1. Methods in Genetic Epidemiology Lindon Eaves VIPBG March 2006

2. Link to basic genetics http://psych- www.colorado.edu/hgss/hgssfigures/hgssfigures. htm#Chapter10

3. “Epidemiology” Identification of “causes from clusters”

4. Clusters and Causes Sources of water (cholera) Insect vectors (malaria) Working in mines (silicosis) Toxic waste (some cancers) Hypertension (ethnicity) Etc.

5. THE “FAMILY” A primary cluster

6. Large pedigree from the isolate with a founder couple born in approximately 1650. Circles represent females; squares represent males. Blackened circles and squares represent individuals with at least two children affected with schizophrenia. Am J Hum Genet. October 1999; 65(4): 1114–1124. Published online September 3, 1999. Copyright Copyright © 1999 by The American Society of Human Genetics. All rights reserved.

7. Insert Kuru pedigree here!

8. Draw your own pedigree http://www.genesoc.com/nutrition/ pedigree.htm

9. Familial disorders Familial hypercholesterolemia Bovine spongiform encephalopathy Schizohphrenia Kuru Colon cancer Mental retardation Breast cancer Etc. etc. etc.

10. Family clustering may be genetic or environmental

11. “Genetic Epidemiology” Systematic use of familial clustering to resolve and identify genetic and environmental causes of disease

12. Questions in GE Is “it” familial? Is it “genetic” (G), “environmental” (E) or both (G+E)? What are relative contributions of G and E? What kinds of genetic effects are there (one, few, many, additive/epistatic)? Effects of population structure, ethnicity, stratification, mate selection? What is role of E? Which? GxE interaction? Which specific genes are involved?

13. P G4G4 G1G1 G2G2 G3G3 E1E1 E4E4 E2E2 E3E3 G E P1P1 P4P4 P2P2 P3P3 G’ 4 E’ 4 E’ 1 G’ 2 E’ 3 G’ 1 Measured GenotypesMeasured Environments Outcome Phenotype Endophenotypes TIME?TIME? P5P5 G’ 5 E’

14. = Pathway blocked by mutant gene A B B C A aa bb aa bb Sequential (“complementary”) genes Parallel (“duplicate”) genes

15. Answering the questions: some approaches

16. Is it familial? Risk to relatives (schizophrenia, colorectal cancer, mental retardation, hypertension) Correlation between relatives (IQ, diastolic blood pressure) Same trait may be category or dimension (hypertension = DBP>90mmHg)

17. Causes of Family Resemblance

18. Path diagram for the effects of genes and environment on phenotype P G E Measured variable Latent variables Genotype Environment Phenotype he r

19. M C F EmGmGfEf EcGc MotherFather Offspring he ehhe r r f f ½ ½ m Family Resemblance

21. Probability of Outcome 0 1 0 t 0.5 Liability 4 - 4

22. Polygenic Inheritance (Fisher, 1918)

23. b. c. a.

24. Estimating G and E (1) Twin Studies (Galton 1865)

25. Figure 9. The correlation between twins for stature (data from the Virginia Twin Study of Adolescent Behavioral Development). Stature in Twins

26. Path diagram for twin resemblance P1P1 P2P2 E1E1 A2A2 A1A1 C1C1 C2C2 E2E2 1 g c c e e aa Twin 1 Twin 2 Phenotypes

27. Four scenarios Twin Correlation Causes of Variation

28. Estimating G and E (2) Adoption studies

29. GACEACGBCEBC GAFEAFGAM EAF EBFGBFGBMEBM BF BC AC BM AF AM pp p p 1/21/2 1/21/2 f m Biological ParentsAdopting parents Adopted ChildBiological Child of Adopting Parents

30. Other approaches Separated Twins (e.g. Shields, 1966) Twins and parents Children of Twins Extended twin kinships Combinations of Methods

31. Identifying environments Measure environment in family, twin or adoption study (e.g. twins discordant for exposure, characteristics of foster parents etc.)

32. Finding the genes Linkage studies – extended pedigrees, sib pairs Association studies (case-control, family- based – e.g. TDT, sib-pair)

33. “Linkage” Genes that start together stay together – the closer they are, the more they stay together

34. Linkage Are relatives who are more alike for a “marker” more alike in their phenotypes?

35. B Q1Q2 G1 G2 E2 E1 T1T2 ½ hh qq ee QTL GENES ENVIRONMENT PHENOTYPE Linkage: Sibling Resemblance

36. Sib-pair similarity and linkage 0 10.5 B Sibling Correlation 0 Q R r r=R+BQ

37. Linkage – plusses and minuses PLUSES Depends only on marker location, not effect of marker on phenotype Doesn’t require many markers to cover genome (100s) Hard to “invent” linkage - robust MINUSES Works best for simple (few-gene) traits Gene effects need to be big Specific localization poor (i.e. many genes under linkage “peak”)

38. Association Do different forms of gene (“alleles”) have different phenotypes?

39. Association: Pluses and Minuses PLUSES Statistical power “Tight” localization Can use “candidate genes” MINUSES Association may not be causal (e.g. “linkage disequilibrium”, population stratification) – but can control/eliminate Needs large number of markers for genome-wide study (?500,000+)

40. P M3M3 M1M1 M2M2 M4M4 Genome Phenotype Marker-Phenotype Association

41. Controlling for stratification Analyze within strata (ethnicity, SES etc) Use random genes to test, characterize and eliminate Family-based association – TDT, sib-pairs etc.

42. Complications – can’t always do genetics without environment GxE Interaction G-E correlation G x Age interaction

43. GxE Interaction Genes control sensitivity to the environment (some environments only affect particular genotypes) Environments modulate expression of genes (some genes only expressed in particular environments)

45. Analyzing GxE Family resemblance depends on environmental exposure Effect of gene contingent on environment (or vice-versa)

46. Genetic Variance and Shared Life Events in Adolescent Females (Silberg et al., 1999)

47. Figure: Prevalence of Conduct Disorder as a function of MAOA activity and exposure to environmental adversity (Foley et al, 2004)

48. G-E Correlation: Environmental exposure caused/influenced by genes “Active/Evocative” - environment depends directly on genes of individual (e.g. own smoking”) “Passive” – environment depends on genes of relatives (e.g. parental smoking)

49. Analyzing rGE Include environmental measures in twin, adoption and family studies – build and test path models.

50. G x Age Interaction Genetic control of age of onset Different genes expressed at different ages Rates of growth/change depend on genes - A bit like GxE in some ways.