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Genetic Research in Scotland's Northern Isles

Uncovering genetic insights from Orkney and Shetland populations.

Shona M. Kerr, Lucija Klaric, Marisa D. Muckian, Kiera Johnston, Camilla Drake, Mihail Halachev, Emma Cowan, Lesley Snadden, John Dean, Sean L. Zheng, Prisca K. Thami, James S. Ware, Gannie Tzoneva, Alan R. Shuldiner, Zosia Miedzybrodzka, James F. Wilson

― 8 min read


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In the Northern Isles of Scotland, particularly Orkney and Shetland, there's a unique opportunity to learn about genetics. These islands have some of the world's most closely related populations. Why does that matter? Well, it can help scientists identify genetic diseases more easily and figure out how to help people who carry certain Genes. By looking closely at their genes, researchers can also learn more about how these genes work in health and illness.

What are Genes and How Do They Work?

Genes are tiny bits of information that tell our bodies how to work. They are like instructions for making proteins, which do most of the work in our cells. Imagine trying to cook a fancy meal without a recipe. It would be a bit messy! Genes work as recipes for our bodies, helping to create everything from our hair color to how our immune systems fight off germs.

When something goes wrong with a gene, it can lead to diseases. This can happen through changes or mutations in the gene's structure. Some people carry these changes without any problems, while others may develop illnesses due to them. Scientists want to know which gene changes are harmful, and they want to help those who may be affected.

The Role of Gene Sequencing

One way scientists study genes is through sequencing. This means they look at the exact order of the building blocks that make up DNA, which is the material genes are made of. There are different types of sequencing, but two important ones are whole exome sequencing and whole genome sequencing.

  • Whole Exome Sequencing (WES): This focuses on the parts of the DNA that make proteins. These are the parts most likely to contain mutations that could cause diseases.
  • Whole Genome Sequencing (WGS): This checks the entire DNA, looking at everything, including the non-coding regions that don’t directly make proteins but can still affect how genes work.

In Viking Genes, researchers use these methods to look for troublesome gene changes.

The ACMG Gene List

To help guide researchers, the American College of Medical Genetics and Genomics (ACMG) provides a list of genes that should be checked for important changes. This list has 81 genes, and researchers look for specific types of mutations that are known to cause diseases. If they find changes that could lead to health problems, they can take actions to help participants.

This is important because finding these changes early might allow doctors to intervene and prevent diseases from developing or getting worse. It’s like finding a flat tire before you drive very far-better to fix it now than deal with a breakdown later!

Collecting Samples and Data

For their research, scientists recruited volunteers from the Northern Isles. These volunteers were asked to donate samples, which could be blood or saliva, so researchers could analyze their genes. They collected data about people's health and family history too. This helps them understand how the genes might be affecting the health of people in these communities.

With modern technology, the researchers can store and manage this information effectively, making it easier to analyze later.

The Importance of Informed Consent

Before collecting samples, researchers made sure to get informed consent from all participants. This means that volunteers were fully aware of the study's purpose and understood what it meant to participate. They were given clear options about whether they wanted their genetic information returned to them. Many folks said "yes," curious about what their DNA might reveal.

How the Research Works

After collecting samples, researchers use exome and genome sequencing to look for gene changes. They compare these changes to the ACMG gene list and databases like ClinVar, which contains information about known genetic variations. The goal is to identify "actionable variants"-gene changes that could potentially lead to health issues.

If they find a worrying gene change, they can flag it for further review by medical experts. However, it’s important to note that not all findings will be returned to participants, especially if the changes aren't linked to known health problems.

What They Found

In their research, they discovered a number of actionable variants. These are gene changes that could potentially lead to health issues. Out of the volunteers, they found that about 2.5% had one or more of these actionable gene variants. They focused on several types of diseases, mainly inherited cancer, heart conditions, and metabolic disorders.

They also found some rare variants heavy in the local gene pool-who knew that genes from a long time ago could stick around like an unwanted house guest? These variants may be more common among these isolated populations because of genetic drift. Essentially, because the gene pool is relatively small, certain gene changes can become quite common over generations.

The Challenges of Returning Results

When it comes to returning results to participants, there are several challenges. For starters, not all variants are clear-cut. Some may be found in a person but don’t lead to any significant health issues. Doctors must carefully review each potential finding before deciding what to share with participants.

On top of that, not everyone may want to know their genetic information. Some people prefer to keep their health issues under wraps. Researchers make sure they respect all choices and only return information that could genuinely help the participants.

Additionally, participants need proper counseling to understand their results. It’s important they know what their genetic information means for their health and the health of their family members.

