We aimed to gain insight into the molecular pathology of specific neuronal and glial subtypes by analyzing single cells in the cortex of ASD patients. To this end, we performed unbiased nuclei isolation and snRNA-seq 48 post-mortem tissue samples from the prefrontal (PFC), anterior cingulate (ACC) and insular (IC) cortical regions of 16 patients with ASD and 16 control subjects followed by high-throughput single-nucleus RNA sequencing.

We generated more that 120,000 single-nuclei RNA-seq profiles and identified 11 neuronal and six glial cell types; these included known subtypes of excitatory neurons and interneurons, main types of glial cells and brain endothelial cells. To identify genes dysregulated in ASD in a cell type-specific manner, we compared nuclei profiles from ASD samples and control subjects. In total, we identified 707 differentially expressed genes (DEGs); 81% of these genes were differentially expressed in a single cell type.

Our findings show that development and synaptic signaling of upper-layer excitatory neurons is especially affected in ASD. Moreover, we find significant dysregulation of grey matter astrocyte-encoded genes responsible for astrocyte development and cell-cell signaling. These findings indicate molecular pathological changes in upper-layer cortical neuron circuits and aberrant astroglia-neuronal interactions in ASD and identify potential cellular and molecular therapeutic targets.