Deep catalogs of genetic variation from thousands of humans enable the detection of intraspecies constraint by identifying coding regions with a scarcity of variation. While existing techniques summarize constraint for entire genes, single gene-wide metrics conceal regional constraint variability within each gene. Therefore, we have created a detailed map of constrained coding regions (CCRs) by leveraging variation observed among 123,136 humans from the Genome Aggregation Database. The most constrained CCRs are enriched for pathogenic variants in ClinVar and mutations underlying developmental disorders. CCRs highlight protein domain families under high constraint and suggest unannotated or incomplete protein domains. The highest-percentile CCRs complement existing variant prioritization methods when evaluating de novo mutations in studies of autosomal dominant disease. Finally, we identify highly constrained CCRs within genes lacking known disease associations. This observation suggests that CCRs may identify regions under strong purifying selection that, when mutated, cause severe developmental phenotypes or embryonic lethality.
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The segmental duplications can be found at ftp://hgdownload.soe.ucsc.edu/goldenPath/hg19/database/genomicSuperDups.txt.gz. The self-chains can be found at http://hgdownload.cse.ucsc.edu/goldenPath/hg19/database/chainSelf.txt.gz. The Pfam domains can be found at http://hgdownload.cse.ucsc.edu/goldenPath/hg19/database/ucscGenePfam.txt.gz. The Ensembl exons file can be found at ftp://ftp.ensembl.org/pub/release-75/gtf/homo_sapiens/Homo_sapiens.GRCh37.75.gtf.gz. The gnomAD file can be found at https://storage.googleapis.com/gnomad-public/release/2.0.1/vcf/exomes/gnomad.exomes.r2.0.1.sites.vcf.gz. The gnomAD coverage files can be found at the location indicated by the pattern below: https://storage.googleapis.com/gnomad-public/release/2.0.1/coverage/exomes/gnomad.exomes.r2.0.1.chr$chrom.coverage.txt.gz. The CADD files for both indels and SNPs can be found at http://krishna.gs.washington.edu/download/CADD/v1.3/InDels.tsv.gz and http://krishna.gs.washington.edu/download/CADD/v1.3/whole_genome_SNVs.tsv.gz. The GERP++ file can be found at http://mendel.stanford.edu/SidowLab/downloads/gerp/hg19.GERP_scores.tar.gz. The file for MPC can be found at ftp://ftp.broadinstitute.org/pub/ExAC_release/release1/regional_missense_constraint/fordist_constraint_official_mpc_values.txt.gz. The whole-exome MTR file can be found, courtesy of the author, at http://mtr-viewer.mdhs.unimelb.edu.au:8079/mtrflatfile_1.0.txt.gz. The REVEL file can be found at https://rothsj06.u.hpc.mssm.edu/revel/revel_all_chromosomes.csv.zip. The file for pLI can be found at ftp://ftp.broadinstitute.org/pub/ExAC_release/release1/manuscript_data/forweb_cleaned_exac_r03_march16_z_data_pLI.txt.gz. The ClinVar VCF file used in the analyses can be found at ftp://ftp.ncbi.nih.gov/pub/clinvar/vcf_GRCh37/archive_2.0/2017/clinvar_20170802.vcf.gz. Lastly, the de novo variants file from ref. 41 can be found on our s3 server at https://s3.us-east-2.amazonaws.com/pathoscore-data/samocha/samochadenovo.xlsx.
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We acknowledge W. Pearson, C. Feschotte, J. Seger, G. Marth, N. Elde, and S. Kravitz for insightful discussions that motivated some of the analyses presented in this manuscript. We also thank the investigators who contributed to and created the Genome Aggregation Database for openly sharing the genetic variation datasets that facilitated our research. A.R.Q. was supported by the US National Institutes of Health through grants from the National Human Genome Research Institute (R01HG006693 and R01HG009141), the National Institute of General Medical Sciences (R01GM124355), and the National Cancer Institute (U24CA209999). R.M.L. was supported by a K99 award from the National Human Genome Research Institute (K99HG009532).
The authors declare no competing interests.
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Integrated supplementary information
Evaluation of CCR models constructed using different coverage thresholds and different thresholds for the percentage of gnomAD individuals meeting the minimum coverage depth. For example, ‘10x.5 CCR’ reflects a CCR model where every position in a CCR region was required to have 10× coverage in at least 50% of gnomAD individuals. a, ROC curve based on the ClinVar variant set. b, PR curve based on ClinVar. True positives are pathogenic variants and likely pathogenic variants from ClinVar. True negatives are variants labeled as benign from ClinVar. The performance of each model is clearly very similar, and the ‘10x.5 CCR’ model imposed the most relaxed coverage requirement while exhibiting the highest performance. It was therefore chosen as the coverage threshold for the final model. 24,554 pathogenic variants from ClinVar were used, and 4,689 benign variants were used for the evaluation dataset.
