Treatment Of Inflammatory Diseases With RAS Protein Activator Like 3 (RASAL3) Inhibitors

Abstract
The present disclosure provides methods of treating subjects having an inflammatory disease, and methods of identifying subjects having an increased risk of developing an inflammatory disease.
Description
REFERENCE TO SEQUENCE LISTING

This application includes a Sequence Listing submitted electronically as an XML file named 381203574SEQ, created on Aug. 24, 2022, with a size of 160 kilobytes. The Sequence Listing is incorporated herein by reference.


FIELD

The present disclosure relates generally to the treatment of subjects having an inflammatory disease with RAS Protein Activator Like 3 inhibitors, methods of identifying subjects having an increased risk of developing an inflammatory disease, methods of detecting RASAL3 variant nucleic acid molecules and variant polypeptides.


BACKGROUND

Eosinophils can regulate local immune and inflammatory responses, and their accumulation in the blood and tissue is associated with several inflammatory and infectious diseases. Eosinophilia, defined as a peripheral blood eosinophil count greater than 450 cells per microliter, is associated with numerous disorders including allergies, drug reactions, helminth infections, Churg-Strauss syndrome, some malignancies and metabolic disorders, eosinophilic gastrointestinal disorders, and hypereosinophilic syndrome. Eosinophils are bone marrow-derived leukocytes that are normally less than 5% of leukocytes in the blood, but can be found in higher numbers in tissues such as the bone marrow and gastrointestinal. Recruitment of activated eosinophils from the bloodstream into tissues can occur under a variety of conditions and lead to the release of preformed and newly synthesized products, including cytokines, chemokines, lipid mediators, and cytotoxic granule proteins, that can initiate, quickly escalate and sustain local inflammatory and remodeling responses. Eosinophil-rich inflammation has long been associated with parasitic infestation and allergic inflammation. A body of evidence, including clinical studies and animal models, of asthma has demonstrated a causal role for eosinophils in asthma pathogenesis including airway hyper-reactivity, elevated mucus production, and airway remodeling. As such, therapies aimed at eosinophils may help control diverse diseases, including atopic disorders such as asthma and allergy.


RAS Protein Activator Like 3 (RASAL3) belongs to the Ras GTPase-activating proteins (RasGAP) family and encodes a protein with pleckstrin homology (PH), C2, and Ras RasGAP domains. This protein is predominantly expressed in hematopoietic cells, including Jurkat-T cells where it is localized near or at the plasma membrane when expressed exogenously. RASAL3 plays a role in the expansion and functions of natural killer T (NKT) cells in the liver by negatively regulating RAS activity and downstream extracellular signal-regulated kinase (ERK) signaling pathway.


SUMMARY

The present disclosure provides methods of treating a subject having an inflammatory disease, the methods comprising administering a RASAL3 inhibitor to the subject.


The present disclosure also provides methods of treating a subject having a food allergy, the methods comprising administering a RASAL3 inhibitor to the subject.


The present disclosure also provides methods of treating a subject having allergic rhinitis, the methods comprising administering a RASAL3 inhibitor to the subject.


The present disclosure also provides methods of treating a subject having asthma, the methods comprising administering a RASAL3 inhibitor to the subject.


The present disclosure also provides methods of treating a subject with a therapeutic agent that treats or inhibits an inflammatory disease, wherein the subject has an inflammatory disease, the methods comprising: determining whether the subject has a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide by: obtaining or having obtained a biological sample from the subject; and performing or having performed a sequence analysis on the biological sample to determine if the subject has a genotype comprising the RASAL3 variant nucleic acid molecule encoding the RASAL3 predicted loss-of-function polypeptide; and administering or continuing to administer the therapeutic agent that treats or inhibits an inflammatory disease in a standard dosage amount to a subject that is RASAL3 reference, and administering a RASAL3 inhibitor to the subject; and administering or continuing to administer the therapeutic agent that treats or inhibits an inflammatory disease in an amount that is the same as or less than a standard dosage amount to a subject that is heterozygous for the RASAL3 variant nucleic acid molecule, and administering a RASAL3 inhibitor to the subject; wherein the presence of a genotype having the RASAL3 variant nucleic acid molecule encoding the RASAL3 predicted loss-of-function polypeptide indicates the subject has a reduced risk of developing an inflammatory disease.


The present disclosure also provides methods of identifying a subject having an increased risk of developing an inflammatory disease, the methods comprising: determining or having determined the presence or absence of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide in a biological sample obtained from the subject; wherein: when the subject is RASAL3 reference, then the subject has an increased risk of developing an inflammatory disease; and when the subject is heterozygous or homozygous for a RASAL3 variant nucleic acid molecule encoding the RASAL3 predicted loss-of-function polypeptide, then the subject has a decreased risk of developing an inflammatory disease.


The present disclosure also provides therapeutic agents that treat or inhibit an inflammatory disease for use in the treatment of an inflammatory disease in a subject identified as having: a genomic nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, or the complement thereof, wherein the genomic nucleic acid molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; an mRNA molecule encoding a RASAL3 predicted loss-of-function polypeptide, or the complement thereof, wherein the mRNA molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; or a cDNA molecule encoding a RASAL3 predicted loss-of-function polypeptide, or the complement thereof, wherein the cDNA molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof.


The present disclosure also provides RASAL3 inhibitors for use in the treatment of an inflammatory disease in a subject that: a) is reference for a RASAL3 genomic nucleic acid molecule, a RASAL3 mRNA molecule, or a RASAL3 cDNA molecule; or b) is heterozygous for: i) a genomic nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, or the complement thereof, wherein the genomic nucleic acid molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; ii) an mRNA molecule encoding a RASAL3 predicted loss-of-function polypeptide, or the complement thereof, wherein the mRNA molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; or iii) a cDNA molecule encoding a RASAL3 predicted loss-of-function polypeptide, or the complement thereof, wherein the cDNA molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof.





BRIEF DESCRIPTION OF THE DRAWINGS

The accompanying figures, which are incorporated in and constitute a part of this specification, illustrate several features of the present disclosure.



FIG. 1 shows association of RASAL3 pLOF variant Ala414fs (r5751462297) with inflammatory diseases.





DESCRIPTION

Various terms relating to aspects of the present disclosure are used throughout the specification and claims. Such terms are to be given their ordinary meaning in the art, unless otherwise indicated. Other specifically defined terms are to be construed in a manner consistent with the definitions provided herein.


Unless otherwise expressly stated, it is in no way intended that any method or aspect set forth herein be construed as requiring that its steps be performed in a specific order. Accordingly, where a method claim does not specifically state in the claims or descriptions that the steps are to be limited to a specific order, it is in no way intended that an order be inferred, in any respect. This holds for any possible non-expressed basis for interpretation, including matters of logic with respect to arrangement of steps or operational flow, plain meaning derived from grammatical organization or punctuation, or the number or type of aspects described in the specification.


As used herein, the singular forms “a,” “an” and “the” include plural referents unless the context clearly dictates otherwise.


As used herein, the term “about” means that the recited numerical value is approximate and small variations would not significantly affect the practice of the disclosed embodiments. Where a numerical value is used, unless indicated otherwise by the context, the term “about” means the numerical value can vary by ±10% and remain within the scope of the disclosed embodiments.


As used herein, the term “comprising” may be replaced with “consisting” or “consisting essentially of” in particular embodiments as desired.


As used herein, the term “isolated”, in regard to a nucleic acid molecule or a polypeptide, means that the nucleic acid molecule or polypeptide is in a condition other than its native environment, such as apart from blood and/or animal tissue. In some embodiments, an isolated nucleic acid molecule or polypeptide is substantially free of other nucleic acid molecules or other polypeptides, particularly other nucleic acid molecules or polypeptides of animal origin. In some embodiments, the nucleic acid molecule or polypeptide can be in a highly purified form, i.e., greater than 95% pure or greater than 99% pure. When used in this context, the term “isolated” does not exclude the presence of the same nucleic acid molecule or polypeptide in alternative physical forms, such as dimers or alternatively phosphorylated or derivatized forms.


As used herein, the terms “nucleic acid”, “nucleic acid molecule”, “nucleic acid sequence”, “polynucleotide”, or “oligonucleotide” can comprise a polymeric form of nucleotides of any length, can comprise DNA and/or RNA, and can be single-stranded, double-stranded, or multiple stranded. One strand of a nucleic acid also refers to its complement.


As used herein, the term “subject” includes any animal, including mammals. Mammals include, but are not limited to, farm animals (such as, for example, horse, cow, pig), companion animals (such as, for example, dog, cat), laboratory animals (such as, for example, mouse, rat, rabbits), and non-human primates (such as, for example, apes and monkeys). In some embodiments, the subject is a human. In some embodiments, the subject is a patient under the care of a physician.


A rare variant in the RASAL3 gene associated with a decreased risk of developing an inflammatory disease has been identified in humans in accordance with the present disclosure. For example, a genetic alteration that results in the omission of the AGCGCTGCGGGCGC tetradecanucleotide (SEQ ID NO:35) at positions 7,061 to 7,074 in the RASAL3 reference genomic nucleic acid molecule (see, SEQ ID NO:1) has been observed to indicate that the subject having such an alteration may have a decreased risk of developing an inflammatory disease. It is believed that no variants of the RASAL3 gene or protein have any known association with an inflammatory disease. Altogether, the genetic analyses described herein surprisingly indicate that the RASAL3 gene and, in particular, a variant in the RASAL3 gene, associates with a decreased risk of developing an inflammatory disease. Moreover, the identification by the present disclosure of the association between additional variants and gene burden masks indicates that RASAL3 itself (rather than linkage disequilibrium with variants in another gene) is responsible for a protective effect in an inflammatory disease. Therefore, subjects that are RASAL3 reference that have an increased risk of developing an inflammatory disease, such as childhood asthma, food allergy, asthma, or allergic rhinitis, may be treated such that the inflammatory disease is prevented, the symptoms thereof are reduced, and/or development of symptoms is repressed. Accordingly, the present disclosure provides methods of leveraging the identification of such variants in subjects to identify or stratify risk in such subjects of developing an inflammatory disease, such as childhood asthma, food allergy, asthma, or allergic rhinitis, or to diagnose subjects as having an increased risk of developing an inflammatory disease, such as childhood asthma, food allergy, asthma, or allergic rhinitis, such that subjects at risk or subjects with active disease may be treated accordingly.


For purposes of the present disclosure, any particular subject can be categorized as having one of three RASAL3 genotypes: i) RASAL3 reference; ii) heterozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide; or iii) homozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide. A subject is RASAL3 reference when the subject does not have a copy of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide. A subject is heterozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide when the subject has a single copy of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide. As used herein, a RASAL3 variant nucleic acid molecule is any RASAL3 nucleic acid molecule (such as, a genomic nucleic acid molecule, an mRNA molecule, or a cDNA molecule) encoding a RASAL3 polypeptide having a partial loss-of-function, a complete loss-of-function, a predicted partial loss-of-function, or a predicted complete loss-of-function. A subject who has a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide having a partial loss-of-function (or predicted partial loss-of-function) is hypomorphic for RASAL3. The RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide can be any nucleic acid molecule encoding RASAL3 Ala414fs, Ala408fs, or Ala145fs. In some embodiments, the RASAL3 variant nucleic acid molecule encodes RASAL3 Ala414fs. A subject is homozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide when the subject has two copies of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide.


For subjects that are genotyped or determined to be RASAL3 reference, such subjects have an increased risk of developing an inflammatory disease, such as childhood asthma, food allergy, asthma, or allergic rhinitis. For subjects that are genotyped or determined to be either RASAL3 reference or heterozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, such subjects can be treated with a RASAL3 inhibitor.


In any of the embodiments described throughout the present disclosure, the RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide can be any RASAL3 nucleic acid molecule (such as, for example, genomic nucleic acid molecule, mRNA molecule, or cDNA molecule) encoding a RASAL3 polypeptide having a partial loss-of-function, a complete loss-of-function, a predicted partial loss-of-function, or a predicted complete loss-of-function. For example, the RASAL3 variant nucleic acid molecule can be any nucleic acid molecule encoding RASAL3 Ala414fs, Ala408fs, or Ala145fs. In some embodiments, the RASAL3 variant nucleic acid molecule encodes RASAL3 Ala414fs.


In any of the embodiments described throughout the present disclosure, the RASAL3 predicted loss-of-function polypeptide can be any RASAL3 polypeptide having a partial loss-of-function, a complete loss-of-function, a predicted partial loss-of-function, or a predicted complete loss-of-function. In any of the embodiments described throughout the present disclosure, the RASAL3 predicted loss-of-function polypeptide can be any of the RASAL3 polypeptides described herein including, for example, RASAL3 Ala414fs, Ala408fs, or Ala145fs. In some embodiments, the RASAL3 predicted loss-of-function polypeptide is RASAL3 Ala414fs.


In any of the embodiments described throughout the present disclosure, the inflammatory disease is asthma, food allergy, or allergic rhinitis. In any of the embodiments described throughout the present disclosure, the inflammatory disease is asthma. In any of the embodiments described throughout the present disclosure, the asthma can be childhood asthma. In any of the embodiments described throughout the present disclosure, the inflammatory disease is a food allergy. In any of the embodiments described throughout the present disclosure, the inflammatory disease is allergic rhinitis.


Symptoms of childhood asthma include, but are not limited to, frequent coughing that worsens in the presence of a viral infection, occurs while a child is asleep or is triggered by exercise or cold air, a whistling or wheezing sound when breathing out, shortness of breath, and chest congestion or tightness.


Symptoms of food allergies include, but are not limited to, tingling or itching in the mouth, a raised, itchy red rash (hives), swelling of the face, mouth (angioedema), throat or other areas of the body, difficulty swallowing, wheezing or shortness of breath, feeling dizzy and lightheaded, feeling sick (nausea) or vomiting, abdominal pain or diarrhea, and hay fever-like symptoms, such as sneezing or itchy eyes (allergic conjunctivitis).


Symptoms of asthma include, but are not limited to, coughing, wheezing, shortness of breath, rapid breathing, and chest tightness.


Symptoms of allergic rhinitis include, but are not limited to, sneezing, congestion, coughing, sinus pressure, itchy watery eyes, and itchy nose, mouth, and throat, and fatigue.


The present disclosure provides methods of treating a subject having an inflammatory disease, the methods comprising administering a RASAL3 inhibitor to the subject.


The present disclosure also provides methods of treating a subject having asthma, the methods comprising administering a RASAL3 inhibitor to the subject. In some embodiments, the asthma is childhood asthma.


The present disclosure also provides methods of treating a subject having a food allergy, the methods comprising administering a RASAL3 inhibitor to the subject.


The present disclosure also provides methods of treating a subject having allergic rhinitis, the methods comprising administering a RASAL3 inhibitor to the subject.


In some embodiments, the RASAL3 inhibitor comprises an inhibitory nucleic acid molecule. In some embodiments, the inhibitory nucleic acid molecule comprises an antisense molecule, a small interfering RNA (siRNA) molecule, or a short hairpin RNA (shRNA) molecule. In some embodiments, the inhibitory nucleic acid molecule comprises an antisense molecule. In some embodiments, the inhibitory nucleic acid molecule comprises an siRNA molecule. In some embodiments, the inhibitory nucleic acid molecule comprises an shRNA molecule. Such inhibitory nucleic acid molecules can be designed to target any region of a RASAL3 nucleic acid molecule, such as an mRNA molecule. In some embodiments, the inhibitory nucleic acid molecule hybridizes to a sequence within a RASAL3 genomic nucleic acid molecule or mRNA molecule and decreases expression of the RASAL3 polypeptide in a cell in the subject. In some embodiments, the RASAL3 inhibitor comprises an antisense molecule that hybridizes to a RASAL3 genomic nucleic acid molecule or mRNA molecule and decreases expression of the RASAL3 polypeptide in a cell in the subject. In some embodiments, the RASAL3 inhibitor comprises an siRNA that hybridizes to a RASAL3 genomic nucleic acid molecule or mRNA molecule and decreases expression of the RASAL3 polypeptide in a cell in the subject. In some embodiments, the RASAL3 inhibitor comprises an shRNA that hybridizes to a RASAL3 genomic nucleic acid molecule or mRNA molecule and decreases expression of the RASAL3 polypeptide in a cell in the subject.


In some embodiments, the RASAL3 inhibitor comprises a nuclease agent that induces one or more nicks or double-strand breaks at a recognition sequence(s) or a DNA-binding protein that binds to a recognition sequence within a RASAL3 genomic nucleic acid molecule. The recognition sequence can be located within a coding region of the RASAL3 gene, or within regulatory regions that influence the expression of the gene. A recognition sequence of the DNA-binding protein or nuclease agent can be located in an intron, an exon, a promoter, an enhancer, a regulatory region, or any non-protein coding region. The recognition sequence can include or be proximate to the start codon of the RASAL3 gene. For example, the recognition sequence can be located about 10, about 20, about 30, about 40, about 50, about 100, about 200, about 300, about 400, about 500, or about 1,000 nucleotides from the start codon. As another example, two or more nuclease agents can be used, each targeting a nuclease recognition sequence including or proximate to the start codon. As another example, two nuclease agents can be used, one targeting a nuclease recognition sequence including or proximate to the start codon, and one targeting a nuclease recognition sequence including or proximate to the stop codon, wherein cleavage by the nuclease agents can result in deletion of the coding region between the two nuclease recognition sequences. Any nuclease agent that induces a nick or double-strand break into a desired recognition sequence can be used in the methods and compositions disclosed herein. Any DNA-binding protein that binds to a desired recognition sequence can be used in the methods and compositions disclosed herein.


Suitable nuclease agents and DNA-binding proteins for use herein include, but are not limited to, zinc finger protein or zinc finger nuclease (ZFN) pair, Transcription Activator-Like Effector (TALE) protein or Transcription Activator-Like Effector Nuclease (TALEN), or Clustered Regularly Interspersed Short Palindromic Repeats (CRISPR)/CRISPR-associated (Cas) systems. The length of the recognition sequence can vary, and includes, for example, recognition sequences that are about 30-36 bp for a zinc finger protein or ZFN pair, about 15-18 bp for each ZFN, about 36 bp for a TALE protein or TALEN, and about 20 bp for a CRISPR/Cas guide RNA.


In some embodiments, CRISPR/Cas systems can be used to modify a RASAL3 genomic nucleic acid molecule within a cell. The methods and compositions disclosed herein can employ CRISPR-Cas systems by utilizing CRISPR complexes (comprising a guide RNA (gRNA) complexed with a Cas protein) for site-directed cleavage of RASAL3 nucleic acid molecules.


Cas proteins generally comprise at least one RNA recognition or binding domain that can interact with gRNAs. Cas proteins can also comprise nuclease domains (such as, for example, DNase or RNase domains), DNA binding domains, helicase domains, protein-protein interaction domains, dimerization domains, and other domains. Suitable Cas proteins include, for example, a wild type Cas9 protein and a wild type Cpf1 protein (such as, for example, FnCpf1). A Cas protein can have full cleavage activity to create a double-strand break in a RASAL3 genomic nucleic acid molecule or it can be a nickase that creates a single-strand break in a RASAL3 genomic nucleic acid molecule. Additional examples of Cas proteins include, but are not limited to, Cas1, Cas1B, Cast, Cas3, Cas4, Cas5, Cas5e (CasD), Cas10, Cas6e, Cas6f, Cas7, Cas8a1, Cas8a2, Cas8b, Cas8c, Cas9 (Csn1 or Csx12), Cas10, Cas10d, CasF, CasG, CasH, Csyl, Csy2, Csy3, Cse1 (CasA), Cse2 (CasB), Cse3 (CasE), Cse4 (CasC), Csc1, Csc2, Csa5, Csn2, Csm2, Csm3, Csm4, Csm5, Csm6, Cmr1, Cmr3, Cmr4, Cmr5, Cmr6, Csb1, Csb2, Csb3, Csx17, Csx14, Csx10, Csx16, CsaX, Csx3, Csx1, Csx15, Csf1, Csf2, Csf3, Csf4, and Cu1966, and homologs or modified versions thereof. Cas proteins can also be operably linked to heterologous polypeptides as fusion proteins. For example, a Cas protein can be fused to a cleavage domain, an epigenetic modification domain, a transcriptional activation domain, or a transcriptional repressor domain. Cas proteins can be provided in any form. For example, a Cas protein can be provided in the form of a protein, such as a Cas protein complexed with a gRNA. Alternately, a Cas protein can be provided in the form of a nucleic acid molecule encoding the Cas protein, such as an RNA or DNA.


In some embodiments, targeted genetic modifications of a RASAL3 genomic nucleic acid molecules can be generated by contacting a cell with a Cas protein and one or more gRNAs that hybridize to one or more gRNA recognition sequences within a target genomic locus in the RASAL3 genomic nucleic acid molecule. For example, a gRNA recognition sequence can be located within a region of SEQ ID NO:1. The gRNA recognition sequence can also include or be proximate to a position corresponding to positions 7,061 to 7,074 according to SEQ ID NO:1. For example, the gRNA recognition sequence can be located from about 1000, from about 500, from about 400, from about 300, from about 200, from about 100, from about 50, from about 45, from about 40, from about 35, from about 30, from about 25, from about 20, from about 15, from about 10, or from about 5 nucleotides of a position corresponding to positions 7,061 to 7,074 according to SEQ ID NO:1. The gRNA recognition sequence can include or be proximate to the start codon of a RASAL3 genomic nucleic acid molecule or the stop codon of a RASAL3 genomic nucleic acid molecule. For example, the gRNA recognition sequence can be located from about 10, from about 20, from about 30, from about 40, from about 50, from about 100, from about 200, from about 300, from about 400, from about 500, or from about 1,000 nucleotides of the start codon or the stop codon.


The gRNA recognition sequences within a target genomic locus in a RASAL3 genomic nucleic acid molecule are located near a Protospacer Adjacent Motif (PAM) sequence, which is a 2-6 base pair DNA sequence immediately following the DNA sequence targeted by the Cas9 nuclease. The canonical PAM is the sequence 5′-NGG-3′ where “N” is any nucleobase followed by two guanine (“G”) nucleobases. gRNAs can transport Cas9 to anywhere in the genome for gene editing, but no editing can occur at any site other than one at which Cas9 recognizes PAM. In addition, 5′-NGA-3′ can be a highly efficient non-canonical PAM for human cells. Generally, the PAM is about 2 to about 6 nucleotides downstream of the DNA sequence targeted by the gRNA. The PAM can flank the gRNA recognition sequence. In some embodiments, the gRNA recognition sequence can be flanked on the 3′ end by the PAM. In some embodiments, the gRNA recognition sequence can be flanked on the 5′ end by the PAM. For example, the cleavage site of Cas proteins can be about 1 to about 10 base pairs, about 2 to about 5 base pairs, or 3 base pairs upstream or downstream of the PAM sequence. In some embodiments (such as when Cas9 from S. pyogenes or a closely related Cas9 is used), the PAM sequence of the non-complementary strand can be 5′-NGG-3′, where N is any DNA nucleotide and is immediately 3′ of the gRNA recognition sequence of the non-complementary strand of the target DNA. As such, the PAM sequence of the complementary strand would be 5′-CCN-3′, where N is any DNA nucleotide and is immediately 5′ of the gRNA recognition sequence of the complementary strand of the target DNA.


A gRNA is an RNA molecule that binds to a Cas protein and targets the Cas protein to a specific location within a RASAL3 genomic nucleic acid molecule. An exemplary gRNA is a gRNA effective to direct a Cas enzyme to bind to or cleave a RASAL3 genomic nucleic acid molecule, wherein the gRNA comprises a DNA-targeting segment that hybridizes to a gRNA recognition sequence within the RASAL3 genomic nucleic acid molecule that includes or is proximate to a position corresponding to positions 7,061 to 7,074 according to SEQ ID NO:1. For example, a gRNA can be selected such that it hybridizes to a gRNA recognition sequence that is located about 5, about 10, about 15, about 20, about 25, about 30, about 35, about 40, about 45, about 50, about 100, about 200, about 300, about 400, about 500, or about 1,000 nucleotides from a position corresponding to positions 7,061 to 7,074 according to SEQ ID NO:1. Other exemplary gRNAs comprise a DNA-targeting segment that hybridizes to a gRNA recognition sequence present within a RASAL3 genomic nucleic acid molecule that includes or is proximate to the start codon or the stop codon. For example, a gRNA can be selected such that it hybridizes to a gRNA recognition sequence that is located about 5, about 10, about 15, about 20, about 25, about 30, about 35, about 40, about 45, about 50, about 100, about 200, about 300, about 400, about 500, or about 1,000 nucleotides of the start codon or located about 5, about 10, about 15, about 20, about 25, about 30, about 35, about 40, about 45, about 50, about 100, about 200, about 300, about 400, about 500, or about 1,000 nucleotides of the stop codon. Suitable gRNAs can comprise from about 17 to about 25 nucleotides, from about 17 to about 23 nucleotides, from about 18 to about 22 nucleotides, or from about 19 to about 21 nucleotides. In some embodiments, the gRNAs can comprise 20 nucleotides.


Examples of suitable gRNA recognition sequences located within the RASAL3 reference gene are set forth in Table 1 as SEQ ID NOs:37-56.









TABLE 1







Guide RNA Recognition Sequences


Near RASAL3 Variation










gRNA Recognition
SEQ ID


Strand
Sequence
NO:





+
CCCGACGGAATATCGAGCGA
37





+
GAGGCGCAGATAGGACCCGA
38





+
ACCCGACGGAATATCGAGCG
39





+
CCGACGGAATATCGAGCGAG
40





+
GATCCAGCGGTCTCTCTCAG
41





+
GACCTTGGCAATCAGTGTGA
42






GCTGTTCCGGGAAAACACAT
43





+
GACGAAGGTCCTCGATCCAG
44





+
GCTGCCTTACCCGAACGTTG
45





+
CAGGTCCAGTTCAGAGAGTG
46






GTGTGGGTGCACGAAGCGAA
47






CAGACTTCGGAACAGCTGCG
48





+
GAGCTAGCACTTCCCACCCG
49





+
TGGGCTGGAATTGGCGACGA
50





+
CCGAGGCTGGACATTTGCTG
51






CACCCTCACACTGATTGCCA
52






AGGTCCACAACGTTCGGGTA
53





+
AGCTCCTTGTAGCGCTCGGA
54






CCCTACCCCACAGATCCCTG
55





+
AGCGACAGGCGACGTGCCGG
56









The Cas protein and the gRNA form a complex, and the Cas protein cleaves the target RASAL3 genomic nucleic acid molecule. The Cas protein can cleave the nucleic acid molecule at a site within or outside of the nucleic acid sequence present in the target RASAL3 genomic nucleic acid molecule to which the DNA-targeting segment of a gRNA will bind. For example, formation of a CRISPR complex (comprising a gRNA hybridized to a gRNA recognition sequence and complexed with a Cas protein) can result in cleavage of one or both strands in or near (such as, for example, within 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 20, 50, or more base pairs from) the nucleic acid sequence present in the RASAL3 genomic nucleic acid molecule to which a DNA-targeting segment of a gRNA will bind.


Such methods can result, for example, in a RASAL3 genomic nucleic acid molecule in which a region of SEQ ID NO:1 is disrupted, the start codon is disrupted, the stop codon is disrupted, or the coding sequence is disrupted or deleted. Optionally, the cell can be further contacted with one or more additional gRNAs that hybridize to additional gRNA recognition sequences within the target genomic locus in the RASAL3 genomic nucleic acid molecule. By contacting the cell with one or more additional gRNAs (such as, for example, a second gRNA that hybridizes to a second gRNA recognition sequence), cleavage by the Cas protein can create two or more double-strand breaks or two or more single-strand breaks.


In some embodiments, the RASAL3 inhibitor comprises a small molecule. In some embodiments, the RASAL3 inhibitor is an inhibitory nucleic acid mole as described herein.


In some embodiments, the methods of treatment further comprise detecting the presence or absence of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide in a biological sample obtained from the subject. As used throughout the present disclosure, “a RASAL3 variant nucleic acid molecule” is any RASAL3 nucleic acid molecule (such as, for example, genomic nucleic acid molecule, mRNA molecule, or cDNA molecule) encoding a RASAL3 polypeptide having a partial loss-of-function, a complete loss-of-function, a predicted partial loss-of-function, or a predicted complete loss-of-function.


The present disclosure also provides methods of treating a subject with a therapeutic agent that treats or inhibits an inflammatory disease. In some embodiments, the subject has an inflammatory disease. In some embodiments, the methods comprise determining whether the subject has a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide by obtaining or having obtained a biological sample from the subject, and performing or having performed a sequence analysis on the biological sample to determine if the subject has a genotype comprising the RASAL3 variant nucleic acid molecule. When the subject is RASAL3 reference, the therapeutic agent that treats or inhibits an inflammatory disease is administered or continued to be administered to the subject in a standard dosage amount, and a RASAL3 inhibitor is administered to the subject. When the subject is heterozygous for a RASAL3 variant nucleic acid molecule, the therapeutic agent that treats or inhibits an inflammatory disease is administered or continued to be administered to the subject in an amount that is the same as or less than a standard dosage amount, and a RASAL3 inhibitor is administered to the subject. The presence of a genotype having the RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide indicates the subject has a decreased risk of developing an inflammatory disease. In some embodiments, the subject is RASAL3 reference. In some embodiments, the subject is heterozygous for the RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide.


For subjects that are genotyped or determined to be either RASAL3 reference or heterozygous for the RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, such subjects can be treated with a RASAL3 inhibitor, as described herein.


Detecting the presence or absence of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide in a biological sample from a subject and/or determining whether a subject has a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide can be carried out by any of the methods described herein. In some embodiments, these methods can be carried out in vitro. In some embodiments, these methods can be carried out in situ. In some embodiments, these methods can be carried out in vivo. In any of these embodiments, the RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide can be present within a cell obtained from the subject.


In some embodiments, when the subject is RASAL3 reference, the subject is also administered a therapeutic agent that treats or inhibits an inflammatory disease in a standard dosage amount. In some embodiments, when the subject is heterozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, the subject is also administered a therapeutic agent that treats or inhibits an inflammatory disease in a dosage amount that is the same as or less than a standard dosage amount.


In some embodiments, the treatment methods further comprise detecting the presence or absence of a RASAL3 predicted loss-of-function polypeptide in a biological sample from the subject. In some embodiments, when the subject does not have a RASAL3 predicted loss-of-function polypeptide, the subject is also administered a therapeutic agent that treats or inhibits an inflammatory disease in a standard dosage amount. In some embodiments, when the subject has a RASAL3 predicted loss-of-function polypeptide, the subject is also administered a therapeutic agent that treats or inhibits an inflammatory disease in a dosage amount that is the same as or less than a standard dosage amount.


The present disclosure also provides methods of treating a subject with a therapeutic agent that treats or inhibits an inflammatory disease. In some embodiments, the subject has an inflammatory disease. In some embodiments, the method comprises determining whether the subject has a RASAL3 predicted loss-of-function polypeptide by obtaining or having obtained a biological sample from the subject, and performing or having performed an assay on the biological sample to determine if the subject has a RASAL3 predicted loss-of-function polypeptide. When the subject does not have a RASAL3 predicted loss-of-function polypeptide, the therapeutic agent that treats or inhibits an inflammatory disease is administered or continued to be administered to the subject in a standard dosage amount, and a RASAL3 inhibitor is administered to the subject. When the subject has a RASAL3 predicted loss-of-function polypeptide, the therapeutic agent that treats or inhibits an inflammatory disease is administered or continued to be administered to the subject in an amount that is the same as or less than a standard dosage amount, and a RASAL3 inhibitor is administered to the subject. The presence of a RASAL3 predicted loss-of-function polypeptide indicates the subject has a decreased risk of developing an inflammatory disease. In some embodiments, the subject has a RASAL3 predicted loss-of-function polypeptide. In some embodiments, the subject does not have a RASAL3 predicted loss-of-function polypeptide.


Detecting the presence or absence of a RASAL3 predicted loss-of-function polypeptide in a biological sample from a subject and/or determining whether a subject has a RASAL3 predicted loss-of-function polypeptide can be carried out by any of the methods described herein. In some embodiments, these methods can be carried out in vitro. In some embodiments, these methods can be carried out in situ. In some embodiments, these methods can be carried out in vivo. In any of these embodiments, the RASAL3 predicted loss-of-function polypeptide can be present within a cell obtained from the subject.


