{"id":419,"date":"2025-10-20T19:20:09","date_gmt":"2025-10-20T19:20:09","guid":{"rendered":"https:\/\/mrivas.su.domains\/gbe\/?p=419"},"modified":"2025-10-20T19:20:09","modified_gmt":"2025-10-20T19:20:09","slug":"unified-meta-regression-models-identify-genes-for-epilepsy","status":"publish","type":"post","link":"https:\/\/mrivas.su.domains\/gbe\/uncategorized\/unified-meta-regression-models-identify-genes-for-epilepsy\/","title":{"rendered":"Unified meta regression models identify genes for epilepsy"},"content":{"rendered":"\n<p>Epilepsy is a chronic neurological disorder characterized by recurrent seizures. There are many epilepsy subtypes which warrants different approaches to treatment. <\/p>\n\n\n\n<p>Understanding the molecular mechanisms of epilepsy provides a precision medicine guided approach to treating the disease. <\/p>\n\n\n\n<p>To that end, we&#8217;ve developed a unified meta regression model that incorporates multiple moderators when analyzing the latest <a href=\"http:\/\/epi25.broadinstitute.org\/\">exome sequencing genetic data<\/a> generated and provided by the Broad Institute.<\/p>\n\n\n\n<p>There are three epilepsy types we study:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Developmental and epileptic encephalopathy (DEE, N=1,938),<\/li>\n\n\n\n<li> Genetic generalized epilepsy (GGE, N=5,499), and<\/li>\n\n\n\n<li>non-acquired focal epilepsy (NAFE, N=9,219)<\/li>\n<\/ol>\n\n\n\n<p>as well as the full the full epilepsy cohort (EPI, N=20,979) that we compare against 33,444 controls. <\/p>\n\n\n\n<p>We incorporate concepts like: <br><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4222185\/\">genome constraint<\/a>, i.e. where the genome is intolerant to mutations, a concept pioneered by <a href=\"https:\/\/www.samochalab.org\/people\">Dr. Kaitlin Samocha<\/a>. If you want to listen to constraint in the genome please see our blog post where we <a href=\"https:\/\/mrivas.su.domains\/gbe\/uncategorized\/sonification-of-the-human-genome\/\">sonify constraint<\/a>. The concept is asking the question does information about your neighbors tell me about you. The Hidden Markov Model enables us to get a per site constraint probability.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"981\" height=\"365\" src=\"https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-9.png\" alt=\"\" class=\"wp-image-421\" srcset=\"https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-9.png 981w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-9-300x112.png 300w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-9-768x286.png 768w\" sizes=\"auto, (max-width: 981px) 100vw, 981px\" \/><figcaption class=\"wp-element-caption\">Genome constraint for <em>SCN1A<\/em>. Sites that are intolerant to mutations are informed by their neighbors. <\/figcaption><\/figure>\n\n\n\n<p>l<a href=\"https:\/\/macarthurlab.org\/lof\/\">oss-of-function<\/a>, i.e. whether a mutation is predicted to break the function of a gene. <\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"368\" src=\"https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-10-1024x368.png\" alt=\"\" class=\"wp-image-423\" srcset=\"https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-10-1024x368.png 1024w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-10-300x108.png 300w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-10-768x276.png 768w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-10.png 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Depiction of protein truncating variants or predicted <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25954003\/\">loss-of-function variants <\/a>and their systematic study using transcriptome data.<\/figcaption><\/figure>\n\n\n\n<p><a href=\"https:\/\/en.wikipedia.org\/wiki\/Conserved_sequence\">Genomic Evolutionary Rate Profiling (GERP)<\/a>, which quantifies evolutionary constraint which compares the number of mutations observed at a particular position compared to what we expect under neutrality. The larger the GERP score the more likely it is constrained and the lower the GERP score the more likely it is neutral or under positive selection.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.biorxiv.org\/content\/10.1101\/696831v2.full\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"693\" src=\"https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-11-1024x693.png\" alt=\"\" class=\"wp-image-424\" srcset=\"https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-11-1024x693.png 1024w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-11-300x203.png 300w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-11-768x520.png 768w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-11.png 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p>Impact of missense variants on protein-folding via the <a href=\"https:\/\/www.science.org\/doi\/10.1126\/science.adg7492\">AlphaMissense<\/a> score.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/alphafold.ebi.ac.uk\/entry\/AF-O43526-5-F1\"><img loading=\"lazy\" decoding=\"async\" width=\"930\" height=\"726\" src=\"https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-12.png\" alt=\"\" class=\"wp-image-426\" srcset=\"https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-12.png 930w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-12-300x234.png 300w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-12-768x600.png 768w\" sizes=\"auto, (max-width: 930px) 100vw, 930px\" \/><\/a><figcaption class=\"wp-element-caption\">KCNQ2 3D experimental structure with the AlphaMissense scores overlayed (dark blue is higher AlphaMissense score, i.e. likely to be deleterious). <\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Results<\/h2>\n\n\n\n<p>We identify 14 new epilepsy genes that have stronger evidence of association than the Epi25 paper. <\/p>\n\n\n\n<p>See the updated <a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2024.06.27.24309590v2.full\">pre-print<\/a> for the latest results.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"887\" src=\"https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-13-1024x887.png\" alt=\"\" class=\"wp-image-427\" srcset=\"https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-13-1024x887.png 1024w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-13-300x260.png 300w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-13-768x665.png 768w, https:\/\/mrivas.su.domains\/gbe\/wp-content\/uploads\/2025\/10\/image-13.png 1356w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div style=\"position:relative;padding-top:0;height:80vh\">\n  <iframe\n    src=\"https:\/\/epilepsy-dashboard.streamlit.app\/?embed=true\"\n    style=\"position:absolute;top:0;left:0;width:100%;height:100%;border:0\"\n    loading=\"lazy\"\n    allow=\"clipboard-write\"\n  ><\/iframe>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Epilepsy is a chronic neurological disorder characterized by recurrent seizures. There are many epilepsy subtypes which warrants different approaches to treatment. Understanding the molecular mechanisms of epilepsy provides a precision medicine guided approach to treating the disease. To that end, we&#8217;ve developed a unified meta regression model that incorporates multiple moderators when analyzing the latest [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-419","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/mrivas.su.domains\/gbe\/wp-json\/wp\/v2\/posts\/419","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mrivas.su.domains\/gbe\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mrivas.su.domains\/gbe\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mrivas.su.domains\/gbe\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mrivas.su.domains\/gbe\/wp-json\/wp\/v2\/comments?post=419"}],"version-history":[{"count":4,"href":"https:\/\/mrivas.su.domains\/gbe\/wp-json\/wp\/v2\/posts\/419\/revisions"}],"predecessor-version":[{"id":428,"href":"https:\/\/mrivas.su.domains\/gbe\/wp-json\/wp\/v2\/posts\/419\/revisions\/428"}],"wp:attachment":[{"href":"https:\/\/mrivas.su.domains\/gbe\/wp-json\/wp\/v2\/media?parent=419"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mrivas.su.domains\/gbe\/wp-json\/wp\/v2\/categories?post=419"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mrivas.su.domains\/gbe\/wp-json\/wp\/v2\/tags?post=419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}