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Two populations of heteromeric acetylcholine receptors are present at C. elegans neuromuscular junctions. 两种异聚乙酰胆碱受体存在于秀丽隐杆线虫的神经肌肉连接处。
IF 5.1 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-05 DOI: 10.1093/genetics/iyag012
Greta Maiellano, Camilla Luccardini, Oceane Romatif, Maelle Jospin, Manuela D'Alessandro, Jean-Louis Bessereau

Ligand-gated acetylcholine receptors (AChRs) are pentameric transmembrane proteins that display extensive molecular diversity through combinatorial assembly of subunits. In the nematode Caenorhabditis elegans, this diversity is exceptionally expanded, with nearly 60 AChR subunit genes, yet the composition and function of many receptor subtypes remain poorly defined. At neuromuscular junctions (NMJs), L-AChRs are heteromeric AChRs sensitive to levamisole, a nematode-specific L-AChR agonist, that play a crucial role in locomotion. Forward genetic screens for mutants resistant to levamisole have identified the L-AChR canonical subunits (LEV-1, UNC-29, LEV-8, UNC-63 and UNC-38) along with key biosynthetic regulators. ACR-8 is an alternative L-AChR subunit that has been poorly characterized, largely because acr-8 mutants remain sensitive to levamisole. Using genetic approaches and in vivo imaging, we show that ACR-8-containing L-AChRs (ACR-8*) are present at the NMJ and, surprisingly, they are more abundant than the well-characterized LEV-8-containing L-AChRs (LEV-8*). Although both LEV-8* and ACR-8* are enriched at synapses and rely on the same clustering machinery, they segregate into distinct postsynaptic nanodomains. The two populations play a redundant function in worm locomotion, and in mutant conditions, one receptor population can compensate for the loss of the other. Interestingly, ACR-8* are already present at high levels at the NMJ from early developmental stages, whereas LEV-8* levels gradually increase throughout development. Our work sheds new light on the molecular landscape of AChRs of the C. elegans NMJ.

配体门控乙酰胆碱受体(AChRs)是一种五聚体跨膜蛋白,通过亚基的组合组装表现出广泛的分子多样性。在秀丽隐杆线虫中,这种多样性异常扩大,有近60个AChR亚基基因,但许多受体亚型的组成和功能仍然不明确。在神经肌肉连接处(NMJs), L-AChR是对左旋咪唑(一种线虫特异性L-AChR激动剂)敏感的异源性achr,在运动中起关键作用。左旋咪唑耐药突变体的正向遗传筛选已经确定了L-AChR规范亚基(LEV-1, UNC-29, LEV-8, UNC-63和UNC-38)以及关键的生物合成调节因子。ACR-8是一种替代的L-AChR亚基,其特征很差,主要是因为ACR-8突变体对左旋咪唑仍然敏感。利用遗传方法和体内成像,我们发现含有ACR-8的l- achr (ACR-8*)存在于NMJ中,并且令人惊讶的是,它们比已被充分表征的含有LEV-8的l- achr (LEV-8*)更丰富。虽然LEV-8*和ACR-8*都在突触中富集,并且依赖于相同的聚类机制,但它们分离成不同的突触后纳米结构域。这两个群体在蠕虫运动中起着冗余的作用,在突变条件下,一个受体群体可以弥补另一个受体群体的损失。有趣的是,ACR-8*在NMJ的早期发育阶段就已经处于高水平,而LEV-8*的水平在整个发育过程中逐渐增加。我们的工作为秀丽隐杆线虫NMJ的achr分子格局提供了新的视角。
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引用次数: 0
Deletion of Elongator Protein 1 (Elp1) relieves heterochromatin defects in a Pol II mutant of Schizosaccharomyces pombe. pombe裂糖菌Pol II突变体中拉长蛋白1 (Elp1)的缺失减轻了异染色质缺陷。
IF 5.1 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-04 DOI: 10.1093/genetics/iyaf258
Mamta B Nirmal, Maya E Pearce, Cameron T Liu, Jared M Finkel, Katherine S Darrow, Tommy V Vo