Examples of therapeutic agents that treat or inhibit childhood asthma include, but are not limited to: inhaled corticosteroids, such as fluticasone, budesonide, mometasone, ciclesonide, and beclomethasone; leukotriene modifiers, such as montelukast, zafirlukast, and zileuton; inhaled corticosteroid/long-acting beta agonist (LABA) combinations, such as fluticasone and salmeterol, budesonide and formoterol, fluticasone and vilanterol, and mometasone and formoterol; theophylline; and immunomodulatory agents such as mepolizumab, dupilumab, benralizumab, and omalizumab.


Examples of therapeutic agents that treat or inhibit food allergy include, but are not limited to antihistamines, such as diphenhydramine or cetirizine; or vasoconstrictors, such as epinephrine.


Examples of therapeutic agents that treat or inhibit asthma include, but are not limited to: inhaled corticosteroids, such as fluticasone, budesonide, mometasone, ciclesonide, and beclomethasone; leukotriene modifiers, such as montelukast, zafirlukast, and zileuton; long-acting beta agonist such as salmeterol; inhaled corticosteroid/long-acting beta agonist (LABA) combinations, such as fluticasone and salmeterol, budesonide and formoterol, fluticasone and vilanterol, and mometasone and formoterol; ipratropium; oral corticosteroids such as prednisone or methylprednisolone; or biologics drugs such as, omalizumab, mepolizumab, benralizumab, or reslizumab.


Examples of therapeutic agents that treat or inhibit allergic rhinitis include, but are not limited to: oral antihistamines, such as cetirizine, fexofenadine, diphenhydramine, desloratadine, loratadine, levocetirizine, or orcetirizine; intranasal antihistamines, such as azelastine, or olopatadine; decongestants, such as xymetazoline, pseudoephedrine, phenylephrine, or cetirizine with pseudoephedrine; intranasal corticosteroids, such as beclomethasone, budesonide, ciclesonide, flunisolide, fluticasone, mometasone, or triamcinolone acetonide; cromolyn; intranasal anticholinergics, such as ipratropium; or leukotriene receptor antagonists, such as montelukast.


In some embodiments, the dose of the therapeutic agents that treat or inhibit an inflammatory disease can be reduced by about 10%, by about 20%, by about 30%, by about 40%, by about 50%, by about 60%, by about 70%, by about 80%, or by about 90% for subjects that are heterozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide (i.e., a less than the standard dosage amount) compared to subjects that are RASAL3 reference (who may receive a standard dosage amount). In some embodiments, the dose of the therapeutic agents that treat or inhibit an inflammatory disease can be reduced by about 10%, by about 20%, by about 30%, by about 40%, or by about 50%. In addition, the dose of therapeutic agents that treat or inhibit an inflammatory disease in subjects that are heterozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide can be administered less frequently compared to subjects that are RASAL3 reference.


Administration of the therapeutic agents that treat or inhibit an inflammatory disease and/or RASAL3 inhibitors can be repeated, for example, after one day, two days, three days, five days, one week, two weeks, three weeks, one month, five weeks, six weeks, seven weeks, eight weeks, two months, or three months. The repeated administration can be at the same dose or at a different dose. The administration can be repeated once, twice, three times, four times, five times, six times, seven times, eight times, nine times, ten times, or more. For example, according to certain dosage regimens a subject can receive therapy for a prolonged period of time such as, for example, 6 months, 1 year, or more. In addition, the therapeutic agents that treat or inhibit an inflammatory disease and/or RASAL3 inhibitors can be administered sequentially or at the same time. In addition, the therapeutic agents that treat or inhibit an inflammatory disease and/or RASAL3 inhibitors can be administered in separate compositions or can be administered together in the same composition.


Administration of the therapeutic agents that treat or inhibit an inflammatory disease and/or RASAL3 inhibitors can occur by any suitable route including, but not limited to, parenteral, intravenous, oral, subcutaneous, intra-arterial, intracranial, intrathecal, intraperitoneal, topical, intranasal, or intramuscular. Pharmaceutical compositions for administration are desirably sterile and substantially isotonic and manufactured under GMP conditions. Pharmaceutical compositions can be provided in unit dosage form (i.e., the dosage for a single administration). Pharmaceutical compositions can be formulated using one or more physiologically and pharmaceutically acceptable carriers, diluents, excipients or auxiliaries. The formulation depends on the route of administration chosen. The term “pharmaceutically acceptable” means that the carrier, diluent, excipient, or auxiliary is compatible with the other ingredients of the formulation and not substantially deleterious to the recipient thereof.


The terms “treat”, “treating”, and “treatment” and “prevent”, “preventing”, and “prevention” as used herein, refer to eliciting the desired biological response, such as a therapeutic and prophylactic effect, respectively. In some embodiments, a therapeutic effect comprises one or more of a decrease/reduction in an inflammatory disease, a decrease/reduction in the severity of an inflammatory disease (such as, for example, a reduction or inhibition of development of an inflammatory disease), a decrease/reduction in symptoms and inflammatory disease-related effects, delaying the onset of symptoms and inflammatory disease-related effects, reducing the severity of symptoms of inflammatory disease-related effects, reducing the severity of an acute episode, reducing the number of symptoms and inflammatory disease-related effects, reducing the latency of symptoms and inflammatory disease-related effects, an amelioration of symptoms and inflammatory disease-related effects, reducing secondary symptoms, reducing secondary infections, preventing relapse to an inflammatory disease, decreasing the number or frequency of relapse episodes, increasing latency between symptomatic episodes, increasing time to sustained progression, expediting remission, inducing remission, augmenting remission, speeding recovery, or increasing efficacy of or decreasing resistance to alternative therapeutics, and/or an increased survival time of the affected host animal, following administration of the agent or composition comprising the agent. A prophylactic effect may comprise a complete or partial avoidance/inhibition or a delay of an inflammatory disease development/progression (such as, for example, a complete or partial avoidance/inhibition or a delay), and an increased survival time of the affected host animal, following administration of a therapeutic protocol. Treatment of an inflammatory disease encompasses the treatment of subjects already diagnosed as having any form of an inflammatory disease at any clinical stage or manifestation, the delay of the onset or evolution or aggravation or deterioration of the symptoms or signs of an inflammatory disease, and/or preventing and/or reducing the severity of an inflammatory disease.


The present disclosure also provides methods of identifying a subject having an increased risk of developing an inflammatory disease. In some embodiments, the methods comprise determining or having determined the presence or absence of a RASAL3 variant nucleic acid molecule (such as a genomic nucleic acid molecule, mRNA molecule, and/or cDNA molecule) encoding a RASAL3 predicted loss-of-function polypeptide in a biological sample obtained from the subject. When the subject lacks a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide (i.e., the subject is genotypically categorized as RASAL3 reference), then the subject has an increased risk of developing an inflammatory disease. When the subject has a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide (i.e., the subject is heterozygous or homozygous for a RASAL3 variant nucleic acid molecule), then the subject has a decreased risk of developing an inflammatory disease compared to a subject that is RASAL3 reference.


Having a single copy of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide is more protective of a subject from developing an inflammatory disease than having no copies of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide. Without intending to be limited to any particular theory or mechanism of action, it is believed that a single copy of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide (i.e., heterozygous for a RASAL3 variant nucleic acid molecule) is protective of a subject from developing an inflammatory disease, and it is also believed that having two copies of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide (i.e., homozygous for a RASAL3 variant nucleic acid molecule) may be more protective of a subject from developing an inflammatory disease, relative to a subject with a single copy. Thus, in some embodiments, a single copy of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide may not be completely protective, but instead, may be partially or incompletely protective of a subject from developing an inflammatory disease. While not desiring to be bound by any particular theory, there may be additional factors or molecules involved in the development of an inflammatory disease that are still present in a subject having a single copy of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, thus resulting in less than complete protection from the development of an inflammatory disease.


Detecting the presence or absence of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide in a biological sample from the subject and/or determining whether a subject has a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide can be carried out by any of the methods described herein. In some embodiments, these methods can be carried out in vitro. In some embodiments, these methods can be carried out in situ. In some embodiments, these methods can be carried out in vivo. In any of these embodiments, the RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide can be present within a cell obtained from the subject.


In some embodiments, when a subject is identified as having an increased risk of developing an inflammatory disease, the subject is further treated with a therapeutic agent that treats or inhibits an inflammatory disease and/or a RASAL3 inhibitor, as described herein. For example, when the subject is RASAL3 reference, and therefore has an increased risk of developing an inflammatory disease, the subject is administered a RASAL3 inhibitor. In some embodiments, such a subject is also administered a therapeutic agent that treats or inhibits an inflammatory disease. In some embodiments, when the subject is heterozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, the subject is administered the therapeutic agent that treats or inhibits an inflammatory disease in a dosage amount that is the same as or less than a standard dosage amount, and is also administered a RASAL3 inhibitor. In some embodiments, the subject is RASAL3 reference. In some embodiments, the subject is heterozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide.


The present disclosure also provides methods of detecting the presence or absence of a RASAL3 variant genomic nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide in a biological sample obtained from a subject, and/or a RASAL3 variant mRNA molecule encoding a RASAL3 predicted loss-of-function polypeptide in a biological sample obtained from a subject, and/or a RASAL3 variant cDNA molecule encoding a RASAL3 predicted loss-of-function polypeptide produced from an mRNA molecule in a biological sample obtained from a subject. It is understood that gene sequences within a population and mRNA molecules encoded by such genes can vary due to polymorphisms such as single-nucleotide polymorphisms. The sequences provided herein for the RASAL3 variant genomic nucleic acid molecule, RASAL3 variant mRNA molecule, and RASAL3 variant cDNA molecule are only exemplary sequences. Other sequences for the RASAL3 variant genomic nucleic acid molecule, variant mRNA molecule, and variant cDNA molecule are also possible.


The biological sample can be derived from any cell, tissue, or biological fluid from the subject. The biological sample may comprise any clinically relevant tissue such as, for example, a bone marrow sample, a tumor biopsy, a fine needle aspirate, or a sample of bodily fluid, such as blood, gingival crevicular fluid, plasma, serum, lymph, ascitic fluid, cystic fluid, or urine. In some embodiments, the biological sample comprises a buccal swab. The biological sample used in the methods disclosed herein can vary based on the assay format, nature of the detection method, and the tissues, cells, or extracts that are used as the sample. A biological sample can be processed differently depending on the assay being employed. For example, when detecting any RASAL3 variant nucleic acid molecule, preliminary processing designed to isolate or enrich the biological sample for the RASAL3 variant nucleic acid molecule can be employed. A variety of techniques may be used for this purpose. When detecting the level of any RASAL3 variant mRNA molecule, different techniques can be used enrich the biological sample with mRNA molecules. Various methods to detect the presence or level of an mRNA molecule or the presence of a particular variant genomic DNA locus can be used.


The present disclosure also provides methods of detecting a RASAL3 variant nucleic acid molecule, or the complement thereof, encoding a RASAL3 predicted loss-of-function polypeptide in a subject. The methods comprise assaying a biological sample obtained from the subject to determine whether a nucleic acid molecule in the biological sample is a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide.


In some embodiments, the RASAL3 variant nucleic acid molecule encoding the RASAL3 predicted loss-of-function polypeptide, or the complement thereof, is a genomic nucleic acid molecule having a nucleotide sequence comprising a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof. This variant genomic nucleic acid molecule lacks the AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 7,061 to 7,074 that is present in the RASAL3 reference genomic nucleic acid molecule (see, SEQ ID NO:1).


In some embodiments, the RASAL3 variant nucleic acid molecule encoding the RASAL3 predicted loss-of-function polypeptide, or the complement thereof, is an mRNA molecule having a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof. These variant mRNA molecules lack the AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide that is present in the RASAL3 reference mRNA molecules at: positions 1,298 to 1,311 (see, SEQ ID NO:3), positions 1,298 to 1,311 (see, SEQ ID NO:4), positions 1,280 to 1,293 (see, SEQ ID NO:5), positions 1,770 to 1,783 (see, SEQ ID NO:6), positions 1,320 to 1,333 (see, SEQ ID NO:7), or positions 1,325 to 1,338 (see, SEQ ID NO:8).


In some embodiments, the RASAL3 variant nucleic acid molecule encoding the RASAL3 predicted loss-of-function polypeptide, or the complement thereof, is a cDNA molecule produced from an mRNA molecule in the biological sample having a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof. These variant cDNA molecules lack the AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide that is present in the RASAL3 reference cDNA molecules at: positions 1,298 to 1,311 (see, SEQ ID NO:15), positions 1,298 to 1,311 (see, SEQ ID NO:16), positions 1,280 to 1,293 (see, SEQ ID NO:17), positions 1,770 to 1,783 (see, SEQ ID N0:18), positions 1,320 to 1,333 (see, SEQ ID NO:19), or positions 1,325 to 1,338 (see, SEQ ID NO:20).


In some embodiments, the RASAL3 variant nucleic acid molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: i) positions 7,060 to 7,061 according to SEQ ID NO:2 (for genomic nucleic acid molecules); ii) positions 1,297 to 1,298 according to SEQ ID NO:9; positions 1,297 to 1,298 according to SEQ ID NO:10; positions 1,279 to 1,280 according to SEQ ID NO:11; positions 1,769 to 1,770 according to SEQ ID NO:12; positions 1,319 to 1,320 according to SEQ ID NO:13; or positions 1,324 to 1,325 according to SEQ ID NO:14 (for mRNA molecules); or iii) positions 1,297 to 1,298 according to SEQ ID NO:21; positions 1,297 to 1,298 according to SEQ ID NO:22; positions 1,279 to 1,280 according to SEQ ID NO:23; positions 1,769 to 1,770 according to SEQ ID NO:24; positions 1,319 to 1,320 according to SEQ ID NO:25; or positions 1,324 to 1,325 according to SEQ ID NO:26 (for cDNA molecules obtained from mRNA molecules).


In some embodiments, the biological sample comprises a cell or cell lysate. Such methods can further comprise, for example, obtaining a biological sample from the subject comprising a RASAL3 genomic nucleic acid molecule or mRNA molecule, and if mRNA, optionally reverse transcribing the mRNA into cDNA. Such assays can comprise, for example determining the identity of these positions of the particular RASAL3 nucleic acid molecule. In some embodiments, the method is an in vitro method.


In some embodiments, the determining step, detecting step, or sequence analysis comprises sequencing at least a portion of the nucleotide sequence of the RASAL3 genomic nucleic acid molecule, the RASAL3 mRNA molecule, or the RASAL3 cDNA molecule produced from the mRNA molecule in the biological sample, wherein the sequenced portion comprises one or more variations that cause a loss-of-function (partial or complete) or are predicted to cause a loss-of-function (partial or complete).


In some embodiments, the determining step, detecting step, or sequence analysis comprises sequencing at least a portion of: i) the nucleotide sequence of the RASAL3 genomic nucleic acid molecule in the biological sample, wherein the sequenced portion comprises positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; ii) the nucleotide sequence of the RASAL3 mRNA molecule in the biological sample, wherein the sequenced portion comprises a position corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; and/or iii) the nucleotide sequence of the RASAL3 cDNA molecule produced from the mRNA in the biological sample, wherein the sequenced portion comprises a position corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof or. When the sequenced portion of the RASAL3 nucleic acid molecule in the biological sample comprises a CG dinucleotide at positions corresponding to: positions 7,060 to 7,061 according to SEQ ID NO:2, positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, positions 1,324 to 1,325 according to SEQ ID NO:14, positions 1,297 to 1,298 according to SEQ ID NO:21, positions 1,297 to 1,298 according to SEQ ID NO:22, positions 1,279 to 1,280 according to SEQ ID NO:23, positions 1,769 to 1,770 according to SEQ ID NO:24, positions 1,319 to 1,320 according to SEQ ID NO:25, positions 1,324 to 1,325 according to SEQ ID NO:26, then the RASAL3 nucleic acid molecule in the biological sample is a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide.


In some embodiments, the determining step, detecting step, or sequence analysis comprises sequencing at least a portion of the nucleotide sequence of the RASAL3 genomic nucleic acid molecule in the biological sample, wherein the sequenced portion comprises positions corresponding to positions 7,061 to 7,074 according to SEQ ID NO:2, or the complement thereof. When the sequenced portion of the RASAL3 nucleic acid molecule in the biological sample comprises a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, then the RASAL3 nucleic acid molecule in the biological sample is a RASAL3 variant genomic nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide.


In some embodiments, the determining step, detecting step, or sequence analysis comprises sequencing at least a portion of the nucleotide sequence of the RASAL3 mRNA molecule in the biological sample, wherein the sequenced portion comprises positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof. When the sequenced portion of the RASAL3 mRNA molecule in the biological sample comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, or positions 1,324 to 1,325 according to SEQ ID NO:14, then the RASAL3 nucleic acid molecule in the biological sample is a RASAL3 variant mRNA molecule encoding a RASAL3 predicted loss-of-function polypeptide.


In some embodiments, the determining step, detecting step, or sequence analysis comprises sequencing at least a portion of the nucleotide sequence of the RASAL3 cDNA molecule produced from the mRNA molecule in the biological sample, wherein the sequenced portion comprises positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof. When the sequenced portion of the RASAL3 cDNA molecule in the biological sample comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, positions 1,297 to 1,298 according to SEQ ID NO:22, positions 1,279 to 1,280 according to SEQ ID NO:23, positions 1,769 to 1,770 according to SEQ ID NO:24, positions 1,319 to 1,320 according to SEQ ID NO:25, or positions 1,324 to 1,325 according to SEQ ID NO:26, then the RASAL3 nucleic acid molecule in the biological sample is a RASAL3 variant cDNA molecule encoding a RASAL3 predicted loss-of-function polypeptide.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: a) contacting the biological sample with a primer hybridizing to a portion of the nucleotide sequence of the RASAL3: i) genomic nucleic acid molecule, or the complement thereof, that is proximate to positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; ii) mRNA molecule, or the complement thereof, that is proximate to a position corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; and/or iii) cDNA molecule, or the complement thereof, that is proximate to a position corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof; b) extending the primer at least through the position of the nucleotide sequence of the RASAL3: i) genomic nucleic acid molecule, or the complement thereof, corresponding to positions 7,061 to 7,074 according to SEQ ID NO:2, or the complement thereof; ii) mRNA molecule, or the complement thereof, corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; and/or iii) cDNA molecule, or the complement thereof, corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof; and c) determining whether the extension product of the primer comprises a CG dinucleotide at positions corresponding to: positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: a) contacting the biological sample with a primer hybridizing to a portion of the nucleotide sequence of the RASAL3 genomic nucleic acid molecule, or the complement thereof, that is proximate to positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; b) extending the primer at least through the position of the nucleotide sequence of the RASAL3 genomic nucleic acid molecule, or the complement thereof, corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; and c) determining whether the extension product of the primer comprises a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: a) contacting the biological sample with a primer hybridizing to a portion of the nucleotide sequence of the RASAL3 mRNA molecule, or the complement thereof, that is proximate to positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof or; b) extending the primer at least through the position of the nucleotide sequence of the RASAL3 mRNA molecule corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; and c) determining whether the extension product of the primer comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: a) contacting the biological sample with a primer hybridizing to a portion of the nucleotide sequence of the RASAL3 cDNA molecule, or the complement thereof, that is proximate to positions corresponding to positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof; b) extending the primer at least through the position of the nucleotide sequence of the RASAL3 cDNA molecule corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof; and c) determining whether the extension product of the primer comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof.


In some embodiments, the entire nucleic acid molecule is sequenced. In some embodiments, only a RASAL3 genomic nucleic acid molecule is analyzed. In some embodiments, only a RASAL3 mRNA is analyzed. In some embodiments, only a RASAL3 cDNA obtained from RASAL3 mRNA is analyzed.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: a) amplifying at least a portion of the RASAL3 nucleic acid molecule, or the complement thereof, in the biological sample, wherein the amplified portion comprises a CG dinucleotide at positions corresponding to: positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof; b) labeling the amplified nucleic acid molecule with a detectable label; c) contacting the labeled nucleic acid molecule with a support comprising an alteration-specific probe, wherein the alteration-specific probe comprises a nucleotide sequence which hybridizes under stringent conditions to the nucleic acid sequence of the amplified nucleic acid molecule comprising a CG dinucleotide at positions corresponding to: positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof; and d) detecting the detectable label.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: a) amplifying at least a portion of the RASAL3 genomic nucleic acid molecule, or the complement thereof, in the biological sample, wherein the portion comprises a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; b) labeling the amplified nucleic acid molecule with a detectable label; c) contacting the labeled nucleic acid molecule with a support comprising an alteration-specific probe, wherein the alteration-specific probe comprises a nucleotide sequence which hybridizes under stringent conditions to the nucleic acid sequence of the amplified nucleic acid molecule comprising a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; and d) detecting the detectable label.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: a) amplifying at least a portion of the RASAL3 mRNA molecule, or the complement thereof, in the biological sample, wherein the portion comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; b) labeling the amplified nucleic acid molecule with a detectable label; c) contacting the labeled nucleic acid molecule with a support comprising an alteration-specific probe, wherein the alteration-specific probe comprises a nucleotide sequence which hybridizes under stringent conditions to the nucleic acid sequence of the amplified nucleic acid molecule comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; and d) detecting the detectable label.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: a) amplifying at least a portion of the RASAL3 cDNA molecule, or the complement thereof, in the biological sample, wherein the portion comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof; b) labeling the amplified nucleic acid molecule with a detectable label; c) contacting the labeled nucleic acid molecule with a support comprising an alteration-specific probe, wherein the alteration-specific probe comprises a nucleotide sequence which hybridizes under stringent conditions to the nucleic acid sequence of the amplified nucleic acid molecule comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof; and d) detecting the detectable label.


In some embodiments, the nucleic acid molecule is mRNA and the determining step further comprises reverse-transcribing the mRNA into a cDNA prior to the amplifying step.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: contacting the RASAL3 nucleic acid molecule, or the complement thereof, in the biological sample with an alteration-specific probe comprising a detectable label, wherein the alteration-specific probe comprises a nucleotide sequence which hybridizes under stringent conditions to the nucleotide sequence of the RASAL3 nucleic acid molecule, or the complement thereof, comprising a CG dinucleotide at positions corresponding to: positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof; and detecting the detectable label.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: contacting the RASAL3 genomic nucleic acid molecule, or the complement thereof, in the biological sample with an alteration-specific probe comprising a detectable label, wherein the alteration-specific probe comprises a nucleotide sequence which hybridizes under stringent conditions to the nucleotide sequence of the RASAL3 genomic nucleic acid molecule, or the complement thereof, comprising a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; and detecting the detectable label.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: contacting the RASAL3 mRNA molecule, or the complement thereof, in the biological sample with an alteration-specific probe comprising a detectable label, wherein the alteration-specific probe comprises a nucleotide sequence which hybridizes under stringent conditions to the nucleotide sequence of the RASAL3 mRNA molecule, or the complement thereof, comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; and detecting the detectable label.


In some embodiments, the determining step, detecting step, or sequence analysis comprises: contacting the RASAL3 cDNA molecule, or the complement thereof, produced from an mRNA molecule in the biological sample with an alteration-specific probe comprising a detectable label, wherein the alteration-specific probe comprises a nucleotide sequence which hybridizes under stringent conditions to the nucleotide sequence of the RASAL3 cDNA molecule, or the complement thereof, comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof; and detecting the detectable label.


In some embodiments, the RASAL3 nucleic acid molecule is present within a cell obtained from the subject.


Alteration-specific polymerase chain reaction techniques can be used to detect mutations such as SNPs in a nucleic acid sequence. Alteration-specific primers can be used because the DNA polymerase will not extend when a mismatch with the template is present.


In some embodiments, the determining step, detecting step, or sequence analysis comprises contacting the biological sample with a primer or probe, such as an alteration-specific primer or alteration-specific probe, that specifically hybridizes to a RASAL3 variant genomic sequence, variant mRNA sequence, or variant cDNA sequence and not the corresponding RASAL3 reference sequence under stringent conditions, and determining whether hybridization has occurred.


In some embodiments, the assay comprises RNA sequencing (RNA-Seq). In some embodiments, the assays also comprise reverse transcribing mRNA into cDNA, such as by the reverse transcriptase polymerase chain reaction (RT-PCR).


In some embodiments, the methods utilize probes and primers of sufficient nucleotide length to bind to the target nucleotide sequence and specifically detect and/or identify a polynucleotide comprising a RASAL3 variant genomic nucleic acid molecule, variant mRNA molecule, or variant cDNA molecule. The hybridization conditions or reaction conditions can be determined by the operator to achieve this result. The nucleotide length may be any length that is sufficient for use in a detection method of choice, including any assay described or exemplified herein. Such probes and primers can hybridize specifically to a target nucleotide sequence under high stringency hybridization conditions. Probes and primers may have complete nucleotide sequence identity of contiguous nucleotides within the target nucleotide sequence, although probes differing from the target nucleotide sequence and that retain the ability to specifically detect and/or identify a target nucleotide sequence may be designed by conventional methods. Probes and primers can have about 80%, about 85%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, about 99%, or 100% sequence identity or complementarity with the nucleotide sequence of the target nucleic acid molecule.


In some embodiments, to determine whether a RASAL3 nucleic acid molecule (genomic nucleic acid molecule, mRNA molecule, or cDNA molecule), or complement thereof, within a biological sample comprises a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 7,060 to 7,061 according to SEQ ID NO:2, positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, positions 1,324 to 1,325 according to SEQ ID NO:14, positions 1,297 to 1,298 according to SEQ ID NO:21, positions 1,297 to 1,298 according to SEQ ID NO:22, positions 1,279 to 1,280 according to SEQ ID NO:23, positions 1,769 to 1,770 according to SEQ ID NO:24, positions 1,319 to 1,320 according to SEQ ID NO:25, or positions 1,324 to 1,325 according to SEQ ID NO:26, the biological sample can be subjected to an amplification method using a primer pair that includes a first primer derived from the 5′ flanking sequence adjacent to a CG dinucleotide at positions corresponding to: positions 7,060 to 7,061 according to SEQ ID NO:2, positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, positions 1,324 to 1,325 according to SEQ ID NO:14, positions 1,297 to 1,298 according to SEQ ID NO:21, positions 1,297 to 1,298 according to SEQ ID NO:22, positions 1,279 to 1,280 according to SEQ ID NO:23, positions 1,769 to 1,770 according to SEQ ID NO:24, positions 1,319 to 1,320 according to SEQ ID NO:25, or positions 1,324 to 1,325 according to SEQ ID NO:26, and a second primer derived from the 3′ flanking sequence adjacent to a CG dinucleotide at positions corresponding to: positions 7,060 to 7,061 according to SEQ ID NO:2, positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, positions 1,324 to 1,325 according to SEQ ID NO:14, positions 1,297 to 1,298 according to SEQ ID NO:21, positions 1,297 to 1,298 according to SEQ ID NO:22, positions 1,279 to 1,280 according to SEQ ID NO:23, positions 1,769 to 1,770 according to SEQ ID NO:24, positions 1,319 to 1,320 according to SEQ ID NO:25, or positions 1,324 to 1,325 according to SEQ ID NO:26, to produce an amplicon that is indicative of the presence of the SNP at positions encoding a CG dinucleotide at positions corresponding to: positions 7,060 to 7,061 according to SEQ ID NO:2, positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, positions 1,324 to 1,325 according to SEQ ID NO:14, positions 1,297 to 1,298 according to SEQ ID NO:21, positions 1,297 to 1,298 according to SEQ ID NO:22, positions 1,279 to 1,280 according to SEQ ID NO:23, positions 1,769 to 1,770 according to SEQ ID NO:24, positions 1,319 to 1,320 according to SEQ ID NO:25, or positions 1,324 to 1,325 according to SEQ ID NO:26. In some embodiments, the amplicon may range in length from the combined length of the primer pairs plus one nucleotide base pair to any length of amplicon producible by a DNA amplification protocol. This distance can range from one nucleotide base pair up to the limits of the amplification reaction, or about twenty thousand nucleotide base pairs. Optionally, the primer pair flanks a region including positions comprising a CG dinucleotide at positions corresponding to: positions 7,060 to 7,061 according to SEQ ID NO:2, positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, positions 1,324 to 1,325 according to SEQ ID NO:14, positions 1,297 to 1,298 according to SEQ ID NO:21, positions 1,297 to 1,298 according to SEQ ID NO:22, positions 1,279 to 1,280 according to SEQ ID NO:23, positions 1,769 to 1,770 according to SEQ ID NO:24, positions 1,319 to 1,320 according to SEQ ID NO:25, or positions 1,324 to 1,325 according to SEQ ID NO:26, and at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, or more nucleotides on each side of positions comprising a CG dinucleotide at positions corresponding to: positions 7,060 to 7,061 according to SEQ ID NO:2, positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, positions 1,324 to 1,325 according to SEQ ID NO:14, positions 1,297 to 1,298 according to SEQ ID NO:21, positions 1,297 to 1,298 according to SEQ ID NO:22, positions 1,279 to 1,280 according to SEQ ID NO:23, positions 1,769 to 1,770 according to SEQ ID NO:24, positions 1,319 to 1,320 according to SEQ ID NO:25, or positions 1,324 to 1,325 according to SEQ ID NO:26.


Similar amplicons can be generated from the mRNA and/or cDNA sequences. PCR primer pairs can be derived from a known sequence, for example, by using computer programs intended for that purpose, such as the PCR primer analysis tool in Vector NTI version 10 (Informax Inc., Bethesda Md.); PrimerSelect (DNASTAR Inc., Madison, Wis.); and Primer3 (Version 0.4.0.COPYRGT., 1991, Whitehead Institute for Biomedical Research, Cambridge, Mass.). Additionally, the sequence can be visually scanned and primers manually identified using known guidelines.


Illustrative examples of nucleic acid sequencing techniques include, but are not limited to, chain terminator (Sanger) sequencing and dye terminator sequencing. Other methods involve nucleic acid hybridization methods other than sequencing, including using labeled primers or probes directed against purified DNA, amplified DNA, and fixed cell preparations (fluorescence in situ hybridization (FISH)). In some methods, a target nucleic acid molecule may be amplified prior to or simultaneous with detection. Illustrative examples of nucleic acid amplification techniques include, but are not limited to, polymerase chain reaction (PCR), ligase chain reaction (LCR), strand displacement amplification (SDA), and nucleic acid sequence based amplification (NASBA). Other methods include, but are not limited to, ligase chain reaction, strand displacement amplification, and thermophilic SDA (tSDA).


In hybridization techniques, stringent conditions can be employed such that a probe or primer will specifically hybridize to its target. In some embodiments, a polynucleotide primer or probe under stringent conditions will hybridize to its target sequence to a detectably greater degree than to other non-target sequences, such as, at least 2-fold, at least 3-fold, at least 4-fold, or more over background, including over 10-fold over background. In some embodiments, a polynucleotide primer or probe under stringent conditions will hybridize to its target nucleotide sequence to a detectably greater degree than to other nucleotide sequences by at least 2-fold. In some embodiments, a polynucleotide primer or probe under stringent conditions will hybridize to its target nucleotide sequence to a detectably greater degree than to other nucleotide sequences by at least 3-fold. In some embodiments, a polynucleotide primer or probe under stringent conditions will hybridize to its target nucleotide sequence to a detectably greater degree than to other nucleotide sequences by at least 4-fold. In some embodiments, a polynucleotide primer or probe under stringent conditions will hybridize to its target nucleotide sequence to a detectably greater degree than to other nucleotide sequences by over 10-fold over background. Stringent conditions are sequence-dependent and will be different in different circumstances.


