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Aaron Besterman

@abesterman

Child & Adolescent Psychiatry | Psychiatric Genetics| Neurodevelopmental Disorders | Precision Medicine

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Latest posts by Aaron Besterman @abesterman

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Long-Read Genome Sequencing Uncovers New Autism Gene Variants By utilizing long-read sequencing, an emerging technique that reads large sections of the genome at once, scientists at UC San Diego have revealed new genetic variants associated with autism spectrum ...

Researchers @sebatlab.bsky.social utilized long-read whole #genome sequencing and identified new #genetic variants associated with Autism. This enhanced the discovery of variants, leading to the potential for accurate testing and new therapies.
#AutismSpectrumDisorder
today.ucsd.edu/story/long-r...

10.03.2026 14:00 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Long-Read Genome Sequencing Uncovers New Autism Gene Variants By utilizing long-read sequencing, an emerging technique that reads large sections of the genome at once, scientists at UC San Diego have revealed new genetic variants associated with autism spectrum…

Out now in @CellGenomics: #LongRead sequencing reveals new genetic variants for #autism. Results could help yield new tests and treatments. #AutismResearch #AutismSpectrum @UCSDMedSchool.bsky.social @cp-cell.bsky.social

buff.ly/PgUjYKZ

09.03.2026 17:22 πŸ‘ 5 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
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Conceptual and methodological flaws undermine claims of a link between the gut microbiome and autism Claims that the gut microbiome causally contributes to autism regularly appear in the scientific literature and popular press. Mitchell et al. critically examine influential studies underpinning these...

New Neuron paper by Mitchell, Dahly, Bishop tears apart the β€œautism is caused by the microbiome” story. Tiny n, noisy 16S, contradictory taxa, vague β€œdysbiosis”. It reads like an autopsy of a hype bubble.
www.cell.com/neuron/fullt...

19.11.2025 15:03 πŸ‘ 14 πŸ” 9 πŸ’¬ 2 πŸ“Œ 3
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Genetic Data From Over 20,000 U.S. Children Misused for β€˜Race Science’

Great piece in the NYtimes with quotes from @stairwaytokevin.bsky.social and @sashagusevposts.bsky.social. The misuse of NIH datasets with sensitive personal information for racist aims should be concerning for anybody interested in scientific integrity. www.nytimes.com/2026/01/24/u...

24.01.2026 14:50 πŸ‘ 21 πŸ” 13 πŸ’¬ 0 πŸ“Œ 0
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Why do some individuals defy their polygenic score?

In the largest study of its kind (402k UKB individuals; 7 continuous traits + 3 diseases), we asked: If your phenotype deviates from common-variant polygenic score prediction, what's driving that difference?

www.medrxiv.org/content/10.6...

06.01.2026 18:30 πŸ‘ 48 πŸ” 26 πŸ’¬ 2 πŸ“Œ 3
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How basic neuroscience has paved the path to new drugs A growing list of medicationsβ€”such as zuranolone for postpartum depression, suzetrigine for pain, and the gepants class of migraine medicinesβ€”exist because of insights from basic research.

β€œBasic neuroscience hasn’t produced new drugs.” πŸ’Š

Not true - zuranolone (PPD), suzetrigine (pain), gepants (migraine), and more... were born out of a long arc of studies in the lab.

I wrote a Perspective on why this matters. @thetransmitter.bsky.social

www.thetransmitter.org/drug-develop...

15.12.2025 15:15 πŸ‘ 108 πŸ” 44 πŸ’¬ 5 πŸ“Œ 4
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β€œYou're Not Crazy”: A Case of New-onset AI-associated Psychosis - Innovations in Clinical Neuroscience Peer-reviewed evidence-based information in neuroscience research and practice, including psychiatry, neurology, psychology

Pre-print of our case of new-onset AI-associated psychosis in a patient with no prior psychotic episodes.

