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Comment
. 2022 Aug 4;185(16):2850-2852.
doi: 10.1016/j.cell.2022.07.005.

The gene dose makes the disease

Affiliations
Comment

The gene dose makes the disease

Corrine Smolen et al. Cell. .

Abstract

A long-standing challenge in genomics has been to identify causal genes within rare copy-number variant regions that are intolerant to altered dosage. In this issue, Collins et al. perform a meta-analysis of almost a million individuals to identify dosage-sensitive segments and genes conferring risk for a range of disease phenotypes.

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Conflict of interest statement

Declaration of interests The authors declare no competing interests.

Figures

Figure 1.
Figure 1.. Mechanisms of pathogenicity of disease for dosage-sensitive genes within CNVs.
(A) Phenotypes observed in both deletions and duplications can be caused by a single gene, such as RAI1 in Smith-Magenis and Potocki-Lupski syndromes. (B) Multiple dosage-sensitive genes within a CNV region can also individually contribute to distinct phenotypes, as in Williams-Bueren syndrome. Individual genes could be either bidirectionally sensitive or uniquely haploinsufficient (gene B) or triplosensitive (gene A). (C) Phenotypes in CNV disorders can also result from interactions of multiple dosage-sensitive genes, as reported in model systems for 16p11.2 deletion. (D) Interactions of one or more dosage-sensitive genes with modifier variants in the genetic background, including both rare and common variants, can also modulate CNV phenotypes. (E) The expression of dosage-sensitive genes can be affected by parental imprinting, as in Prader-Willi and Angelman syndromes, where the parent of origin of the CNV allele affects the manifested phenotypes.

Comment on

  • A cross-disorder dosage sensitivity map of the human genome.
    Collins RL, Glessner JT, Porcu E, Lepamets M, Brandon R, Lauricella C, Han L, Morley T, Niestroj LM, Ulirsch J, Everett S, Howrigan DP, Boone PM, Fu J, Karczewski KJ, Kellaris G, Lowther C, Lucente D, Mohajeri K, Nõukas M, Nuttle X, Samocha KE, Trinh M, Ullah F, Võsa U; Epi25 Consortium; Estonian Biobank Research Team; Hurles ME, Aradhya S, Davis EE, Finucane H, Gusella JF, Janze A, Katsanis N, Matyakhina L, Neale BM, Sanders D, Warren S, Hodge JC, Lal D, Ruderfer DM, Meck J, Mägi R, Esko T, Reymond A, Kutalik Z, Hakonarson H, Sunyaev S, Brand H, Talkowski ME. Collins RL, et al. Cell. 2022 Aug 4;185(16):3041-3055.e25. doi: 10.1016/j.cell.2022.06.036. Epub 2022 Aug 1. Cell. 2022. PMID: 35917817 Free PMC article.

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