Appropriate stringency conditions which promote DNA hybridization, for example, 6× sodium chloride/sodium citrate (SSC) at about 45° C., followed by a wash of 2×SSC at 50° C., are known or can be found in Current Protocols in Molecular Biology, John Wiley & Sons, N.Y. (1989), 6.3.1-6.3.6. Typically, stringent conditions for hybridization and detection will be those in which the salt concentration is less than about 1.5 M Na+ ion, typically about 0.01 to 1.0 M Na+ ion concentration (or other salts) at pH 7.0 to 8.3 and the temperature is at least about 30° C. for short probes (such as, for example, 10 to 50 nucleotides) and at least about 60° C. for longer probes (such as, for example, greater than 50 nucleotides). Stringent conditions may also be achieved with the addition of destabilizing agents such as formamide. Optionally, wash buffers may comprise about 0.1% to about 1% SDS. Duration of hybridization is generally less than about 24 hours, usually about 4 to about 12 hours. The duration of the wash time will be at least a length of time sufficient to reach equilibrium.


The present disclosure also provides methods of detecting the presence of a RASAL3 predicted loss-of-function polypeptide comprising performing an assay on a biological sample obtained from the subject to determine whether a RASAL3 polypeptide in the biological sample contains one or more variations that causes the polypeptide to have a loss-of-function (partial or complete) or predicted loss-of-function (partial or complete). The RASAL3 predicted loss-of-function polypeptide can be any of the RASAL3 predicted loss-of-function polypeptides described herein. In some embodiments, the methods detect the presence of RASAL3 Ala414fs, Ala408fs, or Ala145fs. In some embodiments, the methods detect the presence of RASAL3 Ala414fs.


In some embodiments, the methods comprise performing an assay on a biological sample obtained from a subject to determine whether a RASAL3 polypeptide in the biological sample comprises a frameshift mutation at a position corresponding to: position 414 according to SEQ ID NO:32 (or comprising amino acids at positions 414 to 476 according to SEQ ID NO:32), position 408 according to SEQ ID NO:33 (or comprising amino acids at positions 408 to 470 according to SEQ ID NO:33), or a frameshift mutation at a position corresponding to position 145 according to SEQ ID NO:34 (or comprising amino acids at positions 145 to 207 according to SEQ ID NO:34).


In some embodiments, the detecting step comprises sequencing at least a portion of the RASAL3 polypeptide that comprises a position corresponding to: position 414 according to SEQ ID NO:32, position 408 according to SEQ ID NO:33, or position 145 according to SEQ ID NO:34.


In some embodiments, the detecting step comprises an immunoassay for detecting the presence of a RASAL3 polypeptide that comprises a position corresponding to: position 414 according to SEQ ID NO:32, position 408 according to SEQ ID NO:33, or position 145 according to SEQ ID NO:34.


In some embodiments, when the subject does not have a RASAL3 predicted loss-of-function polypeptide, the subject has an increased risk of developing an inflammatory disease or any of childhood asthma, food allergy, asthma, or allergic rhinitis. In some embodiments, when the subject has a RASAL3 predicted loss-of-function polypeptide, the subject has a decreased risk of developing an inflammatory disease or any of childhood asthma, food allergy, asthma, or allergic rhinitis.


The present disclosure also provides isolated nucleic acid molecules that hybridize to RASAL3 variant genomic nucleic acid molecules, RASAL3 variant mRNA molecules, and/or RASAL3 variant cDNA molecules (such as any of the genomic variant nucleic acid molecules, mRNA variant molecules, and cDNA variant molecules disclosed herein). In some embodiments, such isolated nucleic acid molecules hybridize to RASAL3 variant nucleic acid molecules under stringent conditions. Such nucleic acid molecules can be used, for example, as probes, primers, alteration-specific probes, or alteration-specific primers as described or exemplified herein.


In some embodiments, the isolated nucleic acid molecules hybridize to a portion of the RASAL3 nucleic acid molecule that includes positions corresponding to: positions 7,061 to 7,074 according to SEQ ID NO:2, positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, positions 1,324 to 1,325 according to SEQ ID NO:14, positions 1,297 to 1,298 according to SEQ ID NO:21, positions 1,297 to 1,298 according to SEQ ID NO:22, positions 1,279 to 1,280 according to SEQ ID NO:23, positions 1,769 to 1,770 according to SEQ ID NO:24, positions 1,319 to 1,320 according to SEQ ID NO:25, or positions 1,324 to 1,325 according to SEQ ID NO:26.


In some embodiments, such isolated nucleic acid molecules comprise or consist of at least about 5, at least about 8, at least about 10, at least about 11, at least about 12, at least about 13, at least about 14, at least about 15, at least about 16, at least about 17, at least about 18, at least about 19, at least about 20, at least about 21, at least about 22, at least about 23, at least about 24, at least about 25, at least about 30, at least about 35, at least about 40, at least about 45, at least about 50, at least about 55, at least about 60, at least about 65, at least about 70, at least about 75, at least about 80, at least about 85, at least about 90, at least about 95, at least about 100, at least about 200, at least about 300, at least about 400, at least about 500, at least about 600, at least about 700, at least about 800, at least about 900, at least about 1000, at least about 2000, at least about 3000, at least about 4000, or at least about 5000 nucleotides. In some embodiments, such isolated nucleic acid molecules comprise or consist of at least about 5, at least about 8, at least about 10, at least about 11, at least about 12, at least about 13, at least about 14, at least about 15, at least about 16, at least about 17, at least about 18, at least about 19, at least about 20, at least about 21, at least about 22, at least about 23, at least about 24, or at least about 25 nucleotides. In some embodiments, the isolated nucleic acid molecules comprise or consist of at least about 18 nucleotides. In some embodiments, the isolated nucleic acid molecules comprise or consists of at least about 15 nucleotides. In some embodiments, the isolated nucleic acid molecules consist of or comprise from about 10 to about 35, from about 10 to about 30, from about 10 to about 25, from about 12 to about 30, from about 12 to about 28, from about 12 to about 24, from about 15 to about 30, from about 15 to about 25, from about 18 to about 30, from about 18 to about 25, from about 18 to about 24, or from about 18 to about 22 nucleotides. In some embodiments, the isolated nucleic acid molecules consist of or comprise from about 18 to about 30 nucleotides. In some embodiments, the isolated nucleic acid molecules comprise or consist of at least about 15 nucleotides to at least about 35 nucleotides.


In some embodiments, the isolated nucleic acid molecules hybridize to at least about 15 contiguous nucleotides of a nucleic acid molecule that is at least about 70%, at least about 75%, at least about 80%, at least about 85%, at least about 90%, at least about 95%, at least about 96%, at least about 97%, at least about 98%, at least about 99%, or 100% identical to RASAL3 variant genomic nucleic acid molecules, RASAL3 variant mRNA molecules, and/or RASAL3 variant cDNA molecules. In some embodiments, the isolated nucleic acid molecules consist of or comprise from about 15 to about 100 nucleotides, or from about 15 to about 35 nucleotides. In some embodiments, the isolated nucleic acid molecules consist of or comprise from about 15 to about 100 nucleotides. In some embodiments, the isolated nucleic acid molecules consist of or comprise from about 15 to about 35 nucleotides.


In some embodiments, the isolated alteration-specific probes or alteration-specific primers comprise at least about 15 nucleotides, wherein the alteration-specific probe or alteration-specific primer comprises a nucleotide sequence which is complementary to the nucleotide sequence of a portion of a RASAL3 nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, or the complement thereof. In some embodiments, the portion comprises a position corresponding to: positions 7,061 to 7,074 according to SEQ ID NO:2, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof.


In some embodiments, the alteration-specific probes and alteration-specific primers comprise DNA. In some embodiments, the alteration-specific probes and alteration-specific primers comprise RNA.


In some embodiments, the probes and primers described herein (including alteration-specific probes and alteration-specific primers) have a nucleotide sequence that specifically hybridizes to any of the nucleic acid molecules disclosed herein, or the complement thereof. In some embodiments, the probes and primers specifically hybridize to any of the nucleic acid molecules disclosed herein under stringent conditions.


In some embodiments, the primers, including alteration-specific primers, can be used in second generation sequencing or high throughput sequencing. In some instances, the primers, including alteration-specific primers, can be modified. In particular, the primers can comprise various modifications that are used at different steps of, for example, Massive Parallel Signature Sequencing (MPSS), Polony sequencing, and 454 Pyrosequencing. Modified primers can be used at several steps of the process, including biotinylated primers in the cloning step and fluorescently labeled primers used at the bead loading step and detection step. Polony sequencing is generally performed using a paired-end tags library wherein each molecule of DNA template is about 135 bp in length. Biotinylated primers are used at the bead loading step and emulsion PCR. Fluorescently labeled degenerate nonamer oligonucleotides are used at the detection step. An adaptor can contain a 5′-biotin tag for immobilization of the DNA library onto streptavidin-coated beads.


The probes and primers described herein can be used to detect a nucleotide variation within any of the RASAL3 variant genomic nucleic acid molecules, RASAL3 variant mRNA molecules, and/or RASAL3 variant cDNA molecules disclosed herein. The primers described herein can be used to amplify the RASAL3 variant genomic nucleic acid molecules, RASAL3 variant mRNA molecules, or RASAL3 variant cDNA molecules, or a fragment thereof.


The present disclosure also provides pairs of primers comprising any of the primers described above. For example, if one of the primers' 3′-ends hybridizes to an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions corresponding to positions 7,061 to 7,074 according to SEQ ID NO:1 (rather than a CG dinucleotide at positions 7,060 to 7,061 of SEQ ID NO:2) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference genomic nucleic acid molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2 (rather than an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 7,061 to 7,074 according to SEQ ID NO:1) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant genomic nucleic acid molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions corresponding to positions 1,298 to 1,311 according to SEQ ID NO:3 (rather than a CG dinucleotide at positions 1,297 to 1,298 according to SEQ ID NO:9) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference mRNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,297 to 1,298 according to SEQ ID NO:9 (rather than an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions corresponding to position 1,298 to 1,311 according to SEQ ID NO:3) in a particular RASAL3 mRNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant mRNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,297 to 1,298 according to SEQ ID NO:9 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions corresponding to positions 1,298 to 1,311 according to SEQ ID NO:4 (rather than a CG dinucleotide at positions 1,297 to 1,298 according to SEQ ID NO:10) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference mRNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,297 to 1,298 according to SEQ ID NO:10 (rather than an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions corresponding to positions 1,298 to 1,311) in a particular RASAL3 mRNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant mRNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,297 to 1,298 according to SEQ ID NO:10 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions corresponding to positions 1,280 to 1,293 according to SEQ ID NO:5 (rather than a CG dinucleotide at positions 1,279 to 1,280 according to SEQ ID NO:11) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference mRNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,279 to 1,280 according to SEQ ID NO:11 (rather than an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions 1,280 to 1,293 according to SEQ ID NO:5) in a particular RASAL3 mRNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant mRNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,279 to 1,280 according to SEQ ID NO:11 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions corresponding to positions 1,770 to 1,783 according to SEQ ID NO:6 (rather than a CG dinucleotide at positions 1,769 to 1,770 according to SEQ ID NO:12) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference mRNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,769 to 1,770 according to SEQ ID NO:12 (rather than an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions 1,770 to 1,783 according to SEQ ID NO:6) in a particular RASAL3 mRNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant mRNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,769 to 1,770 according to SEQ ID NO:12 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions corresponding to positions 1,320 to 1,333 according to SEQ ID NO:7 (rather than a CG dinucleotide at positions 1,319 to 1,320 according to SEQ ID NO:13) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference mRNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,319 to 1,320 according to SEQ ID NO:13 (rather than an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions 1,320 to 1,333 according to SEQ ID NO:7) in a particular RASAL3 mRNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant mRNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,319 to 1,320 according to SEQ ID NO:13 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions corresponding to positions 1,325 to 1,338 according to SEQ ID NO:8 (rather than a CG dinucleotide at positions 1,324 to 1,325 according to SEQ ID NO:14) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference mRNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,324 to 1,325 according to SEQ ID NO:14 (rather than an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions 1,325 to 1,338 according to SEQ ID NO:8) in a particular RASAL3 mRNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant mRNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,324 to 1,325 according to SEQ ID NO:14 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions corresponding to positions 1,298 to 1,311 according to SEQ ID NO:15 (rather than a CG dinucleotide at positions 1,297 to 1,298 according to SEQ ID NO:21) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference cDNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,297 to 1,298 according to SEQ ID NO:21 (rather than an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 1,298 to 1,311 according to SEQ ID NO:15) in a particular RASAL3 cDNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant cDNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,297 to 1,298 according to SEQ ID NO:21 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions corresponding to positions 1,298 to 1,311 according to SEQ ID NO:16 (rather than a CG dinucleotide at positions 1,297 to 1,298 according to SEQ ID NO:22) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference cDNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,297 to 1,298 according to SEQ ID NO:22 (rather than an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 1,298 to 1,311 according to SEQ ID NO:16) in a particular RASAL3 cDNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant cDNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,297 to 1,298 according to SEQ ID NO:22 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions corresponding to positions 1,280 to 1,293 according to SEQ ID NO:17 (rather than a CG dinucleotide at positions 1,279 to 1,280 according to SEQ ID NO:23) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference cDNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,279 to 1,280 according to SEQ ID NO:23 (rather than an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 1,280 to 1,293 according to SEQ ID NO:17) in a particular RASAL3 cDNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant cDNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,279 to 1,280 according to SEQ ID NO:23 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions corresponding to positions 1,770 to 1,783 according to SEQ ID NO:15 (rather than a CG dinucleotide at positions 1,769 to 1,770 according to SEQ ID NO:24) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference cDNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,769 to 1,770 according to SEQ ID NO:24 (rather than an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 1,770-1,783 according to SEQ ID NO:15) in a particular RASAL3 cDNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant cDNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,769 to 1,770 according to SEQ ID NO:24 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions corresponding to positions 1,320 to 1,333 according to SEQ ID NO:19 (rather than a CG dinucleotide at positions 1,319 to 1,320 according to SEQ ID NO:25) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference cDNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,319 to 1,320 according to SEQ ID NO:25 (rather than an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide positions 1,320-1,333 according to SEQ ID NO:19) in a particular RASAL3 cDNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant cDNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,319 to 1,320 according to SEQ ID NO:25 can be at the 3′ end of the primer.


In addition, if one of the primers' 3′-ends hybridizes to an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions corresponding to positions 1,325 to 1,338 according to SEQ ID NO:20 (rather than a CG dinucleotide positions 1,324 to 1,325 according to SEQ ID NO:26) in a particular RASAL3 nucleic acid molecule, then the presence of the amplified fragment would indicate the presence of a RASAL3 reference cDNA molecule. Conversely, if one of the primers' 3′-ends hybridizes to a CG dinucleotide at positions corresponding to positions 1,324 to 1,325 according to SEQ ID NO:26 (rather than an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide positions 1,325-1,338 according to SEQ ID NO:20) in a particular RASAL3 cDNA molecule, then the presence of the amplified fragment would indicate the presence of the RASAL3 variant cDNA molecule. In some embodiments, the nucleotide of the primer complementary to the CG dinucleotide at positions corresponding to positions 1,324 to 1,325 according to SEQ ID NO:26 can be at the 3′ end of the primer.


In the context of the present disclosure “specifically hybridizes” means that the probe or primer (such as, for example, the alteration-specific probe or alteration-specific primer) does not hybridize to a nucleic acid sequence encoding a RASAL3 reference genomic nucleic acid molecule, a RASAL3 reference mRNA molecule, and/or a RASAL3 reference cDNA molecule.


In any of the embodiments described throughout the present disclosure, the probes (such as, for example, an alteration-specific probe) can comprise a label. In some embodiments, the label is a fluorescent label, a radiolabel, or biotin.


The present disclosure also provides supports comprising a substrate to which any one or more of the probes disclosed herein is attached. Solid supports are solid-state substrates or supports with which molecules, such as any of the probes disclosed herein, can be associated. A form of solid support is an array. Another form of solid support is an array detector. An array detector is a solid support to which multiple different probes have been coupled in an array, grid, or other organized pattern. A form for a solid-state substrate is a microtiter dish, such as a standard 96-well type. In some embodiments, a multiwell glass slide can be employed that normally contains one array per well. In some embodiments, the support is a microarray.


In some embodiments, any of the methods described herein can further comprise determining the subject's gene burden of having a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, and/or a RASAL3 predicted loss-of-function variant polypeptide associated with a decreased risk of developing inflammatory disease. The gene burden is the aggregate of all variants in the RASAL3 gene, which can be carried out in an association analysis with inflammatory disease. In some embodiments, the subject is homozygous for one or more RASAL3 variant nucleic acid molecules encoding a RASAL3 predicted loss-of-function polypeptide associated with a decreased risk of developing inflammatory disease. In some embodiments, the subject is heterozygous for one or more RASAL3 variant nucleic acid molecules encoding a RASAL3 predicted loss-of-function polypeptide associated with a decreased risk of developing inflammatory disease. The result of the association analysis suggests that RASAL3 variant nucleic acid molecules encoding a RASAL3 predicted loss-of-function polypeptide are associated with decreased risk of developing inflammatory disease. When the subject has a lower gene burden, the subject is at a higher risk of developing inflammatory disease and the subject is administered or continued to be administered the therapeutic agent that treats, prevents, or inhibits inflammatory disease in a standard dosage amount, and/or a RASAL3 inhibitor. When the subject has a greater gene burden, the subject is at a lower risk of developing inflammatory disease and the subject is administered or continued to be administered the therapeutic agent that treats, prevents, or inhibits inflammatory disease in an amount that is the same as or less than the standard dosage amount. The greater the gene burden, the lower the risk of developing inflammatory disease. Table 2 lists representative RASAL3 variant nucleic acid molecules (Transcript ID is ENST00000343625) that can be used in the gene burden analysis.












TABLE 2





Variant
rsID
HGVS.c
HGVS.p







19:15451797:A:C
rs746001297
c.3034T>G
p.Ter1012Gly





ext*?





