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Chunk #31 — Discussion

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Three mutually informative ways to understand the genetic relationships among behavioral disinhibition, alcohol use, drug use, nicotine use/dependence, and their co-occurrence: twin biometry, GCTA, and genome-wide scoring.
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SNP-based estimates account for considerably more—21–45% of the twin-estimated heritable variance—there remains a majority of that heritable variance to be explained. There is much conjecture about the source of remaining additive genetic variance, including non-additive or rare SNP effects, additive and non-additive structural variation (e.g., CNVs, insertions/deletions), gene-environment interaction, or gene-gene interaction (Manolio et al., 2009; Zuk, Hechter, Sunyaev, & Lander, 2012). Further research involving much larger samples and more comprehensive genotyping, such as whole genome sequencing or rare variant chips, will be necessary to tackle these issues.