Background
Autism spectrum disorder (ASD) is a group of clinically and molecularly heterogeneous neurodevelopmental conditions characterized by social communication deficits and restricted, repetitive behaviors [
1,
2]. Genetic etiology has been implicated in approximately 20% of ASD patients. More than 70 genes or genomic loci have been confirmed as causative, and hundreds are considered strong candidates [
3‐
12]. Of these, mutations in
CHD8 are among the most replicated and commonly identified genetic findings [
6,
7,
13,
14].
CHD8 is a member of the chromodomain helicase DNA-binding protein family, which functions as an ATP-dependent chromatin remodeling factor and plays important roles in chromatin dynamics, transcription, and cell survival [
15]. CHD8 is initially identified as a negative regulator of the Wnt–catenin signaling pathway through promoting the association of β-catenin and histone H1 and forming a trimeric complex on chromatin [
16‐
18]. Accordingly, Wnt–β-catenin signaling was downregulated in
Chd8 mutant mice [
18]. Homozygous deletion of
Chd8 in mice results in early embryonic lethality as a consequence of massive apoptosis in some lines of mutant mice [
19,
20]. Haploinsufficiency of
CHD8 causes abnormal activation of RE-1 silencing transcription factor (REST), which suppresses the transcription of many neuronal genes. Moreover, CHD8 interacts physically with REST in the mouse brain [
21]. Knockdown of
Chd8 by RNAi during cortical development results in defective neural progenitor proliferation, differentiation, and enhanced migration [
18,
22]. Deficiency of
Chd8 in mice also alters synaptic transmission in striatal circuitry and results in functional over-connectivity in cortical networks [
23]. Interestingly, a recent report also shows sexually dimorphic phenotypes related to abnormal neuronal excitation, enhanced inhibitory synaptic transmission and neuronal firing, and gene dysregulation in a new line of
Chd8 mutant mice [
24]. Conditional knockout of
Chd8 in oligodendrocytes results in defective myelination in mice [
25]. However, whether CHD8 deficiency affects axonal growth has not been studied.
Here, we report that CHD8 is specifically expressed in both excitatory and inhibitory neurons and to a lesser extent in GFAP+ astrocytes of cerebral cortex in human and mouse brains. Similar to a previous report, we found that the expression of
Chd8 peaks during embryonic development and decreases to relatively low levels postnatally in mouse brains [
22].
Chd8 deficiency in neocortex by RNAi using in utero electroporation resulted in delayed migration of cortical neurons and impaired dendritic and axonal growth. Our findings provide additional insights into the molecular and circuitry mechanisms underlying ASD caused by CHD8 deficiency. Defective axonal development may support a mechanism underlying the abnormal long distance connectivity reported in neuroimaging studies of ASD in humans.
Methods
Immunostaining of human brain sections
For light microscopic immunohistochemistry (IHC), human brain sections (30 μm) were incubated in 0.01 M phosphate-buffered saline (PBS) supplemented with 3% hydrogen peroxide for 10 min to block endogenous peroxidase and then in a blocking buffer containing 5% BSA/10% normal goat serum/0.25% Triton X-100 for 60 min at room temperature to prevent nonspecific staining. Following this, IHC was conducted on these free-floating sections and staining was visualized with a standard ABC Elite kit (Vector Labs).
For confocal microscopic double-labeling immunofluorescence, brain sections were incubated in the blocking buffer for 60 min at room temperature and then in a solution containing primary antibodies from different species simultaneously for one night at 4 °C. After washing, sections were incubated with appropriate secondary antibodies from Alexa Fluor series (Invitrogen, USA) for 45 min at 37 °C and then counterstained with Hoechst 33342 (1:5000; #C10022, Beyotime) for 15 min at room temperature to identify cellular nuclei. After mounting the sections, we observed them under a fluorescent confocal microscope (A1R Nikon).
Primary antibodies used were as follows: anti-CHD8 (1: 500; catalog #A301-225A; Bethyl Laboratories, Inc.), anti-GFAP (1:1000, catalog #MAB3402, Millipore), anti-MAP2 (1:2000, catalog #M9942, Sigma), anti-parvalbumin (Pvalb) (1:500, catalog #MAB1572, Millipore), and anti-DCX antibodies (1:200, catalog #Sc-8066, Santa Cruz).
