RT Journal Article SR Electronic T1 Refining the accuracy of validated target identification through coding variant fine-mapping in type 2 diabetes JF bioRxiv FD Cold Spring Harbor Laboratory SP 144410 DO 10.1101/144410 A1 Anubha Mahajan A1 Jennifer Wessel A1 Sara M Willems A1 Wei Zhao A1 Neil R Robertson A1 Audrey Y Chu A1 Wei Gan A1 Hidetoshi Kitajima A1 Daniel Taliun A1 N William Rayner A1 Xiuqing Guo A1 Yingchang Lu A1 Man Li A1 Richard A Jensen A1 Yao Hu A1 Shaofeng Huo A1 Kurt K Lohman A1 Weihua Zhang A1 James P Cook A1 Bram Prins A1 Jason Flannick A1 Niels Grarup A1 Vassily Vladimirovich Trubetskoy A1 Jasmina Kravic A1 Young Jin Kim A1 Denis V Rybin A1 Hanieh Yaghootkar A1 Martina Müller-Nurasyid A1 Karina Meidtner A1 Ruifang Li-Gao A1 Tibor V Varga A1 Jonathan Marten A1 Jin Li A1 Albert Vernon Smith A1 Ping An A1 Symen Ligthart A1 Stefan Gustafsson A1 Giovanni Malerba A1 Ayse Demirkan A1 Juan Fernandez Tajes A1 Valgerdur Steinthorsdottir A1 Matthias Wuttke A1 Cécile Lecoeur A1 Michael Preuss A1 Lawrence F Bielak A1 Marielisa Graff A1 Heather M Highland A1 Anne E Justice A1 Dajiang J Liu A1 Eirini Marouli A1 Gina Marie Peloso A1 Helen R Warren A1 ExomeBP Consortium A1 MAGIC Consortium A1 GIANT consortium A1 Saima Afaq A1 Shoaib Afzal A1 Emma Ahlqvist A1 Peter Almgren A1 Najaf Amin A1 Lia B Bang A1 Alain G Bertoni A1 Cristina Bombieri A1 Jette Bork-Jensen A1 Ivan Brandslund A1 Jennifer A Brody A1 Noël P Burtt A1 Mickaёl Canouil A1 Yii-Der Ida Chen A1 Yoon Shin Cho A1 Cramer Christensen A1 Sophie V Eastwood A1 Kai-Uwe Eckardt A1 Krista Fischer A1 Giovanni Gambaro A1 Vilmantas Giedraitis A1 Megan L Grove A1 Hugoline G de Haan A1 Sophie Hackinger A1 Yang Hai A1 Sohee Han A1 Anne Tybjærg-Hansen A1 Marie-France Hivert A1 Bo Isomaa A1 Susanne Jäger A1 Marit E Jørgensen A1 Torben Jørgensen A1 Annemari Käräjämäki A1 Bong-Jo Kim A1 Sung Soo Kim A1 Heikki A Koistinen A1 Peter Kovacs A1 Jennifer Kriebel A1 Florian Kronenberg A1 Kristi Läll A1 Leslie A Lange A1 Jung-Jin Lee A1 Benjamin Lehne A1 Huaixing Li A1 Keng-Hung Lin A1 Allan Linneberg A1 Ching-Ti Liu A1 Jun Liu A1 Marie Loh A1 Reedik Mägi A1 Vasiliki Mamakou A1 Roberta McKean-Cowdin A1 Girish Nadkarni A1 Matt Neville A1 Sune F Nielsen A1 Ioanna Ntalla A1 Patricia A Peyser A1 Wolfgang Rathmann A1 Kenneth Rice A1 Stephen S Rich A1 Line Rode A1 Olov Rolandsson A1 Sebastian Schönherr A1 Elizabeth Selvin A1 Kerrin S Small A1 Alena Stančáková A1 Praveen Surendran A1 Kent D Taylor A1 Tanya M Teslovich A1 Barbara Thorand A1 Gudmar Thorleifsson A1 Adrienne Tin A1 Anke Tönjes A1 Anette Varbo A1 Daniel R Witte A1 Andrew R Wood A1 Pranav Yajnik A1 Jie Yao A1 Loïc Yengo A1 Robin Young A1 Philippe Amouyel A1 Heiner Boeing A1 Eric Boerwinkle A1 Erwin P Bottinger A1 Rajiv Chowdhury A1 Francis S Collins A1 George Dedoussis A1 Abbas Dehghan A1 Panos Deloukas A1 Marco M Ferrario A1 Jean Ferrières A1 Jose C Florez A1 Philippe Frossard A1 Vilmundur Gudnason A1 Tamara B Harris A1 Susan R Heckbert A1 Joanna M M Howson A1 Martin Ingelsson A1 Sekar Kathiresan A1 Frank Kee A1 Johanna Kuusisto A1 Claudia Langenberg A1 Lenore J Launer A1 Cecilia M Lindgren A1 Satu Männistö A1 Thomas Meitinger A1 Olle Melander A1 Karen L Mohlke A1 Marie Moitry A1 Andrew D Morris A1 Alison D Murray A1 Renée de Mutsert A1 Marju