Variant effects depend on polygenic background: experimental, clinical, and evolutionary implications

Abstract

Both rare and common genetic variants contribute to human disease, and emerging evidence suggests that they combine additively to influence disease liability. However, the non-linear relationship between disease liability and disease prevalence means that risk variants may have more severe phenotypic consequences in high-risk polygenic backgrounds and minimal impact in low-risk backgrounds, resulting in uneven selection across the population. As a result, selection coefficients may be better modeled as distributions that differ across populations, time, environments, and individuals rather than single values. Further, the number of genes contributing to a trait and epistasis between alleles enhance negative selection due to the increased variance pushing more individuals to phenotypic extremes. Because disease-relevant phenotypes may be masked in certain genetic backgrounds, polygenic background should be considered when characterizing the molecular underpinnings of complex traits.