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Chunk #49 — Discussion — Associations between allelic scores and WTCCC disease status

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Mining the human phenome using allelic scores that index biological intermediates.
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on disease risk, we would expect that the strongest evidence for a relationship between the allelic score and affection status occurs at those conditions/thresholds that simultaneously explain the greatest proportion of phenotypic variance in the intermediate. If this pattern occurs in the data, then the results are at least consistent with a causal effect of the intermediate on disease risk (although this of course does not prove a causal relationship). If this pattern of results is not present in the data, then it suggests that the association is more likely due to genetic pleiotropy and/or lack of specificity in the genome-wide score. For example, in the present set of results, the strongest evidence for associations between LDLc and coronary heart disease occurred at those conditions where a thinned weighted allelic score concurrently explained the greatest variance in the intermediate phenotype, consistent with a causal relationship between LDLc and coronary heart disease (Table S6). In contrast, the strongest evidence for a relationship between CRP and type II diabetes occurred at those thresholds where the variance explained in CRP was at a minimum, suggesting a spurious relationship between the two variables.