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      A genome-wide association study of men with symptoms of testicular dysgenesis syndrome and its network biology interpretation

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          Abstract

          Background

          Testicular dysgenesis syndrome (TDS) is a common disease that links testicular germ cell cancer, cryptorchidism and some cases of hypospadias and male infertility with impaired development of the testis. The incidence of these disorders has increased over the last few decades, and testicular cancer now affects 1% of the Danish and Norwegian male population.

          Methods

          To identify genetic variants that span the four TDS phenotypes, the authors performed a genome-wide association study (GWAS) using Affymetrix Human SNP Array 6.0 to screen 488 patients with symptoms of TDS and 439 selected controls with excellent reproductive health. Furthermore, they developed a novel integrative method that combines GWAS data with other TDS-relevant data types and identified additional TDS markers. The most significant findings were replicated in an independent cohort of 671 Nordic men.

          Results

          Markers located in the region of TGFBR3 and BMP7 showed association with all TDS phenotypes in both the discovery and replication cohorts. An immunohistochemistry investigation confirmed the presence of transforming growth factor β receptor type III (TGFBR3) in peritubular and Leydig cells, in both fetal and adult testis. Single-nucleotide polymorphisms in the KITLG gene showed significant associations, but only with testicular cancer.

          Conclusions

          The association of single-nucleotide polymorphisms in the TGFBR3 and BMP7 genes, which belong to the transforming growth factor β signalling pathway, suggests a role for this pathway in the pathogenesis of TDS. Integrating data from multiple layers can highlight findings in GWAS that are biologically relevant despite having border significance at currently accepted statistical levels.

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          Most cited references29

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          A human phenome-interactome network of protein complexes implicated in genetic disorders.

          We performed a systematic, large-scale analysis of human protein complexes comprising gene products implicated in many different categories of human disease to create a phenome-interactome network. This was done by integrating quality-controlled interactions of human proteins with a validated, computationally derived phenotype similarity score, permitting identification of previously unknown complexes likely to be associated with disease. Using a phenomic ranking of protein complexes linked to human disease, we developed a Bayesian predictor that in 298 of 669 linkage intervals correctly ranks the known disease-causing protein as the top candidate, and in 870 intervals with no identified disease-causing gene, provides novel candidates implicated in disorders such as retinitis pigmentosa, epithelial ovarian cancer, inflammatory bowel disease, amyotrophic lateral sclerosis, Alzheimer disease, type 2 diabetes and coronary heart disease. Our publicly available draft of protein complexes associated with pathology comprises 506 complexes, which reveal functional relationships between disease-promoting genes that will inform future experimentation.
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            High-Resolution Mapping of Expression-QTLs Yields Insight into Human Gene Regulation