Heterochromatin is a repressive epigenetic state that suppresses transcription and safeguards genomic integrity. However, the full mechanism of its regulation remains elusive. Here, we focus on a previously described RNA polymerase II (Pol II) variant called m203 in Schizosaccharomyces pombe, which has a single substitution mutation within the Rpb2 subunit of Pol II (rpb2-N44Y) that reduces RNA interference (RNAi)-dependent heterochromatin at a pericentromeric reporter locus. Through CRISPR-Cas9 site-directed mutagenesis, we find that rpb2-N44Y is a gain-of-function mutation. Furthermore, the heterochromatin defects of the m203 variant require a subunit of the Elongator complex called Elongator Protein 1 (Elp1), a protein that canonically promotes mcm5s2U34 tRNA modifications. While the single knockout of Elp1 in the m203 strain majorly restored heterochromatin formation, single knockouts of the Elp3 or the Elp5 subunits of Elongator showed only modest effects. Furthermore, mcm5s2 U34 tRNA modifications are dispensable for Elp1-dependent heterochromatin. In contrast, the heterochromatin required core factors that are critical for heterochromatin formation, including protein mediators of the RNAi pathway and H3K9 methylation. Overall, our study reveals two distinct Rpb2-centric pathways, via RNAi or Elp1 that can positively or negatively regulate heterochromatin, respectively. Furthermore, our findings reveal a chromatin function for Elp1 that does not rely on Elongator-dependent mcm5s2U34 tRNA modifications. This work expands our understanding of how Elp1 can influence chromatin biology.

异染色质是一种抑制转录和保护基因组完整性的抑制表观遗传状态。然而,其监管的完整机制仍然难以捉摸。在这里,我们将重点放在先前描述的分裂糖酵母(Schizosaccharomyces pombe)中称为m203的RNA聚合酶II (Pol II)变体上,该变体在Pol II的Rpb2亚基(Rpb2 - n44y)内具有单个替代突变,该突变可减少近中心粒报告位点的rnai依赖性异染色质。通过CRISPR-Cas9位点定向突变,我们发现rpb2-N44Y是一个功能获得突变。此外,m203变异体的异染色质缺陷需要一个称为拉长蛋白1 (Elp1)的拉长复合体亚基,该蛋白通常促进mcm5s2U34 tRNA修饰。在m203菌株中,Elp1的单敲除主要恢复了异染色质的形成,而Elp3或Elp5亚基的单敲除仅显示出适度的效果。此外,对于elp1依赖性异染色质,mcm5s2 U34 tRNA修饰是必不可少的。相反,异染色质需要对异染色质形成至关重要的核心因子,包括RNA干扰(RNAi)途径的蛋白质介质和H3K9甲基化。总的来说,我们的研究揭示了两种不同的rpb2中心通路,通过RNAi或Elp1,分别可以正向或负向调节异染色质。此外,我们的研究结果揭示了Elp1的染色质功能不依赖于拉长子依赖的mcm5s2U34 tRNA修饰。这项工作扩展了我们对Elp1如何影响染色质生物学的理解。
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引用次数: 0
Effects of rescaling forward-in-time population genetic simulations. 调整前向种群遗传模拟的影响。
IF 5.1 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-04 DOI: 10.1093/genetics/iyaf263
Jacob I Marsh, Sachin Kaushik, Parul Johri

