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Objective: Melatonin is involved in the regulation of circadian and seasonal rhythms and immune function.Prior research reported low melatonin levels in autism spectrum disorders (ASD).ASMT located in pseudo-autosomal region 1 encodes the last enzyme of the melatonin biosynthesis pathway.A previous study reported an association between single nucleotide polymorphisms (SNPs) rs4446909 and rs5989681 located in the promoter of ASMT and ASD.Furthermore, rare deleterious mutations were identified in a subset of patients.