Although there have been many such reports in the media, I believe this the first case published in the academic literature.

innovationscns.com/youre-not-cr...

22.11.2025 17:51 πŸ‘ 94 πŸ” 39 πŸ’¬ 3 πŸ“Œ 13

@erictopol.bsky.social
@smotus.bsky.social
@doctorveera.bsky.social
@j9austin.bsky.social
@jenforsyth.bsky.social
@ispg.bsky.social
@psychunseen.bsky.social
@kingsioppn.bsky.social
@wiringthebrain.bsky.social
@quantpsychiatry.bsky.social
@jacobvorstman.bsky.social

10.12.2025 21:40 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Excited for our new study to come out that suggest that clinical genetic testing should perhaps be considered as part of the standard diagnostic evaluation for schizophrenia.

10.12.2025 21:40 πŸ‘ 15 πŸ” 5 πŸ’¬ 1 πŸ“Œ 1
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No clear evidence to support any link between maternal acetaminophen (Tylenol) intake and autism or ADHD in offspring, a new umbrella, systematic review
@bmj.com

10.11.2025 00:19 πŸ‘ 472 πŸ” 164 πŸ’¬ 11 πŸ“Œ 6

Excited to share our latest work on the factors that determine what genes we find (and don't find!) in GWAS and burden tests.

We describe a critical concept that we call *specificity*.

Led by Jeff Spence and Hakhamanesh Mostafavi:

07.11.2025 04:08 πŸ‘ 83 πŸ” 26 πŸ’¬ 2 πŸ“Œ 0
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Meet the Autism Data Science Initiative grantees The projects plan to study gene-and-environment interactions in people, stem cells and organoids, as well as predictors of positive life outcomes.

The awarded projects plan to study gene-and-environment interactions in people, stem cells and organoids, as well as predictors of positive life outcomes in autistic youth and adults.

By @callimcflurry.bsky.social

www.thetransmitter.org/spectrum/mee...

03.10.2025 21:27 πŸ‘ 15 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0

@biologicalpsych.bsky.social @ispg.bsky.social

03.10.2025 19:22 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Clinical Genetic Testing in Schizophrenia: A Systematic Review and Meta-Analysis Genetic testing may provide important diagnostic information for individuals with schizophrenia, but the frequency with which clinically significant variants are identified across different testing ap...

11/ Gratitude to an amazing collaborative team led by Harman Brah. @bogglerapture.bsky.social Pre-proof here: www.biologicalpsychiatryjournal.com/article/S000...
#Schizophrenia #Genetics #Psychiatry #PrecisionMedicine #MetaAnalysis

03.10.2025 19:20 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

10/ For clinicians: consider genetics as part of a precision psychiatry approachβ€”useful for prognosis, medical surveillance, reproductive counseling, and occasionally treatment considerations tied to specific variants (see our table of variants with clinical implications).

03.10.2025 19:20 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

9/ What could improve yield over time: comprehensive reporting of both CNVs and SNVs, consistent ACMG/AMP interpretation, and attention to variant classes best captured by GS. As databases mature, VUS reclassification may further increase actionable returns.

03.10.2025 19:20 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

8/ Clinical take-home: These data do not constitute a practice guideline, but they can inform diagnostic workupsβ€”especially for schizophrenia with NDD features or early onsetβ€”and motivate services to build genetics pathways and counseling capacity.

03.10.2025 19:20 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

7/ Important caveats: substantial heterogeneity (IΒ²β‰ˆ96%), inconsistent CNV/SNV reporting across studies, and limited geographic representation (notably few data from Latin America, South Asia, Africa). The field needs better standardization and broader sampling.

03.10.2025 19:20 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

6/ Context: The Royal College of Psychiatrists has recommended considering CMA in schizophrenia. Our pooled estimate (~6%) is higher than earlier CNV-only figures, reinforcing that genetic testing can be clinically relevantβ€”but standards and reporting practices matter.

