FB2026_01 , released March 12, 2026
FB2026_01 , released March 12, 2026
Human Disease Model Report: autism spectrum disorder, susceptibility to (postulated), NDST-related
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General Information
Name
autism spectrum disorder, susceptibility to (postulated), NDST-related
FlyBase ID
FBhh0001111
OMIM
Overview

The human NDST genes (NDST1, NDST2, NDST3, and NDST4), a family of enzymes involved in heparan sulfate biosynthesis, have been identified as potential susceptibility loci for autism spectrum disorder (ASD; FBhh0000514). All four are bifunctional heparan sulfate N-deacetylase/N-sulfotransferases (EC 2.8.2.8). NDST1 and 2 are expressed in most human tissues, whereas NDST 3 and 4 are largely brain-specific (https://www.proteinatlas.org/). There is a single high-ranking ortholog in Drosophila for all four human NDST genes, sfl, for which misexpression elements, gene and enhancer traps, loss-of-function alleles, and multiple RNAi targeting lines have been generated. NDST1 has already been implicated in an autosomal recessive form of intellectual disability (FBhh0000248) and potentially in azoospermia (FBhh0000239).

None of the four human NDST genes have been introduced into flies.

In an un-biased GWA analysis using 40 wild-type lines from the DGRP, flies were scored on three behavioral measures analogous to behaviors used to characterize to autism spectrum disorder phenotypes in humans. Lines with variants in the Drosophila gene sfl show abnormal phenotypes for all three behavioral measures: latency to mating during courtship behavior, repetitive grooming behavior, and social spacing. Knocking down sfl in neurons shows the same ASD-associated behaviors, although some effects are sex-specific.

[updated September 2019 by FlyBase; FBrf0222196]

Disease Summary Information
Parent Disease Summary: autism spectrum disorder, susceptibility to
Symptoms and phenotype

Autism, the prototypic pervasive developmental disorder (PDD), is usually apparent by 3 years of age. It is characterized by a triad of limited or absent verbal communication, a lack of reciprocal social interaction or responsiveness, and restricted, stereotypic, and ritualized patterns of interests and behavior (Bailey et al., 1996, pubmed:8655659; Risch et al., 1999, pubmed:10417292). 'Autism spectrum disorder,' sometimes referred to as ASD, is a broader phenotype encompassing the less severe disorders Asperger syndrome (MIM:608638) and pervasive developmental disorder, not otherwise specified (PDD-NOS). 'Broad autism phenotype' includes individuals with some symptoms of autism, but who do not meet the full criteria for autism or other disorders. Mental retardation coexists in approximately two-thirds of individuals with ASD, except for Asperger syndrome, in which mental retardation is conspicuously absent (Jones et al., 2008; pubmed:18698615). [from MIM:209850; 2017.03.18]

Specific Disease Summary: autism spectrum disorder, susceptibility to (postulated), NDST-related
OMIM report
Human gene(s) implicated
Symptoms and phenotype

Autism spectrum disorders are complex, pervasive, and multifactorial neurodevelopmental conditions. Observation of aberrant behavior forms the basis of diagnosis, with criteria focused on impairments in social communication and interaction, and restricted, repetitive patterns of behavior, interests, or activities. (Masi et al. 2017 and references therein, pubmed:28213805.)

Genetics

The SFARI Gene autism database ( https:gene.sfari.org ) does not list any of the NDST (NDST1-4) genes. [2020.11.05]

Four NDST genes are expressed in mammals, where NDST1 and NDST2 seem to be the major ones, present in most tissues and cells. (Dagälv et al. 2015 and references therein, pubmed:25325954.)

The body of research identifying genetic deletions and duplications, inherited and de novo, and rare and common variants in ASD is expansive. Evidence for genetic variants in the etiology of ASD includes genes involved in intellectual disability and neuropsychiatric disorders, common pathway genes and ASD-risk genes, multigenic contributions from rare or common variations, DNA mutations, and environmental effects on gene expression and/or protein function. Rare genetic risk factors, including those resulting in ASD-related syndromes (e.g. Fragile X), chromosomal abnormalities, and penetrant genes are estimated to contribute to ~20% of ASDs. At least 5% of non-syndromic, idiopathic, and primarily simplex ASD are caused by de novo copy-number variants. It is estimated that 400-1000 genes are likely to lead to a susceptibility to autism. (Masi et al. 2017 and references therein, pubmed:28213805.)