The Impact of Genetic Awareness

Returning results from genetic research can be a double-edged sword. While it provides valuable information, it can also bring anxiety. Imagine finding out you carry a gene linked to a disease-not exactly your typical rainy day news! However, it can also lead to better health outcomes, as individuals become aware of their risks and can take steps to mitigate them.

More awareness about genetic risks can lead to better screening and preventative measures. If doctors know that certain variants are more common in a population, they can prioritize testing for those variants in clinical settings.

Population-Specific Variants

The Northern Isles populations have unique variants that differ from larger populations. For instance, the BRCA1 and BRCA2 genes, which are associated with breast and ovarian cancer, have higher frequencies among the Orcadians and Shetlanders. This means that a person from these islands has a better chance of carrying these gene changes compared to someone from the mainland.

Thanks to the genetic isolation of these populations, scientists can spot trends and patterns that might not be as clear in larger, more mixed populations. It paints a picture of how genetics works differently in various communities.

Opportunities for Targeted Screening

With their findings, the researchers believe that targeted screening could significantly benefit the Northern Isles populations. Since there are known variants that are particularly common in specific communities, they could improve screening efforts for those variants. This could allow healthcare providers to offer preventative care where it’s needed most.

For instance, if someone’s family traces back to a particular isle where a gene variant is common, they could be encouraged to get tested for that specific variant. This could lead to earlier interventions and better health outcomes.

The Journey of Research

The Viking Genes project has been a long and detailed journey, with researchers delving deep into genetics over many years. They’ve gathered a wealth of information about the genes present in these populations, and they continue to refine their findings as technology improves and more data is collected.

The way they work can be compared to solving a complex puzzle, where every piece of information helps to complete the overall picture of health in the Northern Isles. And just like a puzzle, every little detail matters-it could mean the difference between a harmless variant and one that may lead to serious health issues.

Conclusion: Moving Forward

As research continues, the Viking Genes project aims to keep exploring how genetics influences health in these communities. They hope to encourage people to take an active role in their health journeys by understanding their genetic risks.

While navigating the world of genetics can be intricate, the knowledge gained not only benefits the individuals directly involved but can potentially lead to advancements in healthcare that impact entire populations. So next time you hear someone mention "genetics," just remember: it’s a little like baking-the right ingredients can make a big difference!

Original Source

Title: Identification of actionable genetic variants in 4,198 Scottish volunteers from the Viking Genes research cohort and implementation of return of results

Abstract: The benefits of returning clinically actionable genetic results to participants in research cohorts are accruing, yet such a genome-first approach is challenging. Here, we describe the return of such results in two founder populations from Scotland. Between 2005 and 2015, we recruited >4,000 adults with grandparents from Orkney and Shetland into the Viking Genes research cohort. Return of genetic data was not offered at baseline, but in 2023 we sent invitations for consent to return of actionable genetic findings to participants. We generated exome sequence data from 4,198 participants, and used the ACMG v3.2 list of 81 genes, ClinVar review and pathogenicity status, plus manual curation, to develop a pipeline to identify potentially actionable variants. We identified 104 individuals (2.5%) carrying 108 actionable genotypes at 39 variants in 23 genes, and validated these. Working with the NHS clinical genetics service, which provided genetic counselling and clinical verification of the research results, and after expert clinical review, we notified 64 consenting participants (or their next of kin) of their actionable genotypes. Ten actionable variants across seven genes (BRCA1, BRCA2, ATP7B, TTN, KCNH2, MUTYH, GAA ) have risen 50 to >3,000-fold in frequency through genetic drift in ancestral island localities. Viking Genes is one of the first UK research cohorts to return actionable findings, providing an ethical and logistical exemplar of return of results. The genetic structure in the Northern Isles of Scotland, with multiple founder effects, provides a unique opportunity for a tailored approach to primary and secondary prevention through genetic screening.

Authors: Shona M. Kerr, Lucija Klaric, Marisa D. Muckian, Kiera Johnston, Camilla Drake, Mihail Halachev, Emma Cowan, Lesley Snadden, John Dean, Sean L. Zheng, Prisca K. Thami, James S. Ware, Gannie Tzoneva, Alan R. Shuldiner, Zosia Miedzybrodzka, James F. Wilson

Last Update: 2024-11-05 00:00:00

Language: English

Source URL: https://www.medrxiv.org/content/10.1101/2024.11.01.24316571

Source PDF: https://www.medrxiv.org/content/10.1101/2024.11.01.24316571.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to medrxiv for use of its open access interoperability.

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