Joint disease-specificity at the regulatory base-pair level.

Joint disease-specificity at the regulatory base-pair level.
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DOI:
10.1038/s41467-021-24345-9
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发表时间:
2021-07-06
影响因子:
16.6
通讯作者:
Capellini TD
Capellini TD
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Muthuirulan P;Zhao D;Young M;Richard D;Liu Z;Emami A;Portilla G;Hosseinzadeh S;Cao J;Maridas D;Sedlak M;Menghini D;Cheng L;Li L;Ding X;Ding Y;Rosen V;Kiapour AM;Capellini TD

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Given the pleiotropic nature of coding sequences and that many loci exhibit multiple disease associations, it is within non-coding sequence that disease-specificity likely exists. Here, we focus on joint disorders, finding among replicated loci, that GDF5 exhibits over twenty distinct associations, and we identify causal variants for two of its strongest associations, hip dysplasia and knee osteoarthritis. By mapping regulatory regions in joint chondrocytes, we pinpoint two variants (rs4911178; rs6060369), on the same risk haplotype, which reside in anatomical site-specific enhancers. We show that both variants have clinical relevance, impacting disease by altering morphology. By modeling each variant in humanized mice, we observe joint-specific response, correlating with GDF5 expression. Thus, we uncouple separate regulatory variants on a common risk haplotype that cause joint-specific disease. By broadening our perspective, we finally find that patterns of modularity at GDF5 are also found at over three-quarters of loci with multiple GWAS disease associations. While many genetic loci have been found to be associated with disease, not many have had their causal variants and mechanisms investigated. Here, the authors experimentally dissect two loci near GDF5 which are associated with two different joint disorders and which map to independent regulatory elements.
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