학술논문

Deep-coverage whole genome sequences and blood lipids among 16,324 individuals.
Document Type
article
Source
Nature communications. 9(1)
Subject
NHLBI TOPMed Lipids Working Group
Humans
Lipids
Base Sequence
Gene Frequency
Mutation
Genome
Human
Models
Genetic
Cholesterol
LDL
Genome-Wide Association Study
High-Throughput Nucleotide Sequencing
Human Genome
Genetics
Digestive Diseases
Cardiovascular
Atherosclerosis
Biotechnology
2.1 Biological and endogenous factors
Language
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.