1. Quantifying the polygenic contribution to variable expressivity in eleven rare genetic disorders
- Author
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M. A. Kelly, Amy C. Sturm, Christa Lese Martin, Matthew T. Oetjens, and David H. Ledbetter
- Subjects
Male ,0301 basic medicine ,Multifactorial Inheritance ,Apolipoprotein B ,Turner Syndrome ,General Physics and Astronomy ,Chromosome Disorders ,Trisomy ,Familial hypercholesterolemia ,Quantitative trait ,Body Mass Index ,Hypobetalipoproteinemias ,0302 clinical medicine ,Chromosome Duplication ,XYY Karyotype ,Genetics research ,lcsh:Science ,Sex Chromosome Aberrations ,Genetics ,education.field_of_study ,Multidisciplinary ,biology ,Medical genetics ,Middle Aged ,embryonic structures ,symbols ,Receptor, Melanocortin, Type 4 ,Female ,Chromosome Deletion ,Proprotein Convertase 9 ,Science ,Sex Chromosome Disorders of Sex Development ,Population ,Article ,General Biochemistry, Genetics and Molecular Biology ,Hyperlipoproteinemia Type II ,03 medical and health sciences ,symbols.namesake ,Klinefelter Syndrome ,Rare Diseases ,Intellectual Disability ,Genetic variation ,medicine ,Humans ,Obesity ,Autistic Disorder ,education ,Apolipoproteins B ,Genetic association ,Chromosomes, Human, X ,PCSK9 ,Rare variants ,Cholesterol, LDL ,General Chemistry ,Melanocortin 4 Receptor Deficiency ,medicine.disease ,Body Height ,030104 developmental biology ,Receptors, LDL ,biology.protein ,Mendelian inheritance ,lcsh:Q ,Chromosomes, Human, Pair 16 ,030217 neurology & neurosurgery - Abstract
Rare genetic disorders (RGDs) often exhibit significant clinical variability among affected individuals, a disease characteristic termed variable expressivity. Recently, the aggregate effect of common variation, quantified as polygenic scores (PGSs), has emerged as an effective tool for predictions of disease risk and trait variation in the general population. Here, we measure the effect of PGSs on 11 RGDs including four sex-chromosome aneuploidies (47,XXX; 47,XXY; 47,XYY; 45,X) that affect height; two copy-number variant (CNV) disorders (16p11.2 deletions and duplications) and a Mendelian disease (melanocortin 4 receptor deficiency (MC4R)) that affect BMI; and two Mendelian diseases affecting cholesterol: familial hypercholesterolemia (FH; LDLR and APOB) and familial hypobetalipoproteinemia (FHBL; PCSK9 and APOB). Our results demonstrate that common, polygenic factors of relevant complex traits frequently contribute to variable expressivity of RGDs and that PGSs may be a useful metric for predicting clinical severity in affected individuals and for risk stratification., Rare genetic disorders (RGDs) often exhibit significant clinical variability among affected individuals. Here, Oetjens et al. systematically study the contribution of common genetic variation to variable expressivity of RGDs and find it is frequently influenced by polygenic factors identified in genome-wide association studies of relevant traits.
- Published
- 2019