Autism is a widespread cognitive disorder characterized by impairments in social interactions, including verbal communication and social play, and can be accompanied by stereotyped patterns of behavior (
1–
3). Autism is a heterogeneous condition, prompting the designation of "autism spectrum disorders" (ASDs). Individuals with ASDs occasionally show enhanced cognitive abilities (the ‘autistic savant syndrome’ [
4]). At the other end of the spectrum, ASDs are often associated with mental retardation, and the symptoms of ASDs are part of several neurological diseases, such as fragile X- and Rett-syndrome (
5–
7). Genetics strongly contributes to ASDs (
1,
2), and a small number of cases with idiopathic ASD are associated with mutations in a single gene, including genes encoding neuroligins and their associated proteins (
8).
Neuroligins are a family of postsynaptic cell-adhesion molecules that are ligands (or receptors, depending on the perspective) for neurexins, another class of synaptic cell-adhesion molecules (
9,
10). Humans express five neuroligins, including neuroligin-3, an X-chromosomal gene that undergoes regular X-inactivation, and neuroligin-4 and -5, which are encoded by a pair of pseudoautosomal genes on the X- and Y-chromosomes (
11). Mice express close homologs to human neuroligin-1, -2, and -3 (
9), and a fourth isoform that appears to be more distantly related to other neuroligins (GenBank Acc.# EF692521;
11). Neuroligin-1 and -2 are differentially localized to excitatory or inhibitory synapses (
12–
14). Overexpression of neuroligins in transfected neurons increases synapse numbers and the frequency of spontaneous synaptic events (
15–
20). Consistent with their localizations, overexpression of neuroligin-1 enhances only excitatory synaptic transmission, whereas overexpression of neuroligin-2 enhances only inhibitory synaptic transmission, respectively (
20). Deletion of neuroligin-1 or -2 in mice causes corresponding selective decreases in excitatory or inhibitory synaptic transmission, respectively, but no significant synapse loss, while neuroligin-3 has not been examined (
11,
21).
Missense and non-sense mutations in neuroligin-3 and -4 have been identified in a subset of human patients with ASDs (
22–
24). One of these mutations, the R451C-substitution in neuroligin-3, alters a conserved residue in the extracellular esterase-homology domain of neuroligin-3 (
22). In transfected neurons, the R451C-substituion causes partial retention of neuroligin-3 in the endoplasmic reticulum, but does not abolish its ability to promote synapse formation (
20,
25,
26). In addition, an internal deletion in the gene encoding neurexin-1 that interacts with neuroligins was connected to ASDs (
27), and three different non-sense mutations in Shank3, an intracellular binding partner for neuroligins, were also found in patients with ASDs (
28). Thus, in rare instances mutations in three gene families that encode neuroligins or their interacting proteins are associated with familial idiopathic ASDs.