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Subset-based method for cross-tissue transcriptome-wide association studies improves power and interpretability. 基于子集的跨组织全转录组关联研究方法提高了研究效率和可解释性
IF 4.4 Q4 Medicine Pub Date : 2024-04-11 Epub Date: 2024-03-16 DOI: 10.1016/j.xhgg.2024.100283
Xinyu Guo, Nilanjan Chatterjee, Diptavo Dutta

Integrating results from genome-wide association studies (GWASs) and studies of molecular phenotypes such as gene expressions can improve our understanding of the biological functions of trait-associated variants and can help prioritize candidate genes for downstream analysis. Using reference expression quantitative trait locus (eQTL) studies, several methods have been proposed to identify gene-trait associations, primarily based on gene expression imputation. To increase the statistical power by leveraging substantial eQTL sharing across tissues, meta-analysis methods aggregating such gene-based test results across multiple tissues or contexts have been developed as well. However, most existing meta-analysis methods have limited power to identify associations when the gene has weaker associations in only a few tissues and cannot identify the subset of tissues in which the gene is "activated." For this, we developed a cross-tissue subset-based transcriptome-wide association study (CSTWAS) meta-analysis method that improves power under such scenarios and can extract the set of potentially associated tissues. To improve applicability, CSTWAS uses only GWAS summary statistics and pre-computed correlation matrices to identify a subset of tissues that have the maximal evidence of gene-trait association. Through numerical simulations, we found that CSTWAS can maintain a well-calibrated type-I error rate, improves power especially when there is a small number of associated tissues for a gene-trait association, and identifies an accurate associated tissue set. By analyzing GWAS summary statistics of three complex traits and diseases, we demonstrate that CSTWAS could identify biological meaningful signals while providing an interpretation of disease etiology by extracting a set of potentially associated tissues.

整合全基因组关联研究(GWAS)和基因表达等分子表型研究的结果,可以提高我们对性状相关变异的生物学功能的理解,并有助于优先选择候选基因进行下游分析。利用参考表达量性状位点(eQTL)研究,已经提出了几种方法来确定基因与性状的关联,这些方法主要基于基因表达估算。为了利用不同组织间大量的 eQTL 共享来提高统计能力,人们还开发了荟萃分析方法,将这种基于基因的测试结果汇总到多个组织或环境中。然而,大多数现有的荟萃分析方法在基因仅在少数组织中具有较弱关联时,识别关联的能力有限,而且无法识别基因在哪些组织中被 "激活"。为此,我们开发了一种基于跨组织子集的荟萃分析(CSTWAS)方法,它能提高在这种情况下的分析能力,并能提取潜在相关组织的集合。为了提高适用性,CSTWAS 只使用 GWAS 统计摘要和预先计算的相关矩阵来识别具有最大基因-性状关联证据的组织子集。通过数值模拟,我们发现 CSTWAS 可以保持良好的校准 I 型错误率,尤其是当基因-性状关联的相关组织数量较少时,它可以提高功率,并识别出准确的相关组织集。通过分析三种复杂性状和疾病的 GWAS 统计摘要,我们证明了 CSTWAS 可以识别有生物学意义的信号,同时通过提取潜在相关组织集来解释疾病的病因学。
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引用次数: 0
Evaluating and improving health equity and fairness of polygenic scores. 评估和改善多基因评分的健康公平性和公正性。
IF 3.3 Q2 GENETICS & HEREDITY Pub Date : 2024-04-11 Epub Date: 2024-02-23 DOI: 10.1016/j.xhgg.2024.100280
Tianyu Zhang, Geyu Zhou, Lambertus Klei, Peng Liu, Alexandra Chouldechova, Hongyu Zhao, Kathryn Roeder, Max G'Sell, Bernie Devlin

Polygenic scores (PGSs) are quantitative metrics for predicting phenotypic values, such as human height or disease status. Some PGS methods require only summary statistics of a relevant genome-wide association study (GWAS) for their score. One such method is Lassosum, which inherits the model selection advantages of Lasso to select a meaningful subset of the GWAS single-nucleotide polymorphisms as predictors from their association statistics. However, even efficient scores like Lassosum, when derived from European-based GWASs, are poor predictors of phenotype for subjects of non-European ancestry; that is, they have limited portability to other ancestries. To increase the portability of Lassosum, when GWAS information and estimates of linkage disequilibrium are available for both ancestries, we propose Joint-Lassosum (JLS). In the simulation settings we explore, JLS provides more accurate PGSs compared to other methods, especially when measured in terms of fairness. In analyses of UK Biobank data, JLS was computationally more efficient but slightly less accurate than a Bayesian comparator, SDPRX. Like all PGS methods, JLS requires selection of predictors, which are determined by data-driven tuning parameters. We describe a new approach to selecting tuning parameters and note its relevance for model selection for any PGS. We also draw connections to the literature on algorithmic fairness and discuss how JLS can help mitigate fairness-related harms that might result from the use of PGSs in clinical settings. While no PGS method is likely to be universally portable, due to the diversity of human populations and unequal information content of GWASs for different ancestries, JLS is an effective approach for enhancing portability and reducing predictive bias.

