@article {76, title = {Phenome-based approach identifies RIC1-linked Mendelian syndrome through zebrafish models, biobank associations and clinical studies.}, journal = {Nat Med}, volume = {26}, year = {2020}, month = {2020 01}, pages = {98-109}, abstract = {

Discovery of genotype-phenotype relationships remains a major challenge in clinical medicine. Here, we combined three sources of phenotypic data to uncover a new mechanism for rare and common diseases resulting from collagen secretion deficits. Using a zebrafish genetic screen, we identified the ric1 gene as being essential for skeletal biology. Using a gene-based phenome-wide association study (PheWAS) in the EHR-linked BioVU biobank, we show that reduced genetically determined expression of RIC1 is associated with musculoskeletal and dental conditions. Whole-exome sequencing identified individuals homozygous-by-descent for a rare variant in RIC1 and, through a guided clinical re-evaluation, it was discovered that they share signs with the BioVU-associated phenome. We named this new Mendelian syndrome CATIFA (cleft lip, cataract, tooth abnormality, intellectual disability, facial dysmorphism, attention-deficit hyperactivity disorder) and revealed further disease mechanisms. This gene-based, PheWAS-guided approach can accelerate the discovery of clinically relevant disease phenome and associated biological mechanisms.

}, keywords = {Abnormalities, Multiple, Animals, Behavior, Animal, Biological Specimen Banks, Chondrocytes, Disease Models, Animal, Extracellular Matrix, Fibroblasts, Guanine Nucleotide Exchange Factors, Humans, Models, Biological, Musculoskeletal System, Osteogenesis, Phenomics, Phenotype, Procollagen, Protein Transport, Secretory Pathway, Syndrome, Zebrafish, Zebrafish Proteins}, issn = {1546-170X}, doi = {10.1038/s41591-019-0705-y}, author = {Unlu, Gokhan and Qi, Xinzi and Gamazon, Eric R and Melville, David B and Patel, Nisha and Rushing, Amy R and Hashem, Mais and Al-Faifi, Abdullah and Chen, Rui and Li, Bingshan and Cox, Nancy J and Alkuraya, Fowzan S and Knapik, Ela W} } @article {45, title = {Quantifying the Polygenic Contribution to Cutaneous Squamous Cell Carcinoma Risk.}, journal = {J Invest Dermatol}, volume = {138}, year = {2018}, month = {2018 07}, pages = {1507-1510}, abstract = {

Genetic factors play an important role in cutaneous squamous cell carcinoma risk. Genome-wide association studies have identified 21 single nucleotide polymorphisms associated with cutaneous squamous cell carcinoma risk. Yet no studies have attempted to quantify the contribution of heritability to cutaneous squamous cell carcinoma risk by calculating the population attributable risk using a combination of all discovered genetic variants. Using an additive multi-locus linear logistic model, we determined the cumulative association of these 21 genetic regions to cutaneous squamous cell carcinoma population attributable risk. We computed a multi-locus population attributable risk of 62\%, suggesting that if the effects of all the risk alleles were removed from a population, the cutaneous squamous cell carcinoma risk would drop by 62\%. Using stratified analysis, we also examined the impact of sex on polygenic risk score, and found that men have an increased relative risk throughout the spectrum of the polygenic risk score. Quantifying the impact of genetic predisposition on the proportion of cancer cases can guide future research decisions and public health policy planning.

}, keywords = {Carcinoma, Squamous Cell, Female, Genetic Loci, Genetic Predisposition to Disease, Genome-Wide Association Study, Humans, Linear Models, Logistic Models, Male, Models, Biological, Polymorphism, Single Nucleotide, Risk Assessment, Risk Factors, Sex Factors, Skin Neoplasms}, issn = {1523-1747}, doi = {10.1016/j.jid.2018.01.031}, author = {Sordillo, Joanne E and Kraft, Peter and Wu, Ann Chen and Asgari, Maryam M} } @article {24, title = {Lessons Learned From Past Gene-Environment Interaction Successes.}, journal = {Am J Epidemiol}, volume = {186}, year = {2017}, month = {2017 Oct 01}, pages = {778-786}, abstract = {

Genetic and environmental factors are both known to contribute to susceptibility to complex diseases. Therefore, the study of gene-environment interaction (G{\texttimes}E) has been a focus of research for several years. In this article, select examples of G{\texttimes}E from the literature are described to highlight different approaches and underlying principles related to the success of these studies. These examples can be broadly categorized as studies of single metabolism genes, genes in complex metabolism pathways, ranges of exposure levels, functional approaches and model systems, and pharmacogenomics. Some studies illustrated the success of studying exposure metabolism for which candidate genes can be identified. Moreover, some G{\texttimes}E successes depended on the availability of high-quality exposure assessment and longitudinal measures, study populations with a wide range of exposure levels, and the inclusion of ethnically and geographically diverse populations. In several examples, large population sizes were required to detect G{\texttimes}Es. Other examples illustrated the impact of accurately defining scale of the interactions (i.e., additive or multiplicative). Last, model systems and functional approaches provided insights into G{\texttimes}E in several examples. Future studies may benefit from these lessons learned.

}, keywords = {Biomedical Research, Disease, Environmental Exposure, Gene-Environment Interaction, Genetic Predisposition to Disease, Genetic Variation, Genome-Wide Association Study, Humans, Models, Biological}, issn = {1476-6256}, doi = {10.1093/aje/kwx230}, author = {Ritz, Beate R and Chatterjee, Nilanjan and Garcia-Closas, Montserrat and Gauderman, W James and Pierce, Brandon L and Kraft, Peter and Tanner, Caroline M and Mechanic, Leah E and McAllister, Kimberly} }