Identification of de novo variants in nonsyndromic cleft lip with/without cleft palate patients with low polygenic risk scores

Abstract Background Nonsyndromic cleft lip with/without cleft palate (nsCL/P) is a congenital malformation of multifactorial etiology. Research has identified >40 genome‐wide significant risk loci, which explain less than 40% of nsCL/P heritability. Studies show that some of the hidden heritabili...

Full description

Bibliographic Details
Main Authors: Nina Ishorst, Leonie Henschel, Frederic Thieme, Dmitriy Drichel, Sugirthan Sivalingam, Sarah L. Mehrem, Ariane C. Fechtner, Julia Fazaal, Julia Welzenbach, André Heimbach, Carlo Maj, Oleg Borisov, Jonas Hausen, Ruth Raff, Alexander Hoischen, Michael Dixon, Alvaro Rada‐Iglesias, Michaela Bartusel, Augusto Rojas‐Martinez, Khalid Aldhorae, Bert Braumann, Teresa Kruse, Christian Kirschneck, Gerrit Spanier, Heiko Reutter, Stefanie Nowak, Lina Gölz, Michael Knapp, Andreas Buness, Peter Krawitz, Markus M. Nöthen, Michael Nothnagel, Tim Becker, Kerstin U. Ludwig, Elisabeth Mangold
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:Molecular Genetics & Genomic Medicine
Subjects:
Online Access:https://doi.org/10.1002/mgg3.2109
_version_ 1797871842987343872
author Nina Ishorst
Leonie Henschel
Frederic Thieme
Dmitriy Drichel
Sugirthan Sivalingam
Sarah L. Mehrem
Ariane C. Fechtner
Julia Fazaal
Julia Welzenbach
André Heimbach
Carlo Maj
Oleg Borisov
Jonas Hausen
Ruth Raff
Alexander Hoischen
Michael Dixon
Alvaro Rada‐Iglesias
Michaela Bartusel
Augusto Rojas‐Martinez
Khalid Aldhorae
Bert Braumann
Teresa Kruse
Christian Kirschneck
Gerrit Spanier
Heiko Reutter
Stefanie Nowak
Lina Gölz
Michael Knapp
Andreas Buness
Peter Krawitz
Markus M. Nöthen
Michael Nothnagel
Tim Becker
Kerstin U. Ludwig
Elisabeth Mangold
author_facet Nina Ishorst
Leonie Henschel
Frederic Thieme
Dmitriy Drichel
Sugirthan Sivalingam
Sarah L. Mehrem
Ariane C. Fechtner
Julia Fazaal
Julia Welzenbach
André Heimbach
Carlo Maj
Oleg Borisov
Jonas Hausen
Ruth Raff
Alexander Hoischen
Michael Dixon
Alvaro Rada‐Iglesias
Michaela Bartusel
Augusto Rojas‐Martinez
Khalid Aldhorae
Bert Braumann
Teresa Kruse
Christian Kirschneck
Gerrit Spanier
Heiko Reutter
Stefanie Nowak
Lina Gölz
Michael Knapp
Andreas Buness
Peter Krawitz
Markus M. Nöthen
Michael Nothnagel
Tim Becker
Kerstin U. Ludwig
Elisabeth Mangold
author_sort Nina Ishorst
collection DOAJ
description Abstract Background Nonsyndromic cleft lip with/without cleft palate (nsCL/P) is a congenital malformation of multifactorial etiology. Research has identified >40 genome‐wide significant risk loci, which explain less than 40% of nsCL/P heritability. Studies show that some of the hidden heritability is explained by rare penetrant variants. Methods To identify new candidate genes, we searched for highly penetrant de novo variants (DNVs) in 50 nsCL/P patient/parent‐trios with a low polygenic risk for the phenotype (discovery). We prioritized DNV‐carrying candidate genes from the discovery for resequencing in independent cohorts of 1010 nsCL/P patients of diverse ethnicities and 1574 population‐matched controls (replication). Segregation analyses and rare variant association in the replication cohort, in combination with additional data (genome‐wide association data, expression, protein–protein‐interactions), were used for final prioritization. Conclusion In the discovery step, 60 DNVs were identified in 60 genes, including a variant in the established nsCL/P risk gene CDH1. Re‐sequencing of 32 prioritized genes led to the identification of 373 rare, likely pathogenic variants. Finally, MDN1 and PAXIP1 were prioritized as top candidates. Our findings demonstrate that DNV detection, including polygenic risk score analysis, is a powerful tool for identifying nsCL/P candidate genes, which can also be applied to other multifactorial congenital malformations.
