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      Defining the role of common variation in the genomic and biological architecture of adult human height

      research-article
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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Using genome-wide data from 253,288 individuals, we identified 697 variants at genome-wide significance that together explain one-fifth of heritability for adult height. By testing different numbers of variants in independent studies, we show that the most strongly associated ~2,000, ~3,700 and ~9,500 SNPs explained ~21%, ~24% and ~29% of phenotypic variance. Furthermore, all common variants together captured the majority (60%) of heritability. The 697 variants clustered in 423 loci enriched for genes, pathways, and tissue-types known to be involved in growth and together implicated genes and pathways not highlighted in earlier efforts, such as signaling by fibroblast growth factors, WNT/beta-catenin, and chondroitin sulfate-related genes. We identified several genes and pathways not previously connected with human skeletal growth, including mTOR, osteoglycin and binding of hyaluronic acid. Our results indicate a genetic architecture for human height that is characterized by a very large but finite number (thousands) of causal variants.

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          A human phenome-interactome network of protein complexes implicated in genetic disorders.

          We performed a systematic, large-scale analysis of human protein complexes comprising gene products implicated in many different categories of human disease to create a phenome-interactome network. This was done by integrating quality-controlled interactions of human proteins with a validated, computationally derived phenotype similarity score, permitting identification of previously unknown complexes likely to be associated with disease. Using a phenomic ranking of protein complexes linked to human disease, we developed a Bayesian predictor that in 298 of 669 linkage intervals correctly ranks the known disease-causing protein as the top candidate, and in 870 intervals with no identified disease-causing gene, provides novel candidates implicated in disorders such as retinitis pigmentosa, epithelial ovarian cancer, inflammatory bowel disease, amyotrophic lateral sclerosis, Alzheimer disease, type 2 diabetes and coronary heart disease. Our publicly available draft of protein complexes associated with pathology comprises 506 complexes, which reveal functional relationships between disease-promoting genes that will inform future experimentation.
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            Common genetic variation and human traits.

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              Assumption-Free Estimation of Heritability from Genome-Wide Identity-by-Descent Sharing between Full Siblings

