: 130 (98 th %ile; RN: 100 (50th %ile) CELF 4 Core Language: 120 (91st %ile) Expressive Language: 114 (82nd %ile) CTOPP: PA: 112 (79th %ile); PM: 115 (84 th %ile; RN: 91 (27th %ile) CELF 4 Core Language: 120 (91st %ile) Expressive Language: 114 (82nd %ile) CTOPP: PA: 109 (73rd %ile); PM: 106 (65 th %ile; RN: 100 (50th %ile) CELF 4 Core Language: 120 (91st %ile) Expressive Language: 116 (86th %ile) CTOPP: PA: 106 (65th %ile); PM: 121 (92nd %ile); RN: 82 (12th %ile) CELF 4 Core Language: 121 (92nd %ile) Expressive Language: 120 (91st %ile) Single words: 36 mo.; Phrases: 39 mo. - Adult EYES: 23/36 - Adult EYES: 34/36 Adult EYES: 27/36 Adult EYES: 30/36 VABS ABC = 70 (2nd %ile), COM = 64 (25th %ile), DLS = 81 (10th %ile), and SOC = 73 (4th %ile), Adult EYES: 28/36 5 lll-3 (male) ASD: Asperger Disorder ADI-R=Autism ADOS M3=Autism lll-4 (female) PDD-NOS ADI-R=ASD ADOS M4=Autism WASI: FSIQ = 121 (92rd % ile; S), VIQ = 140 (99th % ile; VS) and PIQ = 103 (58th % ile; A) Leiter-R: brief NVIQ = 123 (94th % ile; S) WASI: FSIQ = 80 (9th % ile; LA), VIQ = 80 (9th % ile; LA) and PIQ = 85 (16th % ile; LA) Leiter-R: brief NVIQ = 73 (4th % ile; B) CTOPP: PA: 115 (84th %ile); PM: 112 (79 th %ile; RN: 109 (73rd %ile) CELF 4 Core Language: 124 (95th %ile) Expressive Language: 120 (91st %ile) Single words: 15 mo.; Phrases 16 mo. CTOPP: PA: 91 (27th %ile); PM: 76 (5th %ile; RN: 94 (35th %ile) CELF 4 Core Language: 91 (27th %ile) Expressive Language: 93 (32nd %ile) Single words: 18 mo.; Phrases 30 mo. VABS ABC = 81 (10th %ile), COM = 90 (25th %ile), DLS = 79 (8th %ile), and SOC = 80 (9th %ile), VABS ABC = 65 (1st %ile), COM = 64 (1st %ile), DLS = 69 (2nd %ile), and SOC = 70 (2nd %ile), Adult Eyes: 17/36 Refer to pedigree in Figure 1. The following abbreviations are used: IQ, intelligence quotient; ASD, autism spectrum disorder; % ile, percentile. aThe autism-spectrum diagnosis is based on the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS; one of four possible modules is administered on the basis of age and language level). bIQ was measured with an age-appropriate Wechsler scale (WPPSI, Wechsler Preschool and Primary Scale of Intelligence; WISC, Wechsler Intelligence Scale for Children; or WASI, Wechsler Abbreviated Scale of Intelligence, Wechsler Adult Intelligence Scale-Third Edition or WAIS-lll). Standard scores and percentiles are presented for full-scale IQ (FSIQ), verbal IQ (VIQ), and/or performance IQ (PIQ). FSIQ is not a valid estimate of IQ when significant discrepancy exists between VIQ and PIQ. Leiter International Performance Scale-Revised (Leiter-R) is a measure of nonverbal IQ (NVIQ) only. Percentile classifications are the following: very superior (VS; >98th % ile), superior (S; 91st–97th % ile), high average (HA; 75th–90th % ile), average (A; 25th–74th % ile), low average (LA; 9th–24th % ile), borderline (B; 2nd–8th % ile), and extremely low (EL; <2nd % ile). cLanguage was measured with the Clinical Evaluation of Language Fundamentals, 4th Edition (CELF-4) which is a widely used measure for the direct assessment of linguistic competence including morphology, syntax, and semantics. Standard scores and percentiles are presented for core language (CL) and expressive language (EL). Out of age range norms were used for individuals older than 21. The Comprehensive Test of Phonological Processing (CTOPP) is a measure of phonological processing. Standard scores and percentiles are presented for Rapid Naming (RN), Phonological Awareness (PA) and Phonological Memory (PM). Out of age range norms were used for individuals older than 24. cAdaptive Behavior was measured with the Vineland Adaptive Behavior Scales (VABS). Standard score and percentiles are presented for adaptive behavior composite (ABC), communication (COM), daily living skills (DLS), socialization (SOC), and motor (MOT; only for children 7 years old or younger). The Eyes Test is an advanced social-cognition task in which 36 photographs depicting only the eye region of the face are presented and individual must choose which of 4 complex mental state words describes the feeling of the person depicted 6 Supplementary Figure 3: Gene annotation of 11q13 duplications (See text for details) 7