多基因评分(PGS)是预测人类身高或疾病状况等表型值的量化指标。一些多基因评分方法只需要相关全基因组关联研究(GWAS)的汇总统计数据就能得出评分。Lassosum 就是这样一种方法,它继承了 Lasso 的模型选择优势,从关联统计中选择有意义的全基因组关联研究单核苷酸多态性子集作为预测因子。然而,即使是像 Lassosum 这样高效的分数,如果来自欧洲的 GWAS,对非欧洲血统受试者的表型预测能力也很差;也就是说,它们对其他血统的可移植性有限。为了提高 Lassosum 的可移植性,当两个祖先的 GWAS 信息和连锁不平衡估计值都可用时,我们提出了联合 Lassosum。在我们探索的模拟设置中,与其他方法相比,Joint-Lassosum 提供了更准确的 PGS,尤其是在公平性方面。在对英国生物库数据的分析中,JLS 的计算效率更高,但准确性略低于贝叶斯比较方法 SDPRX。与所有 PGS 方法一样,Joint-Lassosum 也需要选择预测因子,而预测因子是由数据驱动的调整参数决定的。我们介绍了一种选择调整参数的新方法,并指出了它与任何 PGS 模型选择的相关性。我们还引出了与算法公平性相关的文献,并讨论了 Joint-Lassosum 如何帮助减轻在临床环境中使用 PGS 评分可能导致的与公平性相关的危害。虽然任何 PGS 方法都不可能具有普遍的可移植性,但由于人类种群的多样性和不同祖先的 GWAS 信息含量不平等,Joint-Lassosum 是提高可移植性和减少预测偏差的有效方法。
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引用次数: 0
PABPN1 loss-of-function causes APA-shift in oculopharyngeal muscular dystrophy. PABPN1功能缺失会导致眼咽肌营养不良症的APA移位。
IF 4.4 Q4 Medicine Pub Date : 2024-04-11 Epub Date: 2024-01-11 DOI: 10.1016/j.xhgg.2024.100269
Milad Shademan, Hailiang Mei, Baziel van Engelen, Yavuz Ariyurek, Susan Kloet, Vered Raz

Alternative polyadenylation (APA) at the 3' UTR of transcripts contributes to the cell transcriptome. APA is suppressed by the nuclear RNA-binding protein PABPN1. Aging-associated reduced PABPN1 levels in skeletal muscles lead to muscle wasting. Muscle weakness in oculopharyngeal muscular dystrophy (OPMD) is caused by short alanine expansion in PABPN1 exon1. The expanded PABPN1 forms nuclear aggregates, an OPMD hallmark. Whether the expanded PABPN1 affects APA and how it contributes to muscle pathology is unresolved. To investigate these questions, we developed a procedure including RNA library preparation and a simple pipeline calculating the APA-shift ratio as a readout for PABPN1 activity. Comparing APA-shift results to previously published PAS utilization and APA-shift results, we validated this procedure. The procedure was then applied on the OPMD cell model and on RNA from OPMD muscles. APA-shift was genome-wide in the mouse OPMD model, primarily affecting muscle transcripts. In OPMD individuals, APA-shift was enriched with muscle transcripts. In an OPMD cell model APA-shift was not significant. APA-shift correlated with reduced expression levels of a subset of PABPN1 isoforms, whereas the expression of the expanded PABPN1 did not correlate with APA-shift. PABPN1 activity is not affected by the expression of expanded PABPN1, but rather by reduced PABPN1 expression levels. In muscles, PABPN1 activity initially affects muscle transcripts. We suggest that muscle weakness in OPMD is caused by PABPN1 loss-of-function leading to APA-shift that primarily affects in muscle transcripts.

