Insights into the genetic epidemiology of Crohn's and rare diseases in the Ashkenazi Jewish population
Open accessAbstract
As part of a broader collaborative network of exome sequencing studies, we developed a jointly called data set of 5,685 Ashkenazi Jewish exomes. We make publicly available a resource of site and allele frequencies, which should serve as a reference for medical genetics in the Ashkenazim (hosted in part at https://ibd.broadinstitute.org, also available in gnomAD at http://gnomad.broadinstitute.org). We estimate that 34% of protein-coding alleles present in the Ashkenazi Jewish population at frequencies greater than 0.2% are significantly more frequent (mean 15-fold) than their maximum frequency observed in other reference populations. Arising via a well-described founder effect approximately 30 generations ago, this catalog of enriched alleles can contribute to differences in genetic risk and overall prevalence of diseases between populations. As validation we document 148 AJ enriched protein-altering alleles that overlap with "pathogenic" ClinVar alleles (table available at https://github.com/macarthur-lab/clinvar/blob/master/output/clinvar.tsv), including those that account for 10-100 fold differences in prevalence between AJ and non-AJ populations of some rare diseases, especially recessive conditions, including Gaucher disease (GBA, p.Asn409Ser, 8-fold enrichment); Canavan disease (ASPA, p.Glu285Ala, 12-fold enrichment); and Tay-Sachs disease (HEXA, c.1421+1G>C, 27-fold enrichment; p.Tyr427IlefsTer5, 12-fold enrichment). We next sought to use this catalog, of well-established relevance to Mendelian disease, to explore Crohn's disease, a common disease with an estimated two to four-fold excess prevalence in AJ. We specifically attempt to evaluate whether strong acting rare alleles, particularly protein-truncating or otherwise large effect-size alleles, enriched by the same founder-effect, contribute excess genetic risk to Crohn's disease in AJ, and find that ten rare genetic risk factors in NOD2 and LRRK2 are enriched in AJ (p < 0.005), including several novel contributing alleles, show evidence of association to CD. Independently, we find that genomewide common variant risk defined by GWAS shows a strong difference between AJ and non-AJ European control population samples (0.97 s.d. higher, p<10-16). Taken together, the results suggest coordinated selection in AJ population for higher CD risk alleles in general. The results and approach illustrate the value of exome sequencing data in case-control studies along with reference data sets like ExAC (sites VCF available via FTP at ftp.broadinstitute.org/pub/ExAC_release/release0.3/) to pinpoint genetic variation that contributes to variable disease predisposition across populations.
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LD patterns may be variable within European populations, accentuating the possible influence of LD reference series on conditional analyses in some cases.
“This may be particularly crucial at these loci where LD patterns may be variable within European populations, accentuating the possible influence of LD reference series on conditional analyses in some cases (48).”
From Identification of novel risk loci, causal insights, and heritable risk for Parkinson's disease: a meta-analysis of genome-wide association studies (2019) · cites this paper as [48]
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- Authors
- Rivas, M. A., Avila, B. E., Koskela, J., Huang, H., Stevens, C., Pirinen, M., Haritunians, T., Neale, B. M., Kurki, M., Ganna, A., Graham, D., Glaser, B., Peter, I., Atzmon, G., Barzilai, N., Levine, A. P., Schiff, E., Pontikos, N., Weisburd, B., Lek, M., Karczewski, K. J., Bloom, J., Minikel, E. V., Petersen, B.-S., Beaugerie, L., Seksik, P., Cosnes, J., Schreiber, S., Bokemeyer, B., Bethge, J., International IBD Genetics Consortium, NIDDK IBD Genetics Consortium, T2D-GENES Consortium, Heap, G., Ahmad, T., Plagnol, V., Segal, A. W., Targan, S., Turner, D., Saavalainen, P., Farkkila, M., Kontula, K., Palotie, A., Brant, S. R., Duerr, R. H., Silverberg, M. S., Rioux, J. D., Weersma, R. K., Franke, A., Jostins, L., Anderson, C. A., Barrett, J. C., MacArthur, D. G., Jalas, C., Sokol, H., Xavier, R. J., Pulver, A., Cho, J. H., McGovern, D. P. B., & Daly, M. J.
