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Publication : Inheritance of rare functional GCKR variants and their contribution to triglyceride levels in families.

First Author  Rees MG Year  2014
Journal  Hum Mol Genet Volume  23
Issue  20 Pages  5570-8
PubMed ID  24879641 Mgi Jnum  J:214750
Mgi Id  MGI:5603963 Doi  10.1093/hmg/ddu269
Citation  Rees MG, et al. (2014) Inheritance of rare functional GCKR variants and their contribution to triglyceride levels in families. Hum Mol Genet 23(20):5570-8
abstractText  Significant resources have been invested in sequencing studies to investigate the role of rare variants in complex disease etiology. However, the diagnostic interpretation of individual rare variants remains a major challenge, and may require accurate variant functional classification and the collection of large numbers of variant carriers. Utilizing sequence data from 458 individuals with hypertriglyceridemia and 333 controls with normal plasma triglyceride levels, we investigated these issues using GCKR, encoding glucokinase regulatory protein. Eighteen rare non-synonymous GCKR variants identified in these 791 individuals were comprehensively characterized by a range of biochemical and cell biological assays, including a novel high-throughput-screening-based approach capable of measuring all variant proteins simultaneously. Functionally deleterious variants were collectively associated with hypertriglyceridemia, but a range of in silico prediction algorithms showed little consistency between algorithms and poor agreement with functional data. We extended our study by obtaining sequence data on family members; however, functional variants did not co-segregate with triglyceride levels. Therefore, despite evidence for their collective functional and clinical relevance, our results emphasize the low predictive value of rare GCKR variants in individuals and the complex heritability of lipid traits.
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