Systematic analysis of insertions signature in gnomAD revealed large set of novel processed pseudogenes

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The paper investigates how processed pseudogenes (PPs), which are absent from the reference genome and highly similar to their parental genes, create characteristic artefacts in germline variant calling from short-read sequencing. Using cohort-level summaries from gnomAD, the authors show that non-reference PPs produce a distinctive signature—long insertions at exon-intron boundaries—that can be mapped to other exons of the same gene, allowing PP detection without sample-level inspection. They mined gnomAD to catalog non-reference PPs, uncovering 1,498 PPs, 1,268 of which were novel and absent from the latest GENCODE release, and present this as a resource to improve variant interpretation, with the implied limitation that it focuses on insertions artefacts rather than directly validating function or transcriptional activity. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract Pseudogenes are non-functional copies of protein-coding genes that arise through genomic duplication or retrotransposition. Processed pseudogenes (PPs) is the most abundant class of pseudogenes, which is generated via mRNA reverse transcription and subsequent cDNA integration. Presence of PPs complicates the analysis of short read sequencing data due to high similarity with parental gene and frequent absence from reference genome. Here we demonstrate that the presence of non-reference (absent from reference genome) PPs leads to the very distinctive artefact of germline variant calling - long insertions on exon-intron boundaries, which sequences could be mapped to other exons of the same gene. We showed that by detecting these artifacts it is possible to identify non-reference PPs existence based on the cohort summary statistics without analysing sample-level data. We used identified signature of PPs presence to systematically mine the gnomAD database which currently contains over 70,000 whole-genome and over 700,000 exome samples to describe novel non-reference PPs. Our approach uncovered 1498 non-reference PPs of which 1268 were novel and absent in the latest GENCODE release. This resource enhances the accuracy of variant interpretation and contributes to a deeper understanding of pseudogenes diversity across human populations. Competing Interest Statement The authors have declared no competing interest.

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