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Chunk #14 — Discussion

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Sex differences in genetic architecture of complex phenotypes?
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In the past decennia, the field of genetic research has developed rapidly. Due to advanced measurement techniques, gene finding strategies shifted from candidate genes studies and linkage analyses, to genome-wide association studies and whole genome sequencing. There are few systematic large-scale studies that have addressed sex-differences in the genetic architecture of complex traits or in the genetic associations of such traits with candidate genes or genome-wide SNP data. For anthropometric measures, 7 of the 348 SNPs displayed significant sex difference in large genome-wide search including over 60.000 men and over 70.000 women (Randall et al, under review) [17]. A systematic appraisal of 432 sex-difference claims from 77 genetic association studies concluded that most claims were insufficiently documented or spurious. Claims with documented good internal and external validity were uncommon [18] leading to a recommendation that gene-sex interactions should be based on a priori, clearly defined, and adequately powered subgroup analyses, should be explained with caution, and be replicated.