Cited by 27Hemispheric Asymmetry in NeuroscienceGenetic Associations and EpidemiologyGenetics and Neurodevelopmental Disorders

The DOI matches its Crossref record; its reference list is not available.

Exome-wide analysis implicates rare protein-altering variants in human handedness

Open access
Schijven, Dick, Soheili-Nezhad, Sourena, Fisher, Simon E., Francks, Clyde·2024·Nature Communications

Published version of a preprint

Abstract

Handedness is a manifestation of brain hemispheric specialization. Left-handedness occurs at increased rates in neurodevelopmental disorders. Genome-wide association studies have identified common genetic effects on handedness or brain asymmetry, which mostly involve variants outside protein-coding regions and may affect gene expression. Implicated genes include several that encode tubulins (microtubule components) or microtubule-associated proteins. Here we examine whether left-handedness is also influenced by rare coding variants (frequencies ≤ 1%), using exome data from 38,043 left-handed and 313,271 right-handed individuals from the UK Biobank. The beta-tubulin gene TUBB4B shows exome-wide significant association, with a rate of rare coding variants 2.7 times higher in left-handers than right-handers. The TUBB4B variants are mostly heterozygous missense changes, but include two frameshifts found only in left-handers. Other TUBB4B variants have been linked to sensorineural and/or ciliopathic disorders, but not the variants found here. Among genes previously implicated in autism or schizophrenia by exome screening, DSCAM and FOXP1 show evidence for rare coding variant association with left-handedness. The exome-wide heritability of left-handedness due to rare coding variants was 0.91%. This study reveals a role for rare, protein-altering variants in left-handedness, providing further evidence for the involvement of microtubules and disorder-relevant genes.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1038/s41467-024-46277-w

Cites

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

No citation lists for this paper

No citation lists for this paper yet — checked again daily.

