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From genes to traits and back again Yaniv Erlich Courtesy “Inside Out” @erlichya How do we know if a trait has a genetic basis? Options: 1. Clustering is due to chance 2. Clustering is due to shared environment 3. Clustering is due to a genetic component How can we do that? Heritability: “a measure of the contribution of genes to a trait” How to measure heritability? Twin studies - 2* Identical twins = Heritability Non-identical twin Genetic variants explain 80% of height variability Results of complex traits Disease/Trait Heritability Alzheimer 70% Asthma 30% Depression 50% Heart disease 45% Hypertension 30% Height 81% IQ 82% IQ and heritability Jensen: If 82% of IQ is determined by genes, what is the value of large investments in the education system? Harvard Educational Review, 1969 Genetic determinism = pseudoscience Heritability: “a measure of the contribution of genes to a trait” Heritability is measured for a given environment 80 Longevity is 20% heritable. Yet, environmental changes (antibiotics, bypass surgeries, sanitation) totally transformed this trait. Longevity 75 70 65 60 55 50 45 1840 1890 1940 1990 Year of death Genes encode options not traits Environment Regular diet PKU Mental retardation Phenylketonuria Phe-restricted diet PKU Healthy life Outline – finding genes Mendelian disorders Complex traits Mendelian disorders Prenatal carrier screens Carrier couple No Carrier Carriers Affected Predating carrier screens Genetic Disorder Carrier rate Tay-Sachs 1:25 Cystic Fibrosis 1:30 Familial Dysautonomia 1:30 Usher Syndrome 1:40 Canavan 1:40 Glycogen Storage 1:71 Fanconi Anemia C 1:80 Niemann-Pick 1:80 Mucolipidosis type 4 1:100 Bloom Syndrome 1:102 Nemaline Myopathy 1:108 The main question Did we test for all the mutations? Finding the causative mutation of Joubert Syndrome (In collaboration with Hadassah Medical Center and Dor Yeshorim) What is Joubert Syndrome? • The disease affects the entire body: - Pyschomotor retardation and hyptonia - Extra digits in upper and lower limbs (sometimes) - Lazy eye - Renal insufficiency The cases • Dor-Yeshorim identified 13 cases in 8 Ashkenazi families • Three families are part of the same clan. • Founder mutation • Social implications The scale of the problem 3 billion 2 billion 300 million 100 million 3 million The question quickly How to find a serial murderer in a country of 3 billion people? Intro. Human genetics Pooling Bacteria Experiment Human Experiment Huge throughput sequencing Sequencing costs 10 cents / million bp! Introduction Joubert syndrome Genetic investigation Success! Future directions Investigation – initial steps Check known ex-convicts 9 genes are known to cause Joubert. All of them where normal in the affected children. Narrow down the geographical location Hadassah suspected the mutation is in chr. 11 Investigation – cont Prepare a list of suspects from the region and interrogate them Sequence gene by gene in the region and check for mutations Problem: it takes A LOT OF TIME Our approach • We will sequence every possible gene in the genome. • A process that takes two weeks and $1000 per sample • Sequencing a mother (carrier) and affected daughter Looking for: Recessive & Harmful & Rare mutation Elimination of suspects: # suspects Mutation in: Mother 49,515 Child 48,142 Shared mutations 23,986 Recessive pattern 2,541 And not in previous databases (rare) Changing the gene And are in Chr. 11 A single base substitution in TMEM216 105 39 1 Where is the mutation? Chromosome 11 Amino-acid change: Arg -> Leu (CGC>CTC) Single mutation! G G is the normal DNA The individual has a mutation in the position Joubert syndrome Additional lines of evidence • Hadassah found the same mutation (double blind) - Found in all 13 cases and parents found as carriers. - Carrier rate in Ashkenazi is 1:92 From: Elpeleg Orly Sent: Sun 12/6/2009 11:56 PM To: Erlich, Yaniv Subject: RE: Preliminary analysis BINGO ________________________________________ From: Erlich, Yaniv [[email protected]] Sent: Sun 12/6/2009 23:32 To: Elpeleg Orly Subject: Preliminary analysis Hi Orly, The only potential homozygous SNP mutation we found on chr11 between 59.5M-62M that is not in dbSNP and has an affect on the protein (missense, nonsense, splice) is TMEM216 Arg12->Leu (chr11:60918013). Are we right? Thanks, Yaniv Impact The Israeli Ministry of Health include the Joubert mutation in the recommended panel of pre-natal screens. “Happy families are all alike; every unhappy family is unhappy in its own way”(Leo Tolstoy) Outline Mendelian disorders Complex traits Complex traits How to map complex traits? The architecture of complex traits How can genes create such phenotypes? 1 gene Height 2 genes Many genes 3 genes Plomin et al, 2009 How to find mutations of complex traits? Phenotype A – Wild Type B – Mutation Genome-wide association studies AA AB BB Genotype Linear regression on each mutation: Null hypothesis: slope = 0 Alternative hypothesis: slope ≠ 0 Results of Genome Wide Association Study of Systemic Scleroderma Radstake et al, 2010 On a search for common genetic variants • Genome Wide Association Studies (GWAS) aim to scan common variants. • Almost 1000 studies have conducted on every possible major condition NIH/NHGRI catalog of GWAS studies A long way to go… A study with 200,000 participants Common genetic variants explain only 10% of height variability