Genetics : )
Dad, Pt Gran, 1/2 bro all full blown ASD - so not hard to connect the dots. There is also a VERY strong dairy intolerance running down that side that made a lot of sense for me when I read the Sunderland protocol.
My side - LOTS of highly creative dyslexics, complete pride in our rep as eccentrics/rebels (political rebels, innovators in fields such as medicine), lots of undiagnosed ADHD types, (like everyone on my Dad's side).
Thinking "in the box" is a bit of an alien concept for both sides, so DS would really suffer in a family of "nice NT's".
I've said before though that I feel strongly that the ASD spctrum is really a variety of similar conditions with very different causes and that it's a big ol' tangle that science has not yet teased out. Neuroscience is a discipline still in it's embryonic stages, despite the claims of many professionals. They don't even know yet how much they don't know as the human brain is so complex.
In years to come I firmly believe that what is now comminly shoved in a bucket called "ASD" with a few minor variant labels such as HFA, retts, aspbergers, pda etc will eventually be known by as many as 20 different labels, all with differing causes and treatments/therapies.
These will be as wide ranging as prompt anti-virals, diet, sensory stuff, better, earlier behavioral therapy, metabolic corrections, right through to brain surgery. The sheer range & variety of differing symptoms, behaviors etc our kids demonstrate makes me feel in my gut it cannot be otherwise.