Varying Intolerance of Gene Pathways to Mutational Classes Explain Genetic Convergence across Neuropsychiatric Disorders  Shahar Shohat, Eyal Ben-David,

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Varying Intolerance of Gene Pathways to Mutational Classes Explain Genetic Convergence across Neuropsychiatric Disorders  Shahar Shohat, Eyal Ben-David, Sagiv Shifman  Cell Reports  Volume 18, Issue 9, Pages 2217-2227 (February 2017) DOI: 10.1016/j.celrep.2017.02.007 Copyright © 2017 The Author(s) Terms and Conditions

Cell Reports 2017 18, 2217-2227DOI: (10.1016/j.celrep.2017.02.007) Copyright © 2017 The Author(s) Terms and Conditions

Figure 1 Rates of De Novo Mutations and Levels of Constraint for Genes with De Novo Mutations (A) The per-individual rate of functional mutations (LoF or missense) relative to the study-specific rate of non-functional mutations (synonymous). Error bars indicate SEM. The p values represent the significance of the difference from the controls. The p values were corrected for multiple testing with the Benjamini and Hochberg false discovery rate (FDR) procedure. ∗∗∗FDR-corrected p < 0.001. (B) Differences between females and males in the rate of de novo mutations (values are as described above). The p values represent significant interaction between sex and disease status. ∗FDR-corrected p < 0.05. (C) The mean level of constraint (Z score) ± SEM for genes with different types of mutations in the three disorders and the control. The p values were obtained by one-way ANOVA for equal means. The post hoc test can be found in Table S3. #Significantly different from control. ##Significantly different from all other disorders. See also Figure S1 and Table S3. Cell Reports 2017 18, 2217-2227DOI: (10.1016/j.celrep.2017.02.007) Copyright © 2017 The Author(s) Terms and Conditions

Figure 2 Constrained Genes and Genes with Functional De Novo Mutations in the Disorders Tend to Have More Protein-Protein Interactions (A) Positive correlation (r = 0.92) between the median number of interactions and the mean constraint score across different mutation categories and disorders. (B) Cumulative distribution function (CDF) of the number of interactions (log10) plotted for constrained and unconstrained genes. The p values were calculated using a two-sample Kolmogorov-Smirnov test. (C–E) CDF of the number of interactions (log10) plotted for genes with missense mutations in the control relative to (C) ID, (D) ASD, or (E) SCZ. The p values were calculated using a two-sample Kolmogorov-Smirnov test and corrected with the FDR procedure. See also Figure S2. Cell Reports 2017 18, 2217-2227DOI: (10.1016/j.celrep.2017.02.007) Copyright © 2017 The Author(s) Terms and Conditions

Figure 3 Constrained Genes and Genes with Functional Mutations Tend to Have Lower Variation in Gene Expression Values are the effect size (Cohen’s d) for the difference in the standardized measure of expression variation between genes with mutations in the disorders and the control (±95% confidence interval). ∗FDR-corrected p < 0.05; ∗∗FDR-corrected p < 0.01; ∗∗∗∗FDR-corrected p < 0.0001. See also Figure S3. Cell Reports 2017 18, 2217-2227DOI: (10.1016/j.celrep.2017.02.007) Copyright © 2017 The Author(s) Terms and Conditions

Figure 4 Constrained Genes Are Involved in Specific Biological Processes and Show Specific Spatiotemporal Patterns of Expression in the Brain (A) Biological processes (left) and human phenotypes (right) that are significantly enriched in constrained genes. The analysis was based on the pathway enrichment tool ToppGene Suite, which includes phenotypes from the Human Phenotype Ontology (HPO). Values are −log10 of the FDR corrected p values. (B–D) Enrichment in brain regions and during specific developmental epochs. Darker colors signify higher enrichment, presented as −log10 of the p values. The p values are calculated using Fisher’s exact test and are corrected for multiple tests using FDR. ∗FDR-corrected p < 0.05; ∗∗FDR-corrected p < 0.01. ∗∗∗FDR-corrected p < 0.001. The enrichment analysis was performed on (B) expression in brain regions during different developmental stages; (C) expression in different brain regions, averaged across development stages; and (D) expression in different developmental stages averaged across brain regions. Cell Reports 2017 18, 2217-2227DOI: (10.1016/j.celrep.2017.02.007) Copyright © 2017 The Author(s) Terms and Conditions

Figure 5 Region- and Stage-Specific Enrichment in the Human Brain for Genes with Functional De Novo Mutations in ID and ASD Heatmap colors represent the enrichment significance presented as −log10 of the p values. The p values are calculated based on permutations in the dnenrich software and are corrected for multiple tests using FDR. ∗FDR-corrected p < 0.05; ∗∗FDR-corrected p < 0.01. (A) Enrichment analysis of genes with LoF mutations in ID. (B) Enrichment analysis of genes with missense mutations in ID. (C) Enrichment analysis of genes with LoF mutations in ASD. (D) Enrichment analysis of genes with missense mutations in SCZ. See also Figure S4. Cell Reports 2017 18, 2217-2227DOI: (10.1016/j.celrep.2017.02.007) Copyright © 2017 The Author(s) Terms and Conditions

Figure 6 Coexpression in the Developing Cortex of Genes Mutated by De Novo Mutations in ASD, SCZ, ID, and Unaffected Control (A) The correlations between disorders and mutation classes are visualized as a heatmap. Samples are sorted using hierarchical clustering. Shades of red signify positive correlation, and shades of green signify negative correlation. (B) A scatterplot showing the correlation between mutations classes and disorders. Below the diagonal are plots of the p values (−log10) for each module in one condition and mutation class as a function of another. The red line is the linear best fit. Above the diagonal are the correlation values, with the size of the font proportional to the correlations strength. (C) Enrichment across 18 WGCNA modules of genes with mutations. The enrichment is shown for constrained genes and for different disorders divided to different classes of mutations. Statistical significance of enrichment of de novo mutations within each module is calculated with the dnenrich software (Fromer et al., 2014). Heatmap colors represent −log10 of the nominal p values. The numbers are enrichment odds ratios, shown only for significant (FDR-corrected) and positive enrichments. See also Figure S5. Cell Reports 2017 18, 2217-2227DOI: (10.1016/j.celrep.2017.02.007) Copyright © 2017 The Author(s) Terms and Conditions

Figure 7 Preferential Expression in the Human Brain for Neuronal Genes Associated with SCZ Heatmap colors represent the enrichment significance presented as −log10 of the p values. The p values are calculated based on Fisher’s exact test corrected for multiple tests using FDR. ∗FDR-corrected p < 0.05; ∗∗FDR-corrected p < 0.01. (A) Analysis of adult brain regions and development. (B) Analysis across cell types is shown for different specificity index thresholds (pSIs). The outer hexagons represent a pSI < 0.05, and the inner hexagons represent a more stringent pSI. The size of the hexagons is scaled to the size of the gene list. See also Figure S6. Cell Reports 2017 18, 2217-2227DOI: (10.1016/j.celrep.2017.02.007) Copyright © 2017 The Author(s) Terms and Conditions