The sample size is the number of CCRs, which is 8,065,333 unique regions. Pearson’s correlation was used. a, Exonic CpG density compared to the density of exonic C>T or G>A transitions. b, Exonic CpG density compared to the density of all exonic variant types.
Distribution of the exonic distance between protein-changing (missense or LoF) variants in gnomAD without filtering regions by coverage, segmental duplications, or self-chains. The red dashed line is the average distance between protein-changing variants. The blue and black dashed lines represent the average length of CCRs in the 95th and 99th percentile, respectively.
Supplementary Figure 4 Correlation of constrained coding regions to other models of genic constraint.
The sample size is the number of CCRs ≥95%, which is 21,650 unique regions, and the number of genes with a Missense Z constraint score or pLI score is 18,225 genes for both sets. a, The correlation between a gene’s Missense Z metric (least to most constrained from left to right) and the number of CCRs in the 95th percentile or higher observed in the gene. b, The correlation between a gene’s RVIS metric (least to most constrained from left to right) and the number of CCRs in the 95th percentile or higher observed in the gene.
Supplementary Figure 5 Total number of shared and unique genes across metrics for predetermined constraint metric cutoffs.
a,b, Comparison of genes covered by each metric’s cutoff for constraint (CCR ≥ 95 (a) or 99 (b), pLI ≥ 0.9, and missense depletion ≤ 0.4). The dark blue bar indicates how many genes are unique to a particular metric’s cutoff for constraint, and the light blue-green bar represents how many of the genes for that cutoff are shared with at least one of the other two metrics.
Supplementary Figure 6 Precision–recall (PR) curves for the developmental disorder de novo variant evaluation set.
The true positives are 3,400 missense-only de novo variants from patients with developmental disorders. The true negatives are 1,269 missense de novo variants from the unaffected siblings of autism patients. The dots indicate the score cutoff with the maximal Youden J statistic for each tool. Values in parentheses indicate the F1 score, the weighted average of recall and precision, at the J-score cutoff.
Supplementary Figure 7 X-chromosome variant pathogenicity prediction comparison for CCR versus other metrics.
a, Enrichment of 166 pathogenic de novo mutations on the X chromosome in the most constrained X-CCRs and 43 benign mutations in the least constrained X-CCRs. The error bars represent 95% confidence intervals of 0.043–0.226 for the 0–20 bin, 0.46–2.07 for the 20–80 bin, 0.85–16.5 for the 80–90 bin, 0.69–41.1 for the 90–95 bin, and 1.35–77.2 for the 95–100 bin. b, ROC curve for the developmental disorder de novo variant evaluation set. The true positives are 166 missense-only de novo variants from patients with developmental disorders. The true negatives are 43 missense de novo variants from the unaffected siblings of autism patients. c, PR curve for X-CCR versus other metrics for the de novo set. The dots in b and c indicate the score cutoff with the maximal Youden J statistic for each tool. Values in parentheses indicate AUC and peak J score (respectively) for b and the F1 score, the weighted average of recall and precision, at the J-score cutoff for c.
Supplementary Figure 8 Odds ratio comparison between ExAC-based CCR and gnomAD-based CCR for the ClinVar variant set.
True positives are 24,554 pathogenic variants and likely pathogenic variants from ClinVar. True negatives are 4,689 variants labeled as benign from ClinVar. For ExAC v1, the 95% confidence intervals are 0.021–0.028 for the 0–20 bin, 20.5–29.6 for the 20–80 bin, 9.09–20.0 for the 80–90 bin, 11.8–47.4 for the 90–95 bin, and 14.1–36.8 for the 95–100 bin. For gnomAD, the 95% confidence intervals are 0.015–0.023 for the 0–20 bin, 23.9–36.6 for the 20–80 bin, 14.6–45.4 for the 80–90 bin, 22.8–1151.0 for the 90–95 bin, and 40.4–647.5 for the 95–100 bin.
Supplementary Figures 1–8
Genes with CCRs in the 99th percentile or higher
CCRs under purifying selection specifically in humans
CCR enrichment in Pfam domains
Highly constrained CCRs not covered by missense depletion
CCR percentile distributions for all Pfam domains
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Havrilla, J.M., Pedersen, B.S., Layer, R.M. et al. A map of constrained coding regions in the human genome. Nat Genet 51, 88–95 (2019). https://doi.org/10.1038/s41588-018-0294-6
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