19:15451799:G:A
rs770263506
c.3032C>T
p.Thr1011Ile





19:15451800:TG:T

c.3030delC
p.Thr1011fs





19:15451800:T:C
rs1287150082
c.3031A>G
p.Thr1011Ala





19:15451802:G:GA

c.3028_3029
p.Thr1010fs




insT






19:15451803:T:G

c.3028A>C
p.Thr1010Pro





19:15451804:G:T
rs780650141
c.3027C>A
p.Asp1009Glu





19:15451805:T:C

c.3026A>G
p.Asp1009Gly





19:15451806:C:A

c.3025G>T
p.Asp1009Tyr





19:15451808:C:T
rs374820624
c.3023G>A
p.Gly1008Glu





19:15451810:A:C

c.3021T>G
p.Asn1007Lys





19:15451811:T:A
rs1031624774
c.3020A>T
p.Asn1007Ile





19:15451811:T:C

c.3020A>G
p.Asn1007Ser





19:15451815:G:A
rs1343366443
c.3016C>T
p.Leu1006Phe





19:15451817:C:T
rs1165608015
c.3014G>A
p.Cys1005Tyr





19:15451818:A:C

c.3013T>G
p.Cys1005Gly





19:15451820:G:C

c.3011C>G
p.Pro1004Arg





19:15451821:G:T

c.3010C>A
p.Pro1004Thr





19:15451824:C:T

c.3007G>A
p.Ala1003Thr





19:15451827:T:C

c.3004A>G
p.Lys1002Glu





19:15451829:AG:A
rs1251587713
c.3001delC
p.Leu1001fs





19:15451830:G:C

c.3001C>G
p.Leu1001Val





19:15451830:G:A

c.3001C>T
p.Leu1001Phe





19:15451832:G:A
rs368141019
c.2999C>T
p.Pro1000Leu





19:15451832:G:T
rs368141019
c.2999C>A
p.Pro1000His





19:15451833:G:T
rs1180115362
c.2998C>A
p.Pro1000Thr





19:15451835:T:G

c.2996A>C
p.Gln999Pro





19:15451836:G:A

c.2995C>T
p.Gln999*





19:15451838:G:A
rs201866014
c.2993C>T
p.Pro998Leu





19:15451838:G:A
rs201866014
c.2993C>T
p.Pro998Leu





19:15451839:G:A

c.2992C>T
p.Pro998Ser





19:15451839:G:T

c.2992C>A
p.Pro998Thr





19:15451840:T:A
rs1247732541
c.2991A>T
p.Gln997His





19:15451842:G:A

c.2989C>T
p.Gln997*





19:15451842:G:C
rs1023270011
c.2989C>G
p.Gln997Glu





19:15451845:T:C

c.2986A>G
p.Ser996Gly





19:15451846:C:G

c.2985G>C
p.Trp995Cys





19:15451847:C:T

c.2984G>A
p.Trp995*





19:15451853:C:G
rs759161243
c.2978G>C
p.Gly993Ala





19:15451854:C:G

c.2977G>C
p.Gly993Arg





19:15451856:CG:C

c.2974delC
p.Arg992fs





19:15451856:C:T
rs764688127
c.2975G>A
p.Arg992Gln





19:15451856:C:A
rs764688127
c.2975G>T
p.Arg992Leu





19:15451857:G:C
rs775451877
c.2974C>G
p.Arg992Gly





19:15451857:G:A
rs775451877
c.2974C>T
p.Arg992Trp





19:15451859:G:A
rs1407539732
c.2972C>T
p.Thr991Met





19:15451862:C:T
rs763879747
c.2969G>A
p.Arg990Lys





19:15451868:G:A

c.2963C>T
p.Ser988Phe





19:15451868:G:T

c.2963C>A
p.Ser988Tyr





19:15451869:A:T

c.2962T>A
p.Ser988Thr





19:15451869:A:G

c.2962T>C
p.Ser988Pro





19:15451871:A:C

c.2960T>G
p.Leu987Arg





19:15451880:C:G

c.2951G>C
p.Ser984Thr





19:15451880:C:T

c.2951G>A
p.Ser984Asn





19:15451883:T:C

c.2948A>G
p.Gln983Arg





19:15451884:G:T

c.2947C>A
p.Gln983Lys





19:15451888:AG:A

c.2942delC
p.Ala981fs





19:15451889:G:A

c.2942C>T
p.Ala981Val





19:15451890:C:T
rs1011750099
c.2941G>A
p.Ala981Thr





19:15451893:C:G

c.2938G>C
p.Asp980His





19:15451893:C:T
rs532031989
c.2938G>A
p.Asp980Asn





19:15451894:C:A

c.2937G>T
p.Arg979Ser





19:15451899:G:T
rs1319549276
c.2932C>A
p.Leu978Met





19:15451901:T:C

c.2930A>G
p.Gln977Arg





19:15451904:G:C
rs1490545470
c.2927C>G
p.Ala976Gly





19:15451904:G:T

c.2927C>A
p.Ala976Asp





19:15451905:C:T

c.2926G>A
p.Ala976Thr





19:15451906:CIG
rs756145570
c.2925G>C
p.Gln975His





19:15451907:T:C
rs780018062
c.2924A>G
p.Gln975Arg





19:15451908:G:C
rs749738379
c.2923C>G
p.Gln975Glu





19:15451910:G:C

c.2921C>G
p.Thr974Ser





19:15451913:C:T
rs755504855
c.2918G>A
p.Arg973Lys





19:15451913:C:G
rs755504855
c.2918G>C
p.Arg973Thr





19:15451916:T:C

c.2915A>G
p.Glu972Gly





19:15451917:C:G
rs770680192
c.2914G>C
p.Glu972Gln





19:15451918:C:T
rs200107803
c.2913G>A
p.Met971Ile





19:15451918:CAT
rs1167621051
c.2894_2912
p.Glu965fs


CTCATTTAGGCGGTG

delAGCACCGC



CT:C

CTAAATGAGAT






19:15451920:T:A
rs973740719
c.2911A>T
p.Met971Leu





19:15451923:C:T
rs745541793
c.2908G>A
p.Glu970Lys





19:15451924:AT:A

c.2906delA
p.Asn969fs





19:15451924:A:C

c.2907T>G
p.Asn969Lys





19:15451925:T:C

c.2906A>G
p.Asn969Ser





19:15451931:C:T
rs774865074
c.2900G>A
p.Arg967His





19:15451932:G:A

c.2899C>T
p.Arg967Cys





19:15451934:T:A
rs1297198790
c.2897A>T
p.His966Leu





19:15451934:T:C

c.2897A>G
p.His966Arg





19:15451935:G:A

c.2896C>T
p.His966Tyr





19:15451936:C:G

c.2895G>C
p.Glu965Asp





19:15451938:C:T
rs1348129339
c.2893G>A
p.Glu965Lys





19:15451939:C:T

c.2893-1G>A






19:15451940:T:C
rs763992848
c.2893-2A>G






19:15452043:A:C

c.2892+2T>G






19:15452044:C:T

c.2892+1G>A






19:15452049:T:C

c.2888A>G
p.Asn963Ser





19:15452053:T:C

c.2884A>G
p.Lys962Glu





19:15452054:CAG:C

c.2881_2882
p.Leu961fs




delCT






19:15452058:C:T

c.2879G>A
p.Ser960Asn





19:15452060:G:C
rs373390636
c.2877C>G
p.His959Gln





19:15452061:T:G

c.2876A>C
p.His959Pro





19:15452062:G:A

c.2875C>T
p.His959Tyr





19:15452065:C:T
rs758981220
c.2872G>A
p.Gly958Arg





19:15452067:T:G

c.2870A>C
p.Glu957Ala





19:15452068:C:T

c.2869G>A
p.Glu957Lys





19:15452068:CA:C

c.2868delT
p.Asn956fs





19:15452069:A:C

c.2868T>G
p.Asn956Lys





19:15452072:G:T
rs1320321080
c.2865C>A
p.Ser955Arg





19:15452074:T:A

c.2863A>T
p.Ser955Cys





19:15452076:G:A

c.2861C>T
p.Thr954Ile





19:15452076:G:C
rs778275984
c.2861C>G
p.Thr954Arg





19:15452079:A:T

c.2858T>A
p.Leu953Gln





19:15452080:G:C

c.2857C>G
p.Leu953Val





19:15452080:G:T

c.2857C>A
p.Leu953Ile





19:15452082:T:C

c.2855A>G
p.Asn952Ser





19:15452083:TG:T

c.2853delC
p.His951fs





19:15452083:T:C
rs752025008
c.2854A>G
p.Asn952Asp





19:15452085:T:A

c.2852A>T
p.His951Leu





19:15452085:T:G

c.2852A>C
p.His951Pro





19:15452085:T:C

c.2852A>G
p.His951Arg





19:15452086:G:C

c.2851C>G
p.His951Asp





19:15452091:GA:G

c.2845delT
p.Ser949fs





19:15452092:A:G

c.2845T>C
p.Ser949Pro





19:15452095:CAA:C

c.2840_2841
p.Phe947fs




delTT






19:15452100:T:C
rs1253245264
c.2837A>G
p.Glu946Gly





19:15452101:C:G

c.2836G>C
p.Glu946Gln





19:15452101:C:T
rs367885924
c.2836G>A
p.Glu946Lys





19:15452102:TGA:T

c.2833_2834
p.Ser945fs




delTC






19:15452109:C:T
rs896657957
c.2829-lG>A






19:15452645:GGG
rs1309964788
c.2812_2828+
p.Ser938fs


CTGGGCTCACCCAGC

12delTCCAGGC



ACGGAGCCTGGA:G

TCCGTGCTGGGT





GAGCCCAGCC






19:15452656:A:C
rs759822118
c.2828+2T>G






19:15452658:C:G

c.2828G>C
p.Gly943Ala





19:15452658:C:T
rs1221619813
c.2828G>A
p.Gly943Glu





19:15452659:C:G
rs1369621624
c.2827G>C
p.Gly943Arg





19:15452661:G:T

c.2825C>A
p.Ala942Asp





19:15452662:C:G

c.2824G>C
p.Ala942Pro





19:15452664:C:A
rs377759857
c.2822G>T
p.Arg941Leu





19:15452664:C:G

c.2822G>C
p.Arg941Pro





19:15452664:C:T
rs377759857
c.2822G>A
p.Arg941His





19:15452665:G:A
rs371247954
c.2821C>T
p.Arg941Cys





19:15452665:G:C
rs371247954
c.2821C>G
p.Arg941Gly





19:15452665:G:T

c.2821C>A
p.Arg941Ser





19:15452668:G:A
rs763536973
c.2818C>T
p.Leu940Phe





19:15452668:G:T

c.2818C>A
p.Leu940Ile





19:15452668:G:C

c.2818C>G
p.Leu940Val





19:15452669:C:G
rs547899579
c.2817G>C
p.Arg939Ser





19:15452670:C:G
rs1264246916
c.2816G>C
p.Arg939Thr





19:15452671:T:C
rs554364995
c.2815A>G
p.Arg939Gly





19:15452673:G:C

c.2813C>G
p.Ser938Cys





19:15452676:T:C
rs1198940395
c.2810A>G
p.Asp937Gly





19:15452679:A:G
rs1479252571
c.2807T>C
p.Leu936Pro





19:15452680:G:C

c.2806C>G
p.Leu936Val





19:15452682:T:C

c.2804A>G
p.Asp935Gly





19:15452682:T:A

c.2804A>T
p.Asp935Val





19:15452685:T:C

c.2801A>G
p.Gln934Arg





19:15452686:GC:G

c.2799delG
p.Gln934fs





19:15452691:TG:T

c.2794delC
p.Gln932fs





19:15452691:T:G

c.2795A>C
p.Gln932Pro





19:15452692:G:A

c.2794C>T
p.Gln932*





19:15452694:C:T
rs969255243
c.2792G>A
p.Gly931Asp





19:15452697:C:G
rs905384362
c.2789G>C
p.Arg930Pro





19:15452697:C:A

c.2789G>T
p.Arg930Leu





19:15452697:C:T
rs905384362
c.2789G>A
p.Arg930Gln





19:15452698:G:A
rs1429253157
c.2788C>T
p.Arg930Trp





19:15452700:A:G

c.2786T>C
p.Leu929Pro





19:15452703:T:C

c.2783A>G
p.Gln928Arg





19:15452704:G:A

c.2782C>T
p.Gln928*





19:15452706:T:A
rs1434137033
c.2780A>T
p.Glu927Val





19:15452707:C:A

c.2779G>T
p.Glu927*





19:15452710:GC:G

c.2775delG
p.Gln925fs





19:15452710:G:A
rs367730527
c.2776C>T
p.Gln926*





19:15452711:C:G
rs753351235
c.2775G>C
p.Gln925His





19:15452712:T:C
rs1230298297
c.2774A>G
p.Gln925Arg





19:15452713:G:A

c.2773C>T
p.Gln925*





19:15452713:G:C

c.2773C>G
p.Gln925Glu





19:15452716:C:A

c.2770G>T
p.Glu924*





19:15452716:C:G

c.2770G>C
p.Glu924Gln





19:15452716:C:T

c.2770G>A
p.Glu924Lys





19:15452718:G:C
rs201042593
c.2768C>G
p.Thr923Arg





19:15452718:G:C
rs201042593
c.2768C>G
p.Thr923Arg





19:15452720:C:G
rs1209918727
c.2766G>C
p.Leu922Phe





19:15452724:G:A

c.2762C>T
p.Ala921Val





19:15452725:C:T

c.2761G>A
p.Ala921Thr





19:15452727:C:T

c.2759G>A
p.Arg920Gln





19:15452728:G:A
rs1291332322
c.2758C>T
p.Arg920Trp





19:15452734:G:A

c.2752C>T
p.Gln918*





19:15452734:G:T
rs866920343
c.2752C>A
p.Gln918Lys





19:15452737:T:A

c.2749A>T
p.Thr917Ser





19:15452738:G:T

c.2748C>A
p.Ser916Arg





19:15452740:T:C

c.2746A>G
p.Ser916Gly





19:15452745:G:T

c.2741C>A
p.Ser914*





19:15452745:G:C
rs368005570
c.2741C>G
p.Ser914Trp





19:15452749:C:G

c.2737G>C
p.Glu913Gln





19:15452754:A:C
rs1450538174
c.2732T>G
p.Leu911Arg





19:15452755:G:C
rs1190890320
c.2731C>G
p.Leu911Val





19:15452757:C:T
rs1388620349
c.2729G>A
p.Arg910His





19:15452758:G:C
rs777648218
c.2728C>G
p.Arg910Gly





19:15452760:G:C

c.2726C>G
p.Ser909Cys





19:15452760:G:T
rs996772688
c.2726C>A
p.Ser909Tyr





19:15452760:G:A

c.2726C>T
p.Ser909Phe





19:15452766:A:C

c.2720T>G
p.Va1907Gly





19:15452767:C:G

c.2719G>C
p.Va1907Leu





19:15452769:T:C
rs770578735
c.2717A>G
p.Lys906Arg





19:15452770:T:A
rs1322854784
c.2716A>T
p.Lys906*





19:15452770:T:C
rs1322854784
c.2716A>G
p.Lys906Glu





19:15452771:C:G

c.2715G>C
p.Gln905His





19:15452772:T:C
rs776491854
c.2714A>G
p.Gln905Arg





19:15452773:G:C

c.2713C>G
p.Gln905Glu





19:15452775:T:C

c.2711A>G
p.Glu904Gly





19:15452776:C:T
rs947456945
c.2710G>A
p.Glu904Lys





19:15452776:C:A

c.2710G>T
p.Glu904*





19:15452777:C:G
rs746076040
c.2709G>C
p.Glu903Asp





19:15452781:C:T
rs375530302
c.2705G>A
p.Arg902His





19:15452781:C:A

c.2705G>T
p.Arg902Leu





19:15452783:CA:C

c.2702delT
p.Leu901fs





19:15452784:A:G

c.2702T>C
p.Leu901Pro





19:15452784:A:C

c.2702T>G
p.Leu901Arg





19:15452785:G:C
rs1273176540
c.2701C>G
p.Leu901Val





19:15452790:G:C

c.2696C>G
p.Ala899Gly





19:15452790:G:A
rs192521892
c.2696C>T
p.Ala899Val





19:15452793:A:G
rs1246508570
c.2693T>C
p.Va1898Ala





19:15452794:C:T

c.2692G>A
p.Va1898Met





19:15452795:C:G

c.2691G>C
p.Glu897Asp





19:15452797:CGC

c.2676_2688
p.Glu893fs


ACTGCAGCTCT:C

delAGAGCTGC





AGTGC






19:15452797:C:A

c.2689G>T
p.Glu897*





19:15452797:C:T
rs1188458733
c.2689G>A
p.Glu897Lys





19:15452800:A:T

c.2686T>A
p.Cys896Ser





19:15452800:A:G
rs1239399334
c.2686T>C
p.Cys896Arg





19:15452801:C:A

c.2685G>T
p.Gln895His





19:15452803:G:A
rs1471878926
c.2683C>T
p.Gln895*





19:15452805:A:G
rs763160868
c.2681T>C
p.Leu894Pro





19:15452809:C:T

c.2677G>A
p.Glu893Lys





19:15452812:C:A

c.2674G>T
p.Ala892Ser





19:15452813:C:G

c.2673G>C
p.Leu891Phe





19:15452814:A:C

c.2672T>G
p.Leu891Trp





19:15452815:A:T

c.2671T>A
p.Leu891Met





19:15452816:C:G

c.2671-1G>C






19:15452817:T:A

c.2671-2A>T






19:15453108:T:G

c.2669A>C
p.Lys890Thr





19:15453110:G:T
rs757288737
c.2667C>A
p.Asn889Lys





19:15453111:T:A

c.2666A>T
p.Asn889Ile





19:15453114:A:G
rs745721368
c.2663T>C
p.Va1888Ala





19:15453117:G:C

c.2660C>G
p.Pro887Arg





19:15453118:G:C

c.2659C>G
p.Pro887Ala





19:15453118:G:A
rs528100081
c.2659C>T
p.Pro887Ser





19:15453120:C:T

c.2657G>A
p.Arg886Gln





19:15453121:G:A
rs904467535
c.2656C>T
p.Arg886*





19:15453122:G:T

c.2655C>A
p.His885Gln





19:15453123:T:C
rs770107622
c.2654A>G
p.His885Arg





19:15453124:G:T

c.2653C>A
p.His885Asn





19:15453126:G:C
rs749539937
c.2651C>G
p.Thr884Arg





19:15453126:G:T
rs749539937
c.2651C>A
p.Thr884Lys





19:15453126:G:A

c.2651C>T
p.Thr884Met





19:15453129:C:A

c.2648G>T
p.Gly883Val





19:15453130:C:G

c.2647G>C
p.Gly883Arg





19:15453130:C:T

c.2647G>A
p.Gly883Ser





19:15453136:C:T
rs768797116
c.2641G>A
p.Ala881Thr





19:15453136:C:G

c.2641G>C
p.Ala881Pro





19:15453136:C:A

c.2641G>T
p.Ala881Ser





19:15453137:C:A

c.2640G>T
p.Gln880His





19:15453141:T:A
rs1203098127
c.2636A>T
p.Asn879Ile





19:15453145:G:A

c.2632C>T
p.Arg878*





19:15453146:G:C
rs774492792
c.2631C>G
p.Asp877Glu





19:15453146:G:T

c.2631C>A
p.Asp877Glu





19:15453148:C:T
rs547835084
c.2629G>A
p.Asp877Asn





19:15453148:C:G

c.2629G>C
p.Asp877His





19:15453151:G:A

c.2626C>T
p.Gln876*





19:15453154:G:C

c.2623C>G
p.Pro875Ala





19:15453157:G:A
rs773419216
c.2620C>T
p.Gln874*





19:15453157:G:T

c.2620C>A
p.Gln874Lys





19:15453158:G:C

c.2619C>G
p.Asp873Glu





19:15453162:A:G
rs766752674
c.2615T>C
p.Met872Thr





19:15453162:A:T
rs766752674
c.2615T>A
p.Met872Lys





19:15453164:T:G

c.2613A>C
p.Gln871His





19:15453168:C:T

c.2609G>A
p.Arg870His





19:15453169:G:A
rs1453449008
c.2608C>T
p.Arg870Cys





19:15453170:C:A
rs752292289
c.2607G>T
p.Gln869His





19:15453174:C:T
rs758054481
c.2603G>A
p.Trp868*





19:15453175:A:G

c.2602T>C
p.Trp868Arg





19:15453177:G:A

c.2600C>T
p.Pro867Leu





19:15453180:A:G

c.2597T>C
p.Va1866Ala





19:15453181:C:T

c.2596G>A
p.Va1866Ile





19:15453183:G:T

c.2594C>A
p.Ser865*





19:15453187:G:A

c.2590C>T
p.Pro864Ser





19:15453193:G:C

c.2584C>G
p.Arg862Gly





19:15453198:A:G

c.2579T>C
p.Leu860Pro





19:15453201:G:A

c.2576C>T
p.Ser859Leu





19:15453205:C:T
rs372540608
c.2572G>A
p.Ala858Thr





19:15453207:G:C

c.2570C>G
p.Ser857Cys





19:15453211:C:A

c.2566G>T
p.Asp856Tyr





19:15453211:C:T

c.2566G>A
p.Asp856Asn





19:15453211:C:G

c.2566G>C
p.Asp856His





19:15453213:C:G

c.2564G>C
p.Arg855Pro





19:15453213:C:T
rs781227149
c.2564G>A
p.Arg855Gln





19:15453214:G:A

c.2563C>T
p.Arg855Trp





19:15453216:G:C
rs1329753978
c.2561C>G
p.Thr854Ser





19:15453220:A:C

c.2557T>G
p.Trp853Gly





19:15453222:G:C
rs750413610
c.2555C>G
p.Pro852Arg





19:15453224:CCG

c.2527_2552
p.Ser843fs


GGCGCGGGGCGCTGG

delAGCATGGG



TCCCATGCT:C

ACCAGCGCCCC





GCGCCCG






19:15453225:C:G

c.2552G>C
p.Arg851Pro





19:15453225:C:T

c.2552G>A
p.Arg851Gln





19:15453225:C:A

c.2552G>T
p.Arg851Leu





19:15453228:G:A
rs1298691412
c.2549C>T
p.Ala850Val





19:15453228:G:C

c.2549C>G
p.Ala850Gly





19:15453229:C:G

c.2548G>C
p.Ala850Pro





19:15453230:GC:G

c.2546delG
p.Arg849fs





19:15453232:G:A

c.2545C>T
p.Arg849Cys





19:15453235:G:T

c.2542C>A
p.Pro848Thr





19:15453237:G:A
rs780006940
c.2540C>T
p.Ala847Val





19:15453237:G:C
rs780006940
c.2540C>G
p.Ala847Gly





19:15453241:G:C

c.2536C>G
p.Pro846Ala





19:15453242:TC:T

c.2534delG
p.Gly845fs





19:15453243:C:A

c.2534G>T
p.Gly845Val





19:15453244:C:T
rs768987938
c.2533G>A
p.Gly845Arg





19:15453245:C:A

c.2532G>T
p.Met844Ile





19:15453246:A:T
rs1211519991
c.2531T>A
p.Met844Lys





19:15453247:T:G

c.2530A>C
p.Met844Leu





19:15453247:T:C
rs988057493
c.2530A>G
p.Met844Val





19:15453247:T:A
rs988057493
c.2530A>T
p.Met844Leu





19:15453248:G:T

c.2529C>A
p.Ser843Arg





19:15453249:C:T
rs138850805
c.2528G>A
p.Ser843Asn





19:15453249:C:T
rs138850805
c.2528G>A
p.Ser843Asn





19:15453250:T:C

c.2527A>G
p.Ser843Gly





19:15453253:G:T
rs1467906391
c.2524C>A
p.Leu842Met





19:15453255:G:A

c.2522C>T
p.Ser841Phe





19:15453258:C:A
rs373762155
c.2519G>T
p.Gly840Val





19:15453258:CIG

c.2519G>C
p.Gly840Ala





19:15453259:CT:C
rs749630434
c.2517delA
p.Gly840fs





19:15453261:T:C

c.2516A>G
p.Lys839Arg





19:15453264:G:A
rs773720098
c.2513C>T
p.Pro838Leu





19:15453265:G:A
rs530611301
c.2512C>T
p.Pro838Ser





19:15453266:T:T

c.2507_2510
p.Pro838fs


CGCG

dupCGCG






19:15453270:G:T
rs771222303
c.2507C>A
p.Pro836Gln





19:15453271:G:C

c.2506C>G
p.Pro836Ala





19:15453271:G:T
rs777051699
c.2506C>A
p.Pro836Thr





19:15453272:C:T

c.2505G>A
p.Trp835*





19:15453272:C:G

c.2505G>C
p.Trp835Cys





19:15453274:AG:A

c.2502delC
p.Trp835fs





19:15453274:A:G

c.2503T>C
p.Trp835Arg





19:15453279:C:G

c.2498G>C
p.Gly833Ala





19:15453283:C:T
rs1392906375
c.2494G>A
p.Ala832Thr





19:15453285:G:C

c.2492C>G
p.Ser831Cys





19:15453286:A:T

c.2491T>A
p.Ser831Thr





19:15453288:T:G
rs750999746
c.2489A>C
p.Gln830Pro





19:15453288:T:C

c.2489A>G
p.Gln830Arg





19:15453291:C:A

c.2486G>T
p.Arg829Leu





19:15453292:G:A

c.2485C>T
p.Arg829Cys





19:15453294:C:T

c.2483G>A
p.Arg828His





19:15453295:G:A

c.2482C>T
p.Arg828Cys





19:15453297:C:A
rs1294982717
c.2480G>T
p.Arg827Leu





19:15453298:G:A
rs761344879
c.2479C>T
p.Arg827Cys





19:15453304:G:T
rs57208996
c.2473C>A
p.Pro825Thr





19:15453304:G:C

c.2473C>G
p.Pro825Ala





19:15453304:G:T
rs57208996
c.2473C>A
p.Pro825Thr





19:15453306:C:T
rs1334063940
c.2471G>A
p.Arg824His





19:15453306:C:A

c.2471G>T
p.Arg824Leu





19:15453306:C:G

c.2471G>C
p.Arg824Pro





19:15453307:G:T

c.2470C>A
p.Arg824Ser





19:15453307:G:A

c.2470C>T
p.Arg824Cys





19:15453309:C:T
rs939735127
c.2468G>A
p.Arg823Gln





19:15453310:G:A
rs1040815750
c.2467C>T
p.Arg823Trp





19:15453313:C:A

c.2464G>T
p.Va1822Phe





19:15453313:C:T

c.2464G>A
p.Va1822Ile





19:15453314:CG:C

c.2462delC
p.Pro821fs





19:15453315:G:T
rs1185615431
c.2462C>A
p.Pro821Gln





19:15453316:G:T

c.24610A
p.Pro821Thr





19:15453316:G:A
rs750324054
c.24610T
p.Pro821Ser





19:15453318:A:G

c.2459T>C
p.Va1820Ala





19:15453320:ACT:A
rs769208217
c.2455_2456
p.Ser819fs




delAG






19:15453321:C:T

c.2456G>A
p.Ser819Asn





19:15453322:T:C

c.2455A>G
p.Ser819Gly





19:15453324:T:G
rs1221144756
c.2453A>C
p.Gln818Pro





19:15453325:G:C

c.2452C>G
p.Gln818Glu





19:15453325:G:T

c.2452C>A
p.Gln818Lys





19:15453327:G:T

c.2450C>A
p.Thr817Lys





19:15453327:G:A

c.2450C>T
p.Thr817Met





19:15453327:G:C

c.2450C>G
p.Thr817Arg





19:15453328:T:TGC
rs774715758
c.2447_2448
p.Thr817fs




dupGC






19:15453330:C:A
rs756125499
c.2447G>T
p.Arg816Leu





19:15453330:C:T

c.2447G>A
p.Arg816His





19:15453333:T:G

c.2444A>C
p.Gln815Pro





19:15453333:T:C

c.2444A>G
p.Gln815Arg





19:15453334:G:A

c.2443C>T
p.Gln815*





19:15453337:C:T

c.2440G>A
p.Va1814Met





19:15453337:C:G

c.2440G>C
p.Va1814Leu





19:15453339:G:A
rs1391235483
c.2438C>T
p.Pro813Leu





19:15453339:G:C
rs1391235483
c.2438C>G
p.Pro813Arg





19:15453342:C:T

c.2435G>A
p.Arg812Gln





19:15453343:G:C

c.2434C>G
p.Arg812Gly





19:15453343:G:A
rs1405258340
c.2434C>T
p.Arg812Trp





19:15453345:G:T

c.2432C>A
p.Pro811His





19:15453346:G:A

c.2431C>T
p.Pro811Ser





19:15453348:C:G

c.2429G>C
p.Arg810Pro





19:15453348:C:T
rs753742401
c.2429G>A
p.Arg810Gln





19:15453351:C:T
rs755126096
c.2426G>A
p.Arg809Gln





19:15453352:G:A

c.2425C>T
p.Arg809Trp





19:15453352:G:C
rs1397926610
c.2425C>G
p.Arg809Gly





19:15453360:C:G

c.2417G>C
p.Arg806Pro





19:15453360:C:T

c.2417G>A
p.Arg806Gln





19:15453364:C:T

c.2413G>A
p.Glu805Lys





19:15453364:C:G

c.2413G>C
p.Glu805Gln





19:15453367:C:T
rs1291443481
c.2410G>A
p.Glu804Lys





19:15453368:G:T
rs1468815305
c.2409C>A
p.Asp803Glu





19:15453368:G:C

c.2409C>G
p.Asp803Glu





19:15453370:C:T
rs779157603
c.2407G>A
p.Asp803Asn





19:15453372:G:A
rs374340432
c.2405C>T
p.Pro802Leu





19:15453372:G:T
rs374340432
c.2405C>A
p.Pro802Gln





19:15453375:C:T
rs539384460
c.2402G>A
p.Arg801Gln





19:15453375:C:G

c.2402G>C
p.Arg801Pro





19:15453376:G:A
rs546889324
c.2401C>T
p.Arg801Trp





19:15453381:C:T

c.2396G>A
p.Arg799Gln





19:15453382:G:C

c.2395C>G
p.Arg799Gly





19:15453382:G:A
rs566724491
c.2395C>T
p.Arg799Trp





19:15453384:G:T

c.2393C>A
p.Ala798Asp





19:15453384:G:A
rs776961594
c.2393C>T
p.Ala798Val





19:15453384:G:C

c.2393C>G
p.Ala798Gly





19:15453385:C:A

c.2392G>T
p.Ala798Ser





19:15453385:C:T

c.2392G>A
p.Ala798Thr





19:15453386:C:A

c.2391G>T
p.Trp797Cys





19:15453389:ACT:A
rs1483993548
c.2386_2387
p.Ser796fs




delAG






19:15453393:T:G

c.2384A>C
p.Glu795Ala





19:15453394:C:T
rs759981877
c.2383G>A
p.Glu795Lys





19:15453399:C:T

c.2378G>A
p.Arg793His





19:15453399:C:A
rs1014527793
c.2378G>T
p.Arg793Leu





19:15453400:G:A
rs1256132758
c.2377C>T
p.Arg793Cys





19:15453405:A:C

c.2372T>G
p.Va1791Gly





19:15453406:C:A
rs1025046819
c.2371G>T
p.Va1791Phe





19:15453409:T:C

c.2368A>G
p.Ser790Gly





19:15453409:TG:T

c.2367delC
p.Ser790fs





19:15453411:C:T

c.2366G>A
p.Arg789His





19:15453412:G:T

c.2365C>A
p.Arg789Ser





19:15453413:CAG:C
rs762325565
c.2362_2363
p.Leu788fs




delCT






19:15453414:A:G

c.2363T>C
p.Leu788Pro





19:15453420:T:G

c.2357A>C
p.Gln786Pro





19:15453421:G:A

c.2356C>T
p.Gln786*





19:15453421:G:C

c.2356C>G
p.Gln786Glu





19:15453423:C:T

c.2354G>A
p.Ser785Asn





19:15453424:T:A

c.2353A>T
p.Ser785Cys





19:15453425:C:G
rs774002840
c.2352G>C
p.Lys784Asn





19:15453431:G:C
rs761382253
c.2346C>G
p.Ile782Met





19:15453433:T:G

c.2344A>C
p.Ile782Leu





19:15453433:T:C

c.2344A>G
p.Ile782Val





19:15453436:G:A

c.2341C>T
p.Leu781Phe





19:15453438:G:C

c.2339C>G
p.Pro780Arg





19:15453438:G:A
rs750021078
c.2339C>T
p.Pro780Leu





19:15453439:G:A

c.2338C>T
p.Pro780Ser





19:15453439:G:T

c.2338C>A
p.Pro780Thr





19:15453441:G:T

c.2336C>A
p.Thr779Asn





19:15453441:G:A
rs1290203403
c.2336C>T
p.Thr779Ile





19:15453442:T:C

c.2335A>G
p.Thr779Ala





19:15453442:T:A

c.2335A>T
p.Thr779Ser





19:15453445:G:A

c.2332C>T
p.His778Tyr





19:15453447:T:C
rs766466907
c.2330A>G
p.Lys777Arg





19:15453450:G:T
rs753859387
c.2327C>A
p.Pro776His





19:15453450:G:A

c.2327C>T
p.Pro776Leu





19:15453451:G:C
rs1313615416
c.2326C>G
p.Pro776Ala





19:15453451:G:A
rs1313615416
c.2326C>T
p.Pro776Ser





19:15453454:G:T
rs1002156484
c.2323C>A
p.Leu775Ile





19:15453454:G:C
rs1002156484
c.2323C>G
p.Leu775Val





19:15453456:TC:T

c.2320delG
p.Asp774fs





19:15453456:T:C

c.2321A>G
p.Asp774Gly





19:15453459:C:T
rs377706363
c.2318G>A
p.Arg773Gln





19:15453459:C:CG
rs765830799
c.2317dupC
p.Arg773fs





19:15453459:CG:C

c.2317delC
p.Arg773fs





19:15453460:G:C
rs764955727
c.2317C>G
p.Arg773Gly





19:15453462:G:C
rs370506034
c.2315C>G
p.Pro772Arg





19:15453463:G:A

c.2314C>T
p.Pro772Ser





19:15453465:G:C
rs747145692
c.2312C>G
p.Ala771Gly





19:15453465:G:A
rs747145692
c.2312C>T
p.Ala771Val





19:15453465:G:T
rs747145692
c.2312C>A
p.Ala771Asp





19:15453466:C:G

c.2311G>C
p.Ala771Pro





19:15453466:C:T

c.2311G>A
p.Ala771Thr





19:15453472:A:T

c.2305T>A
p.Phe769Ile





19:15453475:C:T

c.2302G>A
p.Gly768Ser





19:15453477:G:T
rs757733502
c.2300C>A
p.Pro767His





19:15453477:G:C
rs757733502
c.2300C>G
p.Pro767Arg





19:15453484:C:T

c.2293G>A
p.Glu765Lys





19:15453486:C:G
rs770135771
c.2291G>C
p.Gly764Ala





19:15453487:C:T

c.2290G>A
p.Gly764Arg





19:15453487:C:A

c.2290G>T
p.Gly764Trp





19:15453489:G:T

c.2288C>A
p.Ala763Glu





19:15453490:C:A
rs865778477
c.2287G>T
p.Ala763Ser





19:15453490:C:T

c.2287G>A
p.Ala763Thr





19:15453490:C:G

c.2287G>C
p.Ala763Pro





19:15453492:G:T

c.2285C>A
p.Ser762Tyr





19:15453492:G:A

c.2285C>T
p.Ser762Phe





19:15453496:G:A

c.2281C>T
p.Leu761Phe





19:15453497:G:C
rs775719835
c.2280C>G
p.Ser760Arg





19:15453499:T:C

c.2280-2A>G






19:15454147:A:T

c.2279+2T>A






19:15454148:C:T

c.2279+lG>A






19:15454152:G:C

c.2276C>G
p.Ser759Cys





19:15454152:G:A
rs1315582436
c.2276C>T
p.Ser759Phe





19:15454153:A:T

c.2275T>A
p.Ser759Thr





19:15454155:T:G
rs1450265431
c.2273A>C
p.His758Pro





19:15454156:G:A
rs1044727246
c.2272C>T
p.His758Tyr





19:15454159:C:T
rs1417420561
c.2269G>A
p.Va1757Ile





19:15454159:C:G

c.2269G>C
p.Va1757Leu





19:15454164:G:A

c.2264C>T
p.Ala755Val





19:15454166:C:CG

c.2261dupC
p.Ala755fs





19:15454166:CG:C

c.2261delC
p.Pro754fs





19:15454167:G:A
rs867767160
c.2261C>T
p.Pro754Leu





19:15454167:G:C
rs867767160
c.2261C>G
p.Pro754Arg





19:15454168:G:A

c.2260C>T
p.Pro754Ser





19:15454170:G:A
rs1438524785
c.2258C>T
p.Pro753Leu





19:15454171:G:A

c.2257C>T
p.Pro753Ser





19:15454174:G:C
rs1324893535
c.2254C>G
p.Leu752Val





19:15454176:G:A

c.2252C>T
p.Pro751Leu





19:15454177:G:A

c.2251C>T
p.Pro751Ser





19:15454179:A:G
rs1365487265
c.2249T>C
p.Leu750Pro





19:15454182:C:T
rs201285104
c.2246G>A
p.Arg749His





19:15454182:C:T
rs201285104
c.2246G>A
p.Arg749His





19:15454183:G:A
rs1003206871
c.2245C>T
p.Arg749Cys





19:15454184:C:T
rs1045506120
c.2244G>A
p.Met748Ile





19:15454186:T:C

c.2242A>G
p.Met748Val





19:15454189:G:A
rs905718533
c.2239C>T
p.Pro747Ser





19:15454191:A:C

c.2237T>G
p.Va1746Gly