first_indexed 2024-04-10T00:49:25Z
format Article
id doaj.art-205be1f83d914d678ac7257527a61a58
institution Directory Open Access Journal
issn 2324-9269
language English
last_indexed 2024-04-10T00:49:25Z
publishDate 2023-03-01
publisher Wiley
record_format Article
series Molecular Genetics & Genomic Medicine
spelling doaj.art-205be1f83d914d678ac7257527a61a582023-03-13T12:14:56ZengWileyMolecular Genetics & Genomic Medicine2324-92692023-03-01113n/an/a10.1002/mgg3.2109Identification of de novo variants in nonsyndromic cleft lip with/without cleft palate patients with low polygenic risk scoresNina Ishorst0Leonie Henschel1Frederic Thieme2Dmitriy Drichel3Sugirthan Sivalingam4Sarah L. Mehrem5Ariane C. Fechtner6Julia Fazaal7Julia Welzenbach8André Heimbach9Carlo Maj10Oleg Borisov11Jonas Hausen12Ruth Raff13Alexander Hoischen14Michael Dixon15Alvaro Rada‐Iglesias16Michaela Bartusel17Augusto Rojas‐Martinez18Khalid Aldhorae19Bert Braumann20Teresa Kruse21Christian Kirschneck22Gerrit Spanier23Heiko Reutter24Stefanie Nowak25Lina Gölz26Michael Knapp27Andreas Buness28Peter Krawitz29Markus M. Nöthen30Michael Nothnagel31Tim Becker32Kerstin U. Ludwig33Elisabeth Mangold34Institute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyCologne Center for Genomics University of Cologne Cologne GermanyCore Unit for Bioinformatic Analysis, Medical Faculty University of Bonn Bonn GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyInstitute for Genomic Statistics and Bioinformatics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyInstitute for Genomic Statistics and Bioinformatics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyCore Unit for Bioinformatic Analysis, Medical Faculty University of Bonn Bonn GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyDepartment of Human Genetics Radboud University Medical Center Nijmegen The NetherlandsFaculty of Biology, Medicine & Health University of Manchester Manchester UKInstitute of Biomedicine and Biotechnology of Cantabria (IBBTEC) CSIC/University of Cantabria Santander SpainCenter for Molecular Medicine Cologne (CMMC) University of Cologne Cologne GermanyTecnologico de Monterrey Escuela de Medicina y Ciencias de la Salud Monterrey MexicoDepartment of Orthodontics, College of Dentistry Thamar University Thamar YemenFaculty of Medicine and University Hospital Cologne, Department of Orthodontics University of Cologne Cologne GermanyFaculty of Medicine and University Hospital Cologne, Department of Orthodontics University of Cologne Cologne GermanyDepartment of Orthodontics University of Regensburg Regensburg GermanyDepartment of Cranio‐Maxillofacial Surgery University Hospital Regensburg Regensburg GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyDepartment of Orthodontics University of Erlangen‐Nürnberg Erlangen GermanyInstitute of Medical Biometry, Informatics and Epidemiology University Hospital Bonn Bonn GermanyCore Unit for Bioinformatic Analysis, Medical Faculty University of Bonn Bonn GermanyInstitute for Genomic Statistics and Bioinformatics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyCologne Center for Genomics University of Cologne Cologne GermanyInstitute of Community Medicine University of Greifswald Greifswald GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn Bonn GermanyAbstract Background Nonsyndromic cleft lip with/without cleft palate (nsCL/P) is a congenital malformation of multifactorial etiology. Research has identified >40 genome‐wide significant risk loci, which explain less than 40% of nsCL/P heritability. Studies show that some of the hidden heritability is explained by rare penetrant variants. Methods To identify new candidate genes, we searched for highly penetrant de novo variants (DNVs) in 50 nsCL/P patient/parent‐trios with a low polygenic risk for the phenotype (discovery). We prioritized DNV‐carrying candidate genes from the discovery for resequencing in independent cohorts of 1010 nsCL/P patients of diverse ethnicities and 1574 population‐matched controls (replication). Segregation analyses and rare variant association in the replication cohort, in combination with additional data (genome‐wide association data, expression, protein–protein‐interactions), were used for final prioritization. Conclusion In the discovery step, 60 DNVs were identified in 60 genes, including a variant in the established nsCL/P risk gene CDH1. Re‐sequencing of 32 prioritized genes led to the identification of 373 rare, likely pathogenic variants. Finally, MDN1 and PAXIP1 were prioritized as top candidates. Our findings demonstrate that DNV detection, including polygenic risk score analysis, is a powerful tool for identifying nsCL/P candidate genes, which can also be applied to other multifactorial congenital malformations.https://doi.org/10.1002/mgg3.2109candidate genesde novo variantsexome sequencingnonsyndromic cleft lip with/without cleft palatepolygenic risksingle‐molecule molecular inversion probes