References 100 · Cited by 27

Research works printed but not linked: 97

  1. de Kovel, C. G. F., Carrión-Castillo, A. & Francks, C. A large-scale population study of early life factors influencing left-handedness. Sci. Rep. 9, 584 (2019). · DOI
  2. Papadatou-Pastou, M. et al. Human handedness: A meta-analysis. Psychol. Bull. 146, 481–524 (2020). · DOI
  3. Coren, S. & Porac, C. Fifty centuries of right-handedness: the historical record. Science 198, 631–632 (1977). · DOI
  4. Faurie, C. & Raymond, M. Handedness frequency over more than ten thousand years. Proc. R. Soc. Lond. Ser. B: Biol. Sci. 271, S43–S45 (2004). · DOI
  5. McManus I. C. The history and geography of human handedness. In: Sommer I. E. C., Kahn R. S. (eds). Language Lateralization and Psychosis. (Cambridge University Press: Cambridge, 2009, 37–58). · DOI
  6. Perelle, I. B. & Ehrman, L. An international study of human handedness: the data. Behav. Genet. 24, 217–227 (1994). · DOI
  7. Willems, R. M., der Haegen, L. V., Fisher, S. E. & Francks, C. On the other hand: including left-handers in cognitive neuroscience and neurogenetics. Nat. Rev. Neurosci. 15, 193–201 (2014). · DOI
  8. Kasprian, G. et al. The prenatal origin of hemispheric asymmetry: an in utero neuroimaging study. Cereb. Cortex 21, 1076–1083 (2011). · DOI
  9. Duboc, V., Dufourcq, P., Blader, P. & Roussigne, M. Asymmetry of the Brain: Development and implications. Annu. Rev. Genet. 49, 647–672 (2015). · DOI
  10. Abu-Rustum, R. S., Ziade, M. F. & Abu-Rustum, S. E. Reference values for the right and left fetal choroid plexus at 11 to 13 weeks: an early sign of “developmental” laterality? J. Ultrasound Med. 32, 1623–1629 (2013). · DOI
  11. Hepper, P. G., McCartney, G. R. & Shannon, E. A. Lateralised behaviour in first trimester human foetuses. Neuropsychologia 36, 531–534 (1998). · DOI
  12. Hepper, P. G., Wells, D. L. & Lynch, C. Prenatal thumb sucking is related to postnatal handedness. Neuropsychologia 43, 313–315 (2005). · DOI
  13. Taymourtash, A. et al. Fetal development of functional thalamocortical and cortico–cortical connectivity. Cereb. Cortex 33, 5613–5624 (2023). · DOI
  14. Hepper, P. G. The developmental origins of laterality: Fetal handedness. Dev. Psychobiol. 55, 588–595 (2013). · DOI
  15. Francks, C. Exploring human brain lateralization with molecular genetics and genomics. Ann. N. Y. Acad. Sci. 1359, 1–13 (2015). · DOI
  16. Francks, C. In search of the biological roots of typical and atypical human brain asymmetry: Comment on “Phenotypes in hemispheric functional segregation? Perspectives and challenges” by Guy Vingerhoets. Phys. Life Rev. 30, 22–24 (2019). · DOI
  17. Sha, Z. et al. The genetic architecture of structural left–right asymmetry of the human brain. Nat. Hum. Behav. 5, 1226–1239 (2021). · DOI
  18. Gunturkun, O. & Ocklenburg, S. Ontogenesis of Lateralization. Neuron 94, 249–263 (2017). · DOI
  19. Medland, S. E. et al. Genetic influences on handedness: Data from 25,732 Australian and Dutch twin families. Neuropsychologia 47, 330–337 (2009). · DOI
  20. de Kovel, C. G. F. & Francks, C. The molecular genetics of hand preference revisited. Sci. Rep. 9, 5986 (2019). · DOI
  21. Cuellar-Partida, G. et al. Genome-wide association study identifies 48 common genetic variants associated with handedness. Nat. Hum. Behav. 5, 59–70 (2021). · DOI
  22. Kong, X. Z. et al. Mapping cortical brain asymmetry in 17,141 healthy individuals worldwide via the ENIGMA Consortium. Proc. Natl. Acad. Sci. 115, E5154–E5163 (2018). · DOI
  23. Guadalupe, T. et al. Human subcortical brain asymmetries in 15,847 people worldwide reveal effects of age and sex. Brain Imaging Behav. 11, 1497–1514 (2017). · DOI
  24. Labache, L., Ge, T., Yeo, B. T. T. & Holmes, A. J. Language network lateralization is reflected throughout the macroscale functional organization of cortex. Nat. Commun. 14, 3405 (2023). · DOI
  25. Somers, M. et al. Linkage analysis in a dutch population isolate shows no major gene for left-handedness or atypical language lateralization. J. Neurosci. 35, 8730–8736 (2015). · DOI
  26. Song, Y., Lee, D., Choi, J.-E., Lee, J. W. & Hong, K.-W. Genome-wide association and replication studies for handedness in a Korean community-based cohort. Brain Behav. 13, e3121 (2023). · DOI
  27. Armour, J. A., Davison, A. & McManus, I. C. Genome-wide association study of handedness excludes simple genetic models. Heredity 112, 221–225 (2014). · DOI
  28. Wiberg, A. et al. Handedness, language areas and neuropsychiatric diseases: insights from brain imaging and genetics. Brain 142, 2938–2947 (2019). · DOI
  29. Sudlow, C. et al. UK biobank: an open access resource for identifying the causes of a wide range of complex diseases of middle and old age. PLoS Med. 12, e1001779 (2015). · DOI · Paper page
  30. Janke, C. & Magiera, M. M. The tubulin code and its role in controlling microtubule properties and functions. Nat. Rev. Mol. Cell Biol. 21, 307–326 (2020). · DOI · Paper page
  31. Sha, Z. et al. Handedness and its genetic influences are associated with structural asymmetries of the cerebral cortex in 31,864 individuals. Proc. Natl Acad. Sci. 118, e2113095118 (2021). · DOI
  32. McManus, I. C., Davison, A. & Armour, J. A. L. Multilocus genetic models of handedness closely resemble single-locus models in explaining family data and are compatible with genome-wide association studies. Ann. N. Y. Acad. Sci. 1288, 48–58 (2013). · DOI
  33. Kavaklioglu, T., Ajmal, M., Hameed, A. & Francks, C. Whole exome sequencing for handedness in a large and highly consanguineous family. Neuropsychologia 93, 342–349 (2016). · DOI