Forward-in-time population genetic simulations enable modelling of a wide array of complex evolutionary scenarios. Simulating small genomic regions, and rescaling by reducing population size by a scaling factor while maintaining population-scaled parameters, are common approaches for improving computational tractability. However, simulating whole chromosomes in large populations remains computationally prohibitive, and it is unclear what scaling factors produce consistent evolutionary dynamics between rescaled and unscaled populations. Here, we thoroughly test the effects of rescaling in populations experiencing direct and linked effects of selection for various scaling factors and chromosomal lengths in Drosophila melanogaster-like populations by comparing them with theoretical expectations. We find that while rescaling has minimal effects with most length and scaling factor combinations, simulating long regions with large scaling factors can introduce biases in summary statistics including neutral diversity, allele frequencies, linkage disequilibrium, and nonneutral divergence, even within expected diffusion limits. These deviations occur particularly when the crossover rate exceeds 0.44 per individual/generation because substantial multiple-crossover events are likely to occur within individuals, reducing the effect of recombination. In addition, when the genome-wide deleterious mutation rate is high (U≫1) in highly rescaled long regions, we observe increased Hill-Robertson interference effects and progeny skew, the extent of which was strongly dependent on the fitness effects of selected mutations. We find that hitchhiking effects near functional regions are relatively unaffected by rescaling the population, even with large scaling factors. Our findings expose potential pitfalls when simulating long regions with rescaling and highlight parameter spaces within which expected evolutionary dynamics are conserved.

超前种群遗传模拟可以模拟各种复杂的进化场景。模拟小的基因组区域,并通过按比例因子减少种群大小来重新缩放,同时保持种群比例参数,是提高计算可追溯性的常用方法。然而,在大群体中模拟整个染色体在计算上仍然是禁止的,并且尚不清楚缩放因子在重新缩放和未缩放的群体之间产生一致的进化动力学。在这里,我们通过与理论预期进行比较,彻底测试了在黑腹龙样种群中经历各种缩放因子和染色体长度选择的直接和相关效应的种群中重新缩放的影响。我们发现,虽然重新缩放对大多数长度和比例因子组合的影响最小,但用大比例因子模拟长区域可能会在汇总统计中引入偏差,包括中性多样性、等位基因频率、连锁不平衡和非中性发散,即使在预期的扩散限制内也是如此。当交叉率超过每个体/代0.44时,这些偏差尤其明显,因为大量的多重交叉事件可能在个体内部发生,从而降低了重组的影响。此外,当高尺度长区域的全基因组有害突变率较高(U≥1)时,我们观察到Hill-Robertson干扰效应和后代偏态增加,其程度强烈依赖于所选突变的适应度效应。我们发现,即使在较大的比例因子下,功能区附近的搭便车效应也相对不受人口缩放的影响。我们的研究结果揭示了潜在的陷阱,当模拟长区域与重新缩放和突出参数空间,其中预期的进化动力学是保守的。
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引用次数: 0
Distribution of time to the most recent pairwise genetic common ancestor of a set of genomes. 时间分布到最近成对遗传共同祖先的一组基因组。
IF 5.1 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-04 DOI: 10.1093/genetics/iyaf252
Zehui Zhao, Rohan S Mehta, Daniel B Weissman

In a sample of chromosomes from a recombining population, each pair of individuals will have different most recent common genetic ancestors at different loci. We consider the distribution of the time to the most recent of these most recent common ancestors-the most recent time at which any pair of individuals in the sample share a common genetic ancestor at any locus. We use simple heuristic arguments, formal calculations, and coalescent simulations to find that as long as the chromosomal map length R is sufficiently long and the sample size n is not too large, the distribution of this time is peaked around a characteristic value. This value has the unusual scaling ∝N/R/n, where N is the effective size of the population.

