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Endophenotype effect sizes support variant pathogenicity in monogenic disease susceptibility genes.

TitleEndophenotype effect sizes support variant pathogenicity in monogenic disease susceptibility genes.
Publication TypeJournal Article
Year of Publication2022
AuthorsHalford, JL, Morrill, VN, Choi, SHoan, Jurgens, SJ, Melloni, G, Marston, NA, Weng, L-C, Nauffal, V, Hall, AW, Gunn, S, Austin-Tse, CA, Pirruccello, JP, Khurshid, S, Rehm, HL, Benjamin, EJ, Boerwinkle, E, Brody, JA, Correa, A, Fornwalt, BK, Gupta, N, Haggerty, CM, Harris, S, Heckbert, SR, Hong, CC, Kooperberg, C, Lin, HJ, Loos, RJF, Mitchell, BD, Morrison, AC, Post, W, Psaty, BM, Redline, S, Rice, KM, Rich, SS, Rotter, JI, Schnatz, PF, Soliman, EZ, Sotoodehnia, N, Wong, EK, Sabatine, MS, Ruff, CT, Lunetta, KL, Ellinor, PT, Lubitz, SA
Corporate/Institutional AuthorsNHLBI Trans-Omics for Precision Medicine (TOPMed) Consortium
JournalNat Commun
Volume13
Issue1
Pagination5106
Date Published2022 08 30
ISSN2041-1723
KeywordsDisease Susceptibility, Endophenotypes, Humans, Long QT Syndrome, Virulence
Abstract<p>Accurate and efficient classification of variant pathogenicity is critical for research and clinical care. Using data from three large studies, we demonstrate that population-based associations between rare variants and quantitative endophenotypes for three monogenic diseases (low-density-lipoprotein cholesterol for familial hypercholesterolemia, electrocardiographic QTc interval for long QT syndrome, and glycosylated hemoglobin for maturity-onset diabetes of the young) provide evidence for variant pathogenicity. Effect sizes are associated with pathogenic ClinVar assertions (P < 0.001 for each trait) and discriminate pathogenic from non-pathogenic variants (area under the curve 0.82-0.84 across endophenotypes). An effect size threshold of ≥ 0.5 times the endophenotype standard deviation nominates up to 35% of rare variants of uncertain significance or not in ClinVar in disease susceptibility genes with pathogenic potential. We propose that variant associations with quantitative endophenotypes for monogenic diseases can provide evidence supporting pathogenicity.</p>
DOI10.1038/s41467-022-32009-5
Alternate JournalNat Commun
PubMed ID36042188
PubMed Central IDPMC9427940
Grant ListHHSN268201800015I / HB / NHLBI NIH HHS / United States
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ePub date: 
22/08