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Autism Research


Current Research
Our research is focused on delineation of the clinical and genetic heterogeneity within the autism behavioral diagnosis and how this information can be used to improve diagnosis, gene finding and treatment for children with autism. One project, partly funded by a grant from the National Association for Autism Research, has determined that the primary step in the delineation of autism subgroups is to determine whether an individual has essential or complex neurodevelopmental autism. About 30% of individuals with autism have the complex phenotype, which is diagnosed on the basis of a pattern of physical dysmorphology, indicating an alteration in early morphogenesis. The remainder has essential autism that is not associated with a recognizable insult to morphogenesis and occurs with a higher male to female ratio and higher sib recurrence risk. Additional research studies include investigations of the differences between males and females with autism, the role of prenatal teratogen exposures in the genesis of autism, and functional neuroimaging in autism associated with macrocephaly. 
 

Selected Publications

  • Miles JH, Takahashi TN, Bagby S, Sahota PK, Wang CS, Farmer JE, Hillman RE. 2005. Essential vs. Complex Autism: Definition of Fundamental Prognostic Subtypes. Am J Med Genet 135A:171-180. [download PDF]
     

  • Takahashi TN, Farmer JE, Deidrick KK, Hsu BS, Miles JH, Maria BL. 2005. Joubert Syndrome is Not a Cause of Classical Autism.  Am J Med Genet 132A:347-351.    [download PDF]
     

  • Stoelb M, Yarnal RK, Miles JH, Takahashi TN, Farmer JE, McCathren RB. 2004. Predicting Responsiveness to Treatment of Children with Autism: A Retrospective Study of the Importance of Physical Dysmorphology, Focus on Autism & Other Developmental Disabilities19:66-77.   [download PDF]
     

  • Miles JH, Takahashi TN, Hadden LL. 2003. Autism families with a high incidence of alcoholism. J Autism Dev Disord 33(4):403-415.   [download PDF]
     

  • Miles JH, Hadden LL, Takahashi TN, Hillman RE. 2000. Head circumference is an independent clinical finding associated with autism. Am J Med Genet 95:339-350.   [download PDF]
     

  • Miles JH, Hillman RE. 2000. Value of a Clinical Morphology Examination in Autism. Am J Med Genet 91:245-253.   [download PDF]
     

  • Hillman RE, Kanafani N, Bright JD, Takahashi N, Miles JH. 2000. Changing prevalence of autism in Missouri: Effect of a comprehensive state autism project. Missouri Medicine 97(5)159-163.   [download PDF]


Other Projects

 

Autism Center
University of Missouri Health Care
Children's Hospital
One Hospital Drive
Columbia, MO  65212
573-884-1871