背景:转录本 3-UTR 上的替代多腺苷酸化(APA)对细胞转录本组做出了贡献。APA 受核 RNA 结合蛋白 PABPN1 的抑制。骨骼肌中与衰老相关的 PABPN1 水平降低会导致肌肉萎缩。眼咽肌营养不良症(OPMD)的肌肉无力是由 PABPN1 外显子 1 中短丙氨酸扩增引起的。扩增的 PABPN1 会形成核聚集,这是 OPMD 的特征之一。扩增的 PABPN1 是否会影响 APA 以及如何导致肌肉病理变化,这些问题尚未解决:为了研究这些问题,我们开发了一套程序,包括 RNA 文库制备和简单的管道计算 APA shift 比率,作为 PABPN1 活性的读数。将APA-shift结果与之前发表的PAS利用率和APA-shift结果进行比较,我们验证了这一程序。然后将该程序应用于 OPMD 细胞模型和来自 OPMD 肌肉的 RNA:结果:在小鼠OPMD模型中,APA偏移是全基因组的,主要影响肌肉转录本。在OPMD个体中,肌肉转录本富集了APA-shift。在OPMD细胞模型中,APA偏移并不显著。APA偏移与PABPN1同工酶亚型的表达水平降低有关,而PABPN1扩增型的表达与APA偏移无关:结论:PABPN1 的活性不受 PABPN1 表达扩大的影响,而是受 PABPN1 表达水平降低的影响。在肌肉中,PABPN1 的活性最初会影响肌肉转录本。我们认为,OPMD 的肌无力是由 PABPN1 功能缺失导致 APA 转移引起的,而 APA 转移主要影响肌肉转录本。
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引用次数: 0
Shared genomic segments analysis identifies MHC class I and class III molecules as genetic risk factors for juvenile idiopathic arthritis. "共享基因组片段分析表明,MHC I 类和 III 类分子是幼年特发性关节炎的遗传风险因素。
IF 4.4 Q4 Medicine Pub Date : 2024-04-11 Epub Date: 2024-02-18 DOI: 10.1016/j.xhgg.2024.100277
Cecile N Avery, Nicole D Russell, Cody J Steely, Aimee O Hersh, John F Bohnsack, Sampath Prahalad, Lynn B Jorde

Juvenile idiopathic arthritis (JIA) is a complex rheumatic disease encompassing several clinically defined subtypes of varying severity. The etiology of JIA remains largely unknown, but genome-wide association studies (GWASs) have identified up to 22 genes associated with JIA susceptibility, including a well-established association with HLA-DRB1. Continued investigation of heritable risk factors has been hindered by disease heterogeneity and low disease prevalence. In this study, we utilized shared genomic segments (SGS) analysis on whole-genome sequencing of 40 cases from 12 multi-generational pedigrees significantly enriched for JIA. Subsets of cases are connected by a common ancestor in large extended pedigrees, increasing the power to identify disease-associated loci. SGS analysis identifies genomic segments shared among disease cases that are likely identical by descent and anchored by a disease locus. This approach revealed statistically significant signals for major histocompatibility complex (MHC) class I and class III alleles, particularly HLA-A∗02:01, which was observed at a high frequency among cases. Furthermore, we identified an additional risk locus at 12q23.2-23.3, containing genes primarily expressed by naive B cells, natural killer cells, and monocytes. The recognition of additional risk beyond HLA-DRB1 provides a new perspective on immune cell dynamics in JIA. These findings contribute to our understanding of JIA and may guide future research and therapeutic strategies.

幼年特发性关节炎(JIA)是一种复杂的风湿性疾病,包括几种临床上定义的严重程度不同的亚型。JIA 的病因在很大程度上仍不清楚,但全基因组关联研究(GWAS)已发现多达 22 个与 JIA 易感性相关的基因,其中包括与 HLA-DRB1 确立的关联。疾病的异质性和低患病率阻碍了对遗传风险因素的继续研究。在这项研究中,我们利用共享基因组片段(SGS)分析法,对来自 12 个多代血统中明显富集 JIA 的 40 个病例进行了全基因组测序。在大型扩展系谱中,病例的子集由共同祖先连接,从而提高了鉴定疾病相关位点的能力。SGS 分析可确定疾病病例之间共享的基因组片段,这些片段很可能在血统上是相同的,并由疾病基因座锚定。这种方法揭示了主要组织相容性复合体(MHC)Ⅰ类和Ⅲ类等位基因的显著统计学信号,尤其是在病例中高频出现的 HLA-A*02:01。此外,我们还在 12q23.2-23.3 处发现了一个额外的风险基因座,其中包含的基因主要由幼稚 B 细胞、自然杀伤细胞和单核细胞表达。除了HLA-DRB1之外,我们还发现了一个额外的风险位点,这为我们了解JIA的免疫细胞动态提供了一个新的视角。这些发现有助于我们了解 JIA,并可指导未来的研究和治疗策略。
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引用次数: 0
Improved estimation of functional enrichment in SNP heritability using feasible generalized least squares. 利用可行的广义最小二乘法改进 SNP 遗传性中功能富集的估算。
IF 4.4 Q4 Medicine Pub Date : 2024-04-11 Epub Date: 2024-02-07 DOI: 10.1016/j.xhgg.2024.100272
Zewei Xiong, Thuan-Quoc Thach, Yan Dora Zhang, Pak Chung Sham