            Introduction Genetic variation that affects gene regulation plays an important role in the genetics of disease and adaptive evolution [1],[2],[3]. However, unlike protein-coding sequences, we still know little about how to identify the DNA sequence elements that control gene expression. It is still difficult to predict with any confidence which SNPs are likely to affect gene expression, without performing targeted experimental assays. To address this gap, recent experimental and computational approaches have made progress on identifying elements that may be functional, for example through experimental methods that identify transcription factor binding sites [4],[5], by in vivo testing of possible enhancers [6] and by computational analysis of sequence data [7],[8],[9]. However, our understanding of the importance of different types of functional elements in gene regulation remains rudimentary. As a complementary approach, genome-wide studies of gene expression are now starting to provide information on genetic variation that impacts gene expression levels [10]. Recent studies in a variety of organisms have shown that levels of gene expression are often highly heritable [11],[12],[13],[14], and that for many genes it is possible to map cis- and trans-acting factors using linkage [13],[15],[16],[17],[14] or association mapping [12],[18],[19],[20],[21]. Recent studies of experimental crosses in yeast and mice have used the locations of SNPs within eQTL genes to provide further information about the identity of functional elements [22],[23]. In studies of human lymphoblastoid cells, it has been reported that most strong signals of association lie within 100 kb of the transcribed region [12], and that eQTLs cluster roughly symmetrically around the TSS [20]. In this study, we applied a new Bayesian framework to identify and fine map human lymphoblast eQTLs on a genome-wide scale. In effect, we treat the SNP data as a tool for assaying the functional impact of individual nucleotide changes on gene regulation. Our analysis focuses on the impact of common SNPs on gene expression levels. By using naturally occurring variation, we test the effects of several million variable sites in a single data set. Our results provide a detailed characterization of the types of SNPs that affect gene expression in lymphoblast cell lines. Results We analyzed gene expression measurements from lymphoblastoid cell lines representing 210 unrelated individuals studied by the International HapMap Project [24],[25]. These expression data, first reported by [19], were generated using the Illumina Sentrix Human-6 Expression BeadChip. For each sample we also used SNP genotype data from the Phase II HapMap Project, consisting of 3.3 million genotypes per individual [25]. After remapping the Illumina probes onto human mRNA sequences from RefSeq, we created a cleaned set of expression data for 12,227 distinct autosomal genes that had a unique RNA sequence in RefSeq (see Methods). For most analyses we removed 634 genes that had one or more HapMap SNPs within the expression probe and 147 very large genes (>500 kb), leaving us with a core data set of 11,446 genes. We then set out to identify SNPs that affect measured mRNA levels in cis. As an operational definition, we considered the “cis-candidate region” to start 500 kb upstream of the transcription start site (TSS) and to end 500 kb downstream of the transcription end site (TES). Consistent with previous work [20],[12], our preliminary analysis found that most detectable eQTLs lie within this region. Although the HapMap samples represent four different populations, originating from Africa, Europe and east Asia, our main analyses pooled the data into a single sample. To avoid false positives due to population-level expression differences [26],[20],[27], for each gene we transformed the African, European and east Asian expression data separately to standard normal distributions prior to combining the samples (Methods). Our rationale for combining samples was that we should achieve better power and better localization of signals than if we analyzed the populations separately. In doing so, we assume that functional variants usually have similar effects in different populations, an assumption that is parsimonious, and has empirical support [20], Figure S1. The overall results for analyses of individual populations are very similar (see Figures S2, S3, and S4). The Distribution of cis-Acting eQTLs For each of the 11,446 genes, we tested for putative cis-acting eQTLs by regressing measured mRNA levels against SNP genotypes, independently for each SNP in the cis-candidate region, using a standard linear regression model. Consistent with previous reports [20], we found a substantial number of genes with strong evidence for containing at least one eQTL. A total of 744 genes (6.5%) had at least one SNP with a p-value 50 kb from the corresponding gene. Third, as shown in Figure S9, there is a significant enrichment of eQTL SNPs in exons compared to introns. We will return to this observation later in the paper. 10.1371/journal.pgen.1000214.g002 Figure 2 Locations of the most significant eQTL SNPs for small, medium, and large genes. Each plot shows, for genes with an eQTL, the distribution of locations of the most significant SNP. The x-axis of each plot divides a typical cis-candidate region into a series of bins as described. The y-axis plots the number of SNPs in each bin that are the most significant SNP for the corresponding gene and that have a p-value one gene in cis. Statistical Analysis Notation The data consist of SNP genotypes and gene expression measurements for n individuals at each of K genes. Let yik denote the normalized gene expression data for individual i (i in 1,…, n) at gene k (k in 1,…, K). Yk will denote the vector of gene expression values (y.k ) across the n individuals at gene k. Next, let Mk be the number of genotyped SNPs in the cis-candidate region of gene k. We denote the entire matrix of genotype data for these Mk SNPs with the vector Gk , and individual genotypes as gijk for individual i at SNP j of gene k. Genotypes are coded as having 0, 1, or 2 copies of the minor allele. P-Value Method In the first part of the paper we used