For Nissl staining, Neuro Trace 500/525 green fluorescent Nissl stain (N21480) was bought from Thermo Fisher Scientific and used according to the manufacture’s instruction.
Confocal microscopic double-labeling immunofluorescence of mouse brain slices
Mice were sacrificed by cervical dislocation at postnatal day 3 (P3) or P7. Their brains were removed and fixed in 4% (wt/vol) paraformaldehyde (PFA) overnight. After sequential dehydration in 15% and 30% sucrose at 4 °C, 50-μm coronal brain sections were cut with a cryostat, fixed in 4% PFA for 20 min at 4 °C, washed three times with PBS, blocked with 5% BSA and 0.3% Triton X-100 in PBS for 1 h at room temperature, and then incubated with rabbit anti-GFP (1:1000, catalog #A11122, Invitrogen) primary antibody overnight at 4 °C. The rinsed sections were then incubated with Alexa 488-conjugated goat anti-rabbit secondary antibody (1:3000; catalog #A-11122; Invitrogen) for 2 h at 37 °C. For endogenous CHD8 and NeuN immunostaining, sections were incubated with anti-CHD8 antibody (1: 500; catalog #A301-225A; Bethyl Laboratories, Inc.) and anti-NeuN antibody (1:500; catalog # MAB377; Millipore).
Cultured neurons were fixed with 4%PFA and then immunostained with primary antibodies against GFAP (1:1000, catalog #MAB3402, Millipore), MAP2 (1:2000, catalog #M9942, Sigma), and Tau1 (1:3000, catalog #MAB3420, Millipore) overnight at 4 °C. After washing, sections were then incubated with Alexa 488-conjugated goat anti-rabbit secondary antibody (1:3000, catalog #A-11122, Invitrogen) and Alexa 568-conjugated goat anti-mouse secondary antibody (1:2000, catalog #A-11004, Invitrogen) for 2 h at 37 °C.
RNA extraction and real-time PCR
Forebrain tissues from embryonic or postnatal mice (C57BL/6) at different developmental stages (E16, E18, P0, P7, P14, P21, and adult) were used for RNA extraction. Mice were anesthetized with sodium pentobarbital and sacrificed via cervical dislocation, and brain tissues were quickly removed, dissected on ice, and homogenized with TRIzol Reagent (Invitrogen) at 4 °C. RNA was extracted according to the recommendations of the manufacturer, the final RNA pellet was suspended in diethylpyrocarbonate (DEPC)-treated water, and 2 μg of total mRNA was further subjected to reverse transcription using oligo (dT) primers and Moloney murine leukemia virus (M-MLV) transcriptase (Invitrogen). Real-time PCR was done with a LightCycler 480 Real-Time PCR System (Roche) according to the manufacturer’s instructions. Starting RNA levels were quantified by using GAPDH as the external standard. Primer sets were chosen from Primerbank, and gene sequences are available from the GenBank database. The primer sequences to examine the mRNA expression of mouse Chd8 were as follows: forward, 5′-AAGCCCAGGTAACTCAAC-3′; reverse, 5′-TTCACATCGTCGGCGTCT-3′; GAPDH: forward, 5′-GGTTGTCTCCTGCGACTTCA-3′; reverse, 5′-CCACCACCCTGTTGCTGTAG-3′. The primers were synthesized by Invitrogen.
RNA in situ hybridization
RNA in situ hybridization on the mouse brain sections was performed with digoxigenin (DIG)-labeled RNA probes. Full-length cDNA of
Chd8 was amplified with specific PCR primers and cloned into a pGEM-T easy vector (Promega) to generate an antisense probe for
Chd8. The DIG-labeled antisense probes were synthesized by in vitro transcription using SP6 RNA polymerase. Mice of different developmental stages were perfused with 4% PFA, and fixed brains were sectioned into 20-μm slices using a cryostat. RNA in situ hybridization was performed as described previously [
26]. Brain sections were hybridized for 18 h at 60 °C. The hybridization signal was detected with anti-DIG–alkaline phosphatase Fab fragments (Roche) and nitro blue tetrazolium chloride (NBT) plus 5-bromo-4-chlor-indolyl-phosphate (BCIP) as color reaction substrates.