19:15454195:AC:A

c.2232delG
p.Ser745fs





19:15454195:A:G

c.2233T>C
p.Ser745Pro





19:15454197:A:C
rs1252712148
c.2231T>G
p.Va1744Gly





19:15454198:C:A
rs757275237
c.2230G>T
p.Va1744Leu





19:15454203:A:G

c.2225T>C
p.Va1742Ala





19:15454207:G:C

c.2221C>G
p.Pro741Ala





19:15454208:C:G

c.2220G>C
p.Gln740His





19:15454209:T:C
rs1240549405
c.2219A>G
p.Gln740Arg





19:15454212:C:T
rs1490745092
c.2216G>A
p.Gly739Asp





19:15454212:C:A

c.2216G>T
p.Gly739Val





19:15454213:C:T

c.2215G>A
p.Gly739Ser





19:15454216:C:G
rs1055113453
c.2212G>C
p.Glu738Gln





19:15454219:C:T
rs756645341
c.2209G>A
p.Glu737Lys





19:15454219:C:G

c.2209G>C
p.Glu737Gln





19:15454221:A:G
rs780451771
c.2207T>C
p.Ile736Thr





19:15454224:G:A

c.2204C>T
p.Ala735Val





19:15454225:C:T
rs1022565502
c.2203G>A
p.Ala735Thr





19:15454227:C:T
rs746119444
c.2201G>A
p.Arg734Gln





19:15454227:C:G

c.2201G>C
p.Arg734Pro





19:15454228:G:A
rs371843552
c.2200C>T
p.Arg734*





19:15454228:G:A
rs371843552
c.2200C>T
p.Arg734*





19:15454230:A:C
rs1325485796
c.2198T>G
p.Leu733Arg





19:15454230:A:T

c.2198T>A
p.Leu733Gln





19:15454237:T:G

c.2191A>C
p.Thr731Pro





19:15454237:TG:T

c.2190delC
p.Thr731fs





19:15454243:GT:G

c.2184delA
p.Leu729fs





19:15454245:GGT:G

c.2181_2182
p.Glu727fs




delAC






19:15454245:G:T

c.2183C>A
p.Pro728Gln





19:15454252:G:C

c.2176C>G
p.Leu726Val





19:15454254:G:A

c.2174C>T
p.Thr725Ile





19:15454255:T:A

c.2173A>T
p.Thr725Ser





19:15454260:C:T
rs201283291
c.2168G>A
p.Arg723Gln





19:15454261:G:A
rs371914904
c.2167C>T
p.Arg723*





19:15454261:G:A
rs371914904
c.2167C>T
p.Arg723*





19:15454263:G:A

c.2165C>T
p.Thr722Ile





19:15454268:C:T

c.2161-1G>A






19:15454269:T:C
rs374933075
c.2161-2A>G






19:15454269:T:C
rs374933075
c.2161-2A>G






19:15454359:A:G
rs1252460292
c.2160+2T>C






19:15454360:C:G

c.2160+lG>C






19:15454360:C:A

c.2160+lG>T






19:15454362:T:G

c.2159A>C
p.Gln720Pro





19:15454362:T:C

c.2159A>G
p.Gln720Arg





19:15454364:G:C
rs1179428643
c.2157C>G
p.Asp719Glu





19:15454365:T:A
rs1362972127
c.2156A>T
p.Asp719Val





19:15454368:A:G
rs920769173
c.2153T>C
p.Leu718Pro





19:15454369:G:A
rs745414515
c.2152C>T
p.Leu718Phe





19:15454374:G:A
rs1175183908
c.2147C>T
p.Ala716Val





19:15454375:C:A
rs1032755329
c.2146G>T
p.Ala716Ser





19:15454375:C:G
rs1032755329
c.2146G>C
p.Ala716Pro





19:15454375:C:T

c.2146G>A
p.Ala716Thr





19:15454376:A:C
rs769380690
c.2145T>G
p.Phe715Leu





19:15454378:A:T
rs957389198
c.2143T>A
p.Phe715Ile





19:15454383:G:A
rs762887584
c.2138C>T
p.Thr713Ile





19:15454384:T:G

c.2137A>C
p.Thr713Pro





19:15454386:C:T

c.2135G>A
p.Cys712Tyr





19:15454391:C:G

c.2130G>C
p.Gln710His





19:15454395:G:A

c.2126C>T
p.Ala709Val





19:15454396:C:A

c.2125G>T
p.Ala709Ser





19:15454397:A:C

c.2124T>G
p.His708Gln





19:15454407:G:A
rs1468861785
c.2114C>T
p.Ala705Val





19:15454408:C:T
rs774196010
c.2113G>A
p.Ala705Thr





19:15454409:T:G

c.2112A>C
p.Leu704Phe





19:15454412:C:G
rs762008634
c.2109G>C
p.Gln703His





19:15454413:T:G
rs142057399
c.2108A>C
p.Gln703Pro





19:15454413:T:G
rs142057399
c.2108A>C
p.Gln703Pro





19:15454416:A:T

c.2105T>A
p.Leu702His





19:15454417:G:A

c.2104C>T
p.Leu702Phe





19:15454419:G:A

c.2102C>T
p.Ala701Val





19:15454425:T:G

c.2096A>C
p.Asp699Ala





19:15454428:C:T
rs369881144
c.2093G>A
p.Gly698Asp





19:15454429:C:T

c.2092G>A
p.Gly698Ser





19:15454434:C:G

c.2087G>C
p.Gly696Ala





19:15454435:C:T

c.2086G>A
p.Gly696Ser





19:15454438:G:A
rs755610860
c.2083C>T
p.Gln695*





19:15454439:G:T
rs1284443749
c.2082C>A
p.Tyr694*





19:15454443:C:T
rs566779173
c.2078G>A
p.Gly693Asp





19:15454444:C:T

c.2077G>A
p.Gly693Ser





19:15454447:TG:T

c.2073delC
p.Ser692fs





19:15454449:G:A
rs753165279
c.2072C>T
p.Pro691Leu





19:15454450:G:T

c.2071C>A
p.Pro691Thr





19:15454452:G:A

c.2069C>T
p.Ala690Val





19:15454453:C:A
rs756941364
c.2068G>T
p.Ala690Ser





19:15454453:C:T
rs756941364
c.2068G>A
p.Ala690Thr





19:15454455:G:A

c.2066C>T
p.Ala689Val





19:15454456:C:G
rs780672361
c.2065G>C
p.Ala689Pro





19:15454458:T:C
rs892191297
c.2063A>G
p.Asp688Gly





19:15454459:C:T

c.2062G>A
p.Asp688Asn





19:15454459:C:G
rs745561621
c.2062G>C
p.Asp688His





19:15454461:A:G

c.2060T>C
p.Va1687Ala





19:15454463:A:C

c.2058T>G
p.Asp686Glu





19:15454468:C:G

c.2053G>C
p.Va1685Leu





19:15454476:A:T

c.2045T>A
p.Va1682Glu





19:15454477:C:T

c.2044G>A
p.Va1682Ile





19:15454480:G:C
rs749216167
c.2041C>G
p.Gln681Glu





19:15454480:G:A

c.2041C>T
p.Gln681*





19:15454480:G:T
rs749216167
c.2041C>A
p.Gln681Lys





19:15454481:G:T
rs768635872
c.2040C>A
p.Asp680Glu





19:15454482:T:A

c.2039A>T
p.Asp680Val





19:15454482:T:C

c.2039A>G
p.Asp680Gly





19:15454482:TCC

c.2032_2038
p.Phe678fs


AGGAA:T

delTTCCTGG






19:15454483:C:T

c.2038G>A
p.Asp680Asn





19:15454488:A:T

c.2033T>A
p.Phe678Tyr





19:15454488:A:C
rs1309392925
c.2033T>G
p.Phe678Cys





19:15454489:A:G

c.2032T>C
p.Phe678Leu





19:15454490:G:T

c.2031C>A
p.Cys677*





19:15454491:C:G

c.2030G>C
p.Cys677Ser





19:15454492:A:G

c.2029T>C
p.Cys677Arg





19:15454495:G:T
rs761634798
c.2026C>A
p.Gln676Lys





19:15454495:GCA
rs1194708281
c.2015_2025
p.Gly672fs


TGGCTGGTC.G

delGACCAGCC





ATG






19:15454496:C:T
rs771932522
c.2025G>A
p.Met675Ile





19:15454497:A:C

c.2024T>G
p.Met675Arg





19:15454503:G:T
rs1164571432
c.2018C>A
p.Pro673Gln





19:15454506:C:T

c.2015G>A
p.Gly672Glu





19:15454509:T:A

c.2012A>T
p.His671Leu





19:15454511:T:A

c.2010A>T
p.Glu670Asp





19:15454511:T:G

c.2010A>C
p.Glu670Asp





19:15454512:T:C

c.2009A>G
p.Glu670Gly





19:15454513:C:A
rs773258849
c.2008G>T
p.Glu670*





19:15454513:C:G

c.2008G>C
p.Glu670Gln





19:15454513:C:T
rs773258849
c.2008G>A
p.Glu670Lys





19:15454524:C:G

c.1997G>C
p.Ser666Thr





19:15454524:C:T

c.1997G>A
p.Ser666Asn





19:15454527:T:C
rs766365980
c.1994A>G
p.Asn665Ser





19:15454529:C:T
rs267605316
c.1992G>A
p.Met664Ile





19:15454530:A:C

c.1991T>G
p.Met664Arg





19:15454532:G:T
rs762295295
c.1989C>A
p.Phe663Leu





19:15454532:GA:G

c.1988delT
p.Phe663fs





19:15454533:A:C

c.1988T>G
p.Phe663Cys





19:15454536:C:A

c.1985G>T
p.Gly662Val





19:15454538:C:T

c.1983G>A
p.Met661Ile





19:15454539:A:C

c.1982T>G
p.Met661Arg





19:15454539:A:G
rs1373022985
c.1982T>C
p.Met661Thr





19:15454540:T:C

c.1981A>G
p.Met661Val





19:15454540:T:G
rs1188810029
c.1981A>C
p.Met661Leu





19:15454542:T:C
rs1244285695
c.1979A>G
p.Tyr660Cys





19:15454543:A:G

c.1978T>C
p.Tyr660His





19:15454545:G:T

c.1976C>A
p.Ala659Asp





19:15454547:C:G

c.1974G>C
p.Glu658Asp





19:15454549:C:A

c.1972G>T
p.Glu658*





19:15454549:C:T
rs1043531115
c.1972G>A
p.Glu658Lys





19:15454551:T:A

c.1970A>T
p.Lys657Met





19:15454553:C:A

c.1968G>T
p.Glu656Asp





19:15454557:C:T

c.1964G>A
p.Gly655Asp





19:15454558:C:T
rs199734851
c.1963G>A
p.Gly655Ser





19:15454558:C:T
rs199734851
c.1963G>A
p.Gly655Ser





19:15454656:C:T
rs765433220
c.1958+1G>A






19:15454656:C:G

c.1958+1G>C






19:15454656:C:T
rs765433220
c.1958+1G>A






19:15454657:G:A
rs1424347602
c.1958C>T
p.Pro653Leu





19:15454658:G:A
rs1427009946
c.1957C>T
p.Pro653Ser





19:15454658:G:C

c.1957C>G
p.Pro653Ala





19:15454660:G:T

c.1955C>A
p.Ala652Asp





19:15454661:C:T

c.1954G>A
p.Ala652Thr





19:15454663:C:A

c.1952G>T
p.Arg651Leu





19:15454663:C:T
rs201122804
c.1952G>A
p.Arg651His





19:15454663:C:T
rs201122804
c.1952G>A
p.Arg651His





19:15454664:G:A
rs890076731
c.1951C>T
p.Arg651Cys





19:15454667:T:TG

c.1947dupC
p.Asn650fs





19:15454669:G:T
rs752015844
c.1946C>A
p.Ala649Asp





19:15454670:C:T
rs370836123
c.1945G>A
p.Ala649Thr





19:15454670:C:T
rs370836123
c.1945G>A
p.Ala649Thr





19:15454670:C:A

c.1945G>T
p.Ala649Ser





19:15454673:G:T

c.1942C>A
p.Leu648Ile





19:15454673:G:C
rs754435241
c.1942C>G
p.Leu648Val





19:15454679:G:A
rs778407403
c.1936C>T
p.Gln646*





19:15454679:G:T
rs778407403
c.1936C>A
p.Gln646Lys





19:15454685:C:A

c.1930G>T
p.Va1644Phe





19:15454686:C:G

c.1929G>C
p.Lys643Asn





19:15454688:T:G
rs1010414330
c.1927A>C
p.Lys643Gln





19:15454690:G:A

c.1925C>T
p.Ala642Val





19:15454691:C:T

c.1924G>A
p.Ala642Thr





19:15454697:G:T

c.1918C>A
p.Leu640Met





19:15454699:G:T
rs1486397779
c.1916C>A
p.Thr639Lys





19:15454699:G:A
rs1486397779
c.1916C>T
p.Thr639Ile





19:15454703:G:A
rs1338587369
c.1912C>T
p.Leu638Phe





19:15454708:C:T
rs746863893
c.1907G>A
p.Arg636His





19:15454709:G:A
rs971451661
c.1906C>T
p.Arg636Cys





19:15454711:G:A
rs1178164178
c.1904C>T
p.Ala635Val





19:15454714:G:A
rs746110659
c.1901C>T
p.Pro634Leu





19:15454717:C:A

c.1898G>T
p.Gly633Val





19:15454718:C:G

c.1897G>C
p.Gly633Arg





19:15454718:C:T
rs769924659
c.1897G>A
p.Gly633Ser





19:15454720:G:C

c.1895C>G
p.Pro632Arg





19:15454720:G:A

c.1895C>T
p.Pro632Leu





19:15454721:G:T

c.1894C>A
p.Pro632Thr





19:15454721:G:A
rs199838715
c.1894C>T
p.Pro632Ser





19:15454723:G:C
rs991754391
c.1892C>G
p.Ala631Gly





19:15454723:G:A
rs991754391
c.1892C>T
p.Ala631Val





19:15454726:G:A
rs1311081617
c.1889C>T
p.Pro630Leu





19:15454727:G:C
rs769253617
c.1888C>G
p.Pro630Ala





19:15454729:T:C

c.1886A>G
p.His629Arg





19:15454729:T:A
rs774546316
c.1886A>T
p.His629Leu





19:15454730:G:A
rs762196872
c.1885C>T
p.His629Tyr





19:15454731:G:T

c.1884C>A
p.Asp628Glu





19:15454731:G:C

c.1884C>G
p.Asp628Glu





19:15454732:T:C

c.1883A>G
p.Asp628Gly





19:15454736:G:A

c.1879C>T
p.Pro627Ser





19:15454738:G:A
rs189935270
c.1877C>T
p.Ala626Val





19:15454739:C:A

c.1876G>T
p.Ala626Ser





19:15454742:A:C

c.1873T>G
p.Leu625Val





19:15454743:AC:A
rs776167198
c.1871delG
p.Gly624fs





19:15454752:G:T

c.1863C>A
p.Ser621Arg





19:15454754:T:C

c.1861A>G
p.Ser621Gly





19:15454757:G:C

c.1858C>G
p.Pro620Ala





19:15454760:C:T

c.1855G>A
p.Ala619Thr





19:15454764:G:C

c.1851C>G
p.Ile617Met





19:15454765:A:C

c.1850T>G
p.Ile617Ser





19:15454766:T:C
rs574907372
c.1849A>G
p.Ile617Val





19:15454766:T:G

c.1849A>C
p.Ile617Leu





19:15454771:G:A

c.1844C>T
p.Pro615Leu





19:15454771:G:C
rs752302056
c.1844C>G
p.Pro615Arg





19:15454773:G:C

c.1842C>G
p.Cys614Trp





19:15454777:A:G

c.1838T>C
p.Leu613Pro





19:15454781:G:C

c.1834C>G
p.Leu612Val





19:15454781:G:A

c.1834C>T
p.Leu612Phe





19:15454783:C:T
rs375317705
c.1832G>A
p.Arg611Gln





19:15454783:C:G

c.1832G>C
p.Arg611Pro





19:15454784:G:A
rs751476764
c.1831C>T
p.Arg611Trp





19:15454785:C:CA

c.1829dupT
p.Arg611fs





19:15454786:A:G

c.1829T>C
p.Leu610Pro





19:15454788:G:C

c.1827C>G
p.Phe609Leu





19:15454795:G:T
rs1172515155
c.1820C>A
p.Ser607Tyr





19:15454795:G:A

c.1820C>T
p.Ser607Phe





19:15454799:C:T
rs746079470
c.1816G>A
p.Ala606Thr





19:15454799:C:A
rs746079470
c.1816G>T
p.Ala606Ser





19:15454800:G:C

c.1815C>G
p.Cys605Trp





19:15454800:G:T

c.1815C>A
p.Cys605*





19:15454802:A:G

c.1813T>C
p.Cys605Arg





19:15454805:C:T

c.1810G>A
p.Va1604Met





19:15454810:C:T
rs367775756
c.1805G>A
p.Arg602Gln





19:15454810:C:A
rs367775756
c.1805G>T
p.Arg602Leu





19:15454811:G:A
rs1051135881
c.1804C>T
p.Arg602*





19:15454813:G:A
rs371533350
c.1802C>T
p.Pro601Leu





19:15454814:G:A

c.1801C>T
p.Pro601Ser





19:15454814:G:T
rs1275801527
c.1801C>A
p.Pro601Thr





19:15454816:C:T

c.1799G>A
p.Gly600Asp





19:15454823:C:T

c.1792G>A
p.Va1598Met





19:15454826:C:T

c.1789G>A
p.Glu597Lys





19:15454828:G:A

c.1787C>T
p.Ser596Phe





19:15454829:A:G
rs774870892
c.1786T>C
p.Ser596Pro





19:15454831:C:G

c.1784G>C
p.Gly595Ala





19:15454832:C:G

c.1783G>C
p.Gly595Arg





19:15454834:C:T
rs543943755
c.1781G>A
p.Arg594His





19:15454835:G:A
rs56209154
c.1780C>T
p.Arg594Cys





19:15454835:G:A
rs56209154
c.1780C>T
p.Arg594Cys





19:15454838:C:T

c.1777G>A
p.Glu593Lys





19:15454843:C:T

c.1772G>A
p.Cys591Tyr





19:15454844:A:G
rs773624511
c.1771T>C
p.Cys591Arg





19:15454847:C:T

c.1768G>A
p.Ala590Thr





19:15454852:C:T
rs759167630
c.1763G>A
p.Arg588Gln





19:15454853:G:A
rs1188283904
c.1762C>T
p.Arg588*





19:15454854:C:T

c.1761G>A
p.Trp587*





19:15454855:C:T

c.1760G>A
p.Trp587*





19:15454855:C:A

c.1760G>T
p.Trp587Leu





19:15454859:T:G

c.1756A>C
p.Ser586Arg





19:15454859:T:C
rs369153704
c.1756A>G
p.Ser586Gly





19:15454863:G:C

c.1752C>G
p.Phe584Leu





19:15454867:A:G

c.1748T>C
p.Va1583Ala





19:15454868:C:T
rs1459660017
c.1747G>A
p.Va1583Met





19:15454869:G:C
rs752325829
c.1746C>G
p.Ile582Met





19:15454870:A:G
rs1326653894
c.1745T>C
p.Ile582Thr





19:15454871:T:C

c.1744A>G
p.Ile582Val





19:15454874:C:T
rs1020438052
c.1741G>A
p.Gly581Ser





19:15454876:A:T

c.1739T>A
p.Leu580Gln





19:15454880:C:T

c.1735G>A
p.Glu579Lys





19:15454882:G:A
rs781117253
c.1733C>T
p.Ala578Val





19:15454885:G:A
rs971202618
c.1730C>T
p.Pro577Leu





19:15454886:G:T

c.1729C>A
p.Pro577Thr





19:15454889:A:C

c.1726T>G
p.Phe576Val





19:15454890:C:A

c.1725G>T
p.Trp575Cys





19:15454890:C:G
rs750289150
c.1725G>C
p.Trp575Cys





19:15454893:G:C

c.1722C>G
p.Asp574Glu





19:15454894:C:T
rs756371028
c.1722-1G>A






19:15454894:C:A
rs756371028
c.1722-1G>T






19:15454894:C:G

c.1722-1G>C






19:15456102:A:C

c.1721+2T>G






19:15456103:C:T

c.1721+1G>A






19:15456105:C:G
rs767600999
c.1720G>C
p.Asp574His





19:15456105:C:T

c.1720G>A
p.Asp574Asn





19:15456106:G:C
rs750415640
c.1719C>G
p.Tyr573*





19:15456113:T:C

c.1712A>G
p.His571Arg





19:15456116:A:G
rs1196764809
c.1709T>C
p.Ile570Thr





19:15456117:T:C
rs1462715240
c.1708A>G
p.Ile570Val





19:15456122:G:A

c.1703C>T
p.Thr568Ile





19:15456122:G:T

c.1703C>A
p.Thr568Asn





19:15456123:T:G

c.1702A>C
p.Thr568Pro





19:15456126:C:T
rs754024928
c.1699G>A
p.Glu567Lys





19:15456128:A:G

c.1697T>C
p.Phe566Ser





19:15456131:A:C
rs779029568
c.1694T>G
p.Va1565Gly





19:15456131:A:T

c.1694T>A
p.Va1565Asp





19:15456131:A:G

c.1694T>C
p.Va1565Ala





19:15456133:C:G

c.1692G>C
p.Glu564Asp





19:15456134:T:G

c.1691A>C
p.Glu564Ala





19:15456135:C:T
rs1377818782
c.1690G>A
p.Glu564Lys





19:15456137:T:C
rs748268529
c.1688A>G
p.Glu563Gly





19:15456138:C:T
rs202210695
c.1687G>A
p.Glu563Lys





19:15456138:C:T
rs202210695
c.1687G>A
p.Glu563Lys





19:15456140:C:T

c.1685G>A
p.Cys562Tyr





19:15456140:C:A
rs747530731
c.1685G>T
p.Cys562Phe





19:15456145:G:C

c.1680C>G
p.Asn560Lys





19:15456145:G:T
rs771264060
c.1680C>A
p.Asn560Lys





19:15456149:C:T
rs776931516
c.1676G>A
p.Arg559Gln





19:15456149:C:G

c.1676G>C
p.Arg559Pro





19:15456150:G:A
rs577646736
c.1675C>T
p.Arg559Trp





19:15456155:C:T

c.1670G>A
p.Arg557Lys





19:15456157:G:G

c.1661_1667
p.Arg557fs


GCCTGGT

dupACCAGGC






19:15456158:G:A

c.1667C>T
p.Ala556Val





19:15456158:G:C
rs1251136140
c.1667C>G
p.Ala556Gly





19:15456158:G:T

c.1667C>A
p.Ala556Asp





19:15456159:C:G

c.1666G>C
p.Ala556Pro





19:15456161:T:C

c.1664A>G
p.Gln555Arg





19:15456162:G:A

c.1663C>T
p.Gln555*





19:15456162:G:C

c.1663C>G
p.Gln555Glu





19:15456163:G:C

c.1662C>G
p.His554Gln





19:15456163:G:T
rs1439410121
c.1662C>A
p.His554Gln





19:15456165:G:A

c.1660C>T
p.His554Tyr





19:15456166:C:A

c.1659G>T
p.Glu553Asp





19:15456167:T:A

c.1658A>T
p.Glu553Val





19:15456167:T:C

c.1658A>G
p.Glu553Gly





19:15456168:C:T

c.1657G>A
p.Glu553Lys





19:15456171:G:A

c.1654C>T
p.Pro552Ser





19:15456179:G:A
rs1175003446
c.1646C>T
p.Ser549Leu





19:15456182:G:A
rs767155707
c.1643C>T
p.Ala548Val





19:15456185:G:A

c.1640C>T
p.Pro547Leu





19:15456186:G:A
rs773223952
c.1639C>T
p.Pro547Ser





19:15456188:C:T

c.1637G>A
p.Cys546Tyr





19:15456189:A:G
rs187835114
c.1636T>C
p.Cys546Arg





19:15456189:A:G
rs187835114
c.1636T>C
p.Cys546Arg





19:15456189:A:T

c.1636T>A
p.Cys546Ser





19:15456191:T:C
rs1393507557
c.1634A>G
p.Lys545Arg





19:15456194:C:T

c.1631G>A
p.Ser544Asn





19:15456195:TG:T
rs759303224
c.1629delC
p.Ser544fs





19:15456197:G:A

c.1628C>T
p.Pro543Leu





19:15456198:G:A

c.1627C>T
p.Pro543Ser





19:15456199:GT:G
rs764965395
c.1625delA
p.Asp542fs





19:15456201:C:T

c.1624G>A
p.Asp542Asn





19:15456206:TCA:T

c.1617_1618
p.Cys539fs




delTG






19:15456209:C:G
rs753626172
c.1616G>C
p.Cys539Ser





19:15456211:G:T

c.1614C>A
p.Asp538Glu





19:15456212:T:C
rs755196856
c.1613A>G
p.Asp538Gly





19:15456213:C:A

c.1612G>T
p.Asp538Tyr





19:15456216:C:T

c.1609G>A
p.Glu537Lys





19:15456218:G:A
rs765338551
c.1607C>T
p.Thr536Ile





19:15456219:T:C
rs553909686
c.1606A>G
p.Thr536Ala





19:15456225:C:G

c.1600G>C
p.Ala534Pro





19:15456227:C:CA

c.1597dupT
p.Cys533fs





19:15456233:C:T
rs199543113
c.1592G>A
p.Arg531His





19:15456234:G:A
rs758412497
c.1591C>T
p.Arg531Cys





19:15456234:G:T

c.1591C>A
p.Arg531Ser





19:15456236:C:T
rs118046282
c.1589G>A
p.Arg530Gln





19:15456236:C:T
rs118046282
c.1589G>A
p.Arg530Gln





19:15456236:C:A

c.1589G>T
p.Arg530Leu





19:15456237:G:A
rs757758768
c.1588C>T
p.Arg530Trp





19:15456239:A:C

c.1586T>G
p.Va1529Gly





19:15456240:C:G

c.1585G>C
p.Va1529Leu





19:15456240:C:T

c.1585G>A
p.Va1529Met





19:15456243:C:A
rs746261972
c.1582G>T
p.Va1528Phe





19:15456246:G:C

c.1579C>G
p.Gln527Glu





19:15456248:C:T

c.1577G>A
p.Gly526Glu





19:15456249:C:G

c.1577-1G>C






19:15456250:T:C

c.1577-2A>G






19:15456500:A:C

c.1576+2T>G






19:15456501:C:T

c.1576+1G>A






19:15456502:C:T

c.1576G>A
p.Gly526Arg





19:15456509:C:G

c.1569G>C
p.Glu523Asp





19:15456513:T:C

c.1565A>G
p.Gln522Arg





19:15456514:G:T

c.1564C>A
p.Gln522Lys





19:15456522:T:G

c.1556A>C
p.Asp519Ala





19:15456526:G:C

c.1552C>G
p.Gln518Glu





19:15456526:G:T
rs751842419
c.1552C>A
p.Gln518Lys





19:15456528:G:A

c.1550C>T
p.Ala517Val





19:15456528:GC:G

c.1549delG
p.Ala517fs





19:15456532:C:G

c.1546G>C
p.Va1516Leu





19:15456532:C:T

c.1546G>A
p.Va1516Met





19:15456534:A:C

c.1544T>G
p.Leu515Arg





19:15456534:A:G

c.1544T>C
p.Leu515Pro





19:15456535:G:A
rs1217313223
c.1543C>T
p.Leu515Phe





19:15456538:T:G
rs1262108736
c.1540A>C
p.Lys514Gln





19:15456547:C:T

c.1531G>A
p.Glu511Lys





19:15456548:A:C
rs767650947
c.1530T>G
p.Asp510Glu





19:15456550:C:G

c.1528G>C
p.Asp510His





19:15456550:C:T

c.1528G>A
p.Asp510Asn





19:15456551:G:C

c.1527C>G
p.Ile509Met





19:15456552:A:T

c.1526T>A
p.Ile509Asn





19:15456558:T:A

c.1520A>T
p.Lys507Met





19:15456559:T:C

c.1519A>G
p.Lys507Glu





19:15456562:T:C

c.1516A>G
p.Thr506Ala





19:15456565:C:T

c.1513G>A
p.Ala505Thr





19:15456568:A:T

c.1510T>A
p.Leu504Met





19:15456568:A:C
rs780553165
c.1510T>G
p.Leu504Val





19:15456572:G:C
rs754303924
c.1506C>G
p.Asn502Lys





19:15456577:C:T

c.1501G>A
p.Glu501Lys





19:15456579:C:T
rs1158066359
c.1499G>A
p.Arg500Gln





19:15456579:C:G

c.1499G>C
p.Arg500Pro





19:15456580:G:A
rs147146430
c.1498C>T
p.Arg500Trp





19:15456580:G:A
rs147146430
c.1498C>T
p.Arg500Trp





19:15456582:A:G

c.1496T>C
p.Phe499Ser





19:15456585:A:C

c.1493T>G
p.Leu498Arg





19:15456589:G:C
rs998910716
c.1489C>G
p.Leu497Val





19:15456591:G:A
rs756653570
c.1487C>T
p.Ala496Val





19:15456591:G:T
rs756653570
c.1487C>A
p.Ala496Glu





19:15456592:C:T

c.1486G>A
p.Ala496Thr





19:15456594:T:C

c.1484A>G
p.Glu495Gly





19:15456595:C:A
rs780819664
c.1483G>T
p.Glu495*





19:15456595:C:T

c.1483G>A
p.Glu495Lys





19:15456595:C:A
rs780819664
c.1483G>T
p.Glu495*





19:15456597:C:T

c.1481G>A
p.Arg494His





19:15456598:G:C

c.1480C>G
p.Arg494Gly





19:15456598:G:A

c.1480C>T
p.Arg494Cys





19:15456600:C:T

c.1478G>A
p.Gly493Asp





19:15456601:C:T

c.1477G>A
p.Gly493Ser





19:15456603:C:T
rs1350976454
c.1475G>A
p.Gly492Glu





19:15456606:C:T
rs994313694
c.1472G>A
p.Cys491Tyr





19:15456609:C:G

c.1469G>C
p.Arg490Pro





19:15456609:C:T
rs1238820200
c.1469G>A
p.Arg490His





19:15456610:G:A

c.1468C>T
p.Arg490Cys





19:15456613:C:T
rs1349374802
c.1465G>A
p.Ala489Thr





19:15456619:C:T

c.1459G>A
p.Glu487Lys





19:15456621:G:T

c.1457C>A
p.Ala486Glu





19:15456621:G:A
rs775238275
c.1457C>T
p.Ala486Val





19:15456627:C:G
rs1456930964
c.1451G>C
p.Gly484Ala





19:15456636:G:A
rs1255714387
c.1442C>T
p.Thr481Ile





19:15456640:C:A

c.1438G>T
p.Va1480Leu





19:15456645:G:A

c.1433C>T
p.Ala478Val





19:15456645:G:T
rs1178074103
c.1433C>A
p.Ala478Glu





19:15456647:C:T
rs1012898578
c.1432-1G>A






19:15456648:T:C

c.1432-2A>G






19:15457291:C:T

c.1431+1G>A






19:15457293:T:C

c.1430A>G
p.Gln477Arg





19:15457293:T:G
rs1353604539
c.1430A>C
p.Gln477Pro





19:15457296:G:T

c.1427C>A
p.Ala476Glu





19:15457299:C:G

c.1424G>C
p.Arg475Pro





19:15457299:C:T

c.1424G>A
p.Arg475Gln





19:15457300:GGC

c.1412_1422
p.Arg471fs


CGGTGGCCC:G

delGGGCCACC





GGC






19:15457300:G:A

c.1423C>T
p.Arg475Trp





19:15457303:C:G

c.1420G>C
p.Gly474Arg





19:15457305:G:A
rs916427987
c.1418C>T
p.Thr473Ile





19:15457306:TG:T

c.1416delC
p.Thr473fs





19:15457308:G:A

c.1415C>T
p.Ala472Val





19:15457308:G:T
rs1172404085
c.1415C>A
p.Ala472Asp





19:15457308:GC:G

c.1414delG
p.Ala472fs





19:15457309:C:A
rs1389517379
c.1414G>T
p.Ala472Ser





19:15457309:C:T

c.1414G>A
p.Ala472Thr





19:15457311:C:G

c.1412G>C
p.Arg471Pro





19:15457311:C:T
rs754418310
c.1412G>A
p.Arg471Gln





19:15457311:C:A

c.1412G>T
p.Arg471Leu





19:15457312:G:C

c.1411C>G
p.Arg471Gly





19:15457312:G:A
rs142945276
c.1411C>T
p.Arg471Trp





19:15457312:G:A
rs142945276
c.1411C>T
p.Arg471Trp





19:15457313:C:CA

c.1409dupT
p.Arg471fs





19:15457314:A:T

c.1409T>A
p.Leu470Gln





19:15457315:G:T

c.1408C>A
p.Leu470Met





19:15457318:C:T

c.1405G>A
p.Va1469Met





19:15457320:C:A
rs920718703
c.1403G>T
p.Arg468Leu





19:15457321:G:A

c.1402C>T
p.Arg468Cys





19:15457321:G:T

c.1402C>A
p.Arg468Ser





19:15457324:C:T

c.1399G>A
p.Va1467Met





19:15457326:A:G
rs1398927140
c.1397T>C
p.Met466Thr





19:15457330:C:T

c.1393G>A
p.Ala465Thr





19:15457332:GC:G

c.1390delG
p.Ala464fs





19:15457332:G:A

c.1391C>T
p.Ala464Val





19:15457333:C:T
rs567354924
c.1390G>A
p.Ala464Thr





19:15457333:C:A

c.1390G>T
p.Ala464Ser





19:15457335:G:T
rs765698882
c.1388C>A
p.Ala463Glu





19:15457335:G:A
rs765698882
c.1388C>T
p.Ala463Val





19:15457342:C:T

c.1381G>A
p.Glu461Lys





19:15457345:C:T

c.1378G>A
p.Glu460Lys





19:15457347:T:C

c.1376A>G
p.Lys459Arg





19:15457348:T:C

c.1375A>G
p.Lys459Glu





19:15457351:C:A

c.1372G>T
p.Ala458Ser





19:15457354:G:C

c.1369C>G
p.Gln457Glu





19:15457356:G:T
rs1367556445
c.1367C>A
p.Ala456Glu





19:15457356:G:A

c.1367C>T
p.Ala456Val





19:15457363:G:C

c.1360C>G
p.Leu454Val





19:15457365:G:A

c.1358C>T
p.Ala453Val





19:15457365:G:C

c.1358C>G
p.Ala453Gly





19:15457366:C:T
rs1280626470
c.1357G>A
p.Ala453Thr





19:15457366:C:G

c.1357G>C
p.Ala453Pro





19:15457370:C:A
rs1316506522
c.1353G>T
p.Glu451Asp





19:15457371:T:A

c.1352A>T
p.Glu451Val





19:15457372:C:T
rs751164096
c.1351G>A
p.Glu451Lys





19:15457374:AG:A
rs1474348649
c.1348delC
p.Leu450fs





19:15457375:G:C

c.1348C>G
p.Leu450Val





19:15457377:G:T
rs1274052773
c.1346C>A
p.Ala449Asp





19:15457377:G:A

c.1346C>T
p.Ala449Val





19:15457378:C:A
rs1453492582
c.1345G>T
p.Ala449Ser





19:15457381:C:G
rs1246237151
c.1342G>C
p.Gly448Arg





19:15457382:G:T

c.1341C>A
p.Cys447*





19:15457383:C:G

c.1340G>C
p.Cys447Ser





19:15457383:C:T

c.1340G>A
p.Cys447Tyr





19:15457387:G:A

c.1336C>T
p.Leu446Phe





19:15457389:C:A

c.1334G>T
p.Arg445Leu





19:15457389:C:T
rs756989630
c.1334G>A
p.Arg445His





19:15457390:G:A
rs1477377233
c.1333C>T
p.Arg445Cys





19:15457393:C:A
rs1232211700
c.1330G>T
p.Ala444Ser





19:15457394:A:C

c.1329T>G
p.Tyr443*





19:15457395:T:C
rs1165311469
c.1328A>G
p.Tyr443Cys





19:15457395:T:A

c.1328A>T
p.Tyr443Phe





19:15457396:A:G
rs780541443
c.1327T>C
p.Tyr443His





19:15457398:TG:T

c.1324delC
p.His442fs





19:15457398:T:C

c.1325A>G
p.His442Arg





19:15457400:GA:G
rs1403207432
c.1322delT
p.Phe441fs





19:15457402:A:G

c.1321T>C
p.Phe441Leu





19:15457405:T:A

c.1318A>T
p.Thr440Ser





19:15457411:A:T
rs1345321380
c.1312T>A
p.Phe438Ile





19:15457412:C:G

c.1311G>C
p.Glu437Asp





19:15457414:C:T

c.1309G>A
p.Glu437Lys





19:15457416:G:A

c.1307C>T
p.Ala436Val





19:15457416:G:C

c.1307C>G
p.Ala436Gly





19:15457418:CA:C

c.1304delT
p.Leu435fs





19:15457419:A:G

c.1304T>C
p.Leu435Pro





19:15457420:G:C

c.1303C>G
p.Leu435Val





19:15457424:C:A

c.1299G>T
p.Lys433Asn





19:15457425:T:C

c.1298A>G
p.Lys433Arg





19:15457427:G:T

c.1296C>A
p.Tyr432*





19:15457428:T:C

c.1295A>G
p.Tyr432Cys





19:15457428:T:A

c.1295A>T
p.Tyr432Phe





19:15457431:C:A
rs1432273494
c.1292G>T
p.Arg431Leu





19:15457431:C:T

c.1292G>A
p.Arg431His





19:15457433:C:G

c.1290G>C
p.Glu430Asp





