Rare and low-frequency coding variants alter human adult height

Nature. 2017 Feb 9;542(7640):186-190. doi: 10.1038/nature21039. Epub 2017 Feb 1.

Abstract

Height is a highly heritable, classic polygenic trait with approximately 700 common associated variants identified through genome-wide association studies so far. Here, we report 83 height-associated coding variants with lower minor-allele frequencies (in the range of 0.1-4.8%) and effects of up to 2 centimetres per allele (such as those in IHH, STC2, AR and CRISPLD2), greater than ten times the average effect of common variants. In functional follow-up studies, rare height-increasing alleles of STC2 (giving an increase of 1-2 centimetres per allele) compromised proteolytic inhibition of PAPP-A and increased cleavage of IGFBP-4 in vitro, resulting in higher bioavailability of insulin-like growth factors. These 83 height-associated variants overlap genes that are mutated in monogenic growth disorders and highlight new biological candidates (such as ADAMTS3, IL11RA and NOX4) and pathways (such as proteoglycan and glycosaminoglycan synthesis) involved in growth. Our results demonstrate that sufficiently large sample sizes can uncover rare and low-frequency variants of moderate-to-large effect associated with polygenic human phenotypes, and that these variants implicate relevant genes and pathways.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • ADAMTS Proteins / genetics
  • Adult
  • Alleles
  • Body Height / genetics*
  • Cell Adhesion Molecules / genetics
  • Female
  • Gene Frequency / genetics*
  • Genetic Variation / genetics*
  • Genome, Human / genetics
  • Glycoproteins / genetics
  • Glycoproteins / metabolism
  • Glycosaminoglycans / biosynthesis
  • Hedgehog Proteins / genetics
  • Humans
  • Intercellular Signaling Peptides and Proteins / genetics
  • Intercellular Signaling Peptides and Proteins / metabolism
  • Interferon Regulatory Factors / genetics
  • Interleukin-11 Receptor alpha Subunit / genetics
  • Male
  • Multifactorial Inheritance / genetics
  • NADPH Oxidase 4
  • NADPH Oxidases / genetics
  • Phenotype
  • Pregnancy-Associated Plasma Protein-A / metabolism
  • Procollagen N-Endopeptidase / genetics
  • Proteoglycans / biosynthesis
  • Proteolysis
  • Receptors, Androgen / genetics
  • Somatomedins / metabolism

Substances

  • AR protein, human
  • CRISPLD2 protein, human
  • Cell Adhesion Molecules
  • Glycoproteins
  • Glycosaminoglycans
  • Hedgehog Proteins
  • IHH protein, human
  • IL11RA protein, human
  • Intercellular Signaling Peptides and Proteins
  • Interferon Regulatory Factors
  • Interleukin-11 Receptor alpha Subunit
  • Proteoglycans
  • Receptors, Androgen
  • STC2 protein, human
  • Somatomedins
  • NADPH Oxidase 4
  • NADPH Oxidases
  • NOX4 protein, human
  • ADAMTS Proteins
  • ADAMTS3 protein, human
  • Pregnancy-Associated Plasma Protein-A
  • Procollagen N-Endopeptidase

Grant support