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Chunk #40 — 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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Our method successfully identified established causal relationships between BMI and type 2 diabetes, and LDLc and coronary heart disease. This is consistent with the power calculations presented in Table 2 which suggested that 2000 cases, 3000 controls and an allelic score explaining roughly 5% of the variance in a biological intermediate provided good power to detect moderate to strong relationships between the intermediate and the disease outcome. Interestingly, in the case of BMI, the genome-wide allele score was more strongly related to type 2 diabetes than the allelic score constructed from the known variants only. This observation is consistent with our demonstration that the genome-wide allelic score explained greater proportions of the variance in BMI than the allelic score comprised from the known variants only. In fact, even the genome-wide allelic score indexing BMI with the regions around the known BMI SNPs removed also correlated strongly with type 2 diabetes. Taken together these results suggest that the BMI-type 2 diabetes association does not solely reflect the effect of variants within FTO and other BMI genes known to be reliably associated