19:15457435:C:T

c.1288G>A
p.Glu430Lys





19:15457437:G:A

c.1286C>T
p.Ser429Phe





19:15457440:G:C

c.1283C>G
p.Pro428Arg





19:15457440:G:A

c.1283C>T
p.Pro428Leu





19:15457440:G:T
rs944953328
c.1283C>A
p.Pro428Gln





19:15457441:G:A

c.1282C>T
p.Pro428Ser





19:15457443:A:C

c.1280T>G
p.Leu427Arg





19:15457446:A:C

c.1277T>G
p.Va1426Gly





19:15457446:A:T
rs1226865966
c.1277T>A
p.Va1426Glu





19:15457447:C:A
rs146624357
c.1276G>T
p.Va1426Leu





19:15457447:C:T
rs146624357
c.1276G>A
p.Va1426Met





19:15457447:C:G
rs146624357
c.1276G>C
p.Va1426Leu





19:15457450:G:A
rs900656380
c.1273C>T
p.Arg425Cys





19:15457450:G:T

c.1273C>A
p.Arg425Ser





19:15457450:G:C
rs900656380
c.1273C>G
p.Arg425Gly





19:15457452:A:G

c.1271T>C
p.Leu424Pro





19:15457452:A:C

c.1271T>G
p.Leu424Arg





19:15457453:G:C

c.1270C>G
p.Leu424Val





19:15457455:C:A

c.1268G>T
p.Arg423Leu





19:15457455:C:T
rs749240512
c.1268G>A
p.Arg423His





19:15457456:G:A
rs1487895439
c.1267C>T
p.Arg423Cys





19:15457456:G:T
rs1487895439
c.1267C>A
p.Arg423Ser





19:15457459:G:A

c.1264C>T
p.Arg422Cys





19:15457459:G:T

c.1264C>A
p.Arg422Ser





19:15457461:GC:G

c.1261delG
p.Ala421fs





19:15457462:C:T
rs1434243626
c.1261G>A
p.Ala421Thr





19:15457462:C:A

c.1261G>T
p.Ala421Ser





19:15457464:C:T

c.1259G>A
p.Arg420Gln





19:15457465:G:A

c.1258C>T
p.Arg420Trp





19:15457470:CGC
rs751462297
c.1239_1252
p.Ala414fs


GCCCGCAGCGCT:C

delAGCGCTGC





GGGCGC






19:15457470:C:A

c.1253G>T
p.Arg418Leu





19:15457470:C:T

c.1253G>A
p.Arg418Gln





19:15457473:G:A

c.1250C>T
p.Ala417Val





19:15457473:G:C

c.1250C>G
p.Ala417Gly





19:15457473:G:T

c.1250C>A
p.Ala417Glu





19:15457474:C:T

c.1249G>A
p.Ala417Thr





19:15457476:CG:C

c.1246delC
p.Arg416fs





19:15457476:C:T

c.1247G>A
p.Arg416Gln





19:15457476:C:G

c.1247G>C
p.Arg416Pro





19:15457477:G:A

c.1246C>T
p.Arg416Trp





19:15457479:A:G

c.1244T>C
p.Leu415Pro





19:15457479:A:A

c.1230_1243
p.Leu415fs


GCGCTGCGCCCGCC

dupGGCGGGCG





CAGCGC






19:15457482:G:C

c.1241C>G
p.Ala414Gly





19:15457482:G:A
rs1022457113
c.1241C>T
p.Ala414Val





19:15457484:TGC:T

c.1237_1238
p.Ala413fs




delGC






19:15457485:G:A

c.1238C>T
p.Ala413Val





19:15457487:GC:G

c.1235delG
p.Gly412fs





19:15457488:C:T

c.1235G>A
p.Gly412Asp





19:15457491:G:C

c.1232C>G
p.Ala411Gly





19:15457491:G:A

c.1232C>T
p.Ala411Val





19:15457494:G:C

c.1229C>G
p.Pro410Arg





19:15457497:G:A
rs1401948831
c.1226C>T
p.Ala409Val





19:15457498:C:T

c.1225G>A
p.Ala409Thr





19:15457501:C:G
rs999556364
c.1222G>C
p.Gly408Arg





19:15457501:C:A

c.1222G>T
p.Gly408Trp





19:15457509:G:A
rs1030630132
c.1214C>T
p.Pro405Leu





19:15457510:G:A

c.1213C>T
p.Pro405Ser





19:15457512:A:G
rs960581141
c.1211T>C
p.Phe404Ser





19:15457513:A:G

c.1210T>C
p.Phe404Leu





19:15457514:C:G

c.1209G>C
p.Trp403Cys





19:15457518:C:G

c.1205G>C
p.Arg402Pro





19:15457518:C:A

c.1205G>T
p.Arg402Leu





19:15457519:G:T

c.1204C>A
p.Arg402Ser





19:15457520:C:A

c.1203G>T
p.Glu401Asp





19:15457521:T:G

c.1202A>C
p.Glu401Ala





19:15457524:A:G
rs1425132553
c.1199T>C
p.Leu400Pro





19:15457528:C:A

c.1195G>T
p.Gly399Cys





19:15457528:C:G

c.1195G>C
p.Gly399Arg





19:15457528:C:T

c.1195G>A
p.Gly399Ser





19:15457529:G:GT

c.1193_1194
p.Gly399fs




insA






19:15457530:G:C

c.1193C>G
p.Ala398Gly





19:15457530:G:A

c.1193C>T
p.Ala398Val





19:15457531:C:G

c.1192G>C
p.Ala398Pro





19:15457531:C:T

c.1192G>A
p.Ala398Thr





19:15457533:G:T

c.1190C>A
p.Ala397Asp





19:15457533:G:A

c.1190C>T
p.Ala397Val





19:15457534:C:CA

c.1188dupT
p.Ala397fs





19:15457536:G:T

c.1187C>A
p.Pro396His





19:15457543:G:A
rs748306057
c.1180C>T
p.Arg394Cys





19:15457543:G:T

c.1180C>A
p.Arg394Ser





19:15457543:G:C
rs748306057
c.1180C>G
p.Arg394Gly





19:15457546:G:A

c.1177C>T
p.Pro393Ser





19:15457548:G:T

c.1175C>A
p.Ala392Asp





19:15457549:C:A

c.1174G>T
p.Ala392Ser





19:15457551:T:C
rs556008811
c.1172A>G
p.Asp391Gly





19:15457551:T:A

c.1172A>T
p.Asp391Val





19:15457552:C:T

c.1171G>A
p.Asp391Asn





19:15457554:A:T
rs866848885
c.1169T>A
p.Leu390Gln





19:15457555:G:C

c.1168C>G
p.Leu390Val





19:15457556:C:G

c.1167G>C
p.Glu389Asp





19:15457557:T:A

c.1166A>T
p.Glu389Val





19:15457560:T:C
rs1023531182
c.1163A>G
p.Glu388Gly





19:15457561:C:T

c.1162G>A
p.Glu388Lys





19:15457566:G:T
rs773134508
c.1157C>A
p.Ala386Glu





19:15457569:A:G
rs973966747
c.1154T>C
p.Leu385Pro





19:15457573:C:A

c.1150G>T
p.Ala384Ser





19:15457575:A:G

c.1148T>C
p.Va1383Ala





19:15457576:C:T

c.1147G>A
p.Va1383Met





19:15457576:C:A
rs1211571484
c.1147G>T
p.Va1383Leu





19:15457578:C:A

c.1145G>T
p.Arg382Leu





19:15457578:C:G

c.1145G>C
p.Arg382Pro





19:15457579:G:A

c.1144C>T
p.Arg382Cys





19:15457584:A:G

c.1139T>C
p.Leu380Pro





19:15457587:ACC

c.1116_1135
p.Leu373fs


GCGCTTCCCGGGCCC

delCTTGGGCC



AAG:A

CGGGAAGCGCG





G






19:15457591:C:T
rs1440554116
c.1132G>A
p.Ala378Thr





19:15457593:C:T

c.1130G>A
p.Ser377Asn





19:15457595:TC:T

c.1127delG
p.Gly376fs





19:15457597:C:T

c.1126G>A
p.Gly376Arg





19:15457598:CG:C

c.1124delC
p.Pro375fs





19:15457599:G:A
rs1233120670
c.1124C>T
p.Pro375Leu





19:15457600:G:T
rs1441113917
c.1123C>A
p.Pro375Thr





19:15457602:C:A
rs1176361251
c.1121G>T
p.Gly374Val





19:15457606:A:C

c.1117T>G
p.Leu373Val





19:15457609:C:A

c.1114G>T
p.Gly372Cys





19:15457609:C:G

c.1114G>C
p.Gly372Arg





19:15457614:A:T

c.1109T>A
p.Leu370Gln





19:15457618:G:A

c.1105C>T
p.Arg369Trp





19:15457618:G:C
rs760787761
c.1105C>G
p.Arg369Gly





19:15457620:A:T

c.1103T>A
p.Leu368Gln





19:15457620:A:G

c.1103T>C
p.Leu368Pro





19:15457626:A:C

c.1097T>G
p.Leu366Arg





19:15457629:C:A
rs1404893570
c.1094G>T
p.Arg365Leu





19:15457629:C:G

c.1094G>C
p.Arg365Pro





19:15457630:G:A

c.1093C>T
p.Arg365Cys





19:15457633:G:A

c.1090C>T
p.Arg364Cys





19:15457635:G:T

c.1088C>A
p.Ala363Glu





19:15457638:G:A

c.1085C>T
p.Pro362Leu





19:15457639:G:C
rs1413132324
c.1084C>G
p.Pro362Ala





19:15457641:G:A

c.1082C>T
p.Pro361Leu





19:15457647:G:T
rs1178780974
c.1076C>A
p.Ala359Glu





19:15457647:G:A

c.1076C>T
p.Ala359Val





19:15457648:C:T

c.1075G>A
p.Ala359Thr





19:15457650:T:A
rs1449336739
c.1073A>T
p.Glu358Val





19:15457651:C:G
rs1307326292
c.1072G>C
p.Glu358Gln





19:15457656:T:C

c.1067A>G
p.His356Arg





19:15457663:G:C

c.1060C>G
p.Arg354Gly





19:15457663:G:T

c.1060C>A
p.Arg354Ser





19:15457665:T:C

c.1058A>G
p.Glu353Gly





19:15457666:C:T

c.1057G>A
p.Glu353Lys





19:15457668:GC:G

c.1054delG
p.Ala352fs





19:15457671:C:A

c.1052G>T
p.Trp351Leu





19:15457672:A:G

c.1051T>C
p.Trp351Arg





19:15457674:A:C

c.1049T>G
p.Phe350Cys





19:15457675:A:G

c.1048T>C
p.Phe350Leu





19:15457678:G:A

c.1045C>T
p.Leu349Phe





19:15457678:G:C

c.1045C>G
p.Leu349Val





19:15457680:T:C
rs1199692940
c.1043A>G
p.Gln348Arg





19:15457681:G:A

c.1042C>T
p.Gln348*





19:15457684:C:T
rs1270468737
c.1039G>A
p.Gly347Ser





19:15457684:C:G

c.1039G>C
p.Gly347Arg





19:15457687:G:T

c.1036C>A
p.Pro346Thr





19:15457687:G:A

c.1036C>T
p.Pro346Ser





19:15457689:C:T
rs1273496885
c.1034G>A
p.Gly345Asp





19:15457690:C:G

c.1033G>C
p.Gly345Arg





19:15457690:C:T

c.1033G>A
p.Gly345Ser





19:15457693:C:T

c.1030G>A
p.Ala344Thr





19:15457693:C:G
rs1458909895
c.1030G>C
p.Ala344Pro





19:15457695:C:T
rs1196431457
c.1028G>A
p.Arg343Gln





19:15457695:C:A

c.1028G>T
p.Arg343Leu





19:15457695:C:G

c.1028G>C
p.Arg343Pro





19:15457696:G:A
rs1237178969
c.1027C>T
p.Arg343Trp





19:15457698:G:C

c.1025C>G
p.Pro342Arg





19:15457699:G:A

c.1024C>T
p.Pro342Ser





19:15457701:G:T
rs1279462984
c.1022C>A
p.Ala341Glu





19:15457702:C:T
rs141449041
c.1021G>A
p.Ala341Thr





19:15457704:G:A

c.1019C>T
p.Thr340Met





19:15457708:G:A
rs1477304944
c.1015C>T
p.Arg339Cys





19:15457708:G:T

c.1015C>A
p.Arg339Ser





19:15457710:G:A

c.1013C>T
p.Ala338Val





19:15457711:C:T

c.1012G>A
p.Ala338Thr





19:15457711:C:A
rs1247179377
c.1012G>T
p.Ala338Ser





19:15457713:A:G
rs1310074760
c.1010T>C
p.Leu337Pro





19:15457720:C:T
rs1467499262
c.1003G>A
p.Ala335Thr





19:15457725:T:C
rs751693788
c.998A>G
p.Asp333Gly





19:15457726:C:A

c.997G>T
p.Asp333Tyr





19:15457730:C:T

c.993G>A
p.Trp331*





19:15457732:A:G

c.991T>C
p.Trp331Arg





19:15457734:A:T

c.989T>A
p.Leu330Gln





19:15457737:T:G

c.986A>C
p.Glu329Ala





19:15457738:C:T

c.985G>A
p.Glu329Lys





19:15457740:G:A

c.983C>T
p.Ala328Val





19:15457741:C:A

c.982G>T
p.Ala328Ser





19:15457743:C:T
rs538464444
c.980G>A
p.Arg327His





19:15457744:G:T

c.979C>A
p.Arg327Ser





19:15457744:G:A

c.979C>T
p.Arg327Cys





19:15457747:C:A

c.976G>T
p.Va1326Leu





19:15457747:C:T
rs907894884
c.976G>A
p.Va1326Met





19:15457749:C:G
rs1270683925
c.974G>C
p.Gly325Ala





19:15457750:C:G

c.973G>C
p.Gly325Arg





19:15457750:C:T
rs756825291
c.973G>A
p.Gly325Ser





19:15457753:G:A
rs1230779550
c.970C>T
p.Pro324Ser





19:15457755:G:A

c.968C>T
p.Ala323Val





19:15457755:G:GC

c.967dupG
p.Ala323fs





19:15457756:C:A
rs1189218507
c.967G>T
p.Ala323Ser





19:15457758:C:A

c.965G>T
p.Gly322Val





19:15457759:C:A

c.964G>T
p.Gly322Trp





19:15457761:G:C

c.962C>G
p.Ala321Gly





19:15457762:C:T
rs1255470237
c.961G>A
p.Ala321Thr





19:15457765:C:G

c.958G>C
p.Ala320Pro





19:15457767:G:T

c.956C>A
p.Ala319Glu





19:15457767:G:A

c.956C>T
p.Ala319Val





19:15457768:C:G

c.955G>C
p.Ala319Pro





19:15457770:C:A

c.953G>T
p.Arg318Leu





19:15457770:C:T

c.953G>A
p.Arg318Gln





19:15457771:G:C

c.952C>G
p.Arg318Gly





19:15457773:G:A

c.950C>T
p.Pro317Leu





19:15457779:C:T

c.944G>A
p.Gly315Glu





19:15457779:C:A

c.944G>T
p.Gly315Val





19:15457781:C:A

c.942G>T
p.Lys314Asn





19:15457785:G:T

c.938C>A
p.Ala313Glu





19:15457786:C:T
rs1168909705
c.937G>A
p.Ala313Thr





19:15457787:T:A

c.936A>T
p.Glu312Asp





19:15457788:T:C

c.935A>G
p.Glu312Gly





19:15457788:T:A

c.935A>T
p.Glu312Val





19:15457788:T:G
rs558805318
c.935A>C
p.Glu312Ala





19:15457789:C:T

c.934G>A
p.Glu312Lys





19:15457789:C:A

c.934G>T
p.Glu312*





19:15457790:G:C
rs779546048
c.933C>G
p.His311Gln





19:15457792:G:A

c.931C>T
p.His311Tyr





19:15457794:A:C

c.929T>G
p.Va1310Gly





19:15457795:C:T

c.928G>A
p.Va1310Met





19:15457796:C:T
rs1295482099
c.927G>A
p.Trp309*





19:15457797:C:T

c.926G>A
p.Trp309*





19:15457800:A:C
rs753772158
c.923T>G
p.Va1308Gly





19:15457801:C:T

c.922G>A
p.Va1308Met





19:15457803:C:G

c.920G>C
p.Ser307Thr





19:15457806:A:T

c.917T>A
p.Leu306Gln





19:15457809:C:A
rs1298735005
c.914G>T
p.Trp305Leu





19:15457810:A:G

c.913T>C
p.Trp305Arg





19:15457817:T:G

c.906A>C
p.Glu302Asp





19:15457819:C:T

c.904G>A
p.Glu302Lys





19:15457819:C:G

c.904G>C
p.Glu302Gln





19:15457821:C:T

c.902G>A
p.Arg301Gln





19:15457821:C:G

c.902G>C
p.Arg301Pro





19:15457821:C:A

c.902G>T
p.Arg301Leu





19:15457823:C:A

c.900G>T
p.Glu300Asp





19:15457824:T:G

c.899A>C
p.Glu300Ala





19:15457824:T:C
rs1277291217
c.899A>G
p.Glu300Gly





19:15457825:C:T

c.898G>A
p.Glu300Lys





19:15457825:C:G

c.898G>C
p.Glu300Gln





19:15457828:C:G
rs748014869
c.895G>C
p.Va1299Leu





19:15457828:C:T
rs748014869
c.895G>A
p.Va1299Met





19:15457831:T:C
rs1246597213
c.892A>G
p.Asn298Asp





19:15458329:T:G

c.887A>C
p.Gln296Pro





19:15458329:T:C

c.887A>G
p.Gln296Arg





19:15458330:G:C

c.886C>G
p.Gln296Glu





19:15458332:G:C

c.884C>G
p.Thr295Ser





19:15458337:C:A
rs1467407167
c.879G>T
p.Gln293His





19:15458345:G:T

c.871C>A
p.Gln291Lys





19:15458348:G:T
rs760390003
c.868C>A
p.Arg290Ser





19:15458348:G:A

c.868C>T
p.Arg290Cys





19:15458351:G:T

c.865C>A
p.Arg289Ser





19:15458351:G:A

c.865C>T
p.Arg289Cys





19:15458357:C:T

c.859G>A
p.Asp287Asn





19:15458359:T:C

c.857A>G
p.Glu286Gly





19:15458360:C:T

c.856G>A
p.Glu286Lys





19:15458360:C:G

c.856G>C
p.Glu286Gln





19:15458361:G:C
rs1447123574
c.855C>G
p.Ile285Met





19:154583 63:TC:T

c.852delG
p.Trp284fs





19:15458364:C:T

c.852G>A
p.Trp284*





19:15458368:C:T

c.848G>A
p.Arg283His





19:15458369:G:C

c.847C>G
p.Arg283Gly





19:15458369:G:A
rs753396666
c.847C>T
p.Arg283Cys





19:15458369:G:T

c.847C>A
p.Arg283Ser





19:15458370:GTC:G

c.844_845
p.Asp282fs




delGA






19:15458370:G:T

c.846C>A
p.Asp282Glu





19:15458371:T:C
rs754840921
c.845A>G
p.Asp282Gly





19:15458372:C:A

c.844G>T
p.Asp282Tyr





19:15458373:T:A

c.843A>T
p.Arg281Ser





19:15458374:C:G
rs778870432
c.842G>C
p.Arg281Thr





19:15458377:T:G

c.839A>C
p.Glu280Ala





19:15458384:C:G

c.832G>C
p.Ala278Pro





19:15458386:G:C

c.830C>G
p.Ser277Trp





19:15458386:G:A
rs771324060
c.830C>T
p.Ser277Leu





19:15458386:G:T

c.830C>A
p.Ser277*





19:15458389:C:G

c.827G>C
p.Arg276Pro





19:15458390:G:T

c.826C>A
p.Arg276Ser





19:15458390:G:A
rs934510250
c.826C>T
p.Arg276Cys





19:15458395:G:C

c.821C>G
p.Ser274Cys





19:15458395:G:A

c.821C>T
p.Ser274Phe





19:15458397:G:C

c.819C>G
p.Phe273Leu





19:15458404:C:T

c.812G>A
p.Arg271His





19:15458405:G:A

c.811C>T
p.Arg271Cys





19:15458406:G:C

c.810C>G
p.Ser270Arg





19:15458407:C:T
rs1173834333
c.809G>A
p.Ser270Asn





19:15458410:C:T
rs769782629
c.806G>A
p.Gly269Glu





19:15458413:C:T

c.803G>A
p.Gly268Asp





19:15458414:C:T
rs372081880
c.802G>A
p.Gly268Ser





19:15458414:C:G

c.802G>C
p.Gly268Arg





19:15458416:G:C

c.800C>G
p.Thr267Arg





19:15458416:G:A
rs769063742
c.800C>T
p.Thr267Met





19:15458417:T:A

c.799A>T
p.Thr267Ser





19:15458419:C:A

c.797G>T
p.Trp266Leu





19:15458422:G:T
rs774757566
c.794C>A
p.Thr265Asn





19:15458422:G:A

c.794C>T
p.Thr265Ile





19:15458422:G:C
rs774757566
c.794C>G
p.Thr265Ser





19:15458424:T:TA

c.791dupT
p.Thr265fs





19:15458426:C:T

c.790G>A
p.Va1264Ile





19:15458427:C:T

c.790-1G>A






19:15458527:A:G

c.789+2T>C






19:15458528:C:A

c.789+1G>T






19:15458528:C:T
rs1428428033
c.789+1G>A






19:15458534:A:G

c.784T>C
p.Phe262Leu





19:15458542:G:C

c.776C>G
p.Pro259Arg





19:15458543:G:T

c.775C>A
p.Pro259Thr





19:15458543:G:A

c.775C>T
p.Pro259Ser





19:15458546:C:T

c.772G>A
p.Glu258Lys





19:15458549:C:T
rs1030184347
c.769G>A
p.Gly257Arg





19:15458549:C:A

c.769G>T
p.Gly257Trp





19:15458555:G:A

c.763C>T
p.Leu255Phe





19:15458555:G:C

c.763C>G
p.Leu255Val





19:15458556:G:T

c.762C>A
p.Ser254Arg





19:15458557:C:T
rs762914617
c.761G>A
p.Ser254Asn





19:15458560:G:C

c.758C>G
p.Pro253Arg





19:15458560:G:A
rs1273320781
c.758C>T
p.Pro253Leu





19:15458562:G:GA

c.755_756
p.Ser254fs




insT






19:154585 64:G:A

c.754C>T
p.His252Tyr





19:154585 66:A:T

c.752T>A
p.Leu251Gln





19:15458567:G:C
rs58123634
c.751C>G
p.Leu251Val





19:15458569:G:A

c.749C>T
p.Pro250Leu





19:15458569:G:G

c.745_748
p.Pro250fs


GCCA

dupTGGC






19:15458570:G:A

c.748C>T
p.Pro250Ser





19:15458570:G:C

c.748C>G
p.Pro250Ala





19:15458571:C:T
rs767427724
c.747G>A
p.Trp249*





19:15458572:C:T
rs1163550211
c.746G>A
p.Trp249*





19:15458573:A:G

c.745T>C
p.Trp249Arg





19:15458575:A:G
rs756351701
c.743T>C
p.Ile248Thr





19:15458578:C:T
rs199581398
c.740G>A
p.Arg247Gln





19:15458578:C:T
rs199581398
c.740G>A
p.Arg247Gln





19:15458579:G:A
rs749369708
c.739C>T
p.Arg247Trp





19:15458582:C:T

c.736G>A
p.Va1246Met





19:15458585:C:T
rs1420880592
c.733G>A
p.Asp245Asn





19:15458587:C:T
rs201985806
c.731G>A
p.Arg244Gln





19:15458588:G:C

c.730C>G
p.Arg244Gly





19:15458588:G:A

c.730C>T
p.Arg244Trp





19:15458591:C:T
rs779344192
c.727G>A
p.Glu243Lys





19:15458591:C:G

c.727G>C
p.Glu243Gln





19:15458591:C:A
rs779344192
c.727G>T
p.Glu243*





19:15458593:G:A

c.725C>T
p.Ala242Val





19:15458593:G:C

c.725C>G
p.Ala242Gly





19:15458594:C:T
rs772421463
c.724G>A
p.Ala242Thr





19:15458594:C:A
rs772421463
c.724G>T
p.Ala242Ser





19:15458597:C:T

c.721G>A
p.Gly241Ser





19:15458599:A:G

c.719T>C
p.Leu240Pro





19:15458600:G:C

c.718C>G
p.Leu240Val





19:15458602:T:G

c.716A>C
p.Asp239Ala





19:15458611:G:T

c.707C>A
p.Ser236Tyr





19:15458614:A:T

c.704T>A
p.Leu235His





19:15458615:G:A

c.703C>T
p.Leu235Phe





19:15458617:G:A
rs1168796021
c.701C>T
p.Thr234Ile





19:15458620:G:A
rs201327108
c.698C>T
p.Ala233Val





19:15458620:G:T
rs201327108
c.698C>A
p.Ala233Asp





19:15458621:C:G
rs762316553
c.697G>C
p.Ala233Pro





19:15458621:C:T
rs762316553
c.697G>A
p.Ala233Thr





19:15458625:C:C

c.692_693
p.Leu232fs


GACTG

insCAGTC






19:15458630:C:G
rs1253074870
c.688G>C
p.Glu230Gln





19:15458630:C:T

c.688G>A
p.Glu230Lys





19:15458631:C:G

c.687G>C
p.Arg229Ser





19:15458632:C:G

c.686G>C
p.Arg229Thr





19:15458635:G:A

c.683C>T
p.Ser228Phe





19:15458639:C:T

c.679G>A
p.Gly227Ser





19:15458644:G:A

c.674C>T
p.Ala225Val





19:15458645:C:A
rs774367092
c.673G>T
p.Ala225Ser





19:15458646:A:C

c.672T>G
p.Ser224Arg





19:15458648:T:TG
rs1466816574
c.669dupC
p.Ser224fs





19:15458648:TG:T
rs757167959
c.669delC
p.Ser224fs





19:15458650:G:A

c.668C>T
p.Pro223Leu





19:15458651:G:A

c.667C>T
p.Pro223Ser





19:15458653:G:A

c.665C>T
p.Pro222Leu





19:15458654:G:T

c.664C>A
p.Pro222Thr





19:15458654:G:A

c.664C>T
p.Pro222Ser





19:15458656:C:G
rs1440987947
c.663-1G>C






19:15460193:ACA
rs1157412325
c.662_662+
p.Gly221fs


CCCTTACC:A

9delGGTAAG





GGTG






19:15460202:C:G
rs113218873
c.662+1G>C






19:15460203:C:G

c.662G>C
p.Gly221Ala





19:15460203:C:T
rs774067803
c.662G>A
p.Gly221Glu





19:15460204:C:T
rs980093224
c.661G>A
p.Gly221Arg





19:15460209:C:T
rs367734005
c.656G>A
p.Arg219Gln





19:15460210:G:A
rs200139548
c.655C>T
p.Arg219Trp





19:15460210:G:C

c.655C>G
p.Arg219Gly





19:15460210:G:A
rs200139548
c.655C>T
p.Arg219Trp





19:15460212:G:A

c.653C>T
p.Pro218Leu





19:15460213:G:T
rs374061497
c.652C>A
p.Pro218Thr





19:15460217:C:A

c.648G>T
p.Leu216Phe





19:15460218:A:G
rs760338432
c.647T>C
p.Leu216Ser





19:15460219:A:T
rs766209977
c.646T>A
p.Leu216Met





19:15460220:C:A

c.645G>T
p.Arg215Ser





19:15460222:T:C

c.643A>G
p.Arg215Gly





19:15460225:C:G

c.640G>C
p.Ala214Pro





19:15460226:C:G

c.639G>C
p.Lys213Asn





19:15460227:T:C
rs3764565
c.638A>G
p.Lys213Arg





19:15460231:T:C

c.634A>G
p.Lys212Glu





19:15460232:C:G
rs1329503016
c.633G>C
p.Lys211Asn





19:15460232:C:A

c.633G>T
p.Lys211Asn





19:15460233:T:G
rs759809770
c.632A>C
p.Lys211Thr





19:15460236:T:C

c.629A>G
p.Glu210Gly





19:15460237:C:T

c.628G>A
p.Glu210Lys





19:15460237:C:CT

c.627dupA
p.Glu210fs





19:15460245:C:T

c.620G>A
p.Arg207Lys





19:15460245:C:G

c.620G>C
p.Arg207Thr





19:15460249:T:G
rs1166353201
c.616A>C
p.Lys206Gln





19:15460249:T:C

c.616A>G
p.Lys206Glu





19:15460252:G:T

c.613C>A
p.Leu205Ile





19:15460259:CIG

c.607-1G>C






19:15460260:T:C

c.607-2A>G






19:15461058:A:T

c.606+2T>A






19:15461059:C:T

c.606+1G>A






19:15461061:C:T
rs1189850211
c.605G>A
p.Arg202Gln





19:15461062:G:A
rs764236268
c.604C>T
p.Arg202Trp





19:15461065:C:A

c.601G>T
p.Val201Phe





19:15461065:C:T
rs752002884
c.601G>A
p.Val201Ile





19:15461067:T:C

c.599A>G
p.Asn200Ser





19:15461068:T:C

c.598A>G
p.Asn200Asp





19:15461070:T:C
rs767753533
c.596A>G
p.His199Arg





19:15461073:A:G

c.593T>C
p.Val198Ala





19:15461074:C:G

c.592G>C
p.Val198Leu





19:15461075:C:G

c.591G>C
p.Gln197His





19:15461077:G:T

c.589C>A
p.Gln197Lys





19:15461078:G:T

c.588C>A
p.Asn196Lys





19:15461079:T:C
rs756581550
c.587A>G
p.Asn196Ser





19:15461082:G:C
rs1222776730
c.584C>G
p.Pro195Arg





19:15461085:C:G

c.581G>C
p.Gly194Ala





19:15461089:C:T
rs368197037
c.577G>A
p.Ala193Thr





19:15461089:C:A

c.577G>T
p.Ala193Ser





19:15461091:G:A
rs1397468936
c.575C>T
p.Thr192Ile





19:15461091:G:T

c.575C>A
p.Thr192Asn





19:15461093:CTC
rs748634801
c.563_572
p.Thr188fs


CGGTTCTG:C

delCAGAAC





CGGA






19:15461094:T:G
rs1214898143
c.572A>C
p.Glu191Ala





19:15461094:T:C

c.572A>G
p.Glu191Gly





19:15461097:G:A
rs372259496
c.569C>T
p.Pro190Leu





19:15461097:G:T

c.569C>A
p.Pro190Gln





19:15461098:G:T

c.568C>A
p.Pro190Thr





19:15461099:TTC:T

c.565_566
p.Glu189fs




delGA






19:15461100:T:C

c.566A>G
p.Glu189Gly





19:15461101:C:T

c.565G>A
p.Glu189Lys





19:15461103:G:GT
rs772600619
c.562dupA
p.Thr188fs





19:15461103:G:GT
rs772600619
c.562dupA
p.Thr188fs





19:15461110:C:T
rs1319756002
c.556G>A
p.Gly186Arg





19:15461112:G:A

c.554C>T
p.Pro185Leu





19:15461114:C:T

c.552G>A
p.Met184Ile





19:15461115:A:G
rs777399004
c.551T>C
p.Met184Thr





19:15461118:C:T
rs375319833
c.548G>A
p.Arg183Gln





19:15461119:G:C

c.547C>G
p.Arg183Gly





19:15461119:G:A
rs770941146
c.547C>T
p.Arg183Trp





19:15461121:T:A
rs1010623885
c.545A>T
p.Asp182Val





19:15461220:G:C

c.542C>G
p.Pro181Arg





19:15461221:G:A

c.541C>T
p.Pro181Ser





19:15461227:T:A

c.535A>T
p.Arg179Trp





19:15461236:C:T

c.526G>A
p.Gly176Arg





19:15461238:A:G
rs749451728
c.524T>C
p.Met175Thr





19:15461239:T:C

c.523A>G
p.Met175Val





19:15461241:GC:G

c.520delG
p.Ala174fs





19:15461242:C:A
rs201931477
c.520G>T
p.Ala174Ser





19:15461242:C:A
rs201931477
c.520G>T
p.Ala174Ser





19:15461244:A:G

c.518T>C
p.Val173Ala





19:15461244:A:T
rs774472231
c.518T>A
p.Val173Glu





19:15461245:C:T
rs761907307
c.517G>A
p.Val173Met





19:15461246:G:C

c.516C>G
p.His172Gln





19:15461256:C:T

c.506G>A
p.Gly169Asp





19:15461260:C:T
rs372725125
c.502G>A
p.Glu168Lys





19:15461263:A:G

c.499T>C
p.Ser167Pro





19:15461265:C:T

c.497G>A
p.Ser166Asn





19:15461268:G:A

c.494C>T
p.Ala165Val





19:15461269:C:A

c.493G>T
p.Ala165Ser





19:15461271:C:T
rs1275378471
c.491G>A
p.Ser164Asn





19:15461272:T:G

c.490A>C
p.Ser164Arg





19:15461274:C:T

c.488G>A
p.Gly163Glu





19:15461275:C:A

c.487G>T
p.Gly163*





19:15461277:A:T
rs754268012
c.485T>A
p.Val162Glu





19:15461277:A:G
rs754268012
c.485T>C
p.Val162Ala





19:15461277:A:C

c.485T>G
p.Val162Gly





19:15461278:C:G

c.484G>C
p.Val162Leu





19:15461278:C:T
rs369461607
c.484G>A
p.Val162Met





19:15461280:C:T
rs751182066
c.482G>A
p.Arg161Gln





19:15461280:C:A

c.482G>T
p.Arg161Leu





19:15461281:G:A
rs756715519
c.481C>T
p.Arg161Trp





19:15461283:G:A
rs1267984254
c.479C>T
p.Pro160Leu





19:15461285:C:A

c.477G>T
p.Arg159Ser





19:15461286:C:T
rs527734825
c.476G>A
p.Arg159Lys





19:15461287:T:C

c.475A>G
p.Arg159Gly





19:15461289:C:T
rs750343840
c.473G>A
p.Arg158Gln





19:15461290:G:A
rs756096492
c.472C>T
p.Arg158*





19:15461293:GAC:G

c.467_468
p.Gly156fs




delGT






19:15461295:C:G
rs779795833
c.467G>C
p.Gly156Ala





19:15461296:C:G

c.466G>C
p.Gly156Arg





19:15461296:C:A

c.466G>T
p.Gly156Cys





19:15461297:C:A

c.466-1G>T






19:15461298:T:C

c.466-2A>G






19:15461470:C:A

c.465+1G>T






19:15461471:C:A

c.465G>T
p.Glu155Asp





19:15461473:C:G
rs1442238056
c.463G>C
p.Glu155Gln





19:15461476:C:T
rs1260695178
c.460G>A
p.Glu154Lys





19:15461477:C:G

c.459G>C
p.Glu153Asp





19:15461482:C:T
rs1320650490
c.454G>A
p.Gly152Arg





19:15461484:C:G

c.452G>C
p.Gly151Ala





19:15461485:CAA:C
rs757178824
c.449_450
p.Leu150fs




delTT






19:15461488:G:A

c.448C>T
p.Leu150Phe





19:15461488:G:C

c.448C>G
p.Leu150Val





19:15461490:A:T

c.446T>A
p.Leu149Gln





19:15461494:C:T

c.442G>A
p.Val148Met





19:15461494:C:A

c.442G>T
p.Val148Leu





19:15461503:C:T
rs186740871
c.433G>A
p.Gly145Arg





19:15461505:T:C

c.431A>G
p.Asp144Gly





19:15461514:G:A
rs374597735
c.422C>T
p.Thr141Ile





19:15461518:A:G

c.418T>C
p.Phe140Leu





19:15461519:GC:G

c.416delG
p.Gly139fs





19:15461520:C:T

c.416G>A
p.Gly139Asp





19:15461523:C:T

c.413G>A
p.Gly138Glu





19:15461526:A:G
rs1225364403
c.410T>C
p.Ile137Thr





19:15461529:T:C
rs749979282
c.407A>G
p.Asp136Gly





19:15461530:C:T

c.406G>A
p.Asp136Asn





19:15461533:A:C

c.403T>G
p.Trp135Gly





19:15461539:G:A

c.397C>T
p.Pro133Ser





19:15461542:C:T
rs755654775
c.394G>A
p.Val132Met





19:15461543:G:T

c.393C>A
p.Asn131Lys





19:15461544:T:C
rs1244527526
c.392A>G
p.Asn131Ser





19:15461544:T:A

c.392A>T
p.Asn131Ile





19:15461545:T:C

c.391A>G
p.Asn131Asp





19:15461545:T:G
rs779997139
c.391A>C
p.Asn131His





19:15461547:G:T

c.389C>A
p.Pro130His





19:15461548:G:C

c.388C>G
p.Pro130Ala





19:15461548:G:A

c.388C>T
p.Pro130Ser





19:15461550:G:A

c.386C>T
p.Thr129Ile





19:15461551:T:C
rs368592720
c.385A>G
p.Thr129Ala





19:15461551:TG:T

c.384delC
p.Thr129fs





19:15461553:G:T

c.383C>A
p.Pro128His





19:15461554:G:T

c.382C>A
p.Pro128Thr





19:15461554:G:A

c.382C>T
p.Pro128Ser





19:15461556:G:A

c.380C>T
p.Ala127Val





19:15461556:G:T

c.380C>A
p.Ala127Asp





19:15461556:G:C
rs201037942
c.380C>G
p.Ala127Gly





19:15461557:C:A
rs1429927874
c.379G>T
p.Ala127Ser





