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Rare genomic structural variants in complex disease: lessons from the replication of associations with obesity.


ABSTRACT: The limited ability of common variants to account for the genetic contribution to complex disease has prompted searches for rare variants of large effect, to partly explain the 'missing heritability'. Analyses of genome-wide genotyping data have identified genomic structural variants (GSVs) as a source of such rare causal variants. Recent studies have reported multiple GSV loci associated with risk of obesity. We attempted to replicate these associations by similar analysis of two familial-obesity case-control cohorts and a population cohort, and detected GSVs at 11 out of 18 loci, at frequencies similar to those previously reported. Based on their reported frequencies and effect sizes (OR?25), we had sufficient statistical power to detect the large majority (80%) of genuine associations at these loci. However, only one obesity association was replicated. Deletion of a 220 kb region on chromosome 16p11.2 has a carrier population frequency of 2×10(-4) (95% confidence interval [9.6×10(-5)-3.1×10(-4)]); accounts overall for 0.5% [0.19%-0.82%] of severe childhood obesity cases (P = 3.8×10(-10); odds ratio = 25.0 [9.9-60.6]); and results in a mean body mass index (BMI) increase of 5.8 kg.m(-2) [1.8-10.3] in adults from the general population. We also attempted replication using BMI as a quantitative trait in our population cohort; associations with BMI at or near nominal significance were detected at two further loci near KIF2B and within FOXP2, but these did not survive correction for multiple testing. These findings emphasise several issues of importance when conducting rare GSV association, including the need for careful cohort selection and replication strategy, accurate GSV identification, and appropriate correction for multiple testing and/or control of false discovery rate. Moreover, they highlight the potential difficulty in replicating rare CNV associations across different populations. Nevertheless, we show that such studies are potentially valuable for the identification of variants making an appreciable contribution to complex disease.

SUBMITTER: Walters RG 

PROVIDER: S-EPMC3595275 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature

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Rare genomic structural variants in complex disease: lessons from the replication of associations with obesity.

Walters Robin G RG   Coin Lachlan J M LJ   Ruokonen Aimo A   de Smith Adam J AJ   El-Sayed Moustafa Julia S JS   Jacquemont Sebastien S   Elliott Paul P   Esko Tõnu T   Hartikainen Anna-Liisa AL   Laitinen Jaana J   Männik Katrin K   Martinet Danielle D   Meyre David D   Nauck Matthias M   Schurmann Claudia C   Sladek Rob R   Thorleifsson Gudmar G   Thorsteinsdóttir Unnur U   Valsesia Armand A   Waeber Gerard G   Zufferey Flore F   Balkau Beverley B   Pattou François F   Metspalu Andres A   Völzke Henry H   Vollenweider Peter P   Stefansson Kári K   Järvelin Marjo-Riitta MR   Beckmann Jacques S JS   Froguel Philippe P   Blakemore Alexandra I F AI  

PloS one 20130312 3


The limited ability of common variants to account for the genetic contribution to complex disease has prompted searches for rare variants of large effect, to partly explain the 'missing heritability'. Analyses of genome-wide genotyping data have identified genomic structural variants (GSVs) as a source of such rare causal variants. Recent studies have reported multiple GSV loci associated with risk of obesity. We attempted to replicate these associations by similar analysis of two familial-obesi  ...[more]

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