spellingShingle Nina Ishorst
Leonie Henschel
Frederic Thieme
Dmitriy Drichel
Sugirthan Sivalingam
Sarah L. Mehrem
Ariane C. Fechtner
Julia Fazaal
Julia Welzenbach
André Heimbach
Carlo Maj
Oleg Borisov
Jonas Hausen
Ruth Raff
Alexander Hoischen
Michael Dixon
Alvaro Rada‐Iglesias
Michaela Bartusel
Augusto Rojas‐Martinez
Khalid Aldhorae
Bert Braumann
Teresa Kruse
Christian Kirschneck
Gerrit Spanier
Heiko Reutter
Stefanie Nowak
Lina Gölz
Michael Knapp
Andreas Buness
Peter Krawitz
Markus M. Nöthen
Michael Nothnagel
Tim Becker
Kerstin U. Ludwig
Elisabeth Mangold
Identification of de novo variants in nonsyndromic cleft lip with/without cleft palate patients with low polygenic risk scores
Molecular Genetics & Genomic Medicine
candidate genes
de novo variants
exome sequencing
nonsyndromic cleft lip with/without cleft palate
polygenic risk
single‐molecule molecular inversion probes
title Identification of de novo variants in nonsyndromic cleft lip with/without cleft palate patients with low polygenic risk scores
title_full Identification of de novo variants in nonsyndromic cleft lip with/without cleft palate patients with low polygenic risk scores
title_fullStr Identification of de novo variants in nonsyndromic cleft lip with/without cleft palate patients with low polygenic risk scores
title_full_unstemmed Identification of de novo variants in nonsyndromic cleft lip with/without cleft palate patients with low polygenic risk scores
title_short Identification of de novo variants in nonsyndromic cleft lip with/without cleft palate patients with low polygenic risk scores
title_sort identification of de novo variants in nonsyndromic cleft lip with without cleft palate patients with low polygenic risk scores
topic candidate genes
de novo variants
exome sequencing
nonsyndromic cleft lip with/without cleft palate
polygenic risk
single‐molecule molecular inversion probes
url https://doi.org/10.1002/mgg3.2109
work_keys_str_mv AT ninaishorst identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT leoniehenschel identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT fredericthieme identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT dmitriydrichel identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT sugirthansivalingam identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT sarahlmehrem identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT arianecfechtner identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT juliafazaal identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT juliawelzenbach identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT andreheimbach identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT carlomaj identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT olegborisov identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT jonashausen identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT ruthraff identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT alexanderhoischen identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT michaeldixon identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT alvaroradaiglesias identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT michaelabartusel identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT augustorojasmartinez identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT khalidaldhorae identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT bertbraumann identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT teresakruse identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT christiankirschneck identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT gerritspanier identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT heikoreutter identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT stefanienowak identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT linagolz identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT michaelknapp identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT andreasbuness identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT peterkrawitz identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT markusmnothen identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT michaelnothnagel identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT timbecker identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT kerstinuludwig identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores
AT elisabethmangold identificationofdenovovariantsinnonsyndromiccleftlipwithwithoutcleftpalatepatientswithlowpolygenicriskscores