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22 March 2013

Men who have children at older ages are more likely to have grandchildren with autism compared to younger grandfathers, according to a joint international study.

Wednesday 20th March 2013

Men who have children at older ages are more likely to have grandchildren with autism compared to younger grandfathers, according to a joint international study.

The study led by the Queensland Brain Institute at The University of Queensland and King’s College London’s Institute of Psychiatry (IoP) and Karolinska Institute in Sweden shows for the first time how risk factors for autism with older fathers may accumulate and be passed down to the grandchildren.

The paper’s co-author Professor John McGrath from the Queensland Brain Institute said researchers used Swedish national registers, and identified 5936 individuals with autism and 30,923 healthy controls born in Sweden since 1932.

“We had complete data on each individual’s maternal and paternal grandfathers’ age of reproduction and details of any psychiatric diagnosis,” Professor McGrath said.

The study found men who had a daughter when they were 50-years or older were 1.79 times more likely to have a grandchild with autism compared to men who had children when they were 20-24.

Men who had a son when they were 50 or older were 1.67 times more likely to have a grandchild with autism.

Professor McGrath said the evidence showed the biological clock ticked for men and not just for women.

“Autism is caused by a combination of genetic and environmental factors,” Professor McGrath said.

“Previous studies have shown that older paternal age is a risk factor for autism in children: fathers aged 50 or older have a more than doubled risk to have a child diagnosed with autism compared to younger fathers.

“The mechanism behind this link is unknown, but may be explained by mutations occurring in the male sperm cells.

“Sperm cells divide over time, and on each division the genome is faced by the possibility of new mutations being introduced.”

Professor Mc Grath said this Swedish study suggested that some of these new mutations could skip a generation.

“Most genetic mutations do not result in the child developing autism,” he said.

“The new findings suggest that these ‘silent’ mutations are passed on to the otherwise healthy child, but may influence the risk of future generations developing autism.”

Dr Avi Reichenberg, from King’s Institute of Psychiatry and co-author of the paper said the research provided evidence on how father’s and grandfather’s lifestyle choices affected the following generations.

“This doesn’t mean that you shouldn’t have children if your grandfather was old when he had your father or mother, because while the risk is increased, it is still small,” Dr Reichenberg said.

“However, the findings are important in understanding the complex way in which autism develops.”

Recent reports have also suggested that the prevalence of ASD may be increasing.

In Australia, about one child in 160 was diagnosed with autism and it was four times more common in boys than girls.