19:15461559:T:G

c.377A>C
p.Glu126Ala





19:15461560:C:T
rs569381738
c.376G>A
p.Glu126Lys





19:15461562:G:T

c.374C>A
p.Pro125His





19:15461563:G:T
rs955396267
c.373C>A
p.Pro125Thr





19:15461565:A:G

c.371T>C
p.Ile124Thr





19:15461566:T:C

c.370A>G
p.Ile124Val





19:15461567:C:G

c.369G>C
p.Gln123His





19:15461569:G:A

c.367C>T
p.Gln123*





19:15461569:G:C

c.367C>G
p.Gln123Glu





19:15461569:G:T

c.367C>A
p.Gln123Lys





19:15461572:G:C
rs1267849766
c.364C>G
p.Pro122Ala





19:15461576:AG:A
rs1198600060
c.359delC
p.Pro120fs





19:15461577:G:C

c.359C>G
p.Pro120Arg





19:15461578:G:A
rs987243350
c.358C>T
p.Pro120Ser





19:15461580:G:A
rs1253999758
c.356C>T
p.Prol19Leu





19:15461581:G:T

c.355C>A
p.Prol19Thr





19:15461581:G:C

c.355C>G
p.Prol19Ala





19:15461582:C:A

c.354G>T
p.Glul18Asp





19:15461584:C:CCA

c.350_351
p.Glul18fs




dupTG






19:15461584:C:T

c.352G>A
p.Glul18Lys





19:15461586:A:G
rs201708162
c.350T>C
p.Leul17Pro





19:15461586:A:G
rs201708162
c.350T>C
p.Leul17Pro





19:15461588:C:A

c.348G>T
p.Glul16Asp





19:15461588:C:G
rs536246917
c.348G>C
p.Glul16Asp





19:15461593:G:A
rs778171668
c.343C>T
p.Prol15Ser





19:15461596:C:T
rs747036880
c.340G>A
p.Glul14Lys





19:15461598:G:A
rs777124930
c.338C>T
p.Prol13Leu





19:15461598:G:C

c.338C>G
p.Prol13Arg





19:15461599:G:T
rs746425424
c.337C>A
p.Prol13Thr





19:15461602:C:G
rs770178704
c.334G>C
p.Glul12Gln





19:15461602:C:T

c.334G>A
p.Glul12Lys





19:15461607:T:A

c.329A>T
p.Glul10Val





19:15461608:C:G
rs1357374653
c.329-1G>C






19:15464029:ACC

c.308_328+
p.Pro104_Glu


TGGGGCCTCCTGCTC

1delAGCCGG
110del


CGGCT:A

AGCAGGAGGC





CCCAGG






19:15464030:C:T

c.328+1G>A






19:15464031:C:T

c.328G>A
p.Glu110Lys





19:15464033:G:A

c.326C>T
p.Pro109Leu





19:15464037:C:A

c.322G>T
p.Ala108Ser





19:15464037:C:T

c.322G>A
p.Ala108Thr





19:15464038:C:A

c.321G>T
p.Glu107Asp





19:15464040:C:T

c.319G>A
p.Glu107Lys





19:15464048:G:A
rs1327787958
c.311C>T
p.Pro104Leu





19:15464049:G:C

c.310C>G
p.Pro104Ala





19:15464052:C:G
rs776055237
c.307G>C
p.Glu103Gln





19:15464055:G:C

c.304C>G
p.Pro102Ala





19:15464058:C:G

c.301G>C
p.Asp10lHis





19:15464060:G:A
rs540049265
c.299C>T
p.Pro100Leu





19:15464061:G:A
rs1363443145
c.298C>T
p.Pro100Ser





19:15464062:C:G
rs752695161
c.297G>C
p.Glu99Asp





19:15464064:C:T

c.295G>A
p.Glu99Lys





19:15464064:C:G
rs576289327
c.295G>C
p.Glu99Gln





19:15464066:G:C

c.293C>G
p.Pro98Arg





19:15464066:G:A
rs751814881
c.293C>T
p.Pro98Leu





19:15464066:G:T
rs751814881
c.293C>A
p.Pro98Gln





19:15464067:G:A

c.292C>T
p.Pro98Ser





19:15464069:G:A

c.290C>T
p.Pro97Leu





19:15464069:G:T

c.290C>A
p.Pro97Gln





19:15464070:G:T

c.289C>A
p.Pro97Thr





19:15464072:G:T
rs1427069067
c.287C>A
p.Pro96Gln





19:15464073:G:A
rs1378036418
c.286C>T
p.Pro96Ser





19:15464076:T:C

c.283A>G
p.Asn95Asp





19:15464080:A:C

c.279T>G
p.His93Gln





19:15464082:G:C

c.277C>G
p.His93Asp





19:15464084:C:T
rs1445239502
c.275G>A
p.Arg92Lys





19:15464087:C:T

c.272G>A
p.Gly91Glu





19:15464087:C:A

c.272G>T
p.Gly91Val





19:15464089:C:T

c.270G>A
p.Trp90*





19:15464089:C:A

c.270G>T
p.Trp90Cys





19:15464090:C:G
rs756242926
c.269G>C
p.Trp90Ser





19:15464090:C:A

c.269G>T
p.Trp90Leu





19:15464090:C:T

c.269G>A
p.Trp90*





19:15464091:A:G

c.268T>C
p.Trp90Arg





19:15464094:G:A

c.265C>T
p.Leu89Phe





19:15464096:G:A
rs749804279
c.263C>T
p.Ala88Val





19:15464099:T:C
rs199923468
c.260A>G
p.Lys87Arg





19:15464099:T:C
rs199923468
c.260A>G
p.Lys87Arg





19:15464102:G:A

c.257C>T
p.Ser86Phe





19:15464105:A:G

c.254T>C
p.Leu85Pro





19:15464106:G:C

c.253C>G
p.Leu85Val





19:15464106:G:A
rs1170373350
c.253C>T
p.Leu85Phe





19:15464108:C:G
rs779309220
c.251G>C
p.Arg84Pro





19:15464109:G:A
rs866548350
c.250C>T
p.Arg84*





19:15464114:C:G
rs201278861
c.245G>C
p.Arg82Pro





19:15464114:C:C

c.241_244
p.Arg82fs


GACT

dupAGTC






19:15464115:G:A

c.244C>T
p.Arg82Cys





19:15464115:G:T

c.244C>A
p.Arg82Ser





19:15464118:T:A
rs1336001968
c.241A>T
p.Ser81Cys





19:15464120:G:A
rs541077407
c.239C>T
p.Thr80Ile





19:15464120:G:T

c.239C>A
p.Thr80Asn





19:15464123:C:T
rs776366972
c.236G>A
p.Arg79Gln





19:15464124:G:A

c.235C>T
p.Arg79Trp





19:15464128:C:G
rs758910891
c.231G>C
p.Glu77Asp





19:15464129:TC:T

c.229delG
p.Glu77fs





19:15464129:T:C
rs769350098
c.230A>G
p.Glu77Gly





19:15464132:T:G

c.227A>C
p.Lys76Thr





19:15464135:G:A

c.224C>T
p.Pro75Leu





19:15464136:G:A

c.223C>T
p.Pro75Ser





19:15464136:G:C
rs763038054
c.223C>G
p.Pro75Ala





19:15464139:G:A
rs202135848
c.220C>T
p.Pro74Ser





19:15464139:G:A
rs202135848
c.220C>T
p.Pro74Ser





19:15464140:C:C
rs756180264
c.215_218
p.Pro74fs


GCAG

dupCTGC






19:15464141:G:A

c.218C>T
p.Ala73Val





19:15464142:C:T

c.217G>A
p.Ala73Thr





19:15464150:A:G

c.209T>C
p.Va170Ala





19:15464151:C:T
rs931748374
c.208G>A
p.Va170Ile





19:15464153:C:G
rs867394339
c.206G>C
p.Arg69Pro





19:15464153:C:T

c.206G>A
p.Arg69Gln





19:15464154:G:C
rs1043482008
c.205C>G
p.Arg69Gly





19:15464155:A:A

c.196_203
p.Arg69fs


CGGAATAT

dupATATTC





CG






19:15464156:C:A

c.203G>T
p.Arg68Leu





19:15464156:C:T
rs761696731
c.203G>A
p.Arg68His





19:15464157:G:A

c.202C>T
p.Arg68Cys





19:15464160:A:T

c.199T>A
p.Phe67Ile





19:15464161:T:C
rs1385505858
c.198A>G
p.Ile66Met





19:15464162:A:G
rs1454152498
c.197T>C
p.Ile66Thr





19:15464165:G:A
rs767588134
c.194C>T
p.Ser65Leu





19:15464165:G:T

c.194C>A
p.Ser65*





19:15464168:C:G
rs1395968414
c.191G>C
p.Arg64Pro





19:15464168:C:T

c.191G>A
p.Arg64His





19:15464171:G:A
rs780179344
c.188C>T
p.Pro63Leu





19:15464172:G:C
rs1358010912
c.187C>G
p.Pro63Ala





19:15464174:G:T
rs754330934
c.185C>A
p.Ala62Asp





19:15464177:G:T

c.182C>A
p.Pro61Gln





19:15464177:G:A
rs755529689
c.182C>T
p.Pro61Leu





19:15464181:G:A
rs1205757052
c.178C>T
p.Gln60*





19:15464186:C:T

c.173G>A
p.Ser58Asn





19:15464189:A:C

c.170T>G
p.Va157Gly





19:15464192:A:G

c.167T>C
p.Met56Thr





19:15464193:T:C

c.166A>G
p.Met56Val





19:15464195:G:C

c.164C>G
p.Pro55Arg





19:15464195:G:T
rs200535648
c.164C>A
p.Pro55His





19:15464195:G:A

c.164C>T
p.Pro55Leu





19:15464196:G:A

c.163C>T
p.Pro55Ser





19:15464199:C:T
rs1177777668
c.160G>A
p.Glu54Lys





19:15464202:G:T

c.157C>A
p.Gln53Lys





19:15464206:G:T
rs772498099
c.153C>A
p.Ser51Arg





19:15464207:C:T

c.152G>A
p.Ser51Asn





19:15464210:AG:A

c.148delC
p.Leu50fs





19:15464216:C:T

c.143G>A
p.Arg48Lys





19:15464219:C:T

c.140G>A
p.Gly47Asp





19:15464220:C:A
rs1173736774
c.139G>T
p.Gly47Cys





19:15464220:C:T

c.139G>A
p.Gly47Ser





19:15464221:C:T

c.138G>A
p.Trp46*





19:15464221:C:G
rs1404724547
c.138G>C
p.Trp46Cys





19:15464222:C:G

c.137G>C
p.Trp46Ser





19:15464223:A:G
rs530306832
c.136T>C
p.Trp46Arg





19:15464225:C:A

c.134G>T
p.Gly45Val





19:15464231:A:C

c.128T>G
p.Phe43Cys





19:15464232:A:T
rs935027439
c.127T>A
p.Phe43Ile





19:15464234:C:T
rs1376132540
c.125G>A
p.Arg42His





19:15464235:G:A
rs769410434
c.124C>T
p.Arg42Cys





19:15464235:G:C

c.124C>G
p.Arg42Gly





19:15464236:GC:G

c.122delG
p.Gly41fs





19:15464237:C:T

c.122G>A
p.Gly41Asp





19:15464239:C:T

c.120G>A
p.Trp40*





19:15464239:C:G

c.120G>C
p.Trp40Cys





19:15464243:C:T
rs200316974
c.116G>A
p.Arg39His





19:15464243:C:G

c.116G>C
p.Arg39Pro





19:15464243:C:A
rs200316974
c.116G>T
p.Arg39Leu





19:15464244:G:A
rs1225587629
c.115C>T
p.Arg39Cys





19:15464247:A:C

c.112T>G
p.Phe38Val





19:15464250:C:G
rs1261492475
c.109G>C
p.Gly37Arg





19:15464254:A:A

c.91_104
p.Gly37fs


GCCGCCTTCTCCCC

dupGGGGA





GAAGGCGG





C






19:15464255:GC:G

c.103delG
p.Ala35fs








19:15464256:C:A

c.103G>T
p.Ala35Ser





19:15464258:G:C

c.101C>G
p.Ala34Gly





19:15464258:G:GC

c.100dupG
p.Ala34fs





19:15464258:G:T
rs199767735
c.101C>A
p.Ala34Glu





19:15464258:G:A

c.101C>T
p.Ala34Val





19:15464260:C:A

c.99G>T
p.Lys33Asn





19:15464261:T:G

c.98A>C
p.Lys33Thr





19:15464267:C:G
rs767352560
c.92G>C
p.Gly31Ala





19:15464267:C:T
rs767352560
c.92G>A
p.Gly31Glu





19:15464270:C:T

c.89G>A
p.Gly30Asp





19:15464271:C:T
rs761015979
c.88G>A
p.Gly30Ser





19:15464271:C:A

c.88G>T
p.Gly30Cys





19:15464273:C:G
rs753960572
c.86G>C
p.Gly29Ala





19:15464273:C:T
rs753960572
c.86G>A
p.Gly29Asp





19:15464273:C:A
rs753960572
c.86G>T
p.Gly29Val





19:15464274:C:T

c.85G>A
p.Gly29Ser





19:15464276:CCT:C
rs749536252
c.81_82
p.Gly29fs




delAG






19:15464276:C:T

c.83G>A
p.Gly28Glu





19:15464276:C:A
rs765673574
c.83G>T
p.Gly28Val





19:15464276:C:G

c.83G>C
p.Gly28Ala





19:15464277:C:G

c.82G>C
p.Gly28Arg





19:15464277:C:CT

c.81dupA
p.Gly28fs





19:15464277:C:A

c.82G>T
p.Gly28Trp





19:15464279:G:A

c.80C>T
p.Thr27Ile





19:15464279:G:T
rs1307892327
c.80C>A
p.Thr27Lys





19:15464285:C:T
rs753250537
c.74G>A
p.Trp25*





19:15464288:CG:C
rs1001606025
c.70delC
p.Arg24fs





19:15464288:C:T

c.71G>A
p.Arg24His





19:15464289:G:A

c.70C>T
p.Arg24Cys





19:15464289:G:C
rs1411510013
c.70C>G
p.Arg24Gly





19:15464291:T:C

c.68A>G
p.Tyr23Cys





19:15464294:G:A
rs867608672
c.65C>T
p.Ser22Phe





19:15464300:A:G

c.59T>C
p.Leu20Pro





19:15464303:G:C

c.56C>G
p.Pro19Arg





19:15464304:G:A

c.55C>T
p.Pro19Ser





19:15464304:G:C
rs1478188830
c.55C>G
p.Pro19Ala





19:15464310:T:C

c.49A>G
p.Thr17Ala





19:15464313:C:T

c.46G>A
p.Ala16Thr





19:15464318:G:A

c.41C>T
p.Pro14Leu





19:15464319:G:A

c.40C>T
p.Pro14Ser





19:15464320:C:G
rs1292398611
c.39G>C
p.Gln13His





19:15464322:G:T

c.37C>A
p.Gln13Lys





19:15464324:G:A

c.35C>T
p.Thr12Ile





19:15464328:G:C

c.31C>G
p.GInllGlu





19:15464330:G:T

c.29C>A
p.Ser10Tyr





19:15464331:A:T

c.28T>A
p.Ser10Thr





19:15464334:T:C
rs1219941102
c.25A>G
p.Thr9Ala





19:15464336:C:T
rs779880306
c.23G>A
p.Arg8Gln





19:15464337:G:A
rs1187850062
c.22C>T
p.Arg8Trp





19:15464339:C:T

c.20G>A
p.Ser7Asn





19:15464340:T:C
rs1427406447
c.19A>G
p.Ser7Gly





19:15464344:CGA

c.5_14
p.Asp2fs


CGGTGGGT:C

delACCC





ACCGTC






19:15464345:G:A
rs748756130
c.14C>T
p.Ser5Leu





19:15464346:A:T

c.13T>A
p.Ser5Thr





19:15464348:G:A

c.11C>T
p.Pro4Leu





19:15464348:G:C
rs1031160950
c.11C>G
p.Pro4Arg





19:15464349:G:T

c.10C>A
p.Pro4Thr





19:15464349:G:A

c.10C>T
p.Pro4Ser





19:15464351:G:T

c.8C>A
p.Pro3Gln





19:15464354:T:A

c.5A>T
p.Asp2Val





19:15464356:C:T

c.3G>A
p.Met1?





19:15464356:CA:C

c.2delT
p.Met1fs





19:15464357:AT:A

c.1delA
p.Met1fs





19:15464357:A:T

c.2T>A
p.Met1?





19:15464357:A:G
rs1301714171
c.2T>C
p.Met1?





19:15464378:C:T

c.-19-1G>A






19:15464379:T:G
rs754532721
c.-19-2A>C






19:15464379:T:C

c.-19-2A>G









In some embodiments, the gene burden at least comprises the individual pLOF 19:15457470:CGCGCCCGCAGCGCT:C.


In some embodiments, the subject's gene burden of having any one or more RASAL3 variant nucleic acid molecules encoding a RASAL3 predicted loss-of-function polypeptide represents a weighted aggregate of a plurality of any of the RASAL3 variant nucleic acid molecules encoding a RASAL3 predicted loss-of-function polypeptide. In some embodiments, the gene burden is calculated using at least about 2, at least about 3, at least about 4, at least about 5, at least about 10, at least about 20, at least about 30, at least about 40, at least about 50, at least about 60, at least about 70, at least about 80, at least about 100, at least about 120, at least about 150, at least about 200, at least about 250, at least about 300, at least about 400, at least about 500, at least about 1,000, at least about 10,000, at least about 100,000, or at least about or more than 1,000,000 genetic variants present in or around (up to 10 Mb) the RASAL3 gene where the gene burden is the number of alleles multiplied by the association estimate with inflammatory disease or related outcome for each allele (e.g., a weighted polygenic burden score). This can include any genetic variants, regardless of their genomic annotation, in proximity to the RASAL3 gene (up to 10 Mb around the gene) that show a non-zero association with inflammatory disease-related traits in a genetic association analysis. In some embodiments, when the subject has a gene burden above a desired threshold score, the subject has a decreased risk of developing inflammatory disease. In some embodiments, when the subject has a gene burden below a desired threshold score, the subject has an increased risk of developing inflammatory disease.


In some embodiments, the gene burden may be divided into quintiles, e.g., top quintile, intermediate quintile, and bottom quintile, wherein the top quintile of gene burden corresponds to the lowest risk group and the bottom quintile of gene burden corresponds to the highest risk group. In some embodiments, a subject having a greater gene burden comprises the highest weighted gene burdens, including, but not limited to the top 10%, top 20%, top 30%, top 40%, or top 50% of gene burdens from a subject population. In some embodiments, the genetic variants comprise the genetic variants having association with inflammatory disease in the top 10%, top 20%, top 30%, top 40%, or top 50% of p-value range for the association. In some embodiments, each of the identified genetic variants comprise the genetic variants having association with inflammatory disease with p-value of no more than about 10−2, about 10−3, about 10−4, about 10−5, about 10−6, about 10−7, about 10−8, about 10−9, about 10−19, about 10−11, about 10−12, about 10−13, about 10−14, about or 10−15. In some embodiments, the identified genetic variants comprise the genetic variants having association with inflammatory disease with p-value of less than 5×10−8. In some embodiments, the identified genetic variants comprise genetic variants having association with inflammatory disease in high-risk subjects as compared to the rest of the reference population with odds ratio (OR) about 1.5 or greater, about 1.75 or greater, about 2.0 or greater, or about 2.25 or greater for the top 20% of the distribution; or about 1.5 or greater, about 1.75 or greater, about 2.0 or greater, about 2.25 or greater, about 2.5 or greater, or about 2.75 or greater. In some embodiments, the odds ratio (OR) may range from about 1.0 to about 1.5, from about 1.5 to about 2.0, from about 2.0 to about 2.5, from about 2.5 to about 3.0, from about 3.0 to about 3.5, from about 3.5 to about 4.0, from about 4.0 to about 4.5, from about 4.5 to about 5.0, from about 5.0 to about 5.5, from about 5.5 to about 6.0, from about 6.0 to about 6.5, from about 6.5 to about 7.0, or greater than 7.0. In some embodiments, high-risk subjects comprise subjects having gene burdens in the bottom decile, quintile, or tertile in a reference population. The threshold of the gene burden is determined on the basis of the nature of the intended practical application and the risk difference that would be considered meaningful for that practical application.


In some embodiments, when a subject is identified as having an increased risk of developing inflammatory disease, the subject is further administered a therapeutic agent that treats, prevents, or inhibits inflammatory disease, and/or a RASAL3 inhibitor, as described herein. For example, when the subject is RASAL3 reference, and therefore has an increased risk of developing inflammatory disease, the subject is administered a RASAL3 inhibitor. In some embodiments, such a subject is also administered a therapeutic agent that treats, prevents, or inhibits inflammatory disease. In some embodiments, when the subject is heterozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, the subject is administered the therapeutic agent that treats, prevents, or inhibits inflammatory disease in a dosage amount that is the same as or less than a standard dosage amount, and is also administered a RASAL3 inhibitor. In some embodiments, the subject is RASAL3 reference. In some embodiments, the subject is heterozygous for a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide. Furthermore, when the subject has a lower gene burden for having a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, and therefore has an increased risk of developing inflammatory disease, the subject is administered a therapeutic agent that treats, prevents, or inhibits inflammatory disease. In some embodiments, when the subject has a lower gene burden for having a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, the subject is administered the therapeutic agent that treats, prevents, or inhibits inflammatory disease in a dosage amount that is the same as or greater than the standard dosage amount administered to a subject who has a greater gene burden for having a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide.


The nucleotide sequence of a RASAL3 reference genomic nucleic acid molecule is set forth in SEQ ID NO:1. Referring to SEQ ID NO:1, positions 7,061 to 7,074 is an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide.


A RASAL3 variant genomic nucleic acid molecule exists, wherein the AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 7,061 to 7,074 (referring to SEQ ID NO:1) is omitted. The nucleotide sequence of this RASAL3 variant genomic nucleic acid molecule is set forth in SEQ ID NO:2, and comprises a CG dinucleotide at positions 7,060 to 7,061 (referring to SEQ ID NO:2).


The nucleotide sequence of a RASAL3 reference mRNA molecule is set forth in SEQ ID NO:3. Referring to SEQ ID NO:3, positions 1,298 to 1,311 are an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide.


The nucleotide sequence of another RASAL3 reference mRNA molecule is set forth in SEQ ID NO:4. Referring to SEQ ID NO:4, positions 1,298 to 1,311 are an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide.


The nucleotide sequence of another RASAL3 reference mRNA molecule is set forth in SEQ ID NO:5. Referring to SEQ ID NO:5, positions 1,280 to 1,293 are an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide.


The nucleotide sequence of another RASAL3 reference mRNA molecule is set forth in SEQ ID NO:6. Referring to SEQ ID NO:6, positions 1,770 to 1,783 are an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide.


The nucleotide sequence of another RASAL3 reference mRNA molecule is set forth in SEQ ID NO:7. Referring to SEQ ID NO:7, positions 1,320 to 1,333 are an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide.


The nucleotide sequence of another RASAL3 reference mRNA molecule is set forth in SEQ ID NO:8. Referring to SEQ ID NO:8, positions 1,325 to 1,338 are an AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide.


A RASAL3 variant mRNA molecule exists, wherein the AGCGCUGCGGGCGC tetradecanucleotide (SEQ ID NO:36) at positions 1,298 to 1,311 (referring to SEQ ID NO: 3) is omitted. The nucleotide sequence of this RASAL3 variant mRNA molecule is set forth in SEQ ID NO:9, which comprises a CG dinucleotide at positions 1,297 to 1,298 (referring to SEQ ID NO:9).


Another RASAL3 variant mRNA molecule exists, wherein the AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions 1,298 to 1,311 is omitted. The nucleotide sequence of this RASAL3 variant mRNA molecule is set forth in SEQ ID NO:10, which comprises a CG dinucleotide at positions 1,297 to 1,298 (referring to SEQ ID NO:10).


Another RASAL3 variant mRNA molecule exists, wherein the AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions 1,280 to 1,293 is omitted. The nucleotide sequence of this RASAL3 variant mRNA molecule is set forth in SEQ ID NO:11, which comprises a CG dinucleotide at positions 1,279 to 1,280 (referring to SEQ ID NO:11).


Another RASAL3 variant mRNA molecule exists, wherein the AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions 1,770 to 1,783 is omitted. The nucleotide sequence of this RASAL3 variant mRNA molecule is set forth in SEQ ID NO:12, which comprises a CG dinucleotide at positions 1,769 to 1,770 (referring to SEQ ID NO:12).


Another RASAL3 variant mRNA molecule exists, wherein the AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions 1,320 to 1,333 is omitted. The nucleotide sequence of this RASAL3 variant mRNA molecule is set forth in SEQ ID NO:13, which comprises a CG dinucleotide at positions 1,319 to 1,320 (referring to SEQ ID NO:13).


Another RASAL3 variant mRNA molecule exists, wherein the AGCGCUGCGGGCGC (SEQ ID NO:36) tetradecanucleotide at positions 1,325 to 1,338 is omitted. The nucleotide sequence of this RASAL3 variant mRNA molecule is set forth in SEQ ID NO:14, which comprises a CG dinucleotide at positions 1,324 to 1,325 (referring to SEQ ID NO:14).


The nucleotide sequence of a RASAL3 reference cDNA molecule is set forth in SEQ ID NO:15. Referring to SEQ ID NO:15, positions 1,298 to 1,311 are an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide.


The nucleotide sequence of another RASAL3 reference cDNA molecule is set forth in SEQ ID NO:16. Referring to SEQ ID NO:16, positions 1,298 to 1,311 are an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide.


The nucleotide sequence of another RASAL3 reference cDNA molecule is set forth in SEQ ID NO:17. Referring to SEQ ID NO:17, positions 1,280 to 1,293 are an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide.


The nucleotide sequence of another RASAL3 reference cDNA molecule is set forth in SEQ ID NO:18. Referring to SEQ ID NO:18, positions 1,770 to 1,783 are an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide.


The nucleotide sequence of another RASAL3 reference cDNA molecule is set forth in SEQ ID NO:19. Referring to SEQ ID NO:19, positions 1,320 to 1,333 are an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide.


The nucleotide sequence of another RASAL3 reference cDNA molecule is set forth in SEQ ID NO:20. Referring to SEQ ID NO:20, positions 1,325 to 1,338 are an AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide.


A RASAL3 variant cDNA molecule exists, wherein the AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 1,298 to 1,311 is omitted. The nucleotide sequence of this RASAL3 variant cDNA molecule is set forth in SEQ ID NO:21, which comprises a CG dinucleotide at positions 1,297 to 1,298 (referring to SEQ ID NO:21).


Another RASAL3 variant cDNA molecule exists, wherein the AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 1,298 to 1,311 is omitted. The nucleotide sequence of this RASAL3 variant cDNA molecule is set forth in SEQ ID NO:22, which comprises a CG dinucleotide at positions 1,297 to 1,298 (referring to SEQ ID NO:22).


Another RASAL3 variant cDNA molecule exists, wherein the AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 1,280 to 1,293 is omitted. The nucleotide sequence of this RASAL3 variant cDNA molecule is set forth in SEQ ID NO:23, which comprises a CG dinucleotide at positions 1,279 to 1,280 (referring to SEQ ID NO:23).


Another RASAL3 variant cDNA molecule exists, wherein the AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 1,770 to 1,783 is omitted. The nucleotide sequence of this RASAL3 variant cDNA molecule is set forth in SEQ ID NO:24, which comprises a CG dinucleotide at positions 1,769 to 1,770 (referring to SEQ ID NO:24).


Another RASAL3 variant cDNA molecule exists, wherein the AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 1,320 to 1,333 is omitted. The nucleotide sequence of this RASAL3 variant cDNA molecule is set forth in SEQ ID NO:25, which comprises a CG dinucleotide at positions 1,319 to 1,320 (referring to SEQ ID NO:25).


Another RASAL3 variant cDNA molecule exists, wherein the AGCGCTGCGGGCGC (SEQ ID NO:35) tetradecanucleotide at positions 1,325 to 1,338 is omitted. The nucleotide sequence of this RASAL3 variant cDNA molecule is set forth in SEQ ID NO:26, which comprises a CG dinucleotide at positions 1,324 to 1,325 (referring to SEQ ID NO:26).


The genomic nucleic acid molecules, mRNA molecules, and cDNA molecules can be from any organism. For example, the genomic nucleic acid molecules, mRNA molecules, and cDNA molecules can be human or an ortholog from another organism, such as a non-human mammal, a rodent, a mouse, or a rat. It is understood that gene sequences within a population can vary due to polymorphisms such as single-nucleotide polymorphisms. The examples provided herein are only exemplary sequences. Other sequences are also possible.


Also provided herein are functional polynucleotides that can interact with the disclosed nucleic acid molecules. Examples of functional polynucleotides include, but are not limited to, antisense molecules, aptamers, ribozymes, triplex forming molecules, and external guide sequences. The functional polynucleotides can act as effectors, inhibitors, modulators, and stimulators of a specific activity possessed by a target molecule, or the functional polynucleotides can possess a de novo activity independent of any other molecules.