  34. Carrion-Castillo, A. et al. Genome sequencing for rightward hemispheric language dominance. Genes Brain Behav. 18, e12572 (2019). · DOI
  35. Markou, P., Ahtam, B. & Papadatou-Pastou, M. Elevated levels of atypical handedness in autism: meta-analyses. Neuropsychol. Rev. 27, 258–283 (2017). · DOI
  36. Hirnstein, M. & Hugdahl, K. Excess of non-right-handedness in schizophrenia: meta-analysis of gender effects and potential biases in handedness assessment. Br. J. Psychiatry 205, 260–267 (2014). · DOI
  37. Postema, M. C. et al. Altered structural brain asymmetry in autism spectrum disorder in a study of 54 datasets. Nat. Commun. 10, 4958–4958 (2019). · DOI
  38. Schijven, D. et al. Large-scale analysis of structural brain asymmetries in schizophrenia via the ENIGMA consortium. Proc. Natl Acad. Sci. 120, e2213880120 (2023). · DOI
  39. Sha, Z., Schijven, D. & Francks, C. Patterns of brain asymmetry associated with polygenic risks for autism and schizophrenia implicate language and executive functions but not brain masculinization. Mol. Psychiatry 26, 7652–7660 (2021). · DOI
  40. Weiner, D. J. et al. Polygenic architecture of rare coding variation across 394,783 exomes. Nature 614, 492–499 (2023). · DOI
  41. Rentzsch, P., Witten, D., Cooper, G. M., Shendure, J. & Kircher, M. CADD: predicting the deleteriousness of variants throughout the human genome. Nucleic Acids Res. 47, D886–D894 (2018). · DOI · Paper page
  42. Wu, H. et al. TRAK1-mediated abnormality of mitochondrial fission increases seizure susceptibility in temporal lobe epilepsy. Mol. Neurobiol. 58, 1237–1247 (2021). · DOI
  43. Mochizuki, Y. et al. Phosphatidylinositol 3-Phosphatase Myotubularin-related Protein 6 (MTMR6) Is Regulated by Small GTPase Rab1B in the Early Secretory and Autophagic Pathways*. J. Biol. Chem. 288, 1009–1021 (2013). · DOI
  44. Amorosi, S. et al. FOXN1 homozygous mutation associated with anencephaly and severe neural tube defect in human athymic Nude/SCID fetus. Clin. Genet. 73, 380–384 (2008). · DOI
  45. Luscan, R. et al. Mutations in TUBB4B cause a distinctive sensorineural disease. Am. J. Hum. Genet. 101, 1006–1012 (2017). · DOI
  46. Mechaussier S., et al. TUBB4B variants specifically impact ciliary function, causing a ciliopathic spectrum. medRxiv 2022: 2022.2010.2019.22280748. · DOI
  47. Maasz, A. et al. TUBB4B gene mutation in Leber phenotype of congenital amaurosis syndrome associated with early-onset deafness. Eur. J. Med. Genet. 65, 104471 (2022). · DOI
  48. Makarious, M. B. et al. Large-scale rare variant burden testing in Parkinson’s disease. Brain 146, 4622–4632 (2023). · DOI
  49. Holstege, H. et al. Exome sequencing identifies rare damaging variants in ATP8B4 and ABCA1 as risk factors for Alzheimer’s disease. Nat. Genet. 54, 1786–1794 (2022). · DOI · Paper page
  50. Chen, P. et al. DSCAM deficiency leads to premature spine maturation and autism-like behaviors. J. Neurosci. 42, 532–551 (2022). · DOI
  51. Sollis, E. et al. Identification and functional characterization of de novo FOXP1 variants provides novel insights into the etiology of neurodevelopmental disorder. Hum. Mol. Genet. 25, 546–557 (2016). · DOI
  52. Norris, D. P. Cilia, calcium and the basis of left-right asymmetry. BMC Biol. 10, 102 (2012). · DOI · Paper page
  53. Fliegauf, M., Benzing, T. & Omran, H. When cilia go bad: cilia defects and ciliopathies. Nat. Rev. Mol. cell Biol. 8, 880–893 (2007). · DOI · Paper page
  54. Postema, M. C., Carrion-Castillo, A., Fisher, S. E., Vingerhoets, G. & Francks, C. The genetics of situs inversus without primary ciliary dyskinesia. Sci. Rep. 10, 3677 (2020). · DOI
  55. McManus, I. C., Martin, N., Stubbings, G. F., Chung, E. M. & Mitchison, H. M. Handedness and situs inversus in primary ciliary dyskinesia. Proc. R. Soc. B: Biol. Sci. 271, 2579–2582 (2004). · DOI
  56. Vingerhoets, G. et al. Brain structural and functional asymmetry in human situs inversus totalis. Brain Struct. Funct. 223, 1937–1952 (2018).
  57. Tanaka, S., Kanzaki, R., Yoshibayashi, M., Kamiya, T. & Sugishita, M. Dichotic listening in patients with situs inversus: brain asymmetry and situs asymmetry. Neuropsychologia 37, 869–874 (1999). · DOI
  58. Tee, Y. H. et al. Cellular chirality arising from the self-organization of the actin cytoskeleton. Nat. cell Biol. 17, 445–457 (2015). · DOI
  59. Fan, J., Zhang, H., Rahman, T., Stanton, D. N. & Wan, L. Q. Cell organelle-based analysis of cell chirality. Communicative Integr. Biol. 12, 78–81 (2019). · DOI
  60. Inaki M., Liu J. & Matsuno K. Cell chirality: its origin and roles in left-right asymmetric development. Phil. Trans. R. Soc. B 371, 20150403 (2016). · DOI
  61. Okumura, T. et al. The development and evolution of left-right asymmetry in invertebrates: lessons from Drosophila and snails. Dev. Dyn. 237, 3497–3515 (2008). · DOI
  62. Davison, A. et al. Formin is associated with left-right asymmetry in the pond snail and the frog. Curr. Biol. 26, 654–660 (2016). · DOI
  63. Steinhauer, J. & Kalderon, D. Microtubule polarity and axis formation in the Drosophila oocyte. Dev. Dyn. 235, 1455–1468 (2006). · DOI
  64. McNiven, M. A. & Porter, K. R. Organization of microtubules in centrosome-free cytoplasm. J. Cell Biol. 106, 1593–1605 (1988). · DOI
  65. Lobikin, M. et al. Early, nonciliary role for microtubule proteins in left–right patterning is conserved across kingdoms. Proc. Natl Acad. Sci. 109, 12586–12591 (2012). · DOI
  66. McDowell G., Rajadurai S. & Levin M. From cytoskeletal dynamics to organ asymmetry: a nonlinear, regulative pathway underlies left-right patterning. Phil. Trans. R. Soc. B 371, 20150409 (2016). · DOI
  67. Tischfield, M. A., Cederquist, G. Y., Gupta, M. L. & Engle, E. C. Phenotypic spectrum of the tubulin-related disorders and functional implications of disease-causing mutations. Curr. Opin. Genet. Dev. 21, 286–294 (2011). · DOI
  68. Jaglin, X. H. et al. Mutations in the β-tubulin gene TUBB2B result in asymmetrical polymicrogyria. Nat. Genet. 41, 746–752 (2009). · DOI
  69. Shimojima, K., Okamoto, N. & Yamamoto, T. A novel TUBB3 mutation in a sporadic patient with asymmetric cortical dysplasia. Am. J. Med. Genet. Part A 170, 1076–1079 (2016). · DOI
  70. Fukumura S., Kato M., Kawamura K., Tsuzuki A., Tsutsumi H. A mutation in the Tubulin-Encoding TUBB3 gene causes complex cortical malformations and unilateral hypohidrosis. Child Neurol. Open 3, 2329048x16665758 (2016). · DOI
  71. Baas, P. W. & Lin, S. Hooks and comets: The story of microtubule polarity orientation in the neuron. Dev. Neurobiol. 71, 403–418 (2011). · DOI
  72. Fu, J. M. et al. Rare coding variation provides insight into the genetic architecture and phenotypic context of autism. Nat. Genet. 54, 1320–1331 (2022). · DOI · Paper page
  73. Mitsogiannis, M. D. et al. Subtle roles of down syndrome cell adhesion molecules in embryonic forebrain development and neuronal migration. Front. Cell Dev. Biol. 8, 624181 (2021). · DOI
  74. Lemieux, M., Thiry, L., Laflamme, O. D. & Bretzner, F. Role of DSCAM in the development of neural control of movement and locomotion. Int. J. Mol. Sci. 22, 8511 (2021). · DOI
  75. Braden, R. O. et al. Severe speech impairment is a distinguishing feature of FOXP1-related disorder. Dev. Med. Child Neurol. 63, 1417–1426 (2021). · DOI
  76. Alves, J. M. et al. Reassessing the evolutionary history of the 17q21 inversion polymorphism. Genome Biol. Evol. 7, 3239–3248 (2015). · DOI
  77. Smith, S. M. et al. An expanded set of genome-wide association studies of brain imaging phenotypes in UK Biobank. Nat. Neurosci. 24, 737–745 (2021). · DOI
  78. Sferra, A., Nicita, F. & Bertini, E. Microtubule dysfunction: a common feature of neurodegenerative diseases. Int. J. Mol. Sci. 21, 7354 (2020). · DOI
  79. McManus, C. Is any but a tiny fraction of handedness variance likely to be due to the external environment? Laterality 26, 310–314 (2021). · DOI
  80. Odintsova, V. V. et al. Handedness and 23 Early Life Characteristics in 37,495 Dutch Twins. Twin Res. Hum. Genet. 26, 199–208 (2023). · DOI
  81. Odintsova, V. V. et al. DNA methylation in peripheral tissues and left-handedness. Sci. Rep. 12, 5606 (2022). · DOI
  82. Mitchell, K. J. Innate: How the Wiring of Our Brains Shapes Who We Are. (Princeton University Press, 2020).
  83. McManus, I. C. Handedness, language dominance and aphasia: a genetic model. Psych. Med. Monogr. Suppl. 8, 1–40 (1985).
  84. Bishop, D. V. M. & Bates, T. C. Heritability of language laterality assessed by functional transcranial Doppler ultrasound: a twin study. Wellcome Open Res. 16, 1612019 (2020).
  85. Janke, C. & Bulinski, J. C. Post-translational regulation of the microtubule cytoskeleton: mechanisms and functions. Nat. Rev. Mol. Cell Biol. 12, 773–786 (2011). · DOI
  86. Geiger, B., Bershadsky, A., Pankov, R. & Yamada, K. M. Transmembrane crosstalk between the extracellular matrix–cytoskeleton crosstalk. Nat. Rev. Mol. Cell Biol. 2, 793–805 (2001). · DOI
  87. Bycroft, C. et al. The UK Biobank resource with deep phenotyping and genomic data. Nature 562, 203–209 (2018). · DOI · Paper page
  88. Backman, J. D. et al. Exome sequencing and analysis of 454,787 UK Biobank participants. Nature 599, 628–634 (2021). · DOI
  89. Bellenguez, C., Strange, A., Freeman C, † WTCCC, Donnelly, P. & Spencer, C. C. A. A robust clustering algorithm for identifying problematic samples in genome-wide association studies. Bioinformatics 28, 134–135 (2011). · DOI
  90. Szustakowski, J. D. et al. Advancing human genetics research and drug discovery through exome sequencing of the UK Biobank. Nat. Genet. 53, 942–948 (2021). · DOI · Paper page
  91. Van Hout, C. V. et al. Exome sequencing and characterization of 49,960 individuals in the UK Biobank. Nature 586, 749–756 (2020). · DOI · Paper page
  92. Carson, A. R. et al. Effective filtering strategies to improve data quality from population-based whole exome sequencing studies. BMC Bioinforma. 15, 125 (2014). · DOI
  93. Cingolani, P. et al. A program for annotating and predicting the effects of single nucleotide polymorphisms, SnpEff: SNPs in the genome of Drosophila melanogaster strain w1118; iso-2; iso-3. Fly 6, 80–92 (2012). · DOI · Paper page
  94. Liu, X., Li, C., Mou, C., Dong, Y. & Tu, Y. dbNSFP v4: a comprehensive database of transcript-specific functional predictions and annotations for human nonsynonymous and splice-site SNVs. Genome Med. 12, 103 (2020). · DOI
  95. Willer, C. J., Li, Y. & Abecasis, G. R. METAL: fast and efficient meta-analysis of genomewide association scans. Bioinformatics 26, 2190–2191 (2010). · DOI · Paper page
  96. Coban-Akdemir, Z. et al. Identifying genes whose mutant transcripts cause dominant disease traits by potential gain-of-function alleles. Am. J. Hum. Genet. 103, 171–187 (2018). · DOI · Paper page
  97. Philipp, M. et al. MutationExplorer - a webserver for mutation of proteins and 3D visualization of energetic impacts. bioRxiv https://doi.org/10.1101/2023.03.23.533926 (2023). · DOI

Metadata

Authors
Schijven, D., Soheili-Nezhad, S., Fisher, S. E., & Francks, C.
Affiliations
Radboud University Nijmegen (NL)
Corresponding author
Francks, Clyde
Venue
Nature Communications
Published
2024-04-02
Volume
15
Issue
1
Pages
2632-2632
ISSN
2041-1723 (ISSN-L)
OpenAlex
W4393549112
Cited by
27
References
100
Citations by year
2026: 7 · 2025: 10 · 2024: 10
FWCI
6.54
Type
journal article
Language
en
Open access
Locations
  • Nature Communications (publishedVersion, cc-by)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Radboud Repository (Radboud University) (submittedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • MPG.PuRe (Max Planck Society) (submittedVersion, cc-by)
Funders
  • Max-Planck-Gesellschaft
  • Nederlandse Organisatie voor Wetenschappelijk Onderzoek (024.001.006)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Hemispheric Asymmetry in Neuroscience
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
Keywords
left-handedness, handedness, beta-tubulin, microtubules, Dscam, FOXP1, exome-wide association, heritability, neurodevelopmental disorders, autism spectrum disorder, schizophrenia
MeSH terms
Brain, Humans, Functional Laterality, Repressor Proteins, Forkhead Transcription Factors, Genome-Wide Association Study, Exome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review