PMID- 36255737 OWN - NLM STAT- MEDLINE DCOM- 20240409 LR - 20240410 IS - 1460-2083 (Electronic) IS - 0964-6906 (Print) IS - 0964-6906 (Linking) VI - 33 IP - 8 DP - 2024 Apr 8 TI - Ancestry-specific high-risk gene variant profiling unmasks diabetes-associated genes. PG - 655-666 LID - 10.1093/hmg/ddac255 [doi] AB - How ancestry-associated genetic variance affects disparities in the risk of polygenic diseases and influences the identification of disease-associated genes warrants a deeper understanding. We hypothesized that the discovery of genes associated with polygenic diseases may be limited by the overreliance on single-nucleotide polymorphism (SNP)-based genomic investigation, as most significant variants identified in genome-wide SNP association studies map to introns and intergenic regions of the genome. To overcome such potential limitations, we developed a gene-constrained, function-based analytical method centered on high-risk variants (hrV) that encode frameshifts, stopgains or splice site disruption. We analyzed the total number of hrV per gene in populations of different ancestry, representing a total of 185 934 subjects. Using this analysis, we developed a quantitative index of hrV (hrVI) across 20 428 genes within each population. We then applied hrVI analysis to the discovery of genes associated with type 2 diabetes mellitus (T2DM), a polygenic disease with ancestry-related disparity. HrVI profiling and gene-to-gene comparisons of ancestry-specific hrV between the case (20 781 subjects) and control (24 440 subjects) populations in the T2DM national repository identified 57 genes associated with T2DM, 40 of which were discoverable only by ancestry-specific analysis. These results illustrate how a function-based, ancestry-specific analysis of genetic variations can accelerate the identification of genes associated with polygenic diseases. Besides T2DM, such analysis may facilitate our understanding of the genetic basis for other polygenic diseases that are also greatly influenced by environmental and behavioral factors, such as obesity, hypertension and Alzheimer's disease. CI - Published by Oxford University Press 2022. FAU - Zhang, Jianhua AU - Zhang J AD - Metabolic Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, United States. FAU - Chen, Weiping AU - Chen W AD - Genomic Core, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, United States. AD - Laboratory of Cell and Molecular Biology, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, United States. FAU - Chen, Guanjie AU - Chen G AUID- ORCID: 0000-0002-5745-5618 AD - Center for Research on Genomics and Global Health, National Human Genome Research Institute, Bethesda, MD 20892, United States. FAU - Flannick, Jason AU - Flannick J AD - Metabolism Program, Broad Institute, Cambridge, MA 02142, United States. FAU - Fikse, Emma AU - Fikse E AD - Metabolic Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, United States. FAU - Smerin, Glenda AU - Smerin G AD - Metabolic Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, United States. FAU - Degner, Katherine AU - Degner K AD - Metabolic Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, United States. FAU - Yang, Yanqin AU - Yang Y AD - Laboratory of Transplantation Genomics, National Heart Lung and Blood Institute; National Institutes of Health, Bethesda, MD 20892, United States. FAU - Xu, Catherine AU - Xu C AD - Genomic Core, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, United States. CN - Consortium AMP-T2D-GENES FAU - Li, Yulong AU - Li Y AD - Milton S. Hershey Medical Center, Division of Endocrinology, Diabetes and Metabolism, Penn State University, Hershey, PA 17033, United States. FAU - Hanover, John A AU - Hanover JA AD - Laboratory of Cell and Molecular Biology, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, United States. FAU - Simonds, William F AU - Simonds WF AUID- ORCID: 0000-0001-7806-706X AD - Metabolic Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 20892, United States. LA - eng GR - 1ZIA HG200362/NH/NIH HHS/United States GR - ZIA HG200362/ImNIH/Intramural NIH HHS/United States GR - CT/CIT NIH HHS/United States GR - HG/NHGRI NIH HHS/United States GR - ZIA DK043304/ImNIH/Intramural NIH HHS/United States GR - DK/NIDDK NIH HHS/United States PT - Journal Article PL - England TA - Hum Mol Genet JT - Human molecular genetics JID - 9208958 SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/genetics/epidemiology MH - Genetic Predisposition to Disease MH - Genome-Wide Association Study MH - Obesity MH - Polymorphism, Single Nucleotide/genetics PMC - PMC11000659 EDAT- 2022/10/19 06:00 MHDA- 2024/04/09 06:45 PMCR- 2023/10/18 CRDT- 2022/10/18 11:33 PHST- 2022/05/04 00:00 [received] PHST- 2022/09/28 00:00 [revised] PHST- 2022/10/10 00:00 [accepted] PHST- 2024/04/09 06:45 [medline] PHST- 2022/10/19 06:00 [pubmed] PHST- 2022/10/18 11:33 [entrez] PHST- 2023/10/18 00:00 [pmc-release] AID - 6762999 [pii] AID - ddac255 [pii] AID - 10.1093/hmg/ddac255 [doi] PST - ppublish SO - Hum Mol Genet. 2024 Apr 8;33(8):655-666. doi: 10.1093/hmg/ddac255.