356: Recessive Coding Associations Across Six Biobanks

Lassen F et al., The American Journal of Human Genetics - Meta-analysis of up to 948,690 exome- or whole-genome-sequenced individuals across six biobanks used statistical phasing to infer compound-heterozygous genotypes, increasing detectable bi-allelic damaging genotypes by 19% and identifying 58 significant gene-trait associations, 17 of which show stronger recessive effects. Key terms: recessive genetics, compound heterozygous, biobank meta-analysis, loss-of-function, statistical phasing. Study Highlights:The study combined data from UKB, All of Us, 100kGP, Genes & Health, BioMe, and BBJ totaling 948,690 samples and phased rare variants to detect compound-heterozygous genotypes. Phasing increased the number of bi-allelic damaging genotypes by 19% and identified 5,563 genes with bi-allelic pLoF genotypes. Gene-based recessive testing across 41 traits found 58 significant associations after meta-analysis and Cauchy combination, with 17 instances showing stronger recessive than additive effects, including HBB with heart failure and LECT2 with height. The federated, cross-biobank approach improved power and highlighted the value of diverse ancestries for discovering recessive effects. Conclusion:Federated meta-analysis across multiple biobanks combined with statistical phasing substantially increases discovery of rare recessive gene-trait associations and expands the catalog of human gene knockouts, demonstrating the importance of phasing and diverse cohorts for recessive-effect discovery. Music:Enjoy the music based on this article at the end of the episode. Article title:Meta-analysis across six global biobanks identifies recessive coding associations with complex traits and diseases First author:Lassen F Journal:The American Journal of Human Genetics DOI:10.1016/j.ajhg.2026.04.005 Reference:Lassen F.H. et al., 2026. Meta-analysis across six global biobanks identifies recessive coding associations with complex traits and diseases. The American Journal of Human Genetics 113, 1–17. https://doi.org/10.1016/j.ajhg.2026.04.005 License:This episode is based on an open-access article published under the Creative Commons Attribution 4.0 International License (CC BY 4.0) – https://creativecommons.org/licenses/by/4.0/ Support:Base by Base – Stripe donations: https://donate.stripe.com/7sY4gz71B2sN3RWac5gEg00 Official website https://basebybase.com On PaperCast Base by Base you'll discover the latest in genomics, functional genomics, structural genomics, and proteomics. Episode link: https://basebybase.com/episodes/recessive-coding-associations-six-biobanks QC:This episode was checked against the original article PDF and publication metadata for the episode release published on 2026-05-03. QC Scope:- article metadata and core scientific claims from the narration- excludes analogies, intro/outro, and music- transcript coverage: Audited transcript sections describing: the role of statistical phasing to identify compound-heterozygous genotypes, the scale across six biobanks (~950k individuals), the rise in bi-allelic genotypes, and key recessive gene–trait associations (HBB, LECT2, ENSG00000267561, PYGM, ODAD1), plus pleiotropy and conditional- transcript topics: Introduction to human knockouts and biobank-scale data; Compound heterozygosity and the need for phasing; Statistical phasing across six biobanks and study scale; Gene-based recessive associations across 41 traits; Notable associations: HBB with heart failure and lipids; LECT2 with height; ENSG00000267561 with height; BTNL9 association with HDL-C and triglycerides QC Summary:- factual score: 10/10- metadata score: 10/10- supported core claims: 7- claims flagged for review: 0- metadata checks passed: 4- metadata issues found: 0<... Chapters (00:00:11) - The Hidden World of Human Knockouts(00:06:52) - The genetic knockouts of the UK and Japan(00:09:47) - The Mendelian genetic mystery of heart disease(00:12:28) - The HBB Paradox(00:17:54) - The genetic determinants of healthcare(00:19:00) - What Happens to Medicine When we Sequence a Billion People?