RT Journal Article SR Electronic T1 Human and mouse essentiality screens as a resource for disease gene discovery JF bioRxiv FD Cold Spring Harbor Laboratory SP 678250 DO 10.1101/678250 A1 Pilar Cacheiro A1 Violeta Muñoz-Fuentes A1 Stephen A. Murray A1 Mary E. Dickinson A1 Maja Bucan A1 Lauryl M.J. Nutter A1 Kevin A. Peterson A1 Hamed Haselimashhadi A1 Ann M. Flenniken A1 Hugh Morgan A1 Henrik Westerberg A1 Tomasz Konopka A1 Chih-Wei Hsu A1 Audrey Christiansen A1 Denise G. Lanza A1 Arthur L. Beaudet A1 Jason D. Heaney A1 Helmut Fuchs A1 Valerie Gailus-Durner A1 Tania Sorg A1 Jan Prochazka A1 Vendula Novosadova A1 Christopher J. Lelliott A1 Hannah Wardle-Jones A1 Sara Wells A1 Lydia Teboul A1 Heather Cater A1 Michelle Stewart A1 Tertius Hough A1 Wolfgang Wurst A1 Radislav Sedlacek A1 David J. Adams A1 John R. Seavitt A1 Glauco Tocchini-Valentini A1 Fabio Mammano A1 Robert E. Braun A1 Colin McKerlie A1 Yann Herault A1 Martin Hrabě de Angelis A1 Ann-Marie Mallon A1 K.C. Kent Lloyd A1 Steve D.M. Brown A1 Helen Parkinson A1 Terrence F. Meehan A1 Damian Smedley A1 on behalf of the Genomics England Research Consortium and the International Mouse Phenotyping Consortium YR 2019 UL http://biorxiv.org/content/early/2019/06/24/678250.abstract AB Although genomic sequencing has been transformative in the study of rare genetic diseases, identifying causal variants remains a considerable challenge that can be addressed in part by new gene-specific knowledge. Here, we integrate measures of how essential a gene is to supporting life, as inferred from the comprehensive viability and phenotyping screens performed on knockout mice by the International Mouse Phenotyping Consortium and from human cell line essentiality screens. We propose a novel, cross-species gene classification across the Full Spectrum of Intolerance to Loss-of-function (FUSIL) and demonstrate that genes in five mutually exclusive FUSIL categories have differing characteristics in the biological processes they regulate, tissue expression levels and human mutation rates. Most notably, Mendelian disease genes, particularly those associated with developmental disorders, are highly overrepresented in the developmental lethal category, representing genes not essential for cell survival but required for organism development. Exploiting this finding, we have screened developmental disorder cases from three independent disease sequencing consortia and identified potentially pathogenic, de novo variants shared in different patients for several developmental lethal genes that have not previously been associated with rare disease. We therefore propose FUSIL as an efficient resource for disease gene discovery.