standard linear regression to test the gene expression data at each gene for association with SNPs in the cis-candidate region, as follows. The effect of individual i's genotype at SNP j (gijk ) on his/her gene expression level (yik ) is assumed to follow an additive linear model: (1) where μ is the mean expression level at that gene for individuals with g = 0, where ajk is the additive effect of the minor allele at SNP j and εijk is the residual. A standard p-value from a 1 df test can then be obtained for the hypothesis that SNP j is an eQTN for gene k (ajk ≠ 0). We used the following procedure to generate the results plotted in Figure 2. For each gene with expression data we assigned each SNP in the cis-candidate region to a single bin (see below). Let m be the total number of SNPs that fall into bin b, summing across all genes. (Note that most SNPs are in the cis-candidate regions of multiple genes and hence can contribute data to multiple bins.) Next, for each gene, we tested every SNP for association with gene expression. If the p-value of the most significant SNP was 1 SNPs, we considered that the signal was divided equally among the n most significant SNPs (i.e., a fraction 1/n of the signal was assigned to each SNP). Suppose that, by this way of counting, there are s signals in bin b. Prior to reporting the data, we also applied a correction for the possibility of spurious signals due to ungenotyped SNPs in the expression array probe. We used the 634 genes with a known HapMap SNP inside the probe to create a profile of the abundance of spurious signals as a function of distance from the probe. This profile was used to adjust the observed number of signals, s, to a corrected number s′, that removes the predicted number of spurious signals in each bin (see Figure S19 and Text S1 for details). In practice, we estimate that the contribution of spurious signals does not substantially change the overall uncorrected distribution of signals. Finally, we computed the fraction of most significant SNPs in bin b as s′/m. Bin Definitions To display the distribution of signals in Figures 2 and the left panel of Figure 3 we subdivided the cis-candidate region into discrete bins as follows. First, since there is dramatic variation in gene sizes, we analyzed genes in three separate categories based on transcript length: small genes (0–20 kb), medium genes (20–100 kb) and large genes (100–500 kb). Then, within each gene size category we divided the entire cis-candidate region into a series of bins, anchored at the TSS and TES. SNPs outside the transcript were assigned to bins based on their distance from the TSS (for the upstream region) or TES (downstream). Bins outside the transcript were 1 kb wide for small and medium genes and 15 kb wide for large genes. Transcribed regions were split into fixed numbers of bins: each small gene was split into ten bins of equal size, medium genes into 25 bins and large genes into 15 bins. Hence, bins inside the transcript indicate the fractional location of SNPs relative to the TSS and TES, and the physical sizes of the bins vary across genes. The bin sizes were chosen so that the average physical sizes of internal and external bins are roughly the same within each gene size category. Hierarchical Model We present here an overview of the hierarchical model. Complete details on the models are provided in the Supplementary Methods section (Text S1). Bayesian Regression Model The hierarchical model applies the Bayesian regression framework of Servin and Stephens [29]. The effect of individual i's genotype at SNP j (gijk ) on his/her gene expression level (yik ) is assumed to follow a linear model: (2) where μ is the mean expression level at that gene for individuals with g = 0, and where ajk and djk are the additive and dominance effects of the minor allele at SNP j. The residual, εijk , is assumed to be N(0,1/τ) and independent for each yik , where 1/τ is the variance of expression levels within each genotype class. The indicator function I(gijk  = 1) is defined as 1 if the genotype is heterozygous (gijk  = 1) and 0 otherwise. Let denote the probability of the expression data Yk under the null hypothesis that there are no cis-eQTNs in gene k (i.e., ajk  = djk  = 0 for all j). Similarly, let denote the probability of the expression data Yk assuming that SNP j is the eQTN. In this case, the effect sizes ajk and djk are modeled as being drawn from mixtures of normal distributions centered on 0 (see Text S1 for details). The Bayes factor (BF) for SNP j in gene k is defined as (3) and measures the relative support for the hypothesis that SNP j is an eQTN for gene k, versus the null hypothesis. We use priors on effect sizes that allow the BF to be calculated analytically (see Text S1). The Hierarchical Model We describe first the basic version of our hierarchical model. All the results presented in this paper additionally include a correction for the possibility that genes might show signals due to undetected SNPs in the probe. We describe that extension later in the Methods, briefly, and in detail in the Supplementary Methods (Text S1). Our basic model assumes that there are two mutually exclusive categories of genes. With probability Π0 there is no eQTN in the cis-candidate region, and with probability Π1 = 1−Π0 there is a single eQTN. Then the likelihood of the expression data at gene k is (4) where denotes the probability of the expression data Yk given that there is no eQTN in gene k and denotes the probability of the expression data given that there is exactly one eQTN. Note that our model allows for at most one eQTN per gene. If in fact there is more than eQTN, our model will usually assign the signal to the strongest of these. In practice, we see little variation in average effect size as a function of location, so this modeling simplification is unlikely to seriously distort the results. Given that there is a single eQTN in gene k, the probability of the observed expression data, , can be written as (5) where is the probability of the expression data given that SNP j is an eQTN, and π jk is the prior probability that SNP j is an eQTN, given that exactly one SNP in gene k is an eQTN. A key feature of the hierarchical model is that the