A Genome-Wide Association Study Primer for Clinicians
Article Outline
Summary
Genome-wide association studies (GWAS) use high-throughput genotyping technology to relate hundreds of thousands of genetic markers (genotypes) to clinical conditions and measurable traits (phenotypes). This review is intended to serve as an introduction to GWAS for clinicians, to allow them to better appreciate the value and limitations of GWAS for genotype-disease association studies. The input of clinicians is vital for GWAS, since disease heterogeneity is frequently a confounding factor that can only really be solved by clinicians. For diseases that are difficult to diagnose, clinicians should ensure that the cases do indeed have the disease; for common diseases, clinicians should ensure that the controls are truly disease-free.
Key Words: copy number variation , genome-wide association studies , genotype , linkage disequilibrium , phenotype , single nucleotide polymorphisms
No full text is available. To read the body of this article, please view the PDF online.
References
- . How to interpret a genome-wide association study . JAMA . 2008;299:1335–1344
- Replicating genotype-phenotype associations . Nature . 2007;447:655–660
- . From Darwin's finches to canaries in the coal mine—mining the genome for new biology . N Engl J Med . 2008;358:2760–2763
- . Why do genome-wide scans fail? . Available at: http://www.genetic-future.com/2008/03/why-do-genome-wide-scans-fail.html
- . New links to the pathogenesis of Crohn disease provided by genome-wide association scans . Nat Rev Genet . 2008;9:9–14
- The structure of haplotype blocks in the human genome . Science . 2002;296:2225–2229
- . An Introduction to Human Molecular Genetics . 2nd edition. Hoboken, NJ: Wiley-Liss; 2005;
- Challenges and standards in integrating surveys of structural variation . Nat Genet . 2007;39:7–15
- . Genes IX . Sudbury, MA: Jones & Bartlett Publishers; 2008;
- Database resources of the National Center for Biotechnology Information . Nucleic Acids Res . 2008;36:D13–D21
- . Copy-number variation and association studies of human disease . Nat Genet . 2007;39(7 Suppl):S37–S42
- . Finishing the euchromatic sequence of the human genome . Nature . 2004;431:931–945
- Whole-genome patterns of common DNA variation in three human populations . Science . 2005;307:1072–1079
- . A haplotype map of the human genome . Nature . 2005;437:1299–1320
- Localization of type 1 diabetes susceptibility to the MHC class I genes HLA-B and HLA-A . Nature . 2007;450:887–892
- Genome-wide association analysis identifies loci for type 2 diabetes and triglyceride levels . Science . 2007;316:1331–1336
- Replication of genome-wide association signals in UK samples reveals risk loci for type 2 diabetes . Science . 2007;316:1336–1341
- A genome-wide association study identifies novel risk loci for type 2 diabetes . Nature . 2007;445:881–885
- A genome-wide association study of type 2 diabetes in Finns detects multiple susceptibility variants . Science . 2007;316:1341–1345
- Common variants on chromosomes 2q35 and 16q12 confer susceptibility to estrogen receptor-positive breast cancer . Nat Genet . 2007;39:865–869
- A genome-wide association study identifies alleles in FGFR2 associated with risk of sporadic postmenopausal breast cancer . Nat Genet . 2007;39:870–874
- Genome-wide association study identifies novel breast cancer susceptibility loci . Nature . 2007;447:1087–1093
- Genome-wide association study of prostate cancer identifies a second risk locus at 8q24 . Nat Genet . 2007;39:645–649
- Two variants on chromosome 17 confer prostate cancer risk, and the one in TCF2 protects against type 2 diabetes . Nat Genet . 2007;39:977–983
- Multiple regions within 8q24 independently affect risk for prostate cancer . Nat Genet . 2007;39:638–644
- A common variant on chromosome 9p21 affects the risk of myocardial infarction . Science . 2007;316:1491–1493
