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Rare and low-frequency coding variants alter human adult height

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Stirrups, KE 
Butterworth, AS 
Di Angelantonio, Emanuele  ORCID logo  https://orcid.org/0000-0001-8776-6719

Abstract

Height is a highly heritable, classic polygenic trait with ~700 common associated variants identified so far through genome-wide association studies. Here, we report 83 new height-associated coding variants with lower minor allele frequencies (range of 0.1-4.8%) and effects of up to 2 cm/allele (e.g. in IHH, STC2, AR and CRISPLD2), >10 times the average effect of common variants. In functional follow-up studies, rare height-increasing variants of STC2 (+1-2 cm/allele) compromised proteolytic inhibition of PAPP-A and increased cleavage of IGFBP-4 in vitro, resulting in higher bioavailability of insulin-like growth factors. These 83 height-associated variants overlap genes mutated in monogenic growth disorders and highlight new biological candidates (e.g. ADAMTS3, IL11RA, NOX4) and pathways (e.g. proteoglycan/glycosaminoglycan synthesis) involved in growth. Our results demonstrate that sufficiently large sample sizes can uncover rare and low-frequency variants of moderate to large effect associated with polygenic human phenotypes, and that these variants implicate relevant genes and pathways.

Description

Keywords

genetic association study, development

Journal Title

Nature

Conference Name

Journal ISSN

0028-0836
1476-4687

Volume Title

542

Publisher

Nature Publishing Group
Sponsorship
Medical Research Council (MC_UU_12015/2)
Medical Research Council (MC_UU_12015/1)
Medical Research Council (MR/L003120/1)
British Heart Foundation (None)
Cancer Research UK, Wellcome Trust A full list of acknowledgments appears in the Supplementary Note. Part of this work was conducted using the UK Biobank resource.