              Introduction The theoretical basis for the resemblance between relatives due to genetic factors was developed by R.A. Fisher in a now famous and classic paper that reconciled Mendelian and biometrical genetics [1]. Following that theoretical basis, quantitative genetic parameters are estimated from the resemblance between different types of relatives by equating the observed phenotypic covariance to the degree of genetic relationship, which is estimated from pedigree data. The degree of relationship is usually expressed as the coefficient of kinship [2] or the additive coefficient of relationship [2,3]. In a non-inbred population, the coefficient of relationship is the expected proportion of alleles identical-by-descent (IBD) between relatives and determines the additive genetic covariance between a pair of relatives. Maximum likelihood (ML) methods and software have been developed to estimate genetic (co)variances in simple [4] and large complex pedigrees [5–7], for univariate and multivariate models. What all these methods have in common is that they estimate genetic parameters from observed variation between and within families, assuming an underlying model for causative components of variance [3]. For example, in twin studies it is commonly assumed that the variance between families is due to common environmental and additive genetic effects, and that the variance within families reflects individual environmental effects (for monozygotic [MZ] pairs) or both individual environmental and additive genetic effects (for dizygotic [DZ] pairs). In human populations, the interplay of genetic, environmental, and cultural factors that cause family resemblance is complex; and crucially, the ultimate separation of nature and nurture effects can generally not be tested empirically through controlled experiments. If the true (unknown) effects causing between-family variance deviate from the assumed model of family resemblance, then the resulting estimates of genetic parameters, and their estimated standard errors (SE), will be biased. This bias could be severe if strong assumptions are necessary to estimate genetic parameters. In the classical twin design, only three underlying parameters are estimated, and strong assumptions regarding the causes of familial resemblance are necessary. For example, the assumption that twin resemblance due to common environmental effects is the same for MZ and DZ pairs is often made. Although some of these assumptions can and have been tested empirically [8,9], the use of twin data to estimate heritability, in particular for traits such as cognitive function, has been controversial [10]. Until now, it has been impossible to exclude a possible confounding between genetic and non-genetic causes of family resemblance. We propose an alternative approach to estimate genetic variance that is based upon the observed proportion of the genome that is shared by relatives and does not make any assumptions about the variation between families. The actual genome-wide relationship, defined as the proportion of the genome that two relatives share IBD, varies around its expectation because of Mendelian segregation [11–14], except for MZ twins and parent-offspring pairs. We use the term “actual” throughout, but other possibilities are “realized relationships” or “the proportion of the genome-shared IBD.” It is possible to estimate this relationship with the use of genetic markers. If these estimates are accurate, then it is, in principle, feasible to estimate genetic parameters within families, obviating the need for contentious assumptions about the sources of between-family variation. In this study, we estimated heritability for height in humans without making any assumptions regarding the causes of resemblance between relatives. We present the relevant theory and estimate the heritability of height from collections of 3,375 full-sib pairs, using genome-wide estimates of actual additive genetic relationships. Bias and accuracy of our estimation approach was explored analytically and by computer simulation. Ours is the first example of an estimate of heritability in humans for which a possible confounding between nature and nurture can be excluded. Results Simulated Data We first assessed bias and accuracy of the estimates of variance components from our method using simulation studies and analytical predictions (see Materials and Methods). Table 1 shows the empirical mean and SE of the ML estimate of the heritability from actual relationships between sibling pairs and statistical power, and their theoretical predictions, for a range of population parameters. As predicted by theory (see Materials and Methods), the SE of the estimates are large, unless the number of pairs is large (10,000), the heritability is large (>0.6), or there is no residual family effect. For 2,500 sib pairs, the SE of the heritability is approximately 0.2 when the true value is 0.8. For 10,000 sib pairs, the range of SE is from 0.08–0.19. The theoretical predictions are accurate, in particular for the special case when the proportion of variance due to non-genetic family effects (f2) is zero. When the proportion of variance due to non-genetic family effects is zero, the estimate of the heritability is biased downwards, in particular when the sample size is small (Table 1). This is because we constrain variance components to be non-negative in our ML estimation procedure. An analytical prediction of the bias is given in Materials and Methods. When the heritability is large (0.8), its estimate is biased downwards, even when the proportion of variance due to non-genetic family effects was larger than zero. Again this is the result of ML estimation, because the sum of the proportion of variance due to genetic and non-genetic factors cannot be larger than unity. Data Application There were a total of 4,401 quasi-independent sibling pairs with estimates of genome-wide IBD sharing statistics. The average proportion of the genome-shared IBD between the sib pairs (the coefficient of additive genetic variance) was 0.498 (SE 0.0005, standard deviation [SD] 0.036), with a range of 0.374–0.617. The distribution of the genome-wide additive coefficients is shown in Figure 1. The mean and range of the proportion of the genome for which a sibling pair shared two alleles IBD (the