Human CHD8 cloning and mouse shRNA construct preparation
Human
CHD8 cDNA (
CHD8, variant 1 - HaloTag® human ORF in pFN21A) was purchased by Promega (catalog: FHC12740). PCR products were cloned into the pCAGGS-IRES-EGFP vector [
27]. Oligonucleotides targeting different sequences of mouse
Chd8 cDNA and a scrambled control oligonucleotide were designed, synthesized, and cloned into pSuper-basic (Oligoengine). The 21-bp target sequences were as follows: shRNA#1, 5′-GCT GGT GGA CTT GGT ATT AAT-3′; shRNA#2, 5′-GCT GCT GAT ACC TGT ATT ATC-3′; shRNA#3, 5′-GCT ACA AGA GAG AAC AAA TGA-3′; and shRNA-scramble, 5′-TTC TCC GAA CGT GTC ACG T-3′. All constructs were verified by DNA sequencing.
Western blot analysis
For the analysis of the expression of CHD8 in the developing mouse cortex, cortices were dissected and homogenized as previously described [
28]. For knockdown and rescue experiments, electroporated cortical neurons were cultured for 3–7 days and lysed in 1× protein loading buffer (50 mM Tris-HCl, pH 6.8, 2% SDS, 10% glycerol, 1% 2-ME, and 0.1% bromophenol blue). All protein samples were separated by 10% SDS-polyacrylamide gel electrophoresis (Bio-Rad) and blotted onto PVDF membrane (Millipore). Membranes were blocked with 5% non-fat milk in 0.05% Tween 20 at room temperature for 1 h and probed with rabbit anti-CHD8 (Bethyl Laboratories, Inc.), HRP-coupled mouse anti-actin (Santa Cruz Biotechnology) antibodies. The secondary antibody used for CHD8 was goat anti-rabbit IgG coupled to HRP (Santa Cruz biotechnology). Bands were visualized by enhanced chemiluminescence (TIANGEN). Band intensities were measured with ImageJ Software.
Primary neuron culture and electroporation
Primary cortical neurons were prepared from brains of P0 C57 mice as described previously [
28]. Before plating, neurons suspended in transfection medium (200 μl) were mixed with 1 μg pCAG-EGFP and 3 μg shRNA for immunocytochemistry. Then, neurons were transferred into a 2.0-mm electroporation cuvette (Fisher) and transfected by electroporation using the Amaxa Nucleofector apparatus.
In utero electroporation
In utero electroporation was performed as described previously with a few modifications [
27]. Briefly, pregnant mice at E14.5 were anesthetized with 0.7% sodium pentobarbital at a dose of 10 μl/g and subjected to abdominal incision to expose the uterus. For different experiments, a mixture of GFP, RNAi, and/or rescue constructs was prepared. Plasmids (about 1 μl) with 0.05% Fast Green (Sigma) were injected into the lateral ventricle of embryos through a glass micropipette. Electrical pulses were then delivered to embryos by gently clasping their heads with forcep-shaped electrodes connected to an ECM-830 square-pulse generator (BTX). Five 50-ms pulses of 30 V were applied at 1-s intervals. Uterine horns were repositioned in the abdominal cavity, and the abdominal wall and the skin were sutured. Postsurgery animals were maintained in a warm animal room (25 °C) with plenty of water and food. At different developmental stages, mice were perfused transcardially with 0.9% saline followed by 4% PFA in 0.1 M phosphate buffer (PB; pH 7.4), and the brains were removed and fixed in 4% PFA for another 24 h. Fixed brains were cryoprotected with 30% sucrose and then sectioned using a cryostat.
Image acquisition and quantification
Images were obtained with a Nikon A1R inverted confocal microscope with × 20 (numerical aperture, 0.7) objectives. Each image was a composite constructed from a series of images taken throughout the z aspect of the neuron. Images of isolated cells or cortical neurons in regions with a low density of GFP transfected cells were chosen for illustration, and three-dimensional (3D) reconstructions were made to trace dendritic or axonal arbors for measurement of total dendritic or axonal length. Neurolucida software (MBF Bioscience) was used to generate tracings to measure neurite lengths. Sholl analysis, a quantitative analysis by counting the number of neurite intersections of concentric circles of gradually increased radius centered at the cell body, was performed with Neurolucida Explorer (MBF Bioscience). Image acquisition and data analysis were performed in a double-blind manner.
