Pathogenesis of autism spectrum disorder from an epigenetic perspective

WU Yuxin, JI Youyou, LI Yutong, WU Yinan, XU Ronglin, ZHONG Yi, XIAO Bin

Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (2) : 222-226.

PDF(534 KB)
PDF(534 KB)
Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (2) : 222-226. DOI: 10.11852/zgetbjzz2025-0118
Review

Pathogenesis of autism spectrum disorder from an epigenetic perspective

  • WU Yuxin1, JI Youyou1, LI Yutong1, WU Yinan1, XU Ronglin2, ZHONG Yi1, XIAO Bin3
Author information +
History +

Abstract

Autism spectrum disorder (ASD) is a heterogeneous neurodevelopmental condition with complex etiology involving dysregulated epigenetic mechanisms arising from gene-environment interactions.This review systematically examines the contributions of natural, chemical, and biological environmental exposures to ASD risk.It further analyzes the potential role of parental factors such as parental occupation, age, and history of metabolic diseases.The review focuses on three major epigenetic mechanisms: DNA methylation, histone modifications, and non-coding RNA dysregulation, elucidating their aberrant regulation during critical neurodevelopmental windows and their associations with core ASD symptoms, including social communication deficits and restricted repetitive behaviors, which provides a theoretical basis for the in-depth analysis of the pathogenesis of ASD and the development of targeted intervention strategies.

Key words

autism spectrum disorder / epigenetics / DNA methylation / histone modification

Cite this article

Download Citations
WU Yuxin, JI Youyou, LI Yutong, WU Yinan, XU Ronglin, ZHONG Yi, XIAO Bin. Pathogenesis of autism spectrum disorder from an epigenetic perspective[J]. Chinese Journal of Child Health Care. 2026, 34(2): 222-226 https://doi.org/10.11852/zgetbjzz2025-0118

