PT - JOURNAL ARTICLE AU - Andreas Buja AU - Natalia Volfovsky AU - Abba Krieger AU - Catherine Lord AU - Alex E. Lash AU - Michael Wigler AU - Ivan Iossifov TI - Damaging Mutations are Associated with Diminished Motor Skills and IQ in Children on the Autism Spectrum AID - 10.1101/141200 DP - 2017 Jan 01 TA - bioRxiv PG - 141200 4099 - http://biorxiv.org/content/early/2017/05/23/141200.short 4100 - http://biorxiv.org/content/early/2017/05/23/141200.full AB - In individuals with Autism Spectrum Disorder (ASD), de novo mutations have previously been shown to be significantly correlated with lower IQ, but not with the core characteristics of ASD: deficits in social communication and interaction, and restricted interests and repetitive patterns of behavior. We extend these findings by demonstrating in the Simons Simplex Collection that damaging de novo mutations in ASD individuals are also significantly and convincingly correlated with measures of impaired motor skills. This correlation is not explained by a correlation between IQ and motor skills. We find that IQ and motor skills are distinctly associated with damaging mutations and, in particular, that motor skills are a more sensitive indicator of mutational severity, as judged by the type and its gene target. We use this finding to propose a combined classification of phenotypic severity: mild (little impairment of both), moderate (impairment mainly to motor skills) and severe (impairment of both).