Functional enrichment results typically implicate tissue or cell-type-specific biological pathways in disease pathogenesis and as therapeutic targets. We propose generalized linkage disequilibrium score regression (g-LDSC) that requires only genome-wide association studies (GWASs) summary-level data to estimate functional enrichment. The method adopts the same assumptions and regression model formulation as stratified linkage disequilibrium score regression (s-LDSC). Although s-LDSC only partially uses LD information, our method uses the whole LD matrix, which accounts for possible correlated error structure via a feasible generalized least-squares estimation. We demonstrate through simulation studies under various scenarios that g-LDSC provides more precise estimates of functional enrichment than s-LDSC, regardless of model misspecification. In an application to GWAS summary statistics of 15 traits from the UK Biobank, estimates of functional enrichment using g-LDSC were lower and more realistic than those obtained from s-LDSC. In addition, g-LDSC detected more significantly enriched functional annotations among 24 functional annotations for the 15 traits than s-LDSC (118 vs. 51).

功能富集结果通常涉及疾病发病机制中特定组织或细胞类型的生物通路,并可作为治疗靶点。我们提出了广义的连锁变异平衡得分回归(g-LDSC),它只需要全基因组关联研究(GWAS)的摘要水平数据就能估计功能富集。该方法采用了与分层连锁差异平衡得分回归(s-LDSC)相同的假设和回归模型表述。s-LDSC 仅部分利用了 LD 信息,而我们的方法利用了整个 LD 矩阵,通过可行的广义最小二乘估计,考虑了可能的相关误差结构。我们通过各种情况下的模拟研究证明,与 s-LDSC 相比,g-LDSC 能提供更精确的功能富集估计值,而不受模型错误规范的影响。在对英国生物库中 15 个性状的 GWAS 统计摘要的应用中,使用 g-LDSC 估算的功能富集度比使用 s-LDSC 估算的功能富集度更低,也更符合实际情况。此外,与 s-LDSC 相比,g-LDSC 在 15 个性状的 24 个功能注释中检测到了更多显著富集的功能注释(118 对 51)。
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引用次数: 0
Return of polygenic risk scores in research: Stakeholders' views on the eMERGE-IV study. 多基因风险评分在研究中的回归:利益相关者对 eMERGE-IV 研究的看法。
IF 4.4 Q4 Medicine Pub Date : 2024-04-11 Epub Date: 2024-02-27 DOI: 10.1016/j.xhgg.2024.100281
Maya Sabatello, Suzanne Bakken, Wendy K Chung, Elizabeth Cohn, Katherine D Crew, Krzysztof Kiryluk, Rita Kukafka, Chunhua Weng, Paul S Appelbaum

Research on polygenic risk scores (PRSs) for common, genetically complex chronic diseases aims to improve health-related predictions, tailor risk-reducing interventions, and improve health outcomes. Yet, the study and use of PRSs in clinical settings raise equity, clinical, and regulatory challenges that can be greater for individuals from historically marginalized racial, ethnic, and other minoritized communities. As part of the National Human Genome Research Institute-funded Electronic Medical Records and Genomics IV Network, we conducted online focus groups with patients/community members, clinicians, and members of institutional review boards to explore their views on key issues, including PRS research, return of PRS results, clinical translation, and barriers and facilitators to health behavioral changes in response to PRS results. Across stakeholder groups, our findings indicate support for PRS development and a strong interest in having PRS results returned to research participants. However, we also found multi-level barriers and significant differences in stakeholders' views about what is needed and possible for successful implementation. These include researcher-participant interaction formats, health and genomic literacy, and a range of structural barriers, such as financial instability, insurance coverage, and the absence of health-supporting infrastructure and affordable healthy food options in poorer neighborhoods. Our findings highlight the need to revisit and implement measures in PRS studies (e.g., incentives and resources for follow-up care), as well as system-level policies to promote equity in genomic research and health outcomes.