probability that SNP j is an eQTN, π jk , is allowed to depend on the physical location of SNP j relative to one or more “anchor” points, and other relevant annotations (see Text S1). Suppose that we consider L different kinds of annotation, and let the indicator δjkl equal 1 if SNP j at gene k has the lth annotation, and equal 0 otherwise. Then define (6) where Λ = (λ1,…,λ L ) is a vector of annotation effect parameters. We use a logistic model to relate π jk to these annotation indicators, namely, (7) As detailed in the Supplementary Methods (Text S1), we parameterized the effect of distance from the anchor locations using a series of discrete bins that represent absolute physical distance from the relevant anchor. The bins nearest to the anchor are 1 kb wide, and increase in width to 10 kb and finally 100 kb with increasing distance from the anchor. For the two-anchor models, each SNP belongs to two position bins, each of which indicates distance from one anchor. Likelihood for the Hierarchical Model Substituting the above expressions for into (4), the likelihood for the hierarchical model is (8) (9) where Θ denotes the model parameters and BF jk is the BF from the Bayesian regression (3). To be explicit, the model parameters Θ include the annotation parameters Λ, the proportion Π0 and other parameters related to the Bayes factor computation (see Text S1). The likelihood of the entire data set is the product of (9) across all K genes. We fit the hierarchical model by maximizing the log-likelihood (10) with respect to the model parameters Θ. (Note that the first term, involving does not depend on Θ, and so need not be evaluated.) Accounting for the Effects of SNPs in Probes Since undetected SNPs in the probe sequence sometimes generate eQTLs, the results that we report include a modification to account for this effect. We used the 634 genes that have a known SNP in the probe region as training data to help parameterize the model. We assume that these represent ∼1/3 of all probes with common SNPs [25]. Suppose that with probability there is a gene inside the probe sequence (this is set to 1 for the training data), and suppose that when there is a SNP in the probe, there is a probability Π s that this generates a spurious signal. Then let be the probability of a spurious signal. We consider that we are only interested in real signals if there is no spurious signal, so we write the probability of the data as (11) where the first term is the likelihood when there is no spurious signal (as in Equation 4), and where the second term gives the likelihood ( ) when there is a spurious signal. Likelihood Maximization To maximize [10] we used an iterative strategy based on a point-by-point golden maximization strategy [46]. To speed convergence of the maximization process, we initialized the parameters using naive estimates of the λs based on the logarithm of the odds ratio computed assuming Π0 = 0. Posterior Probabilities Once the likelihood has been maximized, we can compute the posterior probability of a given SNP j to be an eQTN for gene k. In the case without spurious signals this is (12) and the general version is given in the Supplementary Methods (Text S1). Sequence Conservation and Transcription Factor Binding To compute the average sequence conservation as a function of position for Figure 4B, we estimated the average number of substitutions per site across the phylogeny of seven mammalian species (human, chimpanzee, macaque, mouse, rat, dog, and cow), using data and alignments from the UCSC browser. This was done for the main set of 11,446 genes analyzed in this paper. For each gene, 5 kb on each side of the TSS (and separately for the TES) was split into non-overlapping 50-bp bins. We then concatenated all the sites across all genes that lay in the same bin. After excluding sites in coding exons we estimated the average number of substitutions at each site using baseml, a program in the PAML package [47]. We obtained results on transcription factor binding density using ChIP-chip data collected by the ENCODE project (4). We used data for eight transcription factors that showed large numbers of binding fragments at a 1% false discovery rate in the ENCODE study. The left-hand panel of Figure 4C is essentially a replotting of data presented in Figure 5 of (4), while the right-hand panel shows analogous data plotted with respect to the TES. Software Availability The methods reported here are implemented in the package eQTNMiner, which is available from JBV on request. Supporting Information Figure S1 About 60% of the eQTNs are shared between at least two populations. Venn diagram of the set of eQTNs detected separately in each population. To generate the diagram, we admitted a SNP to the analysis (as an eQTL) if either the p-value in the combined sample (pooling the 3 populations) is lower than 7×10−6 or the p-value in a single population is lower than the p-value cutoff corresponding to a gene FDR of 5% within each population. We then considered two populations to share an eQTL if any single population has a p-value <1×10−2. Finally, for each gene having at least one such eQTL, we defined the eQTN as the SNP with the largest number of shared populations (sharing weight between multiple SNPs if there is a tie). (0.12 MB PNG) Click here for additional data file. Figure S2 Expression QTNs in the combined Japanese plus Chinese analysis panel (ASN) show similar patterns to those in the full data. The left panel (p-value method) was prepared in the same way as Figure 2 of the main paper and the right panel (hierarchical model with TSS+TES) was prepared in the same way as Figure 3 (left panel) of the main paper. Both display results analyzing only the Asian data. For the left panels we used a p-value cutoff of 1.25×10−5 obtained by permutations when analyzing only the Asian data and corresponding to a gene FDR of 5%. (0.43 MB PNG) Click here for additional data file. Figure S3 Expression QTNs in the European-derived sample (CEU) show similar patterns to those in the full data. The left panel (p-value method) was prepared in the same way as Figure 2 of the main paper and the right panel (hierarchical model with TSS+TES) was prepared in the same way as Figure 3 (left panel) of the main