Cellular phenotype and pathology
Molecular information

Heparan sulfate (HS) proteoglycans at the surface of cells and in the extracellular matrix interact with growth factors and morphogens, thereby influencing key processes in embryonic development and homeostasis. The HS glycosaminoglycan chains are synthesized in the Golgi compartment, where N-acetylglucosamine (GlcNAc) residues and glucuronic acid residues are added in alternating sequence to a linkage tetrasaccharide attached to specific serine residues in the proteoglycan core protein. While polymerization of the HS chains mainly is carried out by the HS-copolymerase EXT1/EXT2, several enzymes are responsible for their modification. The N-deacetylase/N-sulfotransferases (NDSTs), which remove N-acetyl groups and replace them with sulfate groups, are responsible for the overall design of the HS chain. Subsequent O-sulfation and epimerization of glucuronic to iduronic acid mostly occurs in close proximity to N-sulfoglucosamine residues. (Adapted from Dagälv et al. 2015 and references therein, pubmed:25325954.)

External links
Disease synonyms
ASD
autism
autism spectrum disorder, susceptibility to (postulated), NDST1,2-related
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    Many to one: 4 human genes to 1 Drosophila gene.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      sulfateless sfl encodes a heparan sulfate-glucosamine N-sulfotransferase that catalyzes both the N-deacetylation and the N-sulfation of N-acetyl-glucosamine (GlcNAc) of the heparan sulfate glycosaminoglycan chain. It is involved in the first step in heparan sulfate modification and is required for subsequent sulfotransferase reactions at the 2-O position of iduronate or glucuronate, and the 6-O-position of glucosamine. [Date last reviewed: 2024-12-19]
      Gene Groups / Pathways
      Comments on ortholog(s)

      High-ranking ortholog of human NDST1. sfl also shares orthology with three similar paralogs in humans: NDST2, NDST3, and NDST4.

      Orthologs and Alignments from DRSC
      DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
      Other Genes Used: Viral, Bacterial, Synthetic (0)
        Summary of Physical Interactions (7 groups)
        RNA-protein
        Interacting group
        Assay
        References
        anti tag coimmunoprecipitation, nucleic acid uv cross-linking assay, reverse transcription pcr, quantitative reverse transcription pcr
        anti tag coimmunoprecipitation, nucleic acid uv cross-linking assay, quantitative reverse transcription pcr, reverse transcription pcr
        anti tag coimmunoprecipitation, nucleic acid uv cross-linking assay, reverse transcription pcr, quantitative reverse transcription pcr
        anti tag coimmunoprecipitation, nucleic acid uv cross-linking assay, quantitative reverse transcription pcr
        anti tag coimmunoprecipitation, nucleic acid uv cross-linking assay, reverse transcription pcr, quantitative reverse transcription pcr
        anti tag coimmunoprecipitation, nucleic acid uv cross-linking assay, quantitative reverse transcription pcr, reverse transcription pcr
        anti tag coimmunoprecipitation, nucleic acid uv cross-linking assay, quantitative reverse transcription pcr
        Alleles Reported to Model Human Disease (Disease Ontology) (5 alleles)
        Models Based on Experimental Evidence ( 4 )
        Modifiers Based on Experimental Evidence ( 3 )
        Alleles Representing Disease-Implicated Variants
        Genetic Tools, Stocks and Reagents
        Sources of Stocks
        Contact lab of origin for a reagent not available from a public stock center.
        Bloomington Stock Center Disease Page
        Related mammalian, viral, bacterial, or synthetic transgenes
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila transgenes
        Allele
        Transgene
        Publicly Available Stocks
        RNAi constructs available
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila classical alleles
        Allele
        Allele class
        Mutagen
        Publicly Available Stocks
        References (4)