KS-Burden: Assessing distributional differences of rare variants in dichotomous traits

A number of rare variant tests have been developed to explore the effect of low frequency genetic variations on complex phenotypes. However, an often neglected aspect in these tests is the position of genetic variations. Here we are proposing a way to assess the differences in spatial organization of rare variants by assessing their distributional differences between affected and unaffected subjects. To do so, we have formulated an adaptation of the well know Kolmogorov-Smirnov (KS) test, combining both KS and a simple gene burden approach, called KS-Burden.\n\nThe performance of our test was evaluated under a comprehensive simulations framework using real data and various scenarios. Our results show that the KS-Burden test is able to outperform the commonly used SKAT-O test, as well as others, in the presents of clusters of causal variants within a genomic region. Furthermore, our test is able to maintain competitive statistical power in scenarios unfavorable to its original assumptions. Hence, the KS-Burden test is a valuable alternative to existing tests and provides better statistical power in the presents of causal clusters within a gene.