The commonly used statistical methods in medical research generally assume patients arise from one homogeneous population. However, the existence and importance of significant heterogeneity have been widely documented. It is well known that common and complex human diseases usually have heterogeneous disease etiology, which often involves interplay of multiple genetic and environmental factors, leading to latent population substructure. Genome-wide association studies (GWAS) is a useful tool to uncover genetic association with disease of interest, while linkage analysis is a commonly used method to identify statistical association between the inheritance of a human disease and inheritance of marker loci that are in linkage with disease causing loci. We propose a likelihood ratio test for genome-wide linkage analysis under genetic heterogeneity using family data. We derive a closed-form formula for the LRT test statistic and provide explicit asymptotic null distribution. The closed form asymptotic distribution allows easy determination of the asymptotic p-values. Our extensive simulation studies indicate that the proposed test has proper type I error and good power under genetic heterogeneity. In order to simplify application of the proposed method for non-statisticians, we develop an R package gLRTH to implement the proposed LRT for genome-wide linkage analysis as well as Qian and Shao’s LRT for GWAS under heterogeneity. The newly developed open source R package gLRTH is available at CRAN.
KeywordsGenetic HeterogeneityTransmission HeterogeneityComplex DiseaseGenome-Wide Association StudyGenetic Linkage AnalysisR Software Package
Drummond, E., Nayak, S., Faustin, A., Pires, G., Hickman, R.A., Askenazi, M., et al. (2017) Proteomic Differences in Amyloid Plaques in Rapidly Progressive and Sporadic Alzheimers Disease. Acta Neuropathologica, 133, 933-954. https://doi.org/10.1007/s00401-017-1691-0
Lee, H.B. and Lyketsos, C.G. (2003) Depression in Alzheimers Disease: Heterogeneity and Related Issues. Biological Psychiatry, 54, 353-362. https://doi.org/10.1016/S0006-3223(03)00543-2
Fitzpatrick, A.M., Teague, W.G., Meyers, D.A., Peters, S.P., Li, X., Li, H., et al. (2017) Heterogeneity of Severe Asthma in Childhood: Confirmation by Cluster Analysis of Children in the National Institutes of Health/National Heart, Lung, and Blood Institute Severe Asthma Research Program. Journal of Allergy and Clinical Immunology, 127, 382-389. https://doi.org/10.1016/j.jaci.2010.11.015
Drazen, J.M., Silverman, E.K. and Lee, T.H. (2002) Heterogeneity of Therapeutic Responses in Asthma. British Medical Bulletin, 56, 1054-1070. https://doi.org/10.1258/0007142001903535
Hattersley, A.T. (1998) Maturity-Onset Diabetes of the Young: Clinical Heterogeneity Explained by Genetic Heterogeneity. Diabetic Medicine, 1, 15-24. https://doi.org/10.1002/(SICI)1096-9136(199801)15:1%3C15::AID-DIA562%3E3.0.CO;2-M
Sladek, R., Rocheleau, G., Rung, J., Christian, D., Shen, L., Serre, D., et al. (2007) A Genome-Wide Association Study Identifies Novel Risk Loci for Type 2 Diabetes. Nature, 445, 881-885. https://doi.org/10.1038/nature05616
Ford, D., Easton, D.F., Stratton, M., Narod, S., Goldgar, D., Devilee, P., et al. (1998) Genetic Heterogeneity and Penetrance Analysis of the BRCA1 and BRCA2 Genes in Breast Cancer Families. The American Journal of Human Genetics, 62, 676-689. https://doi.org/10.1086/301749
Polyak, K. (2011) Heterogeneity in Breast Cancer. The Journal of Clinical Investigation, 121, 3786-3788. https://doi.org/10.1172/JCI60534
Lachiewicz, A.M., Berwick, M., Wiggins, C.L., Thomas, N.E., Goldgar, D. and Devilee, P. (1998) Epidemiologic Support for Melanoma Heterogeneity Using the Surveillance, Epidemiology, and End Results Program. Journal of Investigative Dermatology, 128, 1340-1342. https://doi.org/10.1038/jid.2008.18
Yancovitz, M., Litterman, A., Yoon, J., Ng, E., Shapiro, R.L., Berman, R.S., et al. (2012) Intra- and Inter-Tumor Heterogeneity of BRAFV600E Mutations in Primary and Metastatic Melanoma. PLoS ONE, 7, 676-689. https://doi.org/10.1371/journal.pone.0029336
Shao, Y. (2005) Adjustment for Transmission Heterogeneity in Mapping Complex Genetic Diseases Using Mixture Models and Score Tests. Proceeding of the American Statistical Association, 383-393.
