Cell.: co-auth.: group Reymond

Cell. 2022 Aug 4;185(16):3041-3055.e25. doi: 10.1016/j.cell.2022.06.036. Epub 2022 Aug 1.

A cross-disorder dosage sensitivity map of the human genome

Ryan L Collins 1Joseph T Glessner 2Eleonora Porcu 3Maarja Lepamets 4Rhonda Brandon 5Christopher Lauricella 5Lide Han 6Theodore Morley 6Lisa-Marie Niestroj 7Jacob Ulirsch 8Selin Everett 9Daniel P Howrigan 10Philip M Boone 11Jack Fu 12Konrad J Karczewski 10Georgios Kellaris 13Chelsea Lowther 12Diane Lucente 14Kiana Mohajeri 15Margit Nõukas 4Xander Nuttle 12Kaitlin E Samocha 16Mi Trinh 17Farid Ullah 13Urmo Võsa 18Epi25 ConsortiumEstonian Biobank Research TeamMatthew E Hurles 17Swaroop Aradhya 5Erica E Davis 13Hilary Finucane 10James F Gusella 9Aura Janze 5Nicholas Katsanis 13Ludmila Matyakhina 5Benjamin M Neale 10David Sanders 19Stephanie Warren 5Jennelle C Hodge 20Dennis Lal 21Douglas M Ruderfer 22Jeanne Meck 5Reedik Mägi 18Tõnu Esko 18Alexandre Reymond 23Zoltán Kutalik 24Hakon Hakonarson 2Shamil Sunyaev 25Harrison Brand 26Michael E Talkowski 27Collaborators, Affiliations expand

Abstract

Rare copy-number variants (rCNVs) include deletions and duplications that occur infrequently in the global human population and can confer substantial risk for disease. In this study, we aimed to quantify the properties of haploinsufficiency (i.e., deletion intolerance) and triplosensitivity (i.e., duplication intolerance) throughout the human genome. We harmonized and meta-analyzed rCNVs from nearly one million individuals to construct a genome-wide catalog of dosage sensitivity across 54 disorders, which defined 163 dosage sensitive segments associated with at least one disorder. These segments were typically gene dense and often harbored dominant dosage sensitive driver genes, which we were able to prioritize using statistical fine-mapping. Finally, we designed an ensemble machine-learning model to predict probabilities of dosage sensitivity (pHaplo & pTriplo) for all autosomal genes, which identified 2,987 haploinsufficient and 1,559 triplosensitive genes, including 648 that were uniquely triplosensitive. This dosage sensitivity resource will provide broad utility for human disease research and clinical genetics.