Nature · 2020

The mutational constraint spectrum quantified from variation in 141,456 humans

Karczewski KJ, Francioli LC, Tiao G, Cummings BB, Alföldi J, Wang Q, Collins RL, Laricchia KM, Ganna A, Birnbaum DP, Gauthier LD, Brand H, Solomonson M, Watts NA, Rhodes D, Singer-Berk M, England EM, Seaby EG, Kosmicki JA, Walters RK, Tashman K, Farjoun Y, Banks E, Poterba T, Wang A, Seed C, Whiffin N, Chong JX, Samocha KE, Pierce-Hoffman E, Zappala Z, O'Donnell-Luria AH, Minikel EV, Weisburd B, Lek M, Ware JS, Vittal C, Armean IM, Bergelson L, Cibulskis K, Connolly KM, Covarrubias M, Donnelly S, Ferriera S, Gabriel S, Gentry J, Gupta N, Jeandet T, Kaplan D, Llanwarne C, Munshi R, Novod S, Petrillo N, Roazen D, Ruano-Rubio V, Saltzman A, Schleicher M, Soto J, Tibbetts K, Tolonen C, Wade G, Talkowski ME, Genome Aggregation Database Consortium, Neale BM, Daly MJ, MacArthur DG.

Show affiliations
  • Karczewski KJProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. konradk@broadinstitute.org.
  • Francioli LCProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Tiao GProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Cummings BBProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Alföldi JProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Wang QProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Collins RLProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Laricchia KMProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Ganna AProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Birnbaum DPProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Gauthier LDData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Brand HProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Solomonson MProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Watts NAProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Rhodes DCentre for Translational Bioinformatics, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London and Barts Health NHS Trust, London, UK.
  • Singer-Berk MProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • England EMProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Seaby EGProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Kosmicki JAProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Walters RKProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Tashman KProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Farjoun YData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Banks EData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Poterba TProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Wang AProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Seed CProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Whiffin NProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Chong JXDepartment of Pediatrics, University of Washington, Seattle, WA, USA.
  • Samocha KEWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridge, UK.
  • Pierce-Hoffman EProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Zappala ZProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • O'Donnell-Luria AHProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Minikel EVProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Weisburd BData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Lek MDepartment of Genetics, Yale School of Medicine, New Haven, CT, USA.
  • Ware JSProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Vittal CAnalytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA, USA.
  • Armean IMProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Bergelson LData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Cibulskis KData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Connolly KMBroad Genomics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Covarrubias MData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Donnelly SProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Ferriera SBroad Genomics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Gabriel SBroad Genomics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Gentry JData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Gupta NProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Jeandet TData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Kaplan DData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Llanwarne CData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Munshi RData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Novod SData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Petrillo NData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Roazen DData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Ruano-Rubio VData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Saltzman AProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Schleicher MProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Soto JData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Tibbetts KData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Tolonen CData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Wade GData Sciences Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Talkowski MEProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Neale BMProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • Daly MJProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
  • MacArthur DGProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. d.macarthur@garvan.org.au.
29 read7 want to readRigor 3.3Novelty 3.1Impact 3.0Reprod. 2.9

Most-cited papers citing this

  • Nat Methods · 2026 · cited by 2
  • Nat Med · 2026 · cited by 2
  • J Clin Endocrinol Metab · 2026 · cited by 2
  • 2026 · cited by 1
  • J Clin Endocrinol Metab · 2026 · cited by 1

Log in to like, log, and share thoughts on this paper.

Discussion

Share your thoughts above to start a thread. Constructive feedback only — reply to and like others’ posts.

0

Liam Sato

Rigor 1/5Novelty 4/5Impact 2/5Reprod. 4/5

Replication is unclear to me.

0

Mei Rossi

Rigor 3/5Novelty 1/5Impact 4/5Reprod. 5/5

Interesting idea, small sample.

0

Ken Kim

Rigor 3/5Novelty 5/5Impact 2/5Reprod. 5/5

Solid methods, convincing results.

0

Mei Kim

Rigor 5/5Novelty 5/5Impact 1/5Reprod. 3/5

Nice but incremental.

0

Liam Lee

Rigor 1/5Novelty 3/5Impact 3/5Reprod. 1/5

Replication is unclear to me.

0

Sara Smith

Rigor 5/5Novelty 2/5Impact 1/5Reprod. 3/5

Nice but incremental.