References

[1] Hirota T, King BH. Autism spectrum disorder: A review[J]. JAMA, 2023, 329(2):157-168.
[2] Aung MT, Bakulski KM, Feinberg JI, et al. Maternal blood metal concentrations and whole blood DNA methylation during pregnancy in the Early Autism Risk Longitudinal Investigation (EARLI)[J]. Epigenetics, 2022, 17:253-268.
[3] Omotosho IO, Akinade AO, Lagunju IA, et al. Oxidative stress indices in ASD children in Sub-Sahara Africa[J]. J Neurodev Disord, 2021, 13:50.
[4] Kuodza GE, Kawai R, LaSalle JM. Intercontinental insights into autism spectrum disorder: A synthesis of environmental influences and DNA methylation[J]. Environ Epigenet, 2024, 10(1): dvae023.
[5] Ladd-Acosta C, Feinberg JI, Brown SC, et al. Epigenetic marks of prenatal air pollution exposure found in multiple tissues relevant for child health[J]. Environ Int, 2019, 126: 363-376.
[6] Lee KS, Min WK, Choi YJ, et al. The effect of maternal exposure to air pollutants and heavy metals during pregnancy on the risk of neurological disorders using the national health insurance claims data of South Korea[J]. Medicina (Kaunas), 2023, 59:951.
[7] Zhao T, Huang CQ, Zhang YH, et al. Prenatal 1-nitropyrene exposure causes autism-like behavior partially by altering DNA hydroxymethylation in developing brain[J]. Adv Sci (Weinh), 2024, 11(28): e2306294.
[8] Hashem S, Nisar S, Bhat AA, et al. Genetics of structural and functional brain changes in autism spectrum disorder [J]. Transl Psychiatry, 2020, 10(1): 229.
[9] Hertz-Picciotto I, Korrick SA, Ladd-Acosta C, et al. Maternal tobacco smoking and offspring autism spectrum disorder or traits in ECHO cohorts[J]. Autism Res, 2022, 15(3): 551-569.
[10] Kim B, Ha M, Kim YS, et al. Prenatal exposure to paternal smoking and likelihood for autism spectrum disorder[J].Autism, 2021, 25(7): 1946-1959.
[11] Noble AJ, Adams AT, Satsangi J, et al. Prenatal cannabis exposure is associated with alterations in offspring DNA methylation at genes involved in neurodevelopment, across the life course[J]. Mol Psychiatry, 2025, 30(4): 1418-1429.
[12] Schrott R, Acharya K, Itchon-Ramos N, et al. Cannabis use is associated with potentially heritable widespread changes in autism candidate gene DLGAP2 DNA methylation in sperm[J]. Epigenetics, 2020, 15(1-2):161-173.
[13] Schrott R, Greeson KW, King D, et al. Cannabis alters DNA methylation at maternally imprinted and autism candidate genes in spermatogenic cells[J]. Syst Biol Reprod Med, 2022, 68(5-6):357-369.
[14] Wiggs KK, Rickert ME, Sujan AC, et al. Antiseizure medication use during pregnancy and risk of ASD and ADHD in children[J]. Neurology,2020,95(24):e3232-e3240.
[15] Dorsey SG, Mocci E, Lane MV, et al. Rapid effects of valproic acid on the fetal brain transcriptome: Implications for brain development and autism?[J].Transl Psychiatry,2024,14(1):482.
[16] Zarate-Lopez D, Torres-Chávez AL, Gálvez-Contreras AY, et al. Three decades of valproate: A current model for studying autism spectrum disorder[J]. Curr Neuropharmacol, 2024, 22(2): 260-289.
[17] Tioleco N, Silberman AE, Stratigos K, et al. Prenatal maternal infection and risk for autism in offspring: A Meta-analysis[J]. Autism Res, 2021, 14(6):1296-1316.
[18] Yin H, Wang Z, Liu J, et al. Dysregulation of immune and metabolism pathways in maternal immune activation induces an increased risk of autism spectrum disorders[J]. Life Sci, 2023, 324:121734.
[19] 王琎,沈珂馨,陈洁,等.孕期免疫激活致子代孤独症谱系障碍发生机制的研究进展[J].中国儿童保健杂志,2025,33(11):1252-1255.
Wang J, Shen KX, Chen J, et al. Advances in mechanisms underlying autism spectrum disorder in offspring induced by materal immune activation[J]. Chin J Child Health Care, 2025,33(11):1252-1255. (in Chinese)
[20] Vacharasin JM, Ward JA, McCord MM, et al. Neuroimmune mechanisms in autism etiology-untangling a complex problem using human cellular models[J]. Oxf Open Neurosci, 2024, 3: kvae003.
[21] Ritchie FD, Lizarraga SB. The role of histone methyltransferases in neurocognitive disorders associated with brain size abnormalities[J]. Front Neurosci, 2023, 17: 989109.
[22] Hoxha B, Hoxha M, Domi E, et al. Folic acid and autism: A systematic review of the current state of knowledge[J]. Cells, 2021, 10(8): 1976.
[23] Mills JL, Molloy AM. Lowering the risk of autism spectrum disorder with folic acid: Can there be too much of a good thing?[J]. Am J Clin Nutr, 2022, 115(5): 1268-1269.
[24] Yoon SH, Choi J, Lee WJ, et al. Genetic and epigenetic etiology underlying autism spectrum disorder[J]. J Clin Med, 2020, 9(4):966.
[25] Rodolaki K, Pergialiotis V, Iakovidou N, et al. The impact of maternal diabetes on the future health and neurodevelopment of the offspring: A review of the evidence[J]. Front Endocrinol (Lausanne), 2023, 14:1125628.
[26] Gerges P, Bitar T, Hawat M, et al. Risk and protective factors in autism spectrum disorders: A case control study in the Lebanese population[J]. Int J Environ Res Public Health, 2020, 17(17):6323.
