Advancing Human Genetics Research and Drug Discovery through Exome Sequencing of the UK Biobank

The UK Biobank Exome Sequencing Consortium (UKB-ESC) is a unique private/public partnership between the UK Biobank and eight biopharma companies that will sequence the exomes of all ~500,000 UK Biobank participants. Here we describe early results from the exome sequence data generated by this consortium for the first ~200,000 UKB subjects and the key features of this project that enabled the UKB-ESC to come together and generate this data. Exome sequencing data from the first 200,643 UKB enrollees are now accessible to the research community. Approximately 10M variants were observed within the targeted regions, including: 8,086,176 SNPs, 370,958 indels and 1,596,984 multi-allelic variants. Of the ~8M variants observed, 84.5% are coding variants and include 2,139,318 (25.3%) synonymous, 4,549,694 (53.8%) missense, 453,733 (5.4%) predicted loss-of-function (LOF) variants (initiation codon loss, premature stop codons, stop codon loss, splicing and frameshift variants) affecting at least one coding transcript. This open access data provides a rich resource of coding variants for rare variant genetic studies and is particularly valuable for drug discovery efforts that utilize rare, functionally consequential variants. The UKB-ESC was formed to address the need for large-scale human genetics data to drive drug discovery, and to enhance the UK Biobank with a valuable data resource that will be available to the broad biomedical research community. We describe the rationale for the use of human genetics in drug discovery as well as lessons learned from the formation and implementation of the UKB-ESC.