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The human gene damage index as a gene-level approach to prioritizing exome variants

Yuval Itan, Lei Shang, Bertrand Boisson, Etienne Patin, Alexandre Bolze, Marcela Moncada-Vélez, Eric Scott, Michael J. Ciancanelli, Fabien G. Lafaille, Janet G. Markle, Ruben Martinez-Barricarte, Sarah Jill de Jong, Xiao-Fei Kong, Patrick Nitschke, Aziz Belkadi, Jacinta Bustamante, Anne Puel, Stéphanie Boisson-Dupuis, Peter D. Stenson, Joseph G. Gleeson, David N. Cooper, Lluis Quintana-Murci, Jean-Michel Claverie, Shen-Ying Zhang, Laurent Abel, and Jean-Laurent Casanova
PNAS November 3, 2015 112 (44) 13615-13620; published ahead of print October 19, 2015 https://doi.org/10.1073/pnas.1518646112
Yuval Itan
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;
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  • For correspondence: yitan@rockefeller.educasanova@rockefeller.edu
Lei Shang
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;
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Bertrand Boisson
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;
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Etienne Patin
bHuman Evolutionary Genetics Unit, Institut Pasteur, 75015 Paris, France;cCentre National de la Recherche Scientifique, CNRS URA 3012, Paris, France;
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Alexandre Bolze
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;
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Marcela Moncada-Vélez
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;dGroup of Primary Immunodeficiencies, Faculty of Medicine, University of Antioquia UdeA, Medellín, Colombia;
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Eric Scott
eNeurogenetics Laboratory, Department of Neurosciences, University of California, San Diego, CA 92093-0662;
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Michael J. Ciancanelli
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;
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Fabien G. Lafaille
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;
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Janet G. Markle
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;
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Ruben Martinez-Barricarte
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;
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Sarah Jill de Jong
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;
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Xiao-Fei Kong
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;
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Patrick Nitschke
fBioinformatics Platform, University Paris Descartes, 75015 Paris, France;
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Aziz Belkadi
gLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U.1163, Necker Hospital for Sick Children, 75015 Paris, France;hParis Descartes University, Imagine Institute, 75015 Paris, France;
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Jacinta Bustamante
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;gLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U.1163, Necker Hospital for Sick Children, 75015 Paris, France;hParis Descartes University, Imagine Institute, 75015 Paris, France;iCenter for Study of Primary Immunodeficiencies, Necker Hospital for Sick Children, Paris, France;
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Anne Puel
gLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U.1163, Necker Hospital for Sick Children, 75015 Paris, France;hParis Descartes University, Imagine Institute, 75015 Paris, France;
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Stéphanie Boisson-Dupuis
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;gLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U.1163, Necker Hospital for Sick Children, 75015 Paris, France;hParis Descartes University, Imagine Institute, 75015 Paris, France;
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Peter D. Stenson
jInstitute of Medical Genetics, Cardiff University, Cardiff CF14 4XN, United Kingdom;
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Joseph G. Gleeson
kLaboratory of Pediatric Brain Disease, The Rockefeller University, New York, NY 10065;lNew York Genome Center, New York, NY 10013;mHoward Hughes Medical Institute, New York, NY 10065;
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David N. Cooper
jInstitute of Medical Genetics, Cardiff University, Cardiff CF14 4XN, United Kingdom;
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Lluis Quintana-Murci
bHuman Evolutionary Genetics Unit, Institut Pasteur, 75015 Paris, France;cCentre National de la Recherche Scientifique, CNRS URA 3012, Paris, France;
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Jean-Michel Claverie
nAPHM & Structural and Genomic Information Laboratory, UMR7256, CNRS Aix-Marseille University, 13288 Marseille, France;
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Shen-Ying Zhang
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;gLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U.1163, Necker Hospital for Sick Children, 75015 Paris, France;hParis Descartes University, Imagine Institute, 75015 Paris, France;
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Laurent Abel
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;gLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U.1163, Necker Hospital for Sick Children, 75015 Paris, France;hParis Descartes University, Imagine Institute, 75015 Paris, France;
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Jean-Laurent Casanova
aSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY 10065;gLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U.1163, Necker Hospital for Sick Children, 75015 Paris, France;hParis Descartes University, Imagine Institute, 75015 Paris, France;mHoward Hughes Medical Institute, New York, NY 10065;oPediatric Hematology-Immunology Unit, Necker Hospital for Sick Children, 75015 Paris, France
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  • For correspondence: yitan@rockefeller.educasanova@rockefeller.edu
  1. Contributed by Jean-Laurent Casanova, September 22, 2015 (sent for review June 26, 2015); reviewed by Jay Shendure and David B. Goldstein

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Significance

The protein-coding exome of a patient with a monogenic disease contains about 20,000 variations, of which only one or two are disease causing. When attempting to select disease-causing candidate mutation(s), a challenge is to filter out as many false-positive (FP) variants as possible. In this study, we describe the gene damage index (GDI), a metric for the nonsynonymous mutational load in each protein-coding gene in the general population. We show that the GDI is an efficient gene-level method for filtering out FP variants in genes that are highly damaged in the general population.