[27] Nutor C,Dunlop A,Sadler O,et al.Prenatal cannabis use and offspring autism-related behaviors:Examining maternal stress as a moderator in a black American cohort[J].J Autism Dev Disord,2023,4(25):1-13.
[28] 侯伟鹏,庞丹丹,陈宝芝.儿童孤独症的心理行为特征及其影响因素[J].国际精神病学杂志,2020,47(4):726-729.
Hou WP, Pang DD, Chen BZ. The psychological and behavioral characteristics and influencing factors of childhood autism[J]. J Int Psychiatry, 2020, 47(4):726-729. (in Chinese)
[29] Myat P, John JR, Montgomery A, et al. Sociocultural and perinatal health factors associated with autism spectrum disorder (ASD) in children[J]. Compr Psychiatry, 2025, 138:152576.
[30] Aitken RJ, Baker MA. The role of genetics and oxidative stress in the etiology of male infertility-a unifying hypothesis?[J]. Front Endocrinol (Lausanne), 2020, 11:581838.
[31] Potabattula R, Prell A, Dittrich M, et al. Effects of paternal and chronological age on BEGAIN methylation and its possible role in autism[J]. Aging (Albany NY), 2023, 15(22):12763-12779.
[32] Yin W, Pulakka A, Reichenberg A, et al. Association between parental psychiatric disorders and risk of offspring autism spectrum disorder: A Swedish and Finnish population-based cohort study[J]. Lancet Reg Health Eur, 2024, 40: 100902.
[33] Oh M, Yoon NH, Kim SA, et al. Epigenetic insights into autism spectrum disorder: DNA methylation levels of NR3C1, ASCL1, and FOXO3 in Korean autism spectrum disorder sibling pairs [J]. Clin Psychopharmacol Neurosci, 2024, 22(4): 635-645.
[34] Bierer LM, Bader HN, Daskalakis NP, et al. Intergenerational effects of maternal holocaust exposure on FKBP5 methylation [J]. Am J Psychiatry, 2020, 177(8): 744-753.
[35] Breton CV, Landon R, Kahn LG, et al. Exploring the evidence for epigenetic regulation of environmental influences on child health across generations[J]. Commun Biol, 2021, 4(1): 769.
[36] Liu J, Liang Y, Jiang X, et al. Maternal diabetes-induced suppression of oxytocin receptor contributes to social deficits in offspring[J]. Front Neurosci, 2021, 15:634781.
[37] Howe CG, Cox B, Fore R, et al. Maternal gestational diabetes mellitus and newborn DNA methylation: Findings from the pregnancy and childhood epigenetics consortium[J]. Diabetes Care,2020, 43(1):98-105.
[38] Zhang S, Lin T, Zhang Y, et al. Effects of parental overweight and obesity on offspring's mental health: A Meta-analysis of observational studies[J].PLoS One,2022,17(12):e0276469.
[39] Billah MM, Khatiwada S,Morris MJ,et al.Effects of paternal overnutrition and interventions on future generations[J]. Int J Obes (Lond), 2022,46(5): 901-917.
[40] Villamor E, Susser ES, Cnattingius S. Defective placentation syndromes and autism spectrum disorder in the offspring: Population-based cohort and sibling-controlled studies[J].Eur J Epidemiol, 2022, 37(8): 827-836.
[41] Lim JH,Kang YJ,Bak HJ,et al.Epigenome-wide DNA methy-lation profiling of preeclamptic placenta according to severe features[J].Clin Epigenetics,2020,12(1):128.
[42] Hofsink N, Dijkstra DJ, Stojanovska V, et al. Preeclampsia-induced alterations in brain and liver gene expression and DNA methylation patterns in fetal mice[J].J Dev Orig Health Dis,2023,14(1): 146-151.
[43] Andari E, Nishitani S, Kaundinya G, et al. Epigenetic modification of the oxytocin receptor gene: Implications for autism symptom severity and brain functional connectivity[J]. Neuropsychopharmacology, 2020, 45(7): 1150-1158.
[44] D'Mello SR 3rd.MECP2 and the biology of MECP2 duplication syndrome[J]. J Neurochem, 2021, 159:29-60.
[45] Xu M, Qi S, Calhoun V, et al. Aberrant brain functional and structural developments in MECP2 duplication rats[J]. Neurobiol Dis, 2022, 173:105838.
[46] Scala M, Grasso EA, Di Cara G, et al. The pathophysiological link between Reelin and autism: Overview and new insights[J]. Front Genet, 2022, 13:869002.
[47] Sahay A, Kale A, Joshi S. Role of neurotrophins in pregnancy and offspring brain development[J]. Neuropeptides, 2020, 83:102075.
[48] Meguid N, Ismail SR, Anwar M, et al. Gamma-aminobutyric acid and glutamate system dysregulation in a small population of Egyptian children with autism spectrum disorder[J]. Metab Brain Dis, 2025, 40(3):146.
[49] Nguyen LS, Fregeac J, Bole-Feysot C, et al. Role of miR-146a in neural stem cell differentiation and neural lineage determination:Relevance for neurodevelopmental disorders[J].Mol Autism,2018,9: 38.
[50] Chen YJ, Chen CY, Mai TL, et al. Genome-wide, integrative analysis of circular RNA dysregulation and the corresponding circular RNA-miRNA-mRNA regulatory axes in autism[J].Genome Res,2020,30: 375-391.
[51] Qin L, Williams JB, Tan T, et al. Deficiency of autism risk factor ASH1L in prefrontal cortex induces epigenetic aberrations and seizures[J].Nat Commun, 2021,12:6589.
[52] Nakamura T, Yoshihara T, Tanegashima C, et al. Transcriptomic dysregulation and autistic-like behaviors in Kmt2c haploinsufficient mice rescued by an LSD1 inhibitor[J]. Mol Psychiatry, 2024,29: 2888-2904.
PDF(534 KB)

Accesses

Citation

Detail

Sections
Recommended

/