Statistical analysis
For all statistical analyses, experimenters were blinded for genotypes of mice and the treatments of the animals or cells. Data are presented as mean ± SEM. The paired or unpaired Student’s t test, one-way ANOVA with Dunnett’s post hoc tests or Bonferroni’s tests, or two-way ANOVA with Bonferroni post hoc tests were used for data analyses by SPSS 13.0 software. Statistical significance was defined as P < 0.05.
Animals
Except in utero electroporation, for which ICR mice were used, all other experiments were performed in C57BL/6 J mice. Pregnant mice undergoing in utero electroporation were individually housed in plastic cages, and when they delivered, they were housed with their pups.
Discussion
Genetic studies have provided strong evidence supporting an etiological role for genes encoding the proteins of epigenetic machinery in ASD [
10,
34].
CHD8 is one of the most prominent and repeatedly reported genes in this class [
13]. In contrast to the well-characterized synaptic genes that are also strongly implicated in ASD, the molecular pathogenesis of ASD caused by deficiency of epigenetic machinery proteins such as
CHD8 remains to be thoroughly investigated. Through studies of
Chd8 deficiency in cultured rodent neurons or mutant mice by different experimental approaches, several groups have provided initial evidence supporting a causal link between a deficiency of CHD8 and neural cell proliferation, synaptic function, myelination, and ASD-like behaviors. The major findings from these studies and the current study are summarized in Table
1 [
18,
20‐
25,
35,
36]. The results among these studies are not always consistent; in some cases, opposite findings are reported. For example, the decreased proliferation of neural progenitor cells is associated with
Chd8 deficiency using RNAi by in utero electroporation but the increased proliferation was reported in mice with germline mutation. Interestingly, a recent study of a new line of
Chd8 mutant mice reports sexually dimorphic phenotypes at molecular, synaptic function, and behavioral levels [
24]. Another report also finds that
Chd8 deficiency, selectively in oligodendrocytes but not in neurons, results in myelination defects in mice. Similarly, different ASD-related behavioral phenotypes are also observed among different lines of
Chd8 mutant mice. Unfortunately, behavioral phenotypes have not been examined in oligodendrocyte-specific
Chd8 deficiency mice. Whether these discrepancies are due to different
Chd8 mutations in these lines of mutant mice or other experimental procedure-related issues are not immediately clear. Future studies of performing the experiments in parallel in different lines
Chd8 mutant mice are warranted.
Table 1
Summary of the findings from the current study and relevant literature
Current study | ● Human (Brodmann region 19): CHD8 expressed in astrocytes (GFAP+) and in neurons (MAP2+, PV+, DCX+) by immunohistochemical stains ● Mice (whole brain lysates): CHD8 expression peaks at E16-E18, decreases substantially postnatally by qPCR and western blotting ● Mice (P3 brain sections and cultured neurons): CHD8 expression shows nuclear localization in MAP2+ neurons by immunostaining ● Mice (cultured neurons and glia): CHD8 is expressed in cultured neurons and to a lesser extent in cultured glia by western blotting | ● Mice (in vitro)—cultured neurons transfected with Chd8 shRNA constructs ● Mice (in vivo)—in utero electroporation at E14.5 with Chd8 shRNA constructs | ● Decreased axon length (both in vitro and in vivo) ● Reduced dendritic complexity (both in vitro and in vivo) ● Delayed neuronal migration (higher percentage of GFP+ cells in VZ/SVZ instead of CP) at E18.5 (in vivo), which normalized by P3 |
| Mice (brain lysates): expression peaks at E12, then decreases during embryonic development to P2 by qPCR Human (DFC and MFC): expression peaks during early-mid fetal development and decreases from late fetal development to childhood by qPCR | Mice—in utero electroporation at E13 (for neuronal proliferation/migration studies) or E15 (for dendritic arborization studies) with Chd8 shRNA constructs | ● Increased neuronal migration (more GFP+ cells in CP instead of VZ/SVZ) at E16, accompanied by reduced proliferation, increased cell cycle exit, reduced mitotic activity, and premature Tuj1 expression ● Decreased dendritic arborization in upper cortical neurons from 5-month-old mice ● CHD8 mediates cortical neurogenesis via transcriptional regulation of cell cycle and Wnt signaling |
Nishiyama et al. [ 20] and Katayama et al. [ 21] | Mice (whole embryos): CHD8 was expressed in ES cells (~E3.5), E8.5 embryos, E12.5 embryos, E16.5 embryos, and to a lesser extent in newborn pups by western blotting | Mice—two lines of germline haploinsufficient mice were generated (replacing 9 exons with loxP-neo cassette, or ∆exons 11–13, disrupting only the long protein isoform) | ● Homozygous mutants show massive apoptosis at E7.5 and lethality ● At E14.5, haploinsufficient mice showed increased expression of early-fetal genes and decreased expression of mid-fetal genes |