paper. Both display results analyzing only the European data. For the left panels we used a p-value cutoff of 3.5×10−6 obtained by permutations when analyzing only the European data and corresponding to a gene FDR of 5%. (0.46 MB PNG) Click here for additional data file. Figure S4 Expression QTNs in the Nigerian sample (YRI) show similar patterns to those in the full data. The left panel (p-value method) was prepared in the same way as Figure 2 of the main paper and the right panel (hierarchical model with TSS+TES) was prepared in the same way as Figure 3 (left panel) of the main paper. Both display results analyzing only the Nigerian data. For the left panels we used a p-value cutoff of 3.825×10−6 obtained by permutations when analyzing only the Nigerian data and corresponding to a gene FDR of 5%. (0.43 MB PNG) Click here for additional data file. Figure S5 Illustration of the ability of the HM to accurately estimate the distribution of eQTNs when all the actual eQTNs are genotyped. This figure is based on a simulated dataset assuming that for all genes the actual eQTN is genotyped (see Text S1). In both panels the black histograms represent the number of actual eQTNs using 1 kb bins anchored from the TSS (this is identical for both panels). A. P-value method: the green curve displays the number of most significant SNPs detected by the p-value method. As expected, due to LD and the stringency of the p-value cut-off, the profile is less peaked than the actual distribution. B. Hierarchical model: using our hierarchical model with the TSS-only model (see Methods) we are able to catch most of the actual eQTNs. The red curve indicates the expected number of eQTNs computed using the posterior probabilities from the hierarchical model. Notice that the hierarchical model provides a better picture of the distribution of signals. (0.15 MB PNG) Click here for additional data file. Figure S6 50% of the most significant SNPs lie within 7.5 kb of the actual eQTNs. Both panels are based on the results from the p-value method applied to a simulated dataset (see Text S1). The top panel plots the histogram of the fraction of most significant SNPs as a function of distance from the actual eQTNs. The bottom panel plots the corresponding cumulative probability. (0.05 MB PNG) Click here for additional data file. Figure S7 No obvious impact of the eQTN location on the mapping precision. Cumulative plot of the distance between the most significant SNPs and the actual eQTNs according to the eQTN location (upstream of the TSS, downstream of the TSS, within an exon, and within an intron). This plot was generated by averaging results from the p-value method applied to 10 simulated dataset (see Text S1). For the legend, the percentage between brackets give the fraction of actual eQTNs in the corresponding category. (0.08 MB PNG) Click here for additional data file. Figure S8 Impact of the local recombination rate on the eQTN mapping precision. Boxplot of the physical distance between the tag SNP and the actual eQTN as a function of the average recombination rate (cM/Mb) around the actual eQTN in a simulated dataset assuming that all eQTNs are not genotyped (see Text S1). We divided the data into four categories of equal sizes (from low to high level of recombination rate, the range of the recombination rate in each class is indicated along the x-axis below each box). As expected, the higher the recombination rate, the lower the expected distance between the tag SNP and the actual eQTN. (0.05 MB PNG) Click here for additional data file. Figure S9 There is a deficit of most-significant SNPs in internal introns, and an enrichment of such SNPs in last exons (p-value method). This figure is based on the subset of 295 genes for which there is a unique most significant SNP (and for which the smallest p-value is <7×10−6) that fall into the gene transcript region. For the five panels, the blue arrows represent the observed number of most significant SNPs in the five gene functional elements for which at least 5 most significant SNPs have been found. Here these counts have been corrected for putative spurious signal due to an unobserved SNP inside the probe (leading to the removal of {similar, tilde operator } 46 genes). Under the null hypothesis that these most significant SNPs are randomly distributed into the eight possible gene functional elements, we carried out a simple Monte-Carlo procedure where for each of the 295 genes we picked at random a SNP inside the gene transcript region to be the most significant SNP (and weight it by the probability that the gene has genuine signal according to the location of the observed most significant SNP with respect to the probe (see Text S1). The histograms depict the distribution of the numbers of most significant SNPs across 1000 simulated configurations. (0.12 MB PNG) Click here for additional data file. Figure S10 When distance is measured from the TSS (or TES) only, the TES (or TSS) peak is hidden due to the great variability in gene lengths. The plots show the fraction of SNPs with eQTN signals as a function of position in the cis-candidate region. The candidate region is divided into a series of 1 kb bins across the x-axis that indicate position relative to the TSS (or TES). For each bin we plot the proportion of SNPs that have the smallest p-value for the corresponding gene, and for which p<7×10−6 (gene FDR of 5%). (0.07 MB PNG) Click here for additional data file. Figure S11 Illustration of the ability of the HM to accurately estimate the distribution of eQTNs even when only 30% of the actual eQTNs are genotyped. These plots are based on a simulated dataset assuming that across all genes only 30% of the true eQTNs are genotyped (see Text S1). In both panels the black histograms represent the number of actual eQTNs using 1 kb bins anchored from the TSS (this is identical for both panels). A. P-value method: the green curve displays the number of most significant SNPs detected by the p-value method. As expected, due to the uncomplete SNP coverage, LD and the stringency of the p-value cut-off, the profile is less peaked than the actual distribution. B. Hierarchical model (TSS-only version): the red curve indicates the expected number of eQTNs computed using