Abstract

The protein-coding exome of a patient with a monogenic disease contains about 20,000 variants, only one or two of which are disease causing. We found that 58% of rare variants in the protein-coding exome of the general population are located in only 2% of the genes. Prompted by this observation, we aimed to develop a gene-level approach for predicting whether a given human protein-coding gene is likely to harbor disease-causing mutations. To this end, we derived the gene damage index (GDI): a genome-wide, gene-level metric of the mutational damage that has accumulated in the general population. We found that the GDI was correlated with selective evolutionary pressure, protein complexity, coding sequence length, and the number of paralogs. We compared GDI with the leading gene-level approaches, genic intolerance, and de novo excess, and demonstrated that GDI performed best for the detection of false positives (i.e., removing exome variants in genes irrelevant to disease), whereas genic intolerance and de novo excess performed better for the detection of true positives (i.e., assessing de novo mutations in genes likely to be disease causing). The GDI server, data, and software are freely available to noncommercial users from lab.rockefeller.edu/casanova/GDI.

  • mutational damage
  • gene-level
  • gene prioritization
  • variant prioritization
  • next generation sequencing

Footnotes

  • ↵1To whom correspondence may be addressed. Email: yitan{at}rockefeller.edu or casanova{at}rockefeller.edu.
  • ↵2L.Q.-M. and J.-M.C. contributed equally to this work.

  • ↵3S.-Y.Z., L.A., and J.-L.C. contributed equally to this work.

  • Author contributions: Y.I., B.B., A. Bolze, J.G.M., R.M.-B., S.B.-D., D.N.C., L.Q.-M., J.-M.C., S.-Y.Z., L.A., and J.-L.C. designed research; Y.I., L.S., E.P., M.M.-V., E.S., M.J.C., F.G.L., S.J.d.J., X.-F.K., J.B., A.P., P.D.S., J.G.G., and S.-Y.Z. performed research; Y.I., B.B., E.P., M.M.-V., E.S., J.G.M., S.J.d.J., P.N., J.B., S.B.-D., P.D.S., J.G.G., D.N.C., L.Q.-M., J.-M.C., S.-Y.Z., and L.A. contributed new reagents/analytic tools; Y.I., L.S., E.P., E.S., P.N., A. Belkadi, and P.D.S. analyzed data; and Y.I., A. Bolze, M.J.C., R.M.-B., X.-F.K., L.Q.-M., J.-M.C., S.-Y.Z., L.A., and J.-L.C. wrote the paper.

  • Reviewers: J.S., University of Washington; D.B.G., Columbia University.

  • The authors declare no conflict of interest.

  • This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1518646112/-/DCSupplemental.

Freely available online through the PNAS open access option.

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Gene damage index
Yuval Itan, Lei Shang, Bertrand Boisson, Etienne Patin, Alexandre Bolze, Marcela Moncada-Vélez, Eric Scott, Michael J. Ciancanelli, Fabien G. Lafaille, Janet G. Markle, Ruben Martinez-Barricarte, Sarah Jill de Jong, Xiao-Fei Kong, Patrick Nitschke, Aziz Belkadi, Jacinta Bustamante, Anne Puel, Stéphanie Boisson-Dupuis, Peter D. Stenson, Joseph G. Gleeson, David N. Cooper, Lluis Quintana-Murci, Jean-Michel Claverie, Shen-Ying Zhang, Laurent Abel, Jean-Laurent Casanova
Proceedings of the National Academy of Sciences Nov 2015, 112 (44) 13615-13620; DOI: 10.1073/pnas.1518646112

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Gene damage index
Yuval Itan, Lei Shang, Bertrand Boisson, Etienne Patin, Alexandre Bolze, Marcela Moncada-Vélez, Eric Scott, Michael J. Ciancanelli, Fabien G. Lafaille, Janet G. Markle, Ruben Martinez-Barricarte, Sarah Jill de Jong, Xiao-Fei Kong, Patrick Nitschke, Aziz Belkadi, Jacinta Bustamante, Anne Puel, Stéphanie Boisson-Dupuis, Peter D. Stenson, Joseph G. Gleeson, David N. Cooper, Lluis Quintana-Murci, Jean-Michel Claverie, Shen-Ying Zhang, Laurent Abel, Jean-Laurent Casanova
Proceedings of the National Academy of Sciences Nov 2015, 112 (44) 13615-13620; DOI: 10.1073/pnas.1518646112
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