在来自重组群体的染色体样本中,每对个体在不同的位点上都有不同的最近的共同遗传祖先。我们考虑到这些最近的共同祖先中最近的时间分布,即样本中任何一对个体在任何位点拥有共同遗传祖先的最近时间。我们使用简单的启发式论证、形式计算和聚合模拟发现,只要染色体图谱长度R足够长,样本量n不太大,这个时间的分布就会在一个特征值附近达到峰值。该值具有不同寻常的缩放α N/R/ N,其中N是总体的有效大小。
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引用次数: 0
Phenotypic dominance emerges from activity fitness functions and molecular interactions. 表型优势来自于活动-适应度功能和分子相互作用。
IF 5.1 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-04 DOI: 10.1093/genetics/iyaf254
Tushar Pal, Soham Dibyachintan, Angel F Cisneros, Christian R Landry

Mendelian genetics provides us with a framework for studying allelic dominance relationships at a locus at the phenotypic level. These dominance relationships result from different molecular factors, including the mapping of molecular activity onto fitness. For homomeric proteins, physical interactions between alleles provide a mechanism by which 1 allele can have a dominant effect on the activity of the other. Here, we refer to the effect of these interactions as molecular dominance and examine how they determine total protein activity and contribute to phenotypic dominance. The relative impact of such molecular dominance effects depends on the proportion of subunits that heteromerize relative to those that form homomers. In addition, we show how the effect of physical interactions on phenotypic dominance depends on the function linking protein activity to fitness. Our results show the complex relationships between molecular and phenotypic dominance and highlight the fundamental difference in dominance landscapes for monomeric and homomeric proteins.

孟德尔遗传学为我们在表型水平上研究等位基因显性关系提供了一个框架。这些优势关系是由不同的分子因素造成的,包括分子活动与适合度的映射。对于同源蛋白,等位基因之间的物理相互作用提供了一种机制,通过这种机制,一个等位基因可以对另一个等位基因的活性产生显性影响。在这里,我们将这些相互作用的影响称为分子优势,并研究它们如何决定总蛋白活性并促进表型优势。这种分子优势效应的相对影响取决于形成异构体的亚基相对于形成同构体的亚基的比例。反过来,我们展示了物理相互作用对表型优势的影响如何取决于将蛋白质活性与适应性联系起来的功能。我们的研究结果显示了分子和表型优势之间的复杂关系,并强调了单体和同源蛋白优势景观的根本差异。
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引用次数: 0
CARLIS: covariate-assisted replicability analysis for genome-wide association studies via triplet hidden Markov models. CARLIS:通过三联体隐马尔可夫模型进行全基因组关联研究的协变量辅助可复制性分析。
IF 5.1 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-04 DOI: 10.1093/genetics/iyaf261
Yan Li, Han Ma, Yanmei Li, Xin Zhang

Replicability analysis is a cornerstone for identifying genuine genetic associations in genome-wide association studies (GWAS), yet existing methods are constrained by their failure to account for linkage disequilibrium (LD) structure among single nucleotide polymorphisms (SNPs) or underuse of auxiliary information, limiting their reliability and statistical power. We develop CARLIS, a comprehensive covariate-assisted replicability analysis method to enhance both statistical rigor and biological interpretability while maintaining asymptotic false discovery rate control. CARLIS innovatively leverages a triplet hidden Markov model (HMM) to jointly characterize heterogeneous LD structures across two primary studies and an integrated auxiliary covariate (obtained via the Cauchy combination rule). The derived CARLIS statistic enables more efficient ranking of replicable SNPs by synthesizing cross-study and cross-SNP information through forward and backward probabilities. Computational scalability to genome-wide analyses is achieved through semiparametric estimation of composite null proportions and heterogeneous non-null density functions embedded in the HMM forward-backward algorithm. Extensive simulations demonstrate that CARLIS outperforms competing methods in statistical power while maintaining asymptotic false discovery rate control. Applications to replicability analysis of Parkinson's disease GWAS and pleiotropy analysis of bipolar disorder and schizophrenia GWAS show that CARLIS identifies more biologically relevant replicable variants, highlighting its potential to accelerate functional genomics discovery and advance precision medicine.

