@article {120,
	title = {Evidence for secondary-variant genetic burden and non-random distribution across biological modules in a recessive ciliopathy.},
	journal = {Nat Genet},
	volume = {52},
	year = {2020},
	month = {2020 11},
	pages = {1145-1150},
	abstract = {<p>The influence of genetic background on driver mutations is well established; however, the mechanisms by which the background interacts with Mendelian loci remain unclear. We performed a systematic secondary-variant burden analysis of two independent cohorts of patients with Bardet-Biedl syndrome (BBS) with known recessive biallelic pathogenic mutations in one of 17 BBS genes for each individual. We observed a significant enrichment of trans-acting rare nonsynonymous secondary variants in patients with BBS compared with either population controls or a cohort of individuals with a non-BBS diagnosis and recessive variants in the same gene set. Strikingly, we found a significant over-representation of secondary alleles in chaperonin-encoding genes-a finding corroborated by the observation of epistatic interactions involving this complex in vivo. These data indicate a complex genetic architecture for BBS that informs the biological properties of disease modules and presents a model for secondary-variant burden analysis in recessive disorders.</p>},
	keywords = {Alleles, Bardet-Biedl Syndrome, Cohort Studies, Exome, Genetic Variation, Humans},
	issn = {1546-1718},
	doi = {10.1038/s41588-020-0707-1},
	author = {Kousi, Maria and S{\"o}ylemez, Onuralp and Ozanturk, Ayseg{\"u}l and Mourtzi, Niki and Akle, Sebastian and Jungreis, Irwin and Muller, Jean and Cassa, Christopher A and Brand, Harrison and Mokry, Jill Anne and Wolf, Maxim Y and Sadeghpour, Azita and McFadden, Kelsey and Lewis, Richard A and Talkowski, Michael E and Dollfus, H{\'e}l{\`e}ne and Kellis, Manolis and Davis, Erica E and Sunyaev, Shamil R and Katsanis, Nicholas}
}
@article {11,
	title = {Estimating the selective effects of heterozygous protein-truncating variants from human exome data.},
	journal = {Nat Genet},
	volume = {49},
	year = {2017},
	month = {2017 May},
	pages = {806-810},
	abstract = {<p>The evolutionary cost of gene loss is a central question in genetics and has been investigated in model organisms and human cell lines. In humans, tolerance of the loss of one or both functional copies of a gene is related to the gene{\textquoteright}s causal role in disease. However, estimates of the selection and dominance coefficients in humans have been elusive. Here we analyze exome sequence data from 60,706 individuals to make genome-wide estimates of selection against heterozygous loss of gene function. Using this distribution of selection coefficients for heterozygous protein-truncating variants (PTVs), we provide corresponding Bayesian estimates for individual genes. We find that genes under the strongest selection are enriched in embryonic lethal mouse knockouts, Mendelian disease-associated genes, and regulators of transcription. Screening by essentiality, we find a large set of genes under strong selection that are likely to have crucial functions but have not yet been thoroughly characterized.</p>},
	keywords = {Algorithms, Animals, Bayes Theorem, Exome, Gene Frequency, Genetic Predisposition to Disease, Genetic Variation, Genome-Wide Association Study, Genotype, Heterozygote, Humans, Mice, Knockout, Models, Genetic, Mutation, Selection, Genetic, Sequence Analysis, DNA},
	issn = {1546-1718},
	doi = {10.1038/ng.3831},
	author = {Cassa, Christopher A and Weghorn, Donate and Balick, Daniel J and Jordan, Daniel M and Nusinow, David and Samocha, Kaitlin E and O{\textquoteright}Donnell-Luria, Anne and MacArthur, Daniel G and Daly, Mark J and Beier, David R and Sunyaev, Shamil R}
}