the posterior probabilities from the hierarchical model. The hierarchical model provides us with a much more accurate representation of the actual eQTN distribution. (0.20 MB PNG) Click here for additional data file. Figure S12 Simulated dataset with eQTNs symmetrically distributed around the TSS. The three left panels plot the true (simulated) probability to be the actual eQTN according to the gene size category. The three right panels plot the probability to be the most significant SNP (i.e the SNP with the smallest p-value inside the cis-candidate region) in genes having at least one SNP with a p-value lower than 7×10−6 (as for Figure 2 in the main text). Although only 30% of the actual eQTNs are observed, the distribution of the most significant SNPs (right panels) lines up pretty well with the distribution of the actual eQTNs (left panels). Furthermore, the distribution of signals for this TSS-only model is quite different than seen in the real data, consistent with our results that the TSS-only model does not provide a good description of the data. See Text S1 for a description of our simulation process. (0.43 MB PNG) Click here for additional data file. Figure S13 Numbers of SNPs inside each of the 9 mutually exclusive gene-related annotations as a function of position within the gene. SNPs inside coding exon are classified into synonymous and non-synonymous SNPs. Notice that ∼84% of genic SNPs occur inside internal introns. (0.12 MB PNG) Click here for additional data file. Figure S14 Fine-scale structure of eQTN peaks near the TSS and TES, and comparison to four types of functional annotation. The left- and right-hand columns show data for 5 kb on either side of the TSS and TES, respectively (averaging across all gene sizes). Locations inside genes are colored green and outside genes are black. A. Posterior expected fractions of SNPs in each bin that are eQTNs, as estimated by the hierarchical model (see Methods). Each bin is 25 bp wide. B. Probability that a SNP falls into a (putative) functional site: CpG island (CpG), conserved non-coding element (CNC), predicted cis-regulatory module (pCRM) and micro RNA binding site (miRNA). (0.27 MB PNG) Click here for additional data file. Figure S15 Genes with CpG islands spanning the TSS are expressed at higher average levels and are more likely to contain eQTLs than genes without a CpG island at the TSS. Results for genes with a CpG island ON the TSS are displayed in red while results for genes without a CpG island spanning the TSS (OFF) are displayed in black. These results are based by computing seperately for the two gene categories the posterior probabilities from the hierarchical model. A. Estimated probability for each gene category to have an eQTN anywhere in the cis-candidate region. B. Box plots of the means and the standard deviations of the log hybridization intensities for the two gene categories. Genes ON CpG have higher mean expression and standard deviations than Gene OFF CpG. C. After adjusting for the different overall rates of eQTNs, the distribution of signal locations in the two classes of genes is very similar. The plots show the fraction of SNPs with eQTN signals as a function of position in the cis-candidate region, based on the hierarchical model. In order to make the two classes of genes more comparable, the plots are conditional on the gene having an eQTN. Top panel shows results for the 7,069 genes with a CpG island spanning the TSS (ON CpG) and bottom panel shows results for the 4,377 genes without a CpG island spanning the TSS (OFF CpG). (0.27 MB PNG) Click here for additional data file. Figure S16 Schematic explanations of our gene structure annotation. The plot shows three pairs of hypothetical genes consisting of, respectively, 1, 2 and 6 exons. In each pair, the upper version of the gene shows the exon/intron structure (from RefSeq) and the translation start and stop sites (vertical red lines). The lower version of the gene shows how we annotate the gene structure (see color code at right of figure). A verbal explanation is also provided in the main text. (0.17 MB PNG) Click here for additional data file. Figure S17 Locations of the most significant eQTL SNPs for small, medium, and large genes using a p-value cutoff of A) 1×10−2 and B) 1×10−4. For A and B, the three panels was prepared in the same way as Figure 2 of the main paper. (0.44 MB PNG) Click here for additional data file. Figure S18 Locations of the most significant eQTL SNPs for small, medium, and large genes using a p-value cutoff of A) 1×10−6 and B) 1×10−8. For A and B, the three panels was prepared in the same way as Figure 2 of the main paper. (0.41 MB PNG) Click here for additional data file. Figure S19 Distribution of most significant eQTL SNPs around probes. The black bars indicate the numbers of spurious eQTL signals as a function of distance from the probes, among the 634 genes with a known SNP in the probe. The sum of the red+green bars gives the numbers of most significant eQTL SNPs among the remaining 11,446 genes; the red component is our estimate of the fraction that is spurious. (See section ‘Spurious Signal’ in Text S1 for further description.) (0.18 MB PNG) Click here for additional data file. Table S1 Table of descriptive statistics for each of the 9 mutually exclusive gene structure annotations for the 11,446 genes of our data set. The “Exp nber” and “Fraction” columns of the table are based on the posterior probabilities to be a genuine eQTN from the hierarchical model: left side for TSS-only+annotation model and right side for TSS+TES+annotation model. (0.03 MB PDF) Click here for additional data file. Table S2 Table of descriptive statistics for each of the 8 mutually exclusive gene structure annotations for the 11,446 genes of our data set. (0.03 MB PDF) Click here for additional data file. Table S3 Table of descriptive statistics for each of the 5 functional annotations for the 11,446 genes of our data set. (0.04 MB PDF) Click here for additional data file. Text S1 Supplementary methods. (0.15 MB PDF) Click here for additional data file.
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              Difference in prevalence of congenital cryptorchidism in infants between two Nordic countries.

