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024 7 _ |a 10.1038/s41586-024-07533-7
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037 _ _ |a DKFZ-2024-02733
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100 1 _ |a Liu, Aoxing
|0 0000-0002-9155-1494
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245 _ _ |a Genetic drivers and cellular selection of female mosaic X chromosome loss.
260 _ _ |a London [u.a.]
|c 2024
|b Nature Publ. Group
336 7 _ |a article
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336 7 _ |a ARTICLE
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336 7 _ |a Journal Article
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520 _ _ |a Mosaic loss of the X chromosome (mLOX) is the most common clonal somatic alteration in leukocytes of female individuals1,2, but little is known about its genetic determinants or phenotypic consequences. Here, to address this, we used data from 883,574 female participants across 8 biobanks; 12% of participants exhibited detectable mLOX in approximately 2% of leukocytes. Female participants with mLOX had an increased risk of myeloid and lymphoid leukaemias. Genetic analyses identified 56 common variants associated with mLOX, implicating genes with roles in chromosomal missegregation, cancer predisposition and autoimmune diseases. Exome-sequence analyses identified rare missense variants in FBXO10 that confer a twofold increased risk of mLOX. Only a small fraction of associations was shared with mosaic Y chromosome loss, suggesting that distinct biological processes drive formation and clonal expansion of sex chromosome missegregation. Allelic shift analyses identified X chromosome alleles that are preferentially retained in mLOX, demonstrating variation at many loci under cellular selection. A polygenic score including 44 allelic shift loci correctly inferred the retained X chromosomes in 80.7% of mLOX cases in the top decile. Our results support a model in which germline variants predispose female individuals to acquiring mLOX, with the allelic content of the X chromosome possibly shaping the magnitude of clonal expansion.
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650 _ 7 |a F-Box Proteins
|2 NLM Chemicals
650 _ 7 |a FBXO10 protein, human
|2 NLM Chemicals
650 _ 2 |a Adult
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Alleles
|2 MeSH
650 _ 2 |a Aneuploidy
|2 MeSH
650 _ 2 |a Autoimmune Diseases: genetics
|2 MeSH
650 _ 2 |a Biological Specimen Banks
|2 MeSH
650 _ 2 |a Chromosome Segregation: genetics
|2 MeSH
650 _ 2 |a Chromosomes, Human, X: genetics
|2 MeSH
650 _ 2 |a Chromosomes, Human, Y: genetics
|2 MeSH
650 _ 2 |a Clone Cells: metabolism
|2 MeSH
650 _ 2 |a Clone Cells: pathology
|2 MeSH
650 _ 2 |a Exome: genetics
|2 MeSH
650 _ 2 |a F-Box Proteins: genetics
|2 MeSH
650 _ 2 |a Genetic Predisposition to Disease: genetics
|2 MeSH
650 _ 2 |a Germ-Line Mutation
|2 MeSH
650 _ 2 |a Leukemia: genetics
|2 MeSH
650 _ 2 |a Leukocytes: metabolism
|2 MeSH
650 _ 2 |a Models, Genetic
|2 MeSH
650 _ 2 |a Mosaicism
|2 MeSH
650 _ 2 |a Multifactorial Inheritance: genetics
|2 MeSH
650 _ 2 |a Mutation, Missense: genetics
|2 MeSH
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700 1 _ |a Sankaran, Vijay G
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700 1 _ |a Palotie, Aarno
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773 _ _ |a 10.1038/s41586-024-07533-7
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