Lander, E.S. and Schork, N.J. (1994) Genetic Dissection of Complex Traits. Science, 265, 2037-2037. https://doi.org/10.1126/science.8091226
Ott, J. (1999) Analysis of Human Genetic Linkage. JHU Press, Baltimore.
Visscher, P.M., Wray, N.R., Zhang, Q., Sklar, P., McCarthy, M.I., Brown, M.A. and Yang, J. (2017) 10 Years of GWAS Discovery: Biology, Function, and Translation. The American Journal of Human Genetics, 101, 5-22. https://doi.org/10.1016/j.ajhg.2017.06.005
Qian, M. and Shao, Y. (2013) A Likelihood Ratio Test for Genome-Wide Association under Genetic Heterogeneity. Annals of Human Genetics, 77, 174-182. https://doi.org/10.1111/ahg.12005
Xu, Z. and Pan, W. (2016) Binomial Mixture Model Based Association Testing to Account for Genetic Heterogeneity for GWAS. Genetic Epidemiology, 40, 202-209. https://doi.org/10.1002/gepi.21954
McCarthy, M.I., Abecasis, G.R., Cardon, L.R., Goldstein, D.B., Little, J., Ioannidis, J.P. and Hirschhorn, J.N. (2008) Genome-Wide Association Studies for Complex Traits: Consensus, Uncertainty and Challenges. Nature Reviews Genetics, 9, 356-369. https://doi.org/10.1038/nrg2344
Spielman, R.S., McGinnis, R.E. and Ewens, W.J. (1993) Transmission Test for Linkage Disequilibrium: The Insulin Gene Region and Insulin-Dependent Diabetes Mellitus (IDDM). American Journal of Human Genetics, 52, 506-516. http://europepmc.org/articles/pmc1682161
Risch, N.J. (2000) Searching for Genetic Determinants in the New Millennium. Nature, 405, 847-856.
Ott, J., Wang, J. and Leal, S.M. (2015) Genetic Linkage Analysis in the Age of Whole-Genome Sequencing. Nature Reviews Genetics, 16, 275-284. https://doi.org/10.1038/nrg3908
Shao, Y. (2018) Linkage Analysis, Encyclopedia of Quantitative Risk Analysis and Assessment. Wiley StatsRef: Statistics Reference Online.
Lynch, E.D., Ostermeyer, E.A., Lee, M.K., Arena, J.F., Ji, H., Dann, J., et al. (1997) Inherited Mutations in PTEN That Are Associated with Breast Cancer, Cowden Disease, and Juvenile Polyposis. The American Journal of Human Genetics, 61, 1254-1260. https://doi.org/10.1086/301639
Lo, S., Liu, X. and Shao, Y. (2017) A Marginal Likelihood Model for Family-Based Data. Annals of Human Genetics, 67, 357-366. https://doi.org/10.1046/j.1469-1809.2003.00032.x
Fu, Y., Chen, J. and Kalbfleisch, J.D. (2006) Testing for Homogeneity in Genetic Linkage Analysis. Statistica Sinica, 16, 805-823. http://www.jstor.org/stable/24307575
Han, J. and Shao, Y. (2012) The Transmission Disequilibrium/Heterogeneity Test with Parental-Genotype Reconstruction for Refined Genetic Mapping of Complex Diseases. Journal of Probability and Statistics, 2012, Article ID: 256574. https://doi.org/10.1155/2012/256574
Han, X., Zhang, Y., Shao, Y. and the Alzheimer’s Disease Neuroimaging Initiative (2017) Application of Concordance Probability Estimate to Predict Conversion from Mild Cognitive Impairment to Alzheimer’s Disease. Biostatistics & Epidemiology, 1, 105-118.
Liu, X. and Shao, Y. (2003) Asymptotics for Likelihood Ratio Tests under Loss of Identifiability. The Annals of Statistics, 31, 807-832.