              Several investigators have shown striking differences in semen quality and testicular cancer rate between Denmark and Finland. Since maldescent of the testis is a shared risk factor for these conditions we undertook a joint prospective study for the prevalence of congenital cryptorchidism. 1068 Danish (1997-2001) and 1494 Finnish boys (1997-99) were consecutively recruited prenatally. We also established prevalence data for all newborns at Turku University Central Hospital, Finland (1997-99, n=5798). Testicular position was assessed by a standardised technique. All subtypes of congenital cryptorchidism were included, but retractile testes were considered normal. Prevalence of cryptorchidism at birth was 9.0% (95% CI 7.3-10.8) in Denmark and 2.4% (1.7-3.3) in Finland. At 3 months of age, prevalence rates were 1.9% (1.2-3.0) and 1.0% (0.5-1.7), respectively. Significant geographic differences were still present after adjustment for confounding factors (birthweight, gestational age, being small for gestational age, maternal age, parity, mode of delivery); odds ratio (Denmark vs Finland) was 4.4 (2.9-6.7, p<0.0001) at birth and 2.2 (1.0-4.5, p=0.039) at three months. The rate in Denmark was significantly higher than that reported 40 years ago. Our findings of increasing and much higher prevalence of congenital cryptorchidism in Denmark than in Finland contribute evidence to the pattern of high frequency of reproductive problems such as testicular cancer and impaired semen quality in Danish men. Although genetic factors could account for the geographic difference, the increase in reproductive health problems in Denmark is more likely explained by environmental factors, including endocrine disrupters and lifestyle.
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                Author and article information

