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Chunk #38 — Discussion

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Partitioning the heritability of Tourette syndrome and obsessive compulsive disorder reveals differences in genetic architecture.
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The observation that TS and OCD have such different patterns for heritability estimated across the MAF spectrum points to the value that such analyses may provide for illuminating genetic architecture. There is clearly support for analysis of rare variants and follow-up sequencing in TS given the contribution to heritability observed for SNPs with MAF<0.05. The observations in OCD are also intriguing with respect to questions on the set of genetic models that would be consistent with heritability being concentrated among variants with high MAF. Are such patterns consistent with particular models for the age of a disorder, or perhaps with aspects of the evolutionary history of contributing risk alleles? It will also be important to investigate whether such analyses applied to other disorders will reveal a full continuum with respect to the proportion of phenotypic variance attributable to variants across the MAF spectrum or something more discrete with overall patterns more similar to OCD at one end and TS at the other. Replication analysis with larger samples and additional phenotypes will undoubtedly shed more light on the analysis presented here.