可复制性分析是全基因组关联研究(GWAS)中鉴定真正遗传关联的基础,但现有方法由于未能考虑单核苷酸多态性(snp)之间的连锁不平衡(LD)结构或辅助信息使用不足而受到限制,从而限制了其可靠性和统计能力。我们开发了CARLIS,一种全面的协变量辅助可重复性分析方法,以提高统计严谨性和生物学可解释性,同时保持渐近错误发现率控制。CARLIS创新地利用三重态隐马尔可夫模型(HMM),通过两个主要研究和一个集成的辅助协变量(通过柯西组合规则获得)共同表征异构LD结构。通过正向和反向概率综合交叉研究和交叉snp信息,推导出的CARLIS统计量能够更有效地对可复制snp进行排序。通过嵌入HMM前向后算法中的复合零比例和异构非零密度函数的半参数估计,实现了全基因组分析的计算可扩展性。大量的仿真表明,CARLIS在保持渐近错误发现率控制的同时,在统计功率方面优于竞争方法。应用于帕金森病GWAS的可复制性分析以及双相情感障碍和精神分裂症GWAS的多效性分析表明,CARLIS识别出更多生物学上相关的可复制变异,突出了其加速功能基因组学发现和推进精准医学的潜力。
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引用次数: 0
Chi hotspot control of RecBCD enzyme requires a RecB tether-RecC groove crosspoint interaction. RecBCD酶的Chi热点控制需要RecB系绳- recc槽交叉点相互作用。
IF 5.1 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-04 DOI: 10.1093/genetics/iyaf240
Susan K Amundsen, Yihua Zhu, Gerald R Smith

Homologous genetic recombination is required for the faithful repair of broken DNA to continue life and for genetic diversification to propel evolution. The bacterial RecBCD enzyme promotes these processes through coordinated DNA helicase and nuclease activities, which are regulated by a Chi recombination hotspot sequence (5'-GCTGGTGG-3' in enteric bacteria) and the loading of the RecA DNA strand-exchange protein onto the newly generated 3' single-stranded DNA end. Chi's control of RecBCD requires a complex interaction of all three subunits at widely dispersed points in the 330 kDa three-subunit protein. Here, we describe an additional point that is critical for Chi's site-specific stimulation of recombination in Escherichia coli. This point, on the surface of RecBCD, is where the middle of the 19-amino-acid tether connecting the RecB helicase and nuclease domains fits into a groove on the surface of RecC. Deleting or changing even a single amino acid in this crosspoint dramatically reduces Chi hotspot activity. Surprisingly, severing the tether at the RecB helicase junction leaves Chi and RecBCD fully active, but severing the tether at the RecB nuclease junction abolishes Chi activity and strongly reduces recombination proficiency. This difference is accounted for by the critical role of the tether-groove interaction described here. We discuss how Chi controls RecBCD via the coordinated interaction of the tether-groove crosspoint and 13 other widely spaced points throughout RecBCD.

同源基因重组需要对破碎的DNA进行忠实的修复以延续生命,也需要基因多样化来推动进化。细菌RecBCD酶通过协调DNA解旋酶和核酸酶的活性来促进这些过程,这些活性受Chi重组热点序列(肠道细菌中的5'-GCTGGTGG-3‘)和RecA DNA链交换蛋白装载到新生成的3’单链DNA末端的调控。Chi对RecBCD的控制需要在330 kDa的三亚基蛋白中广泛分布的点上所有三个亚基的复杂相互作用。在这里,我们描述了一个额外的点,这是关键的位点特异性刺激重组在大肠杆菌。RecBCD表面上的这一点是连接RecB解旋酶和核酸酶结构域的19个氨基酸链的中间与RecC表面上的凹槽吻合的地方。删除或改变这个交叉点上的单个氨基酸也会显著降低Chi热点的活性。令人惊讶的是,切断reb解旋酶连接处的链链会使Chi和RecBCD完全活跃,但切断reb核酸酶连接处的链链会使Chi活性消失,并大大降低重组能力。这里描述的绳槽相互作用的关键作用解释了这种差异。我们讨论了Chi如何通过绳槽交叉点和整个RecBCD中其他13个间距很大的点的协调相互作用来控制RecBCD。
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引用次数: 0
Hinge sites in the lipid transfer channel modulate function of the yeast bridge-like transfer protein Vps13. 酵母桥状转移蛋白Vps13脂质转移通道调节功能的铰链位点。
IF 5.1 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-04 DOI: 10.1093/genetics/iyaf267
Jae-Sook Park, Hoang Nguyen, Mary Hongying Cheng, Ivet Bahar, Aaron M Neiman