coefficient of dominance variance, also termed IBD2) was 0.248 (SE 0.0006, SD 0.040) and 0.116–0.401, respectively. Hence, both mean sharing statistics were slightly lower than the expected values of 0.50 and 0.25, respectively. When comparing the mean sharing statistics to their SE, there was evidence for a small but significant departure from expectation (p = 0.002 and 0.0002, for genome-wide additive and dominance coefficients, respectively, assuming a normal distribution of the test statistic). However, the SE is under-estimated because not all pair-wise sib comparisons are independent, so that the departure from expectation is less significant than it appears from the reported p-values. The SD of the mean (additive) IBD and mean IBD2 (dominance) sharing proportions were 0.036 and 0.040, respectively. One quality control measure of our IBD calculations is to test for independence of chromosome-specific additive and dominance relationships. For the combined dataset, 8/231 and 2/231 Spearman rank correlations of the mean IBD sharing between chromosomes were significant at the 0.05 and 0.01 level, respectively, when 12 and 2 were expected under the assumption of independent segregation. For IBD2 sharing the corresponding numbers were 9/231 and 1/231. The observed numbers are not significantly different from expectation under the null hypothesis of independent segregation of chromosomes (the SD of the number of significant correlations at the 0.05 and 0.01 level under the null hypothesis is 3.3 and 1.5, respectively). Figure 2 shows the empirical variance of genome-wide mean IBD and IBD2 sharing, relative to the expected value from theoretical considerations (see Materials and Methods). There is a remarkably good agreement between theory and data, with a correlation between the theoretical and empirical SDs across chromosomes of 0.98 for both mean IBD sharing and mean IBD2 sharing. The correlation between mean IBD and mean IBD2 sharing for 4,401 pairs was 0.91, close to the theoretical value of 0.89 (Figure 3). This large correlation implies a strong sampling correlation between the estimates of additive and dominance variance. ML estimators of heritability are shown in Table 2 for the two datasets separately and for the combined dataset. For each dataset, two models were fitted: a full model (FAE), containing a non-genetic family effect (F), a genome-wide additive effect (A), a residual error effect (E); and a reduced model containing F and E effects only (FE). In all analyses, the estimate of the residual family component was zero, and the estimate of heritability 0.8. For the combined dataset (n = 3,375 pairs), the 95% confidence interval (CI) was from 0.46 to 0.85 (a SE of approximately 0.1) with strong statistical support (p = 0.0003) for a variance associated with genome-wide IBD. The SE of the estimated proportion of variance due to additive genetic variance (h2) is large relative to the estimate. However, because the sampling correlation of the estimates of the non-genetic and genetic variance is large and negative, the estimate of the total proportion of variance explained by genetic and non-genetic effects (i.e., the predicted MZ correlation) is more accurate. For the combined dataset, the ML estimate of this proportion is 0.80, with a 95% CI of 0.62–0.85. Hence, we have estimated the equivalent of an MZ correlation without having such pairs in our data. The estimates from the FE model reflect the sibling correlation of 0.40 and 0.39 for the adolescent and adult datasets. Estimates of the proportion of variance due to additive genetic effects from the AE model (not shown in Table 2) were very close to twice the estimates of the proportion of variance due to the family effect in the FE model. When genome-wide dominance was fitted in addition to F and A, the log-likelihood did not increase significantly for the combined dataset (unpublished data). However, there is unlikely to be sufficient power to distinguish these components with our sample size, consistent with our observed correlation coefficient of 0.89 between the additive genetic and dominance coefficients (Figure 3). Discussion We have shown that it is feasible to estimate genetic parameters solely from segregation within families, without making any assumptions regarding an underlying model for between-family effects. In fact, our only assumption in the analysis is that the additive genetic covariance between relatives is proportional to the actual proportion of the genome that is shared IBD. The resulting estimates of the heritability for height (0.80, 95% CI, 0.46–0.85) and residual family effects (0.00, 95% CI, 0.00–0.17) are very close to estimates from twin studies [15], where the information comes from the difference in correlation between MZ and DZ twin pairs. Essentially, we have estimated the same parameters from DZ and full-sib pairs only. Previously, methods have been proposed to estimate kinship and genetic parameters from marker data when pedigree data are not available, for example, in natural populations [16–18]. Relationship estimation and reconstruction in these methods are based upon identity-by-state sharing of marker alleles. These methods have the same principle as our approach, i.e., first estimating kinship from marker data and subsequently estimating genetic variance from the association between phenotype similarity and estimated kinship. However, there are some important differences between the methods. Firstly, our method is based upon IBD sharing, i.e., we know the pedigree and estimated actual relationships from marker data conditional on the pedigree. The resulting estimates of actual kinship are unbiased and have lower error variance, provided that the pedigree is correct. Secondly, we estimate genetic variance free from possible confounding with environmental factors. In natural populations, even if the kinship were to be estimated without error, there can still be a confounding between genetic and environmental similarities and this could lead to bias. We do not suggest that all estimation of genetic (co)variance from classical designs that utilize between-family comparisons should be abandoned. On the contrary, such designs, for example, those employing twin families, are in principle powerful enough to separate genetic and non-genetic causes of family resemblