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Exome-wide analysis implicates rare protein-altering variants in human handedness
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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.
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References 100 · Cited by 27
Research works printed but not linked: 97
- 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
- Papadatou-Pastou, M. et al. Human handedness: A meta-analysis. Psychol. Bull. 146, 481–524 (2020). · DOI
- Coren, S. & Porac, C. Fifty centuries of right-handedness: the historical record. Science 198, 631–632 (1977). · DOI
- 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
- 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
- Perelle, I. B. & Ehrman, L. An international study of human handedness: the data. Behav. Genet. 24, 217–227 (1994). · DOI
- 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
- Kasprian, G. et al. The prenatal origin of hemispheric asymmetry: an in utero neuroimaging study. Cereb. Cortex 21, 1076–1083 (2011). · DOI
- Duboc, V., Dufourcq, P., Blader, P. & Roussigne, M. Asymmetry of the Brain: Development and implications. Annu. Rev. Genet. 49, 647–672 (2015). · DOI
- 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
- Hepper, P. G., McCartney, G. R. & Shannon, E. A. Lateralised behaviour in first trimester human foetuses. Neuropsychologia 36, 531–534 (1998). · DOI
- Hepper, P. G., Wells, D. L. & Lynch, C. Prenatal thumb sucking is related to postnatal handedness. Neuropsychologia 43, 313–315 (2005). · DOI
- Taymourtash, A. et al. Fetal development of functional thalamocortical and cortico–cortical connectivity. Cereb. Cortex 33, 5613–5624 (2023). · DOI
- Hepper, P. G. The developmental origins of laterality: Fetal handedness. Dev. Psychobiol. 55, 588–595 (2013). · DOI
- Francks, C. Exploring human brain lateralization with molecular genetics and genomics. Ann. N. Y. Acad. Sci. 1359, 1–13 (2015). · DOI
- 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
- Sha, Z. et al. The genetic architecture of structural left–right asymmetry of the human brain. Nat. Hum. Behav. 5, 1226–1239 (2021). · DOI
- Gunturkun, O. & Ocklenburg, S. Ontogenesis of Lateralization. Neuron 94, 249–263 (2017). · DOI
- Medland, S. E. et al. Genetic influences on handedness: Data from 25,732 Australian and Dutch twin families. Neuropsychologia 47, 330–337 (2009). · DOI
- de Kovel, C. G. F. & Francks, C. The molecular genetics of hand preference revisited. Sci. Rep. 9, 5986 (2019). · DOI
- 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
- 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
- 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
- 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
- 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
- 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
- Armour, J. A., Davison, A. & McManus, I. C. Genome-wide association study of handedness excludes simple genetic models. Heredity 112, 221–225 (2014). · DOI
- Wiberg, A. et al. Handedness, language areas and neuropsychiatric diseases: insights from brain imaging and genetics. Brain 142, 2938–2947 (2019). · DOI
- 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
- 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
- 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
- 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
- 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
- Carrion-Castillo, A. et al. Genome sequencing for rightward hemispheric language dominance. Genes Brain Behav. 18, e12572 (2019). · DOI
- Markou, P., Ahtam, B. & Papadatou-Pastou, M. Elevated levels of atypical handedness in autism: meta-analyses. Neuropsychol. Rev. 27, 258–283 (2017). · DOI
- 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
- 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
- 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
- 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
- Weiner, D. J. et al. Polygenic architecture of rare coding variation across 394,783 exomes. Nature 614, 492–499 (2023). · DOI
- 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
- Wu, H. et al. TRAK1-mediated abnormality of mitochondrial fission increases seizure susceptibility in temporal lobe epilepsy. Mol. Neurobiol. 58, 1237–1247 (2021). · DOI
- 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
- 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
- Luscan, R. et al. Mutations in TUBB4B cause a distinctive sensorineural disease. Am. J. Hum. Genet. 101, 1006–1012 (2017). · DOI
- Mechaussier S., et al. TUBB4B variants specifically impact ciliary function, causing a ciliopathic spectrum. medRxiv 2022: 2022.2010.2019.22280748. · DOI
- 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
- Makarious, M. B. et al. Large-scale rare variant burden testing in Parkinson’s disease. Brain 146, 4622–4632 (2023). · DOI
- 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
- Chen, P. et al. DSCAM deficiency leads to premature spine maturation and autism-like behaviors. J. Neurosci. 42, 532–551 (2022). · DOI
- 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
- Norris, D. P. Cilia, calcium and the basis of left-right asymmetry. BMC Biol. 10, 102 (2012). · DOI · Paper page
- 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
- 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
- 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
- Vingerhoets, G. et al. Brain structural and functional asymmetry in human situs inversus totalis. Brain Struct. Funct. 223, 1937–1952 (2018).
- 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
- Tee, Y. H. et al. Cellular chirality arising from the self-organization of the actin cytoskeleton. Nat. cell Biol. 17, 445–457 (2015). · DOI
- 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
- 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
- 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
- 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
- Steinhauer, J. & Kalderon, D. Microtubule polarity and axis formation in the Drosophila oocyte. Dev. Dyn. 235, 1455–1468 (2006). · DOI
- McNiven, M. A. & Porter, K. R. Organization of microtubules in centrosome-free cytoplasm. J. Cell Biol. 106, 1593–1605 (1988). · DOI
- 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
- 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
- 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
- Jaglin, X. H. et al. Mutations in the β-tubulin gene TUBB2B result in asymmetrical polymicrogyria. Nat. Genet. 41, 746–752 (2009). · DOI
- 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
- 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
- Baas, P. W. & Lin, S. Hooks and comets: The story of microtubule polarity orientation in the neuron. Dev. Neurobiol. 71, 403–418 (2011). · DOI
- 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
- 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
- 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
- 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
- Alves, J. M. et al. Reassessing the evolutionary history of the 17q21 inversion polymorphism. Genome Biol. Evol. 7, 3239–3248 (2015). · DOI
- 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
- Sferra, A., Nicita, F. & Bertini, E. Microtubule dysfunction: a common feature of neurodegenerative diseases. Int. J. Mol. Sci. 21, 7354 (2020). · DOI
- 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
- 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
- Odintsova, V. V. et al. DNA methylation in peripheral tissues and left-handedness. Sci. Rep. 12, 5606 (2022). · DOI
- Mitchell, K. J. Innate: How the Wiring of Our Brains Shapes Who We Are. (Princeton University Press, 2020).
- McManus, I. C. Handedness, language dominance and aphasia: a genetic model. Psych. Med. Monogr. Suppl. 8, 1–40 (1985).
- 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).
- 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
- 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
- Bycroft, C. et al. The UK Biobank resource with deep phenotyping and genomic data. Nature 562, 203–209 (2018). · DOI · Paper page
- Backman, J. D. et al. Exome sequencing and analysis of 454,787 UK Biobank participants. Nature 599, 628–634 (2021). · DOI
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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)
- PMC
- PMC10987538
- 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
- gold
- doi.org
- 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
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