RT Journal Article SR Electronic T1 Ultra-rare disruptive and damaging mutations influence educational attainment in the general population JF bioRxiv FD Cold Spring Harbor Laboratory SP 050195 DO 10.1101/050195 A1 Andrea Ganna A1 Giulio Genovese A1 Daniel P. Howrigan A1 Andrea Byrnes A1 Mitja Kurki A1 Seyedeh M. Zekavat A1 Christopher W. Whelan A1 Mart Kals A1 Michel G. Nivard A1 Alex Bloemendal A1 Jonathan M. Bloom A1 Jacqueline I. Goldstein A1 Timothy Poterba A1 Cotton Seed A1 Robert E. Handsaker A1 Pradeep Natarajan A1 Reedik Mägi A1 Diane Gage A1 Elise B. Robinson A1 Andres Metspalu A1 Veikko Salomaa A1 Jaana Suvisaari A1 Shaun M. Purcell A1 Pamela Sklar A1 Sekar Kathiresan A1 Mark J. Daly A1 Steven A. McCarroll A1 Patrick F. Sullivan A1 Aarno Palotie A1 Tõnu Esko A1 Christina Hultman A1 Benjamin M. Neale YR 2016 UL http://biorxiv.org/content/early/2016/06/06/050195.abstract AB Ultra-rare inherited and de novo disruptive variants in highly constrained (HC) genes are enriched in neurodevelopmental disorders 1–5. However, their impact on cognition in the general population has not been explored. We hypothesize that disruptive and damaging ultra-rare variants (URVs) in HC genes not only confer risk to neurodevelopmental disorders, but also influence general cognitive abilities measured indirectly by years of education (YOE). We tested this hypothesis in 14,133 individuals with whole exome or genome sequencing data. The presence of one or more URVs was associated with a decrease in YOE (3.1 months less for each additional mutation; P-value=3.3×10−8) and the effect was stronger in HC genes enriched for brain expression (6.5 months less, P-value=3.4×10−5). The effect of these variants was more pronounced than the estimated effects of runs of homozygosity and pathogenic copy number variation 6–9. Our findings suggest that effects of URVs in HC genes are not confined to severe neurodevelopmental disorder, but influence the cognitive spectrum in the general population