| Mice (whole brains): expression profile from E10-P0, adult. Expression is highest at E10 and decreases over development by western blotting Mice (adult brain sections, somatosensory cortex): CHD8 shows nuclear localization and co-expresses with NeuN, PV, CNP1, and GFAP by immunostaining | Mice—germline haploinsufficient mice were generated by CRISPR/Cas9 introducing a 7 nucleotide deletion in exon 1, which disrupted the expression of both CHD8 isoforms | ● Normal lamination and specification of neuronal cell types at P21 ● No difference in number of cortical progenitor cells or cell cycle length at E15.5 |
| Mice (P14 white matter tracts): CHD8 is expressed in oligodendrocytes and to a lesser extent in GFAP+ astrocytes by immunostaining Human (cerebellum): CHD8 expression in Sox10+ oligodendrocytes by immunostaining Mice (P14 cortical sections): CHD8 is expressed in NeuN+ neurons but not clearly in GFAP+ astroctyes or Iba1+ microglia by immunostaining | Conditional Chd8 knockout mice (loxP sites surrounding exon 4) crossed with oligodendrocyte-specific Cre line | ● Homozygous conditional knockout mice show lethality by P21 and myelination defects ● Homozygous conditional knockout mice show reduced proliferation of oligodendrocyte precursor cells in P1 spinal cord ● Dual requirement of CHD8 for chromatin landscape establishment and histone methyltransferase recruitment to promote CNS myelination and repair |
| Expression analysis was not reported for different cell types or developmental time points | Mice—germline Chd8 haploinsufficient mice were generated (deletion of exon 5) | ● Increased proliferation of neuronal progenitors at E14.5 ● No gross lamination errors by P0 and P7 |
CRISPR/Cas9-mediated heterozygous knockout of the autism gene CHD8 and characterization of its transcriptional networks in neurodevelopment | N/A | CRISPR/Cas9-mediated heterozygous knockout of CHD8 in iPSCs | ● Genes involved in cell cycle, neuronal differentiation, and in neuronal projection development are dysregulated |
| N/A | Chd8+/− mice (loxP sites on exon 3) crossed β-actinCre line | ● Chd8 heterozygous mice display increased total brain volume and showed volumetric increased of several brain regions, including cortical areas, hippocampus and parts of the cerebellum by high-solution MRI ● CHD8 controls the expression of ASD-associated axon guidance genes in the early postnatal neocortex |
| In both males and females, CHD8 protein was more abundant in the brain relative to other tissues, at embryonic stages relative to postnatal stages, and in non-crude synaptosomal fractions | Chd8+/N2373 K mice carrying a heterozygous Chd8 frame-shift mutation | ● Distinct c-fos signals in male and female Chd8+/N2373K brains under baseline and maternal-separation conditions ● Opposite changes in inhibitory synaptic transmission in the male and female Chd8+/N2373K hippocampus |
In this study, we have shown that CHD8 is expressed at high level in both NeuN-positive mature neurons and parvalbumin-positive interneurons and to a lesser extent in GFAP-positive astrocytes in human cerebral cortex. A previous study has found that the peak expression of CHD8 is between 13 and 19 weeks in the dorsolateral prefrontal cortex and 10–13 weeks of medial prefrontal cortex in humans [
18]. In the developing mouse brain, we find that
Chd8/CHD8 expression peaks around embryonic days 16–18 and decreases to much lower levels by P21 by both mRNA and protein analyses. This finding is largely consistent with the reports of the development-specific expression of CHD8 in previous studies [
18,
20,
22]. However, there are differences in the experimental designs among these studies. In our study, the
Chd8 expression study by real-time RT-PCR, RNA in situ hybridization, and western blot are performed in tissues from E16 day embryos to adult brains. In study by Nishiyama et al., the expression is examined by western blot and whole mount in situ in cells or tissues from embryonic stem (ES) cells as well as from E7.5 day embryos to adult mice [
20]. The expression is high in ES and early embryonic stage, but a definitive peak is not seen. In other study by Platt et al. [
22], real-time RT-PCR, western blot, and RNA in situ hybridization are used to examine the
Chd8 expression in brain tissues from E10 day embryos to adult mice. The highest expression is seen around E10–11 day embryos. In the study that the expression is examined in brain tissues from E12 to P2, the highest expression is at E12 [
18]. With the caveats in the experimental designs, it is possible that the peak expression of
Chd8 is before E7 day because homozygous
Chd8 mutant are arrested before gastrulation because of massive apoptosis [
20].
