Abstract

BackgroundBecause common diseases are caused by complex interactions among many genetic variants along with environmental risk factors, very large sample sizes are usually needed to detect such effects in case-control studies. Nevertheless, many genetic variants act in well defined biologic systems or metabolic pathways. Therefore, a reasonable first step may be to detect the effect of a group of genetic variants before assessing specific variants.MethodsWe present a simple method for determining approximate sample sizes required to detect the average joint effect of a group of genetic variants in a case-control study for multiplicative models.ResultsFor a range of reasonable numbers of genetic variants, the sample size requirements for the test statistic proposed here are generally not larger than those needed for assessing marginal effects of individual variants and actually decline with increasing number of genetic variants in many situations considered in the group.ConclusionWhen a significant effect of the group of genetic variants is detected, subsequent multiple tests could be conducted to detect which individual genetic variants and their combinations are associated with disease risk. When testing for an effect size in a group of genetic variants, one can use our global test described in this paper, because the sample size required to detect an effect size in the group is comparatively small. Our method could be viewed as a screening tool for assessing groups of genetic variants involved in pathogenesis and etiology of common complex human diseases.

Highlights

  • Because common diseases are caused by complex interactions among many genetic variants along with environmental risk factors, very large sample sizes are usually needed to detect such effects in case-control studies

  • Emerging Themes in Epidemiology 2008, 5:24 http://www.ete-online.com/content/5/1/24 the design of epidemiologic studies is the lack of statistical power to examine the joint effects and statistical interactions of several genetic variants, especially along with environmental risk factors [2]

  • We present a simple method for assessing the overall effect of a group of genetic variants in the context of case-control studies

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Summary

Results

We calculated the sample size required to detect a hypothetical group of k identical genetic variants (all loci are equivalent having equal effects and are independent). Approximate sample sizes required to achieve 80% power at 5% significance level in detecting the difference in mean exposure between cases and controls due to a hypothetical group of k identical genetic variants with a risk ratio of 2.0. From (1) and (2), nk = 1 dk n1 k d1 where δk is the non-centrality parameter of a chi-squared distribution with k degrees of freedom This result shows that for k = 10, GSTT1 and MTHFR have the smallest odds ratios (1.37 and 1.35 respectively) in Table 1 and the largest sample size requirements (656 and 705 respectively). The sample size requirement for all the genetic variants given in Table 1 is 91

Conclusion
Background
Bracken MB
10. Lachin JM
18. Yanagawa T
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