Pathogenic Variants for Mendelian and Complex Traits in Exomes of 6,517 European and African Americans: Implications for the Return of Incidental Results 

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Pathogenic Variants for Mendelian and Complex Traits in Exomes of 6,517 European and African Americans: Implications for the Return of Incidental Results  Holly K. Tabor, Paul L. Auer, Seema M. Jamal, Jessica X. Chong, Joon-Ho Yu, Adam S. Gordon, Timothy A. Graubert, Christopher J. O’Donnell, Stephen S. Rich, Deborah A. Nickerson, Michael J. Bamshad  The American Journal of Human Genetics  Volume 95, Issue 2, Pages 183-193 (August 2014) DOI: 10.1016/j.ajhg.2014.07.006 Copyright © 2014 The American Society of Human Genetics Terms and Conditions

Figure 1 Extent to which the Variant-Curation Process Enriched the Risk-Variant Set with Those that Most Likely Confer Disease Risk Violin plots showing the distribution of metrics of conservation (A), pathogenicity (B), and deleteriousness (C) between included and excluded variants in the NBS, ARMD, and PGx gene sets. (A) Mean GERP scores of variants in the risk set were significantly higher than the mean scores of the excluded variants for the NBS (p = 1.45 × 10−86) and ARMD (p = 4.40 × 10−4) gene sets, but not for the PGx gene set (p = 0.066). (B) Significantly more variants were predicted to be probably damaging (blue) by PolyPhen-2 in the NBS (p = 1.99 × 10−19) and ARMD (p = 0.42) gene sets than in the PGx gene set (p = 0.25). The fraction of variants predicted to be benign (red) or possibly damaging (green) is denoted. (C) With the use of CADD scores, significantly more damaging variants were found in the NBS (p = 1.38 × 10−109), ARMD (p = 9.9 × 10−4), and PGx (p = 1.47 × 10−9) risk-variant sets. The American Journal of Human Genetics 2014 95, 183-193DOI: (10.1016/j.ajhg.2014.07.006) Copyright © 2014 The American Society of Human Genetics Terms and Conditions

Figure 2 Comparison of Published versus Observed Carrier Estimates for NBS Conditions Published estimates of carrier frequencies were similar to estimates on the basis of a conservative manual review of NBS risk variants. Carrier estimates for sickle cell anemia (MIM 603903), beta-thalassemia (MIM 613985), and hemoglobin C disease (MIM 141900.0038) were calculated in AA individuals separately (red), and estimates for CF (MIM 219700) were calculated in AA (red) and EA (green) individuals separately, whereas all other estimates were calculated in the total ESP6500 sample (blue). The American Journal of Human Genetics 2014 95, 183-193DOI: (10.1016/j.ajhg.2014.07.006) Copyright © 2014 The American Society of Human Genetics Terms and Conditions

Figure 3 Plots of the Number of Pathogenic or Risk Variants per Individual AA individuals are in blue, and EA individuals are in red. Plots are shown for NBS (A), ARMD (B), and PGx (C) gene sets and a combination across gene sets (D). The American Journal of Human Genetics 2014 95, 183-193DOI: (10.1016/j.ajhg.2014.07.006) Copyright © 2014 The American Society of Human Genetics Terms and Conditions