Abstract:
:Large-scale deep-coverage whole-genome sequencing (WGS) is now feasible and offers potential advantages for locus discovery. We perform WGS in 16,324 participants from four ancestries at mean depth >29X and analyze genotypes with four quantitative traits-plasma total cholesterol, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol, and triglycerides. Common variant association yields known loci except for few variants previously poorly imputed. Rare coding variant association yields known Mendelian dyslipidemia genes but rare non-coding variant association detects no signals. A high 2M-SNP LDL-C polygenic score (top 5th percentile) confers similar effect size to a monogenic mutation (~30 mg/dl higher for each); however, among those with severe hypercholesterolemia, 23% have a high polygenic score and only 2% carry a monogenic mutation. At these sample sizes and for these phenotypes, the incremental value of WGS for discovery is limited but WGS permits simultaneous assessment of monogenic and polygenic models to severe hypercholesterolemia.
journal_name
Nat Communjournal_title
Nature communicationsauthors
Natarajan P,Peloso GM,Zekavat SM,Montasser M,Ganna A,Chaffin M,Khera AV,Zhou W,Bloom JM,Engreitz JM,Ernst J,O'Connell JR,Ruotsalainen SE,Alver M,Manichaikul A,Johnson WC,Perry JA,Poterba T,Seed C,Surakka IL,Esko Tdoi
10.1038/s41467-018-05747-8subject
Has Abstractpub_date
2018-08-23 00:00:00pages
3391issue
1issn
2041-1723pii
10.1038/s41467-018-05747-8journal_volume
9pub_type
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