针对常见的、遗传复杂的慢性疾病的多基因风险评分(PRS)研究旨在改善与健康相关的预测、定制降低风险的干预措施并改善健康状况。然而,在临床环境中研究和使用 PRS 会带来公平、临床和监管方面的挑战,对于来自历史上被边缘化的种族、民族和其他少数群体的个人来说,这些挑战可能会更大。作为 NHGRI 资助的电子病历和基因组学 (eMERGE) IV 网络的一部分,我们与患者/社区成员、临床医生和机构审查委员会 (IRB) 成员进行了在线焦点小组讨论,以探讨他们对一些关键问题的看法,包括 PRS 研究、PRS 结果的返还、临床转化以及根据 PRS 结果改变健康行为的障碍和促进因素。在所有利益相关者群体中,我们的研究结果表明,他们支持 PRS 的发展,并对将 PRS 结果返还给研究参与者有着强烈的兴趣。但是,我们也发现了多层次的障碍,以及利益相关者对成功实施所需和可能条件的看法存在显著差异。这些障碍包括研究人员与参与者之间的互动形式、健康和基因组知识,以及一系列结构性障碍,如财务不稳定、保险覆盖面、缺乏支持健康的基础设施以及贫困社区缺乏负担得起的健康食品选择等。我们的研究结果突出表明,有必要重新审视和实施PRS研究中的措施(如后续护理的激励措施和资源)以及系统层面的政策,以促进基因组研究和健康结果的公平性。
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引用次数: 0
Clinical interpretation of KCNH2 variants using a robust PS3/BS3 functional patch-clamp assay. 利用稳健的 PS3/BS3 功能膜片钳测定法对 KCNH2 变异进行临床解读。
IF 4.4 Q4 Medicine Pub Date : 2024-04-11 Epub Date: 2024-01-14 DOI: 10.1016/j.xhgg.2024.100270
Kate L Thomson, Connie Jiang, Ebony Richardson, Dominik S Westphal, Tobias Burkard, Cordula M Wolf, Matteo Vatta, Steven M Harrison, Jodie Ingles, Connie R Bezzina, Brett M Kroncke, Jamie I Vandenberg, Chai-Ann Ng

Long QT syndrome (LQTS), caused by the dysfunction of cardiac ion channels, increases the risk of sudden death in otherwise healthy young people. For many variants in LQTS genes, there is insufficient evidence to make a definitive genetic diagnosis. We have established a robust functional patch-clamp assay to facilitate classification of missense variants in KCNH2, one of the key LQTS genes. A curated set of 30 benign and 30 pathogenic missense variants were used to establish the range of normal and abnormal function. The extent to which variants reduced protein function was quantified using Z scores, the number of standard deviations from the mean of the normalized current density of the set of benign variant controls. A Z score of -2 defined the threshold for abnormal loss of function, which corresponds to 55% wild-type function. More extreme Z scores were observed for variants with a greater loss-of-function effect. We propose that the Z score for each variant can be used to inform the application and weighting of abnormal and normal functional evidence criteria (PS3 and BS3) within the American College of Medical Genetics and Genomics variant classification framework. The validity of this approach was demonstrated using a series of 18 KCNH2 missense variants detected in a childhood onset LQTS cohort, where the level of function assessed using our assay correlated to the Schwartz score (a scoring system used to quantify the probability of a clinical diagnosis of LQTS) and the length of the corrected QT (QTc) interval.

长 QT 综合征(LQTS)是由心脏离子通道功能障碍引起的,会增加原本健康的年轻人发生猝死的风险。对于 LQTS 基因中的许多变异,目前还没有足够的证据做出明确的基因诊断。我们建立了一种强大的功能性膜片钳检测方法,以帮助对 LQTS 主要基因之一 KCNH2 中的错义变异进行分类。我们用一组 30 个良性和 30 个致病性错义变异来确定正常和异常功能的范围。变体降低蛋白质功能的程度用Z-分数量化;Z-分数是良性变体对照组归一化电流密度平均值的标准偏差数。Z分数为-2时,功能异常丧失的阈值为-2,相当于55%的野生型功能。功能缺失效应较大的变异体的 Z 值更为极端。我们建议,在美国医学遗传学和基因组学学院(ACMG)变异体分类框架内,每个变异体的 Z 值可用于异常和正常功能证据标准(PS3 和 BS3)的应用和加权。使用我们的检测方法评估的功能水平与施瓦茨评分(一种用于量化临床诊断 LQTS 概率的评分系统1)和 QTc 间期长度相关。
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引用次数: 0
Biallelic non-productive enhancer-promoter interactions precede imprinted expression of Kcnk9 during mouse neural commitment. 在小鼠神经发育过程中,Kcnk9的印记表达先于双拷贝非生产性增强子-启动子相互作用。
IF 4.4 Q4 Medicine Pub Date : 2024-04-11 Epub Date: 2024-01-30 DOI: 10.1016/j.xhgg.2024.100271
Cecilia Rengifo Rojas, Jil Cercy, Sophie Perillous, Céline Gonthier-Guéret, Bertille Montibus, Stéphanie Maupetit-Méhouas, Astrid Espinadel, Marylou Dupré, Charles C Hong, Kenichiro Hata, Kazuhiko Nakabayashi, Antonius Plagge, Tristan Bouschet, Philippe Arnaud, Isabelle Vaillant, Franck Court