Vps13 transporters are large, rod-shaped proteins that mediate the bulk transfer of lipids between intracellular membranes via a hydrophobic channel formed by multiple "repeating beta-groove" (RBG) domains. Gain-of-function mutants in yeast Vps13 bypass the need for phospholipid trafficking by the endoplasmic reticulum-mitochondrion contact site complex ERMES. This work shows these same mutants can partially compensate for defects in lipid transfer at a different membrane contact site, suggesting that these VPS13 alleles encode a protein that is more efficient than wild type Vps13 at lipid transfer. The gain-of-function mutations map to similar positions on different RBG repeats within the predicted Vps13 structure. Computational modeling of the structural dynamics of individual RBG repeats indicates that these mutations are biased to regions that act as hinges within the protein. We propose that lipid transport by Vps13 involves cycling between conformational states and that these mutants increase lipid transport by altering the dynamics of this conformational shift.

Vps13转运蛋白是一种大型棒状蛋白,通过由多个“重复β -槽”(RBG)结构域形成的疏水通道介导细胞膜间脂质的大量转移。酵母Vps13的功能获得突变绕过了内质网-线粒体接触位点复合物ERMES对磷脂运输的需要。这项工作表明,这些相同的突变体可以部分补偿不同膜接触位点的脂质转移缺陷,这表明这些VPS13等位基因编码的蛋白质在脂质转移方面比野生型VPS13更有效。在预测的Vps13结构中,功能获得突变映射到不同RBG重复序列的相似位置。单个RBG重复序列的结构动力学计算模型表明,这些突变偏向于蛋白质中充当铰链的区域。我们认为Vps13的脂质转运涉及构象状态之间的循环,这些突变体通过改变这种构象转移的动力学来增加脂质转运。
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引用次数: 0
Kinship estimation bias carries over to heritability estimation bias using variance components. 亲属估计偏差延续到使用方差分量的遗传性估计偏差。
IF 5.1 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-04 DOI: 10.1093/genetics/iyaf238
Zhuoran Hou, Alejandro Ochoa

Heritability is a fundamental parameter of diseases and other traits, quantifying the contribution of genetics to that trait. Kinship matrices are required for heritability estimation with variance components models. However, the most common "standard" kinship estimator employed by Genome-wide Complex Trait Analysis and other approaches, can be severely biased in structured populations. In this study, we characterize two heritability estimation biases in Genome-wide Complex Trait Analysis due to kinship estimation biases under population structure. For the standard ratio-of-means kinship estimator, we derive a closed-form expression for first heritability bias given by the mean kinship and the true heritability. The standard mean-of-ratios estimator, which is the most widely used in practice, exhibits both the bias shared with ratio-of-means and an additional, more severe bias caused by the upweighting of low-frequency variants. Using simulations with admixture and family structures, as well as simulated traits from 1,000 Genomes genotypes, we find that only Popkin-the only unbiased population kinship estimator-produces unbiased heritability estimates in structured settings. Pedigree-only estimates have upward heritability biases when there is population structure. Finally, we analyze three structured datasets with real phenotypes-the San Antonio Family Study, the Hispanic Community Health Study / Study of Latinos, and a multiethnic Nephrotic Syndrome cohort. The standard mean-of-ratios estimator can produce both downward and upward heritability biases depending on population structure and variant frequency spectrum, compared with the other two estimators. Overall, common kinship estimators result in heritability estimation biases when applied to structured populations, a challenge that Popkin successfully overcomes.