Consistent with previous report [
18], we have also shown the evidence supporting the role of CHD8 in dendrite development of pyramidal neurons. The loss of CHD8 inhibits dendritic outgrowth and branch formation. In contrast to other reports, we have shown for the first time from both in vitro and in vivo studies that deficiency of CHD8 in developing mouse neurons inhibits axon growth and branch formation and results in a disruption of callosal axon projections to the contralateral cortex. The effect of CHD8 deficiency on the growth of axons is consistent with the report of dysregulation of genes implicated in axonal development in IPSC-derived neurons from human CHD8 patients [
36,
37]. Together, our data demonstrate that CHD8 is important for normal dendritic and axonal development and that dysregulation of the process may contribute abnormal neuronal connectivity.
The peak expression in early and middle fetal development suggests a functional role of CHD8 in cortical development. Indeed, we found that
Chd8 knockdown results in a significant delayed migration of newborn cortical neurons examined at E18.5. This is opposite to the enhanced migration reported by Durak et al. using the similar approach but at different time points during the fetal development [
18]. We performed in utero electroporation for
Chd8 knockdown at E14.5 and analyzed the cell migration at E18.5 while Durak et al. performed the in utero electroporation at E14 and analyzed at E16. Whether the different timing of CHD8 deficiency is responsible for the observed phenotypic differences remains to be determined. Because transcriptional regulation implicated in cortical development is dynamic and epigenetically modulated [
38], it is also conceivable that CHD8 may have different roles at the different stages of fetal brain development. Interestingly, the delayed neuronal migration associated with knockdown of
Chd8 in our study is recovered at P3 and P7. This may suggest a catch-up period of the CHD8-deficient neurons after E18.5 days. Taken together, our findings support that CHD8 plays a critical role in migration of mitotic neurons as well as both dendritic and axonal growth in neocortex.
Human patients with
CHD8 mutations present with typical autistic behaviors and comorbidities including social deficits and communication difficulties, repetitive behaviors and interests, and cognitive delays [
8,
13]. However, the findings from existing studies in model organisms have not provided a clear mechanistic link between genetic defects and clinical presentations [
13,
21,
22,
25,
35,
39]. One of the notable features in some of the patients with
CHD8 mutations is relatively enlarged brain (macrocephaly) [
13]. This feature is consistent with the findings of enlarged brains in a sub-set of idiopathic ASD cases during early postnatal brain development. Germline mutations of
Chd8 in zebrafish and mice have recapitulated the feature of enlarged brain size [
13,
21,
22,
25,
35]. Accordingly, increased proliferation of neuronal progenitor cells and dysregulation of expression cell cycle genes are associated with germline line
Chd8 mutation [
35]. Whether this is the underlying mechanism for macrocephaly associated with
CHD8 mutations and whether it is generalizable to the macrocephaly in other idiopathic ASD cases remain to be investigated. Notably, massive apoptosis is observed in E5.5 embryos carrying germline
Chd8 homozygous mutation [
20] and somatic knockdown of
Chd8 by RNAi using in utero electroporation results in a decrease proliferation of neural progenitors [
18]. These observations may indicate a different role of CHD8 at different developmental stages. More importantly, a critical question for future investigation is whether the cellular defects and enlarged brain size are responsible for ASD-like behaviors observed in
Chd8 heterozygous mutant animals.
In summary, CHD8 protein is highly enriched in neurons of developing neocortex in both human and mice and plays a critical role in regulating neuronal migration as well as growth of neurites. Our findings suggest that CHD8 mutations in humans may also result in defects of neuronal migration and morphogenesis defects during a crucial stage of brain development and this impaired process may contribute to the pathophysiology of ASD.