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Biology subjects

Green, R. C.

Publications and source records attributed to Green, R. C..

2 recordsLinked to original sources

A framework evaluating the utility of multi-gene, multi-disease population-based panel testing that accounts for uncertainty in penetrance estimates

Panel germline testing allows for efficient detection of deleterious variants for multiple conditions, but the benefits and harms of identifying these variants are not always well-understood. We present a multi-gene, multi-disease aggregate utility formula that allows the user to consider adding or removing each gene in a panel based on variant frequency; estimated penetrances; and subjective disutilities for testing positive but not developing the disease and testing negative but developing the disease. We provide credible intervals for utility that reflect uncertainty in penetrance estimates. Rare, highly-penetrant deleterious variants tend to contribute positive net utilities for a wide variety of user-specified disutilities, even when accounting for parameter estimation uncertainty. However, the clinical utility of deleterious variants with moderate, uncertain penetrance depends more on assumed disutilities. The decision to include a gene on a panel depends on variant frequency, penetrance, and subjective utilities, and should account for uncertainties around these factors.

genetics↗

Purifying selection on noncoding deletions of human regulatory elements detected using their cellular pleiotropy

Genomic deletions provide a powerful loss-of-function model in non-coding regions to assess the role of purifying selection on human noncoding genetic variation. Regulatory element function is char-acterized by non-uniform tissue/cell-type activity, necessarily linking the study of fitness consequences from regulatory variants to their corresponding cellular activity. We used deletions from the 1000 Genomes Project (1000GP) and a callset we generated from genomes of participants in the Alzheimers Disease Neuroimaging Initiative (ADNI) in order to examine whether purifying selection preserves noncoding sites of chromatin accessibility (DHS), histone modification (enhancer, transcribed, polycomb-repressed, heterochromatin), and topologically associated domain loops (TAD-loops). To examine this in a cellular activity-aware manner, we developed a statistical method, Pleiotropy Ratio Score (PlyRS), which calculates a correlation-adjusted count of "cellular pleiotropy" for each noncoding base-pair by analyzing shared regulatory annotations across tissues/cell-types. Comparing real deletion PlyRS values to simulations in a length-matched framework and using genomic covariates in analyses, we found that purifying selection acts to preserve both DHS and enhancer sites, as evident by both depletion of deletions overlapping these annotations and a shift in the allele frequency spectrum of overlapping deletions towards rare alleles. However, we did not find evidence of purifying selection for transcribed, polycomb-repressed, or heterochromatin sites. Additionally, we found evidence that purifying selection is acting on TAD-loop boundary integrity by preserving co-localized CTCF binding sites. Notably, at regions of DHS, enhancer, and CTCF within TAD-loop boundaries we found evidence that both sites of tissue/cell-type-specific activity and sites of cellularly pleiotropic activity are preserved by selection. Significance StatementWe used natural genomic deletions as a loss-of-function model to assess the role of purifying selection in preserving human noncoding regulatory sites. We examined this in a cellular activity-aware manner through development of a statistical method, Pleiotropy Ratio Score (PlyRS), which calculates an adjusted count of "cellular pleiotropy" for each noncoding basepair by analyzing correlations from shared regulatory annotations across tissues/cell-types. By comparing real deletion PlyRS values to simulations, we found that purifying selection acts to preserve both DHS and enhancer sites and TAD-loop boundary integrity by preserving co-localized CTCF binding sites. Notably, we found evidence at these regulatory regions that both sites of tissue/cell-type-specific activity and sites of cellularly pleiotropic activity are preserved by selection.

evolutionary biology↗