Genetics: locus 13: 58,456,743 - genes PCDH17

ME/CFS Science Blog

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This was a signal just below the significance threshold (9.4 × 10⁻⁷) in DecodeME.

The top hit is 13:58456743:T:C. T is the common allele has a frequency of 98.8% in cases and 98.4% in controls. This means that the rare C allele (1.2% in cases, 1.6% in controls) is protective and associated with lower odds of ME/CFS.

The signal lies in a gene desert. SUSIE couldn't finemap a credible set so the plot highlights 10 SNPs that hold 34% of the probability. It lies in a non-coding RNA called ENSG00000302133. The two closest protein-coding genes are far off: PCDH17 on the west side and DIAPH3 on the east side. FLAMES didn't consider them because it's restricted to 750 kb.


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The Hi-C domains suggest folding stretched out to the west side to PCDH17 so I think that is the most likely candidate gene.

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The eQTL didn't find a good match but possibly because the (brain) datasets were too small (the lead_p is weak and that results in lower PP.H4). The PCDH17 signals in the brain suggest that the risk alleles raise PCDH17.
Trait (gene)StudyPP.H4lead_prisk_allele
PCDH17GTEx_v10 | testis | naive | QTD0003360.171.5e-03lowers (z = -2.8)
PCDH17GTEx_v10 | brain (putamen) | naive | QTD0001960.162.7e-04raises (z = 3.7)
PCDH17Jerber_2021 | dopaminergic neuron | rotenone_D52 | QTD0006330.142.8e-03lowers (z = -1.7)
ENSG00000278722 [ILMN_3195119]Fairfax_2014 | monocyte | LPS_2h | QTD0000830.131.1e-03raises (z = 1.9)
ENSG00000288765GTEx_v10 | kidney (cortex) | naive | QTD0002610.137.1e-05raises (z = 0.9)
PCDH17GTEx_v10 | adipose | naive | QTD0001160.133.5e-03raises (z = 2.8)
PCDH17 [ILMN_1781514]Kasela_2017 | CD4+ T cell | naive | QTD0003710.122.3e-03raises (z = 2.2)
ENSG00000278722 [ILMN_3195119]Fairfax_2014 | monocyte | naive | QTD0000810.119.7e-03raises (z = 2.4)
ENSG00000278722 [ILMN_3195119]Fairfax_2014 | monocyte | LPS_24h | QTD0000840.101.8e-04raises (z = 1.8)
ENSG00000278722 [ILMN_3271581]CEDAR | neutrophil | naive | QTD0000700.106.8e-03raises (z = 0.1)
PCDH17GTEx_v10 | brain (caudate) | naive | QTD0001560.101.8e-02raises (z = 2.2)

Lastly, here are the results from GWAS with a similar signal. The top hit is place of birth in the UK suggesting that selection bias might be an issue here (although DecodeME tried to account for this).

TraitPP.H4lead_pstudy_IDSource
Place of birth in UK - east co-ordinate0.943.2e-11ukb-b-13231OpenGWAS
Nap during day0.911.6e-07ukb-b-4616OpenGWAS
Peak expiratory flow (PEF)0.918.8e-07ukb-b-12019OpenGWAS
Daytime nap0.893.3e-07ebi-a-GCST011494OpenGWAS
Nap during day0.882.1e-06ukb-a-12OpenGWAS
Coagulation factor IX measurement0.883.6e-05ebi-a-GCST90019451OpenGWAS
Urinary sodium-potassium ratio0.845.0e-06ieu-b-72OpenGWAS
Ever smoked0.831.3e-07ukb-a-236OpenGWAS
Systolic blood pressure, automated and manual reading, restrict to 60-73 years0.823.3e-05ieu-b-5168OpenGWAS
Peak expiratory flow (PEF)0.822.2e-05ukb-a-338OpenGWAS
Standing height0.817.8e-06ukb-b-10787OpenGWAS
rfMRI connectivity (ICA100 edge 1148)0.795.3e-05ubm-b-3576OpenGWAS
Sodium in urine (UKB data field 30530)0.792.3e-06ebi-a-GCST90013989OpenGWAS
Number of treatments/medications taken0.711.6e-05ukb-b-3656OpenGWAS
Height0.669.6e-08ebi-a-GCST90029008OpenGWAS
Taking other prescription medications0.522.2e-05ukb-b-20292OpenGWAS
Ever smoked0.484.3e-08ukb-b-20261OpenGWAS
Medication for pain relief, constipation, heartburn: None of the above0.421.5e-06ukb-b-11085OpenGWAS
Frequency of tiredness / lethargy in last 2 weeks0.402.1e-05ukb-b-929OpenGWAS
Number of unenthusiastic/disinterested episodes0.318.0e-07ukb-b-1998OpenGWAS
 
Here's the gene card of PCDH17. Might be related to PCDH8 which came up in an earlier locus.
PCDH17 encodes protocadherin 17, a cell-adhesion protein that participates in specific cell-cell connections in the brain. It belongs to the protocadherin gene family within the cadherin superfamily and is associated with homophilic cell-cell adhesion. The protein has six extracellular cadherin domains, a transmembrane domain, and a cytoplasmic tail that differs from classical cadherins.

PCDH17 localizes to the plasma membrane, cytosol, intracellular membrane-bounded organelles, and the GABA-ergic synapse, placing it in compartments relevant to synaptic organization. Its biological process labels include negative regulation of synaptic transmission, regulation of synaptic vesicle clustering, and presynaptic active zone assembly, alongside synaptic membrane adhesion. Expression measurements show high protein levels in the endocrine system, respiratory system, and proximal digestive tract, with RNA expression also detected in the hematopoietic system and respiratory system.

Pathogenic variants in PCDH17 are reported in neurodevelopmental and neurologic disease contexts. PCDH17 has been linked to intellectual disability, epilepsy, and adult behavior phenotypes.
PCDH17 Gene - GeneCards
 
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