03.10.2025 19:20 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

5/ Who benefits most (signal from meta-regression): higher yields in schizophrenia with co-occurring NDD featuresβ€”especially intellectual disabilityβ€”and earlier age of onset. These groups could be prioritized when considering clinical genetic testing.

03.10.2025 19:20 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

4/ Key result: ~6% pooled diagnostic yield (95% CI 4–7%).
By platform: CMA ~6%, ES ~5%, GS ~7%. (Note: confidence intervals overlap; study methods & reporting varied.) This suggests ~1 in 17 patients may receive clinically informative findings.

03.10.2025 19:20 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

3/ What we did: Systematic review & random-effects meta-analysis across MEDLINE, EMBASE, and PsycINFO (2007–2023). We pooled platform-specific yields for chromosomal microarray (CMA), exome (ES), and genome sequencing (GS), and ran meta-regressions to probe heterogeneity.

03.10.2025 19:20 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

2/ Why this matters: genetic testing is now routine in many neurodevelopmental disorders (ID, ASD, epilepsy), yet adoption in schizophrenia has laggedβ€”due to uncertainty about yield, variable reporting, and limited genetics training in psychiatry. We tackle that evidence gap.

03.10.2025 19:20 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Clinical Genetic Testing in Schizophrenia: A Systematic Review and Meta-Analysis Genetic testing may provide important diagnostic information for individuals with schizophrenia, but the frequency with which clinically significant variants are identified across different testing ap...

1/ πŸš€ New paper out in @BiologicalPsyc1

β€œClinical Genetic Testing in Schizophrenia: A Systematic Review and Meta-Analysis.”
We synthesize 31 studies to estimate how often clinical genetic testing returns positive results in schizophrenia.

www.biologicalpsychiatryjournal.com/article/S000...

03.10.2025 19:20 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 1
Estimating disorder probability based on polygenic prediction using the BPC approach Nature Communications - Here the authors present a method to transform polygenic scores into disorder probabilities using only GWAS summary statistics, genotype data and a prior - no tuning sample...

Our new paper is out, in which we developed an approach to transform Polygenic Scores (PGSs) into disorder probabilities (i.e., the absolute lifetime disorder risk).

Below a thread πŸ‘‡

open access link: rdcu.be/eIjvC

27.09.2025 02:46 πŸ‘ 19 πŸ” 6 πŸ’¬ 1 πŸ“Œ 0
Home | Developmental Synaptopathies Consortium Developmental Synaptopathies Consortium works to improve the lives of patients and families affected by developmental synaptopathies.

12/ SKS & PHTS families who participated

Dr. Julian Martinez-Agosto (UCLA)

@rarediseasectn.bsky.social @rarediseasesint.bsky.social
@autismspeaks.org
@simonsfoundation.org

28.08.2025 05:32 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

11/🏁 Takeaway:
Sensory profiles may provide a window into genetic pathogenicity across OGIDs, but variant scores alone aren’t robust prognostic tools.
Individualized neurobehavioral assessment remains essential for diagnosis, prognosis, and intervention planning.

28.08.2025 05:32 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

10/🧩 Clinical classification:
Decision tree using behavioral + medical features (e.g., neonatal teeth for PHTS) performed above chance (CV relative error β‰ˆ0.67).
Behavioral-only tree also above chance, showing the strength of detailed phenotyping.

28.08.2025 05:32 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

9/Combined OGIDs (SKS + PTEN + PI3K–AKT–MTOR SFARI genes):
β€’ CADD β†— SSP Low Energy & SSP Total
β€’ CADD β†˜ SRS-2 Total T
These were the most consistently stable correlations after 1,000 bootstrap resamples.

28.08.2025 05:32 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

8/ PTEN-specific:
β€’ CADD β†— SSP Low Energy (r=0.72)
β€’ CADD β†˜ SRS-2 Total T (r=βˆ’0.64)
(both bootstrap-stable; p<0.05 uncorrected)

28.08.2025 05:32 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0