- Affiliations
- Broad Institute (US)
- University of Helsinki (FI)
- Cedars-Sinai Medical Center (US)
- Icahn School of Medicine at Mount Sinai (US)
- Albert Einstein College of Medicine (US)
- University College London (GB)
- Christian-Albrechts-Universität zu Kiel (DE)
- Assistance Publique – Hôpitaux de Paris (FR)
- University Hospital Schleswig-Holstein (DE)
- Royal Devon & Exeter NHS Foundation Trust (GB)
- Peninsula College of Medicine and Dentistry (GB)
- Hebrew University of Jerusalem (IL)
- Johns Hopkins University (US)
- University of Pittsburgh (US)
- Mount Sinai Hospital (CA)
- Montreal Heart Institute (CA)
- University Medical Center Groningen (NL)
- Centre for Human Genetics (GB)
- Wellcome Sanger Institute (GB)
- Corresponding author
- Rivas, Manuel A.
- Cho, Judy H.
- McGovern, Dermot P. B.
- Daly, Mark J.
- ORCID
- Rivas, Manuel A.
- Avila, Brandon E.
- Koskela, Jukka
- Huang, Hailiang
- Stevens, Christine
- Pirinen, Matti
- Haritunians, Talin
- Neale, Benjamin M.
- Kurki, Mitja
- Ganna, Andrea
- Graham, Daniel
- Peter, Inga
- Atzmon, Gil
- Barzilai, Nir
- Levine, Adam P.
- Schiff, Elena
- Pontikos, Nikolas
- Weisburd, Ben
- Lek, Monkol
- Karczewski, Konrad J.
- Minikel, Eric V.
- Beaugerie, Laurent
- Seksik, Philippe
- Cosnes, Jacques
- Schreiber, Stefan
- Bokemeyer, Bernd
- Heap, Graham
- Ahmad, Tariq
- Plagnol, Vincent
- Segal, Anthony W.
- Targan, Stephan
- Turner, Dan
- Kontula, Kimmo
- Palotie, Aarno
- Brant, Steven R.
- Duerr, Richard H.
- Silverberg, Mark S.
- Rioux, John D.
- Weersma, Rinse K.
- Anderson, Carl A.
- Barrett, Jeffrey C.
- MacArthur, Daniel G.
- Jalas, Chaim
- Sokol, Harry
- Xavier, Ramnik J.
- Cho, Judy H.
- McGovern, Dermot P. B.
- Daly, Mark J.
- Venue
- PLoS Genetics
- Publisher
- Public Library of Science (PLoS)
- Published
- 2018-05-24
- Volume
- 14
- Issue
- 5
- Pages
- e1007329
- ISSN
- 1553-7390 (ISSN-L)
- 1553-7404
- PMC
- PMC5967709
- OpenAlex
- W2524585766
- Cited by
- 87
- References
- 59
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 8 · 2023: 8 · 2022: 11 · 2021: 13 · 2020: 10 · 2019: 15 · 2018: 7 · 2017: 2
- FWCI
- 6.90
- Type
- journal article
- Language
- en
- Update notices
- correction (2019-05-30)
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS Genetics (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Discovery Research Portal (University of Dundee) (submittedVersion, cc-by)
- Työväentutkimus Vuosikirja (submittedVersion)
- PuSH - Publication Server of Helmholtz Zentrum München (submittedVersion, cc-by)
- Rutgers University Community Repository (Rutgers University) (submittedVersion)
- ScholarWorks @ UTRGV (The University of Texas Rio Grande Valley) (submittedVersion, cc-by)
- HAL (submittedVersion)
- Digital Access to Libraries (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- UCL Discovery (University College London) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Figshare (submittedVersion, cc-by)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Site cant be reached (submittedVersion, cc-by)
- Royal Devon and Exeter Research Repository (Royal Devon and Exeter) (submittedVersion, cc-by)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
- Funders
- Leona M. and Harry B. Helmsley Charitable Trust (2015PG-IBD001)
- Kennedy Trust for Rheumatology Research (KENN151613)
- National Institute for Health and Care Research (CL-2018-21-501)
- National Institutes of Health (5r01dk092235-06)
- National Human Genome Research Institute (U54HG003067)
- National Institute of Diabetes and Digestive and Kidney Diseases (K01DK114379, P01DK046763, P30DK089502, R01-DK092235, R01DK097485, U01DK062420, U24DK062429, U01DK062422, U01DK062432, P30DK043351, U01DK062431, U01DK062423)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Keywords
- Crohn's disease, Ashkenazi Jews, founder effect, rare variants, exome sequencing, NOD2, LRRK2, genetic risk factors, Gaucher disease, Tay-Sachs disease, Canavan disease, population genetic differences, genetic epidemiology, allele frequency databases
- MeSH terms
- Algorithms, Crohn Disease, Genetics, Population, Haplotypes, Humans, Jews, Models, Genetic, Molecular Epidemiology, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Rare Diseases, Genome-Wide Association Study
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 ›
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