蛋白截斷變異(protein-truncating variant,PTV)通過引入終止密碼子,移碼突變或剪接位點,破壞蛋白編碼基因[1]。蛋白截斷變異的研究對於人類進化(human evolution),基因功能(gene function),疾病相關變異(disease-related variants)和疾病患者變異的臨床解讀(Clinical interpretation of variants in patients with disease)有着重要作用[2-7]。由於蛋白截斷變異普遍為罕見突變,大規模人群的研究十分有必要。過萬的樣本量才適合有統計學功效(power)的蛋白截斷變異研究。目前最大的蛋白截斷研究來源於Broad研究所Daniel MacArthur教授的6萬人ExAC人類外顯子組整合數據庫(ExAC Exome Aggregation Consortium)[2]。
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- 5. Bartha, I., di Iulio, J., Venter, J. C. & Telenti, A. Human gene essentiality. Nat. Rev. Genet. 19, 51–62 (2018).
- 6. Ganna, A., Satterstrom, K., Zekavat, S., Das, I., Kurki, M., Churchhouse, C., & Neale, B. (2018). Quantifying the impact of rare and ultra-rare coding variation across the phenotypic spectrum. Am J Hum Genet, 102(6), 1204–1211.
- 7. Tarailo-Graovac M, Shyr C, Ross CJ, et al. Exome Sequencing and the Management of Neurometabolic Disorders. N Engl J Med. 2016;374(23):2246-55.