The isolated nucleic acid molecules disclosed herein can comprise RNA, DNA, or both RNA and DNA. The isolated nucleic acid molecules can also be linked or fused to a heterologous nucleic acid sequence, such as in a vector, or a heterologous label. For example, the isolated nucleic acid molecules disclosed herein can be within a vector or as an exogenous donor sequence comprising the isolated nucleic acid molecule and a heterologous nucleic acid sequence. The isolated nucleic acid molecules can also be linked or fused to a heterologous label. The label can be directly detectable (such as, for example, fluorophore) or indirectly detectable (such as, for example, hapten, enzyme, or fluorophore quencher). Such labels can be detectable by spectroscopic, photochemical, biochemical, immunochemical, or chemical means. Such labels include, for example, radiolabels, pigments, dyes, chromogens, spin labels, and fluorescent labels. The label can also be, for example, a chemiluminescent substance; a metal-containing substance; or an enzyme, where there occurs an enzyme-dependent secondary generation of signal. The term “label” can also refer to a “tag” or hapten that can bind selectively to a conjugated molecule such that the conjugated molecule, when added subsequently along with a substrate, is used to generate a detectable signal. For example, biotin can be used as a tag along with an avidin or streptavidin conjugate of horseradish peroxidate (HRP) to bind to the tag, and examined using a calorimetric substrate (such as, for example, tetramethylbenzidine (TMB)) or a fluorogenic substrate to detect the presence of HRP. Exemplary labels that can be used as tags to facilitate purification include, but are not limited to, myc, HA, FLAG or 3×FLAG, 6×His or polyhistidine, glutathione-S-transferase (GST), maltose binding protein, an epitope tag, or the Fc portion of immunoglobulin. Numerous labels include, for example, particles, fluorophores, haptens, enzymes and their calorimetric, fluorogenic and chemiluminescent substrates and other labels.


The isolated nucleic acid molecules, or the complement thereof, can also be present within a host cell. In some embodiments, the host cell can comprise the vector that comprises any of the nucleic acid molecules described herein, or the complement thereof.


In some embodiments, the nucleic acid molecule is operably linked to a promoter active in the host cell. In some embodiments, the promoter is an exogenous promoter. In some embodiments, the promoter is an inducible promoter. In some embodiments, the host cell is a bacterial cell, a yeast cell, an insect cell, or a mammalian cell. In some embodiments, the host cell is a bacterial cell. In some embodiments, the host cell is a yeast cell. In some embodiments, the host cell is an insect cell. In some embodiments, the host cell is a mammalian cell.


The disclosed nucleic acid molecules can comprise, for example, nucleotides or non-natural or modified nucleotides, such as nucleotide analogs or nucleotide substitutes. Such nucleotides include a nucleotide that contains a modified base, sugar, or phosphate group, or that incorporates a non-natural moiety in its structure. Examples of non-natural nucleotides include, but are not limited to, dideoxynucleotides, biotinylated, aminated, deaminated, alkylated, benzylated, and fluorophor-labeled nucleotides.


The nucleic acid molecules disclosed herein can also comprise one or more nucleotide analogs or substitutions. A nucleotide analog is a nucleotide which contains a modification to either the base, sugar, or phosphate moieties. Modifications to the base moiety include, but are not limited to, natural and synthetic modifications of A, C, G, and T/U, as well as different purine or pyrimidine bases such as, for example, pseudouridine, uracil-5-yl, hypoxanthin-9-yl (I), and 2-aminoadenin-9-yl. Modified bases include, but are not limited to, 5-methylcytosine (5-me-C), 5-hydroxymethyl cytosine, xanthine, hypoxanthine, 2-aminoadenine, 6-methyl and other alkyl derivatives of adenine and guanine, 2-propyl and other alkyl derivatives of adenine and guanine, 2-thiouracil, 2-thiothymine and 2-thiocytosine, 5-halouracil and cytosine, 5-propynyl uracil and cytosine, 6-azo uracil, cytosine and thymine, 5-uracil (pseudouracil), 4-thiouracil, 8-halo, 8-amino, 8-thiol, 8-thioalkyl, 8-hydroxyl and other 8-substituted adenines and guanines, 5-halo (such as, for example, 5-bromo), 5-trifluoromethyl and other 5-substituted uracils and cytosines, 7-methylguanine, 7-methyladenine, 8-azaguanine, 8-azaadenine, 7-deazaguanine, 7-deazaadenine, 3-deazaguanine, and 3-deazaadenine.


Nucleotide analogs can also include modifications of the sugar moiety. Modifications to the sugar moiety include, but are not limited to, natural modifications of the ribose and deoxy ribose as well as synthetic modifications. Sugar modifications include, but are not limited to, the following modifications at the 2′ position: OH; F; O-, S-, or N-alkyl; O-, S-, or N-alkenyl; O-, S- or N-alkynyl; or O-alkyl-O-alkyl, wherein the alkyl, alkenyl, and alkynyl may be substituted or unsubstituted C1-10alkyl or C2-10 alkenyl, and C2-10 alkynyl. Exemplary 2′ sugar modifications also include, but are not limited to, —O[(CH2)n—O]mCH3, —O(CH2)nOCH3, —O(CH2)nNH2, —O(CH2)nCH3, —O(CH2)n—ONH2, and —O(CH2)nON[(CH2)nCH3)]2, where n and m, independently, are from 1 to about 10. Other modifications at the 2′ position include, but are not limited to, C1-10alkyl, substituted lower alkyl, alkaryl, aralkyl, O-alkaryl or O-aralkyl, SH, SCH3, OCN, Cl, Br, CN, CF3, OCF3, SOCH3, SO2CH3, ONO2, NO2, N3, NH2, heterocycloalkyl, heterocycloalkaryl, aminoalkylamino, polyalkylamino, substituted silyl, an RNA cleaving group, a reporter group, an intercalator, a group for improving the pharmacokinetic properties of an oligonucleotide, or a group for improving the pharmacodynamic properties of an oligonucleotide, and other substituents having similar properties. Similar modifications may also be made at other positions on the sugar, particularly the 3′ position of the sugar on the 3′ terminal nucleotide or in 2′-5′ linked oligonucleotides and the 5′ position of 5′ terminal nucleotide. Modified sugars can also include those that contain modifications at the bridging ring oxygen, such as CH2 and S. Nucleotide sugar analogs can also have sugar mimetics, such as cyclobutyl moieties in place of the pentofuranosyl sugar.


Nucleotide analogs can also be modified at the phosphate moiety. Modified phosphate moieties include, but are not limited to, those that can be modified so that the linkage between two nucleotides contains a phosphorothioate, chiral phosphorothioate, phosphorodithioate, phosphotriester, aminoalkylphosphotriester, methyl and other alkyl phosphonates including 3′-alkylene phosphonate and chiral phosphonates, phosphinates, phosphoramidates including 3′-amino phosphoramidate and aminoalkylphosphoramidates, thionophosphoramidates, thionoalkylphosphonates, thionoalkylphosphotriesters, and boranophosphates. These phosphate or modified phosphate linkage between two nucleotides can be through a 3′-5′ linkage or a 2′-5′ linkage, and the linkage can contain inverted polarity such as 3′-5′ to 5′-3′ or 2′-5′ to 5′-2′. Various salts, mixed salts, and free acid forms are also included. Nucleotide substitutes also include peptide nucleic acids (PNAs).


The present disclosure also provides vectors comprising any one or more of the nucleic acid molecules disclosed herein. In some embodiments, the vectors comprise any one or more of the nucleic acid molecules disclosed herein and a heterologous nucleic acid. The vectors can be viral or nonviral vectors capable of transporting a nucleic acid molecule. In some embodiments, the vector is a plasmid or cosmid (such as, for example, a circular double-stranded DNA into which additional DNA segments can be ligated). In some embodiments, the vector is a viral vector, wherein additional DNA segments can be ligated into the viral genome. Expression vectors include, but are not limited to, plasmids, cosmids, retroviruses, adenoviruses, adeno-associated viruses (AAV), plant viruses such as cauliflower mosaic virus and tobacco mosaic virus, yeast artificial chromosomes (YACs), Epstein-Barr (EBV)-derived episomes, and other expression vectors known in the art.


Desired regulatory sequences for mammalian host cell expression can include, for example, viral elements that direct high levels of polypeptide expression in mammalian cells, such as promoters and/or enhancers derived from retroviral LTRs, cytomegalovirus (CMV) (such as, for example, CMV promoter/enhancer), Simian Virus 40 (SV40) (such as, for example, SV40 promoter/enhancer), adenovirus, (such as, for example, the adenovirus major late promoter (AdMLP)), polyoma and strong mammalian promoters such as native immunoglobulin and actin promoters. Methods of expressing polypeptides in bacterial cells or fungal cells (such as, for example, yeast cells) are also well known. A promoter can be, for example, a constitutively active promoter, a conditional promoter, an inducible promoter, a temporally restricted promoter (such as, for example, a developmentally regulated promoter), or a spatially restricted promoter (such as, for example, a cell-specific or tissue-specific promoter).


Percent identity (or percent complementarity) between particular stretches of nucleotide sequences within nucleic acid molecules or amino acid sequences within polypeptides can be determined routinely using BLAST programs (basic local alignment search tools) and PowerBLAST programs (Altschul et al., J. Mol. Biol., 1990, 215, 403-410; Zhang and Madden, Genome Res., 1997, 7, 649-656) or by using the Gap program (Wisconsin Sequence Analysis Package, Version 8 for Unix, Genetics Computer Group, University Research Park, Madison Wis.), using default settings, which uses the algorithm of Smith and Waterman (Adv. Appl. Math., 1981, 2, 482-489). Herein, if reference is made to percent sequence identity, the higher percentages of sequence identity are preferred over the lower ones.


The present disclosure also provides compositions comprising any one or more of the isolated nucleic acid molecules, genomic nucleic acid molecules, mRNA molecules, and/or cDNA molecules disclosed herein. In some embodiments, the composition is a pharmaceutical composition. In some embodiments, the compositions comprise a carrier and/or excipient. Examples of carriers include, but are not limited to, poly(lactic acid) (PLA) microspheres, poly(D,L-lactic-coglycolic-acid) (PLGA) microspheres, liposomes, micelles, inverse micelles, lipid cochleates, and lipid microtubules. A carrier may comprise a buffered salt solution such as PBS, HBSS, etc.


As used herein, the phrase “corresponding to” or grammatical variations thereof when used in the context of the numbering of a particular nucleotide or nucleotide sequence or position refers to the numbering of a specified reference sequence when the particular nucleotide or nucleotide sequence is compared to a reference sequence (such as, for example, SEQ ID NO:1, SEQ ID NO:3, or SEQ ID NO:15). In other words, the residue (such as, for example, nucleotide or amino acid) number or residue (such as, for example, nucleotide or amino acid) position of a particular polymer is designated with respect to the reference sequence rather than by the actual numerical position of the residue within the particular nucleotide or nucleotide sequence. For example, a particular nucleotide sequence can be aligned to a reference sequence by introducing gaps to optimize residue matches between the two sequences. In these cases, although the gaps are present, the numbering of the residue in the particular nucleotide or nucleotide sequence is made with respect to the reference sequence to which it has been aligned.


For example, a RASAL3 nucleic acid molecule comprising a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2 means that if the nucleotide sequence of the RASAL3 genomic nucleic acid molecule is aligned to the sequence of SEQ ID NO:2, the RASAL3 sequence has a CG dinucleotide residue at the position that corresponds to positions 7,061 to 7,074 of SEQ ID NO:2. The same applies for a RASAL3 mRNA molecules comprising a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to positions 1,297 to 1,298 according to SEQ ID NO:9, and a RASAL3 cDNA molecules comprising a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to positions 1,297 to 1,298 according to SEQ ID NO:21. In other words, these phrases refer to a nucleic acid molecule encoding a RASAL3 polypeptide, wherein the genomic nucleic acid molecule has a nucleotide sequence that comprises a CG dinucleotide residue that is homologous to the CG dinucleotide residue at positions 7,061 to 7,074 of SEQ ID NO:2 (or wherein the mRNA molecule has a nucleotide sequence that comprises a CG dinucleotide residue that is homologous to the CG dinucleotide residue at positions 1,297 to 1,298 of SEQ ID NO:9, or wherein the cDNA molecule has a nucleotide sequence that comprises a CG dinucleotide residue that is homologous to the CG dinucleotide residue at positions 1,297 to 1,298 of SEQ ID NO:21).


As described herein, a position within a RASAL3 genomic nucleic acid molecule that corresponds to positions 7,061 to 7,074 according to SEQ ID NO:2, for example, can be identified by performing a sequence alignment between the nucleotide sequence of a particular RASAL3 nucleic acid molecule and the nucleotide sequence of SEQ ID NO:2. A variety of computational algorithms exist that can be used for performing a sequence alignment to identify a nucleotide position that corresponds to, for example, positions 7,061 to 7,074 in SEQ ID NO:2. For example, by using the NCBI BLAST algorithm (Altschul et al., Nucleic Acids Res., 1997, 25, 3389-3402) or CLUSTALW software (Sievers and Higgins, Methods Mol. Biol., 2014, 1079, 105-116) sequence alignments may be performed. However, sequences can also be aligned manually.


The amino acid sequences of RASAL3 reference polypeptides are set forth in SEQ ID NO:27 (Isoform 1), SEQ ID NO:28 (Isoform 2), SEQ ID NO:29 (Isoform 3), SEQ ID NO:30 (Isoform 4), and SEQ ID NO:31 (isoform 5). Referring to SEQ ID NO:27 (Isoform 1), the RASAL3 reference polypeptide is 1,011 amino acids in length. Referring to SEQ ID NO:27, position 414 is an alanine. Referring to SEQ ID NO:28 (Isoform 2), the RASAL3 reference polypeptide is 574 amino acids in length. Referring to SEQ ID NO:28, position 414 is an alanine. Referring to SEQ ID NO:29 (Isoform 3), the RASAL3 reference polypeptide is 568 amino acids in length. Referring to SEQ ID NO:29, position 408 is an alanine. Referring to SEQ ID NO:30 (Isoform 4), the RASAL3 reference polypeptide is 674 amino acids in length. Referring to SEQ ID NO:30, position 145 is an alanine. Referring to SEQ ID NO:31 (Isoform 5), the RASAL3 reference polypeptide is 722 amino acids in length. Referring to SEQ ID NO:30, position 414 is an alanine.


The amino acid sequences of RASAL3 predicted loss-of-function polypeptides are set forth in SEQ ID NO:32 (Ala414fs; Isoform 1), SEQ ID NO:33 (Ala408fs; Isoform 2), and SEQ ID NO:34 (Ala145fs; Isoform 3). Referring to SEQ ID NO:32, (Ala414fs; Isoform 1), position 414 is an aspartic acid. Referring to SEQ ID NO:33, (Ala408fs; Isoform 2), position 408 is an aspartic acid. Referring to SEQ ID NO:34, (Ala145fs; Isoform 3), position 145 is an aspartic acid.


The nucleotide and amino acid sequences listed in the accompanying sequence listing are shown using standard letter abbreviations for nucleotide bases, and three-letter code for amino acids. The nucleotide sequences follow the standard convention of beginning at the 5′ end of the sequence and proceeding forward (i.e., from left to right in each line) to the 3′ end. Only one strand of each nucleotide sequence is shown, but the complementary strand is understood to be included by any reference to the displayed strand. The amino acid sequence follows the standard convention of beginning at the amino terminus of the sequence and proceeding forward (i.e., from left to right in each line) to the carboxy terminus.


The present disclosure also provides therapeutic agents that treat or inhibit an inflammatory disease for use in the treatment of an inflammatory disease (or for use in the preparation of a medicament for treating an inflammatory disease) in a subject, wherein the subject has any of the RASAL3 variant genomic nucleic acid molecules, variant mRNA molecules, and/or variant cDNA molecules encoding a RASAL3 predicted loss-of-function polypeptide described herein. The therapeutic agents that treat or inhibit an inflammatory disease can be any of the therapeutic agents that treat or inhibit an inflammatory disease described herein.


In some embodiments, the subject is identified as having a genomic nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, wherein the genomic nucleic acid molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof.


In some embodiments, the subject is identified as having an mRNA molecule encoding a RASAL3 predicted loss-of-function polypeptide, wherein the mRNA molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof.


In some embodiments, the subject is identified as having a cDNA molecule encoding a RASAL3 predicted loss-of-function polypeptide, wherein the cDNA molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof.


In some embodiments, the subject is identified as having: i) a genomic nucleic acid molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; ii) an mRNA molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; or iii) a cDNA molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof.


In some embodiments, the subject is identified as having a genomic nucleic acid molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof.


In some embodiments, the subject is identified as having an mRNA molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof.


In some embodiments, the subject is identified as having a cDNA molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof.


In some embodiments, the subject is identified as having a RASAL3 predicted loss-of-function polypeptide that comprises an aspartic acid at a position corresponding to: position 414 according to SEQ ID NO:32, position 408 according to SEQ ID NO:34, or position 145 according to SEQ ID NO:35.


The present disclosure also provides RASAL3 inhibitors for use in the treatment of an inflammatory disease (or for use in the preparation of a medicament for treating an inflammatory disease) in a subject, wherein the subject is heterozygous for any of the RASAL3 variant genomic nucleic acid molecules, variant mRNA molecules, and/or variant cDNA molecules encoding a RASAL3 predicted loss-of-function polypeptide described herein, or wherein the subject is reference for a RASAL3 genomic nucleic acid molecule, mRNA molecule, or cDNA molecule. The RASAL3 inhibitors can be any of the RASAL3 inhibitors described herein.


In some embodiments, the subject is reference for a RASAL3 genomic nucleic acid molecule, a RASAL3 mRNA molecule, or a RASAL3 cDNA molecule. In some embodiments, the subject is reference for a RASAL3 genomic nucleic acid molecule. In some embodiments, the subject is reference for a RASAL3 mRNA molecule. In some embodiments, the subject is reference for a RASAL3 cDNA molecule.


In some embodiments, the subject is identified as being heterozygous for a genomic nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide, wherein the genomic nucleic acid molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof.


In some embodiments, the subject is identified as being heterozygous for an mRNA molecule encoding a RASAL3 predicted loss-of-function polypeptide, wherein the mRNA molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof.


In some embodiments, the subject is identified as being heterozygous for a cDNA molecule encoding a RASAL3 predicted loss-of-function polypeptide, wherein the cDNA molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof.


In some embodiments, the subject is identified as being heterozygous for: i) a genomic nucleic acid molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof; ii) an mRNA molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; or iii) a cDNA molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof.


In some embodiments, the subject is identified as being heterozygous for a genomic nucleic acid molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, or the complement thereof.


In some embodiments, the subject is identified as being heterozygous for an mRNA molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof.


In some embodiments, the subject is identified as being heterozygous for a cDNA molecule having a nucleotide sequence encoding a RASAL3 predicted loss-of-function polypeptide, wherein the nucleotide sequence comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:22, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:23, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:24, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:25, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:26, or the complement thereof.


All patent documents, websites, other publications, accession numbers and the like cited above or below are incorporated by reference in their entirety for all purposes to the same extent as if each individual item were specifically and individually indicated to be so incorporated by reference. If different versions of a sequence are associated with an accession number at different times, the version associated with the accession number at the effective filing date of this application is meant. The effective filing date means the earlier of the actual filing date or filing date of a priority application referring to the accession number if applicable. Likewise, if different versions of a publication, website or the like are published at different times, the version most recently published at the effective filing date of the application is meant unless otherwise indicated. Any feature, step, element, embodiment, or aspect of the present disclosure can be used in combination with any other feature, step, element, embodiment, or aspect unless specifically indicated otherwise. Although the present disclosure has been described in some detail by way of illustration and example for purposes of clarity and understanding, it will be apparent that certain changes and modifications may be practiced within the scope of the appended claims.


The following examples are provided to describe the embodiments in greater detail. They are intended to illustrate, not to limit, the claimed embodiments. The following examples provide those of ordinary skill in the art with a disclosure and description of how the compounds, compositions, articles, devices and/or methods described herein are made and evaluated, and are intended to be purely exemplary and are not intended to limit the scope of any claims. Efforts have been made to ensure accuracy with respect to numbers (such as, for example, amounts, temperature, etc.), but some errors and deviations may be accounted for. Unless indicated otherwise, parts are parts by weight, temperature is in ° C. or is at ambient temperature, and pressure is at or near atmospheric.


EXAMPLES
Example 1: A Rare RASAL3 Frameshift Variant is Associated with Lower Lymphocyte Counts and Lower Eosinophil Counts

A burden of pLOFs (M1.1) was used for lookups in meta-analyses of RASAL3 pLOF variant Ala414fs (r5751462297) that include Geisinger Health System (GHS) and The Mount Sinai BioMe cohort (Sinai). A clear protective association was observed between M1.1 and childhood asthma, with a trend for protective effects across other allergic diseases, including food allergy. Table 3 shows association of RASAL3 pLOF variant Ala414fs (r5751462297) with inflammatory diseases.












TABLE 3





Trait
Study
Effect (95% CI)
P-Value















Association with 19:15457470:CGCGCCCGCAGCGCT:C (pLOF, Ala414fs, rs751462297)










Lymphocyte count
UKB
-0.120
9.76E-14




(-0.15, -0.085)






Eosinophil count
UKB
-0.092
1.60E-09




(-0.12, -0.062)











Associations with a burden of pLOFs with MAF <1%










Lymphocyte count
UKB
-0.094
1.30E-12




(-0.12, 0.068)




UKB, GHS
-0.088
5.08E-12




(-0.113, -0.063)






Eosinophil count
UKB
-0.081
4.30E-10




(-0.11, -0.056)




UKB, GHS, Sinai
-0.082
8.60E-11




(-0.106, -0.057)






Food allergy
UKB, GHS, Sinai
0.625
0.011




(0.435, 0.898)






Childhood asthma
UKB, GHS, Sinai
0.732
6.70E-04




(0.611, 0.876)






Asthma
UKB, GHS, Sinai
0.886
0.006




(0.812, 0.966)






Allergic rhinitis
UKB, GHS, Sinai
0.921
0.022




(0.859, 0.988)






Allergy
UKB, GHS, Sinai
0.922
0.01




(0.867, 0.981)
















N cases
N cases



Trait
Study
RR|RA|AA
RR|RA|AA
AAF










Association with 19:15457470:CGCGCCCGCAGCGCT:C (pLOF, Ala414fs, rs751462297)











Lymphocyte count
UKB
414778|3646|15
NA|NA|NA
0.0044





Eosinophil count
UKB
414778|3646|15
NA|NA|NA
0.0044










Associations with a burden of pLOFs with MAF <1%











Lymphocyte count
UKB
413384|5050|15
NA|NA|NA
0.0061



UKB, GHS
514446|5424|15
NA|NA|NA
0.0052





Eosinophil count
UKB
413384|5050|15
NA|NA|NA
0.0061



UKB, GHS, Sinai
520881|5456|15
NA|NA|NA
0.0052





Food allergy
UKB, GHS, Sinai
3616|26|0
317674|3431|7
0.0053





Childhood asthma
UKB, GHS, Sinai
12203|1141
249518|3153|7
0.0062





Asthma
UKB, GHS, Sinai
65280|604|3
317674|3431|7
0.0052





Allergic rhinitis
UKB, GHS, Sinai
111646|1072|3
317674|3431|7
0.0052





Allergy
UKB, GHS, Sinai
158017|1520|5
317674|3431|7
0.0052










Based on GTEx data, expression of RASAL3 was highest in the spleen, transformed B cells, blood, lung, and small intestine (data not shown). In addition, a trend for predisposing association with ulcerative colitis and Crohn's disease was also observed (FIG. 3), suggesting that blockade in lung may be desirable.


Various modifications of the described subject matter, in addition to those described herein, will be apparent to those skilled in the art from the foregoing description. Such modifications are also intended to fall within the scope of the appended claims. Each reference (including, but not limited to, journal articles, U.S. and non-U.S. patents, patent application publications, international patent application publications, gene bank accession numbers, and the like) cited in the present application is incorporated herein by reference in its entirety and for all purposes.

Claims
  • 1. A method of treating a subject having an inflammatory disease, a food allergy, allergic rhinitis, or asthma, the method comprising administering a RAS Protein Activator Like 3 (RASAL3) inhibitor to the subject.
  • 2-4. (canceled)
  • 5. The method according to claim 1, wherein the asthma is childhood asthma.
  • 6. The method according to claim 1, wherein the RASAL3 inhibitor comprises an inhibitory nucleic acid molecule.
  • 7. The method according to claim 6, wherein the inhibitory nucleic acid molecule comprises an antisense nucleic acid molecule, a small interfering RNA (siRNA), or a short hairpin RNA (shRNA) that hybridizes to a RASAL3 reference nucleic acid molecule.
  • 8-14. (canceled)
  • 15. The method according to claim 1, further comprising detecting the presence or absence of a RASAL3 variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide in a biological sample obtained from the subject.
  • 16. The method according to claim 15, further comprising administering a therapeutic agent that treats or inhibits an inflammatory disease in a standard dosage amount to a subject, wherein the RASAL3 variant nucleic acid molecule is absent from the biological sample.
  • 17. The method according to claim 15, further comprising administering a therapeutic agent that treats or inhibits an inflammatory disease in a dosage amount that is the same as or less than a standard dosage amount to a subject that is heterozygous for the RASAL3 variant nucleic acid molecule.
  • 18. The method according to claim 15, wherein the RASAL3 variant nucleic acid molecule encodes Ala414fs, Ala408fs, or Ala145fs.
  • 19. The method according to claim 15, wherein the RASAL3 variant nucleic acid molecule encodes Ala414fs.
  • 20. The method according to claim 18, wherein the RASAL3 variant nucleic acid molecule is: a genomic nucleic acid molecule having a nucleotide sequence comprising a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2;an mRNA molecule having a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, or positions 1,324 to 1,325 according to SEQ ID NO:14; ora cDNA molecule having a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, positions 1,297 to 1,298 according to SEQ ID NO:22, positions 1,279 to 1,280 according to SEQ ID NO:23, positions 1,769 to 1,770 according to SEQ ID NO:24, positions 1,319 to 1,320 according to SEQ ID NO:25, or positions 1,324 to 1,325 according to SEQ ID NO:26.
  • 21. (canceled)
  • 22. The method according to claim 15, wherein the detecting step comprises sequencing at least a portion of the nucleotide sequence of the RASAL3 genomic nucleic acid molecule, or the complement thereof, in the biological sample, wherein the sequenced portion comprises positions corresponding to positions 7,061 to 7,074 according to SEQ ID NO:2, or the complement thereof; wherein when the sequenced portion of the RASAL3 genomic nucleic acid molecule in the biological sample comprises a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, then the RASAL3 genomic nucleic acid molecule in the biological sample is a RASAL3 variant genomic nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide.
  • 23. The method according to claim 15, wherein the detecting step comprises sequencing at least a portion of the nucleotide sequence of the RASAL3 mRNA molecule in the biological sample, wherein the sequenced portion comprises positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; wherein when the sequenced portion of the RASAL3 mRNA molecule in the biological sample comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, or positions 1,324 to 1,325 according to SEQ ID NO:14, then the RASAL3 mRNA molecule in the biological sample is a RASAL3 variant mRNA molecule encoding a RASAL3 predicted loss-of-function polypeptide.
  • 24-35. (canceled)
  • 36. A method of treating a subject with a therapeutic agent that treats or inhibits an inflammatory disease, wherein the subject has an inflammatory disease, the method comprising: determining whether the subject has a RAS Protein Activator Like 3 (RASAL3) variant nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide by: obtaining or having obtained a biological sample from the subject; andperforming or having performed a sequence analysis on the biological sample to determine if the subject has a genotype comprising the RASAL3 variant nucleic acid molecule encoding the RASAL3 predicted loss-of-function polypeptide; andadministering or continuing to administer the therapeutic agent that treats or inhibits an inflammatory disease in a standard dosage amount to a subject that is RASAL3 reference, and administering a RASAL3 inhibitor to the subject; andadministering or continuing to administer the therapeutic agent that treats or inhibits an inflammatory disease in an amount that is the same as or less than a standard dosage amount to a subject that is heterozygous for the RASAL3 variant nucleic acid molecule, and administering a RASAL3 inhibitor to the subject;wherein the presence of a genotype having the RASAL3 variant nucleic acid molecule encoding the RASAL3 predicted loss-of-function polypeptide indicates the subject has a reduced risk of developing an inflammatory disease.
  • 37. The method according to claim 36, wherein the subject is RASAL3 reference, and the subject is administered or continued to be administered the therapeutic agent that treats or inhibits an inflammatory disease in a standard dosage amount, and is administered a RASAL3 inhibitor.
  • 38. The method according to claim 36, wherein the subject is heterozygous for a RASAL3 variant nucleic acid molecule, and the subject is administered or continued to be administered the therapeutic agent that treats or inhibits an inflammatory disease in an amount that is the same as or less than a standard dosage amount, and is administered a RASAL3 inhibitor.
  • 39. The method according to claim 36, wherein the RASAL3 variant nucleic acid molecule encodes Ala414fs, Ala408fs, or Ala145fs.
  • 40. The method according to claim 36, wherein the RASAL3 variant nucleic acid molecule encodes Ala414fs.
  • 41. The method according to claim 39, wherein the RASAL3 variant nucleic acid molecule is: a genomic nucleic acid molecule having a nucleotide sequence comprising a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2;an mRNA molecule having a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, or positions 1,324 to 1,325 according to SEQ ID NO:14; ora cDNA molecule produced from an mRNA molecule, wherein the cDNA molecule has a nucleotide sequence comprising a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:21, positions 1,297 to 1,298 according to SEQ ID NO:22, positions 1,279 to 1,280 according to SEQ ID NO:23, positions 1,769 to 1,770 according to SEQ ID NO:24, positions 1,319 to 1,320 according to SEQ ID NO:25, or positions 1,324 to 1,325 according to SEQ ID NO:26.
  • 42. The method according to claim 36, wherein the sequence analysis comprises sequencing at least a portion of the nucleotide sequence of the RASAL3 genomic nucleic acid molecule, or the complement thereof, in the biological sample, wherein the sequenced portion comprises positions corresponding to positions 7,061 to 7,074 according to SEQ ID NO:2, or the complement thereof; wherein when the sequenced portion of the RASAL3 genomic nucleic acid molecule, or the complement thereof, in the biological sample comprises a CG dinucleotide at positions corresponding to positions 7,060 to 7,061 according to SEQ ID NO:2, then the RASAL3 genomic nucleic acid molecule in the biological sample is a RASAL3 variant genomic nucleic acid molecule encoding a RASAL3 predicted loss-of-function polypeptide.
  • 43. The method according to claim 36, wherein the sequence analysis comprises sequencing at least a portion of the nucleotide sequence of the RASAL3 mRNA molecule, or the complement thereof, in the biological sample, wherein the sequenced portion comprises positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, or the complement thereof; positions 1,297 to 1,298 according to SEQ ID NO:10, or the complement thereof; positions 1,279 to 1,280 according to SEQ ID NO:11, or the complement thereof; positions 1,769 to 1,770 according to SEQ ID NO:12, or the complement thereof; positions 1,319 to 1,320 according to SEQ ID NO:13, or the complement thereof; or positions 1,324 to 1,325 according to SEQ ID NO:14, or the complement thereof; wherein when the sequenced portion of the RASAL3 mRNA molecule in the biological sample comprises a CG dinucleotide at positions corresponding to: positions 1,297 to 1,298 according to SEQ ID NO:9, positions 1,297 to 1,298 according to SEQ ID NO:10, positions 1,279 to 1,280 according to SEQ ID NO:11, positions 1,769 to 1,770 according to SEQ ID NO:12, positions 1,319 to 1,320 according to SEQ ID NO:13, or positions 1,324 to 1,325 according to SEQ ID NO:14, then the RASAL3 mRNA molecule in the biological sample is a RASAL3 variant mRNA molecule encoding a RASAL3 predicted loss-of-function polypeptide.
  • 44-56. (canceled)
  • 57. The method according to claim 36, wherein the RASAL3 inhibitor comprises an inhibitory nucleic acid molecule.
  • 58. The method according to claim 57, wherein the inhibitory nucleic acid molecule comprises an antisense nucleic acid molecule, a small interfering RNA (siRNA), or a short hairpin RNA (shRNA) that hybridizes to a RASAL3 nucleic acid molecule.
  • 59-97. (canceled)
Provisional Applications (1)
Number Date Country
63237018 Aug 2021 US