Abstract
Childhood acute lymphoblastic leukemia (ALL) is a condition that arises from complex etiologies. The absence of consistent environmental risk factors and the presence of modest familial associations suggest ALL is a complex trait with an underlying genetic component. The identification of genetic factors associated with disease is complicated by complex genetic covariance structures and multiple testing issues. Both issues can be resolved with appropriate Bayesian variable selection methods. The present study was undertaken to extend our hierarchical Bayesian model for case-parent triads to incorporate single nucleotide polymorphisms (SNPs) and incorporate the biological grouping of SNPs within genes. Based on previous evidence that genetic variation in the folate metabolic pathway influences ALL risk, we evaluated 128 tagging SNPs in 16 folate metabolic genes among 118 ALL case-parent triads recruited from the Texas Children’s Cancer Center (Houston, TX) between 2003 and 2010. We used stochastic search gene suggestion (SSGS) in hierarchical Bayesian models to evaluate the association between folate metabolic SNPs and ALL. Using Bayes factors among these variants in childhood ALL case-parent triads, two SNPs were identified with a Bayes factor greater than 1. There was evidence that the minor alleles of NOS3 rs3918186 (OR = 2.16; 95% CI: 1.51-3.15) and SLC19A1 rs1051266 (OR = 2.07; 95% CI: 1.25-3.46) were positively associated with childhood ALL. Our findings are suggestive of the role of inherited genetic variation in the folate metabolic pathway on childhood ALL risk, and they also suggest the utility of Bayesian variable selection methods in the context of case-parent triads for evaluating the role of SNPs on disease risk.
Highlights
Childhood acute lymphoblastic leukemia (ALL) is considered to be a condition that arises from complex etiologies involving multiple factors
The case-parent triad design provides an advantage to the traditional case-control design as it is immune to population stratification bias. This is because analyses are based on whether the inheritance of alleles by affected children deviates from Mendelian expectation rather than a comparison of genotypes between a case group and a control group [12,13]
This is the first application of Bayesian hierarchical models designed for case-parent triads to identify single nucleotide polymorphisms (SNPs) associated with disease
Summary
Childhood acute lymphoblastic leukemia (ALL) is considered to be a condition that arises from complex etiologies involving multiple factors. The absence of consistent environmental risk factors and the presence of modest familial associations suggest ALL is a complex trait with an underlying genetic component [1]. The identification of genetic factors associated with disease is complicated by complex genetic covariance structures and multiple testing issues. Both issues can be resolved with appropriate Bayesian variable selection methods. Stochastic search gene suggestion (SSGS) methods combine hierarchical Bayesian models with stochastic search variable selection technology to explore the posterior distribution on the model space to make inferences about the importance of genetic loci [6,8]
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