- Variants conferring risk of atrial fibrillation on chromosome 4q25 . Nature . 2007;448:353–357
- Association scan of 14,500 nonsynonymous SNPs in four diseases identifies autoimmunity variants . Nat Genet . 2007;39:1329–1337
- Genomewide association analysis of coronary artery disease . N Engl J Med . 2007;357:443–453
- Wholegenome analysis of sporadic amyotrophic lateral sclerosis . N Engl J Med . 2007;357:775–788
- Risk alleles for multiple sclerosis identified by a genomewide study . N Engl J Med . 2007;357:851–862
- STAT4 and the risk of rheumatoid arthritis and systemic lupus erythematosus . N Engl J Med . 2007;357:977–986
- TRAF1-C5 as a risk locus for rheumatoid arthritis—a genomewide study . N Engl J Med . 2007;357:1199–1209
- Association between microdeletion and microduplication at 16p11.2 and autism . N Engl J Med . 2008;358:667–675
- Cumulative association of five genetic variants with prostate cancer . N Engl J Med . 2008;358:910–919
- Effect of variation in CHI3L1 on serum YKL-40 level, risk of asthma, and lung function . N Engl J Med . 2008;358:1682–1691
- Chromosome 6p22 locus associated with clinically aggressive neuroblastoma . N Engl J Med . 2008;358:2585–2593
- SLCO1B1 variants and statin-induced myopathy— a genomewide study . N Engl J Med . 2008;359:789–799
- . Genome-wide association studies provide new insights into type 2 diabetes aetiology . Nat Rev Genet . 2007;8:657–662
- The E23K variant of Kir6.2 associates with impaired post-OGTT serum insulin response and increased risk of type 2 diabetes . Diabetes . 2003;52:573–577
- Large-scale association studies of variants in genes encoding the pancreatic β-cell KATP channel subunits Kir6.2 (KCNJ11) and SUR1 (ABCC8) confirm that the KCNJ11 E23K variant is associated with type 2 diabetes . Diabetes . 2003;52:568–572
- The common PPARγ Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes . Nat Genet . 2000;26:76–80
- Common variants in WFS1 confer risk of type 2 diabetes . Nat Genet . 2007;39:951–953
- A variant in CDKAL1 influences insulin response and risk of type 2 diabetes . Nat Genet . 2007;39:770–775
- . Genome-wide association study of 14,000 cases of seven common diseases and 3,000 shared controls . Nature . 2007;447:661–678
- . Genome-wide association studies for common diseases and complex traits . Nat Rev Genet . 2005;6:95–108
- . Guideline for data analysis of genomewide association studies . Cancer Genomics Proteomics . 2007;4:27–34
- . Biostatistical aspects of genome-wide association studies . Biom J . 2008;50:8–28
- Rationale, design, and methodology of the Women's Genome Health Study: a genome-wide association study of more than 25,000 initially healthy American women . Clin Chem . 2008;54:249–255
- . The Framingham Heart Study, on its way to becoming the gold standard for Cardiovascular Genetic Epidemiology? . BMC Med Genet . 2007;8:63
- . Transmission test for linkage disequilibrium: the insulin gene region and insulindependent diabetes mellitus (IDDM) . Am J Hum Genet . 1993;52:506–516
- . Genome-wide association studies in agingrelated processes such as diabetes mellitus, atherosclerosis and cancer . Exp Gerontol . 2008;43:39–43
- . Strong association of de novo copy number mutations with sporadic schizophrenia . Nat Genet . 2008;40:880–885
- . Evaluating coverage of genome-wide association studies . Nat Genet . 2006;38:659–662
- . Genetic studies of diabetes following the advent of the genome-wide association study: where do we go from here? . Diabetologia . 2007;50:2229–2233
- Population substructure and control selection in genome-wide association studies . PLoS ONE . 2008;3:e2551
- . Selection of controls in case-control studies, I: principles . Am J Epidemiol . 1992;135:1019–1028
PII: S1028-4559(09)60265-5
doi:10.1016/S1028-4559(09)60265-5
© 2009 Taiwan Association of Obstetric & Gynecology. Published by Elsevier Inc. All rights reserved.