                Journal
                J Med Genet
                J. Med. Genet
                jmg
                jmedgenet
                Journal of Medical Genetics
                BMJ Group (BMA House, Tavistock Square, London, WC1H 9JR )
                0022-2593
                1468-6244
                3 December 2011
                January 2012
                3 December 2011
                : 49
                : 1
                : 58-65
                Affiliations
                [1 ]Department of Growth and Reproduction, Rigshospitalet, Copenhagen, Denmark
                [2 ]Centre for Biological Sequence Analysis, Department of Systems Biology, Technical University of Denmark, Kgs. Lyngby, Denmark
                [3 ]Department of Biostatistics, University of Copenhagen, Copenhagen, Denmark
                [4 ]Institute of Preventive Medicine, Copenhagen University Hospital, Centre for Health and Society, Copenhagen, Denmark
                [5 ]Department of Clinical Sciences, Molecular Genetic Reproductive Medicine, University of Lund, Malmö, Sweden
                [6 ]Department of Oncology-Pathology, Karolinska Institute and University Hospital, Stockholm, Sweden
                [7 ]Departments of Physiology and Pediatrics, University of Turku, Turku, Finland
                [8 ]Department of Oncology, Rigshospitalet, Copenhagen, Denmark
                [9 ]Department of Biology, The August Krogh Building, Universitetsparken 13, Copenhagen, Denmark
                Author notes
                Correspondence to Dr Ramneek Gupta, Centre for Biological Sequence Analysis, Department of Systems Biology, Technical University of Denmark, Kgs. Lyngby DK-2800, Denmark; ramneek@ 123456cbs.dtu.dk

                MDD, NW and DE contributed equally to this work.

                Article
                jmedgenet-2011-100174
                10.1136/jmedgenet-2011-100174
                3284313
                22140272
                f9c3a4a0-b1b1-4bc9-bba5-3f8c42e24b63
                © 2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
                History
                : 5 May 2011
                : 22 September 2011
                : 17 October 2011
                Categories
                Complex Traits
                1506
                Original article

                Genetics
                cancer: urological,testis cancer,developmental,genetics,endocrinology,infertility,oncology,gwas,tds,epidemiology,genome-wide,genetic epidemiology,reproductive medicine,chromosomal,diabetes,systems biology

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