Orho-Melander A1 Katharine R Owen A1 Markus Perola A1 Annette Peters A1 Michael A Province A1 Asif Rasheed A1 Paul M Ridker A1 Fernando Rivadineira A1 Frits R Rosendaal A1 Anders H Rosengren A1 Veikko Salomaa A1 Wayne H -H Sheu A1 Rob Sladek A1 Blair H Smith A1 Konstantin Strauch A1 André G Uitterlinden A1 Rohit Varma A1 Cristen J Willer A1 Matthias Blüher A1 Adam S Butterworth A1 John Campbell Chambers A1 Daniel I Chasman A1 John Danesh A1 Cornelia van Duijn A1 Josee Dupuis A1 Oscar H Franco A1 Paul W Franks A1 Philippe Froguel A1 Harald Grallert A1 Leif Groop A1 Bok-Ghee Han A1 Torben Hansen A1 Andrew T Hattersley A1 Caroline Hayward A1 Erik Ingelsson A1 Sharon LR Kardia A1 Fredrik Karpe A1 Jaspal Singh Kooner A1 Anna Köttgen A1 Kari Kuulasmaa A1 Markku Laakso A1 Xu Lin A1 Lars Lind A1 Yongmei Liu A1 Ruth J F Loos A1 Jonathan Marchini A1 Andres Metspalu A1 Dennis Mook-Kanamori A1 Børge G Nordestgaard A1 Colin N A Palmer A1 James S Pankow A1 Oluf Pedersen A1 Bruce M Psaty A1 Rainer Rauramaa A1 Naveed Sattar A1 Matthias B Schulze A1 Nicole Soranzo A1 Timothy D Spector A1 Kari Stefansson A1 Michael Stumvoll A1 Unnur Thorsteinsdottir A1 Tiinamaija Tuomi A1 Jaakko Tuomilehto A1 Nicholas J Wareham A1 James G Wilson A1 Eleftheria Zeggini A1 Robert A Scott A1 Inês Barroso A1 Timothy M Frayling A1 Mark O Goodarzi A1 James B Meigs A1 Michael Boehnke A1 Danish Saleheen A1 Andrew P Morris A1 Jerome I Rotter A1 Mark I McCarthy YR 2017 UL http://biorxiv.org/content/early/2017/05/31/144410.1.abstract AB Identification of coding variant associations for complex diseases offers a direct route to biological insight, but is dependent on appropriate inference concerning the causal impact of those variants on disease risk. We aggregated exome-array and exome sequencing data for 81,412 type 2 diabetes (T2D) cases and 370,832 controls of diverse ancestry, identifying 40 distinct coding variant association signals (at 38 loci) reaching significance (p<2.2×10-7). Of these, 16 represent novel associations mapping outside known genome-wide association study (GWAS) signals. We make two important observations. First, despite a threefold increase in sample size over previous efforts, only five of the 40 signals are driven by variants with minor allele frequency <5%, and we find no evidence for low-frequency variants with allelic odds ratio >1.36. Second, we used GWAS data from 50,160 T2D cases and 465,272 controls to fine-map associated coding variants in their regional context, with and without additional weighting, to account for the global enrichment of complex trait association signals in coding exons. We demonstrate convincing support (posterior probability >80% under the “annotation-weighted” model) that coding variants are causal for the association at 16 of the 40 signals (including novel signals involving POC5 p.His36Arg, ANKH p.Arg187Gln, WSCD2 p.Thr113Ile, PLCB3 p.Ser778Leu, and PNPLA3 p.Ile148Met). However, one third of coding variant association signals represent “false leads” at which naïve analysis would have led to an erroneous inference regarding the effector transcript mediating the signal. Accurate identification of validated targets is dependent on correct specification of the contribution of coding and non-coding mediated mechanisms at associated loci.