遗传能力是疾病和其他特征的基本参数,量化了遗传对该特征的贡献。用方差分量模型估计遗传力需要亲属关系矩阵。然而,GCTA(全基因组复杂性状分析)和其他方法使用的最常见的“标准”亲属关系估计器在结构化人群中可能存在严重偏差。在本研究中,我们描述了由于人口结构下亲属估计偏差导致的两种遗传力估计偏差。对于标准均数比亲缘估计量,我们导出了由平均亲缘和真亲缘给出的第一遗传力偏差的封闭表达式。在实践中使用最广泛的标准平均比率(MOR)估计器,既表现出与ROM共享的偏差,也表现出由低频变量权重上升引起的额外的、更严重的偏差。利用混合和家族结构的模拟,以及1000个基因组基因型的模拟性状,我们发现只有popkin——唯一的无偏群体亲属估计器——在结构化设置中产生无偏遗传力估计。当存在种群结构时,纯系谱估计具有向上遗传偏倚。最后,我们分析了三个具有真实表型的结构化数据集——圣安东尼奥家庭研究、西班牙裔社区健康研究/拉丁裔研究和多种族肾病综合征队列。与其他两种估计器相比,标准的MOR估计器可以根据种群结构和变异频谱产生向下和向上的遗传偏差。总的来说,当应用于结构化人群时,常见的亲属估计会导致遗传性估计偏差,这是Popkin成功克服的挑战。
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引用次数: 0
Preventing evolutionary rescue in cancer using two-strike therapy. 利用双击疗法防止癌症的进化拯救。
IF 5.1 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-04 DOI: 10.1093/genetics/iyaf255
Srishti Patil, Armaan Ahmed, Yannick Viossat, Robert Noble

First-line cancer treatment frequently fails due to initially rare therapeutic resistance. An important clinical question is then how to schedule subsequent treatments to maximize the probability of tumor eradication. Here, we provide a theoretical solution to this problem by using mathematical analysis and extensive stochastic simulations within the framework of evolutionary rescue theory to determine how best to exploit the vulnerability of small tumors to stochastic extinction. Whereas standard clinical practice is to wait for evidence of relapse, we confirm a recent hypothesis that the optimal time to switch to a second treatment is when the tumor is close to its minimum size before relapse, when it is likely undetectable. This optimum can lie slightly before or slightly after the nadir, depending on tumor parameters. Given that this exact time point may be difficult to determine in practice, we study windows of high extinction probability that lie around the optimal switching point, showing that switching after the relapse has begun is typically better than switching too early. We further reveal how treatment efficacy and tumor demographic and evolutionary parameters influence the predicted clinical outcome, and we determine how best to schedule drugs of unequal efficacy. Our work establishes a foundation for further experimental and clinical investigation of this evolutionarily-informed multi-strike treatment strategy.

由于最初罕见的治疗耐药性,一线癌症治疗经常失败。一个重要的临床问题是如何安排后续治疗,以最大限度地消除肿瘤的可能性。在这里,我们通过在进化拯救理论的框架内使用数学分析和广泛的随机模拟来确定如何最好地利用小肿瘤对随机灭绝的脆弱性,为这个问题提供了一个理论解决方案。虽然标准的临床实践是等待复发的证据,但我们证实了最近的一个假设,即切换到第二种治疗的最佳时间是当肿瘤接近复发前的最小尺寸时,当它可能无法检测到时。这个最佳值可能在最低点之前或之后,取决于肿瘤参数。考虑到这个确切的时间点在实践中可能难以确定,我们研究了位于最佳切换点周围的高消光概率窗口,表明在复发开始后切换通常比过早切换更好。我们进一步揭示了治疗效果、肿瘤人口统计学和进化参数如何影响预测的临床结果,并确定了如何最好地安排疗效不等的药物。我们的工作为进一步的实验和临床研究这种基于进化的多打击治疗策略奠定了基础。
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引用次数: 0
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