It is only partially understood how constitutive allelic methylation at imprinting control regions (ICRs) interacts with other regulation levels to drive timely parental allele-specific expression along large imprinted domains. The Peg13-Kcnk9 domain is an imprinted domain with important brain functions. To gain insights into its regulation during neural commitment, we performed an integrative analysis of its allele-specific epigenetic, transcriptomic, and cis-spatial organization using a mouse stem cell-based corticogenesis model that recapitulates the control of imprinted gene expression during neurodevelopment. We found that, despite an allelic higher-order chromatin structure associated with the paternally CTCF-bound Peg13 ICR, enhancer-Kcnk9 promoter contacts occurred on both alleles, although they were productive only on the maternal allele. This observation challenges the canonical model in which CTCF binding isolates the enhancer and its target gene on either side and suggests a more nuanced role for allelic CTCF binding at some ICRs.

人们对印记控制区(ICR)的等位基因构成性甲基化如何与其他调控水平相互作用,从而驱动大型印记结构域的亲本等位基因特异性及时表达还只是部分了解。Peg13-Kcnk9 结构域是一个具有重要脑功能的印记结构域。为了深入了解其在神经承载过程中的调控,我们利用基于小鼠干细胞的皮质发育模型对其等位基因特异性表观遗传、转录组和顺式空间组织进行了综合分析,该模型再现了神经发育过程中印记基因表达的调控。我们发现,尽管存在与父系 CTCF 结合的 Peg13 ICR 相关的等位基因高阶染色质结构,但增强子-Kcnk9 启动子接触在两个等位基因上都有发生,尽管它们只在母系等位基因上产生作用。这一观察结果对 CTCF 结合将增强子及其目标基因隔离在两侧的典型模型提出了挑战,并表明等位基因 CTCF 结合在某些 ICR 上发挥着更微妙的作用。
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引用次数: 0
Queering Genomics: How Cisnormativity Undermines Genomic Science. Queering Genomics: How Cisnormativity Undermines Genomic Science.
IF 4.4 Q4 Medicine Pub Date : 2024-04-01 DOI: 10.1016/j.xhgg.2024.100297
Leila Jamal, Kimberly Zayhowski, Tala Berro, Kellan Baker
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引用次数: 0
The severity of MUSK pathogenic variants is predicted by the protein domain they disrupt. MUSK 致病变体的严重程度可通过其破坏的蛋白质结构域来预测。
IF 4.4 Q4 Medicine Pub Date : 2024-04-01 DOI: 10.1016/j.xhgg.2024.100288
Benjamin T. Cocanougher, Samuel W. Liu, Ludmila Francescatto, Alexander Behura, Mariele Anneling, David G. Jackson, Kristen L. Deak, Chi D. Hornik, Mai K. ElMallah, Carolyn E Pizoli, Edward C. Smith, Khoon Ghee Queenie Tan, Marie T. McDonald
{"title":"The severity of MUSK pathogenic variants is predicted by the protein domain they disrupt.","authors":"Benjamin T. Cocanougher, Samuel W. Liu, Ludmila Francescatto, Alexander Behura, Mariele Anneling, David G. Jackson, Kristen L. Deak, Chi D. Hornik, Mai K. ElMallah, Carolyn E Pizoli, Edward C. Smith, Khoon Ghee Queenie Tan, Marie T. McDonald","doi":"10.1016/j.xhgg.2024.100288","DOIUrl":"https://doi.org/10.1016/j.xhgg.2024.100288","url":null,"abstract":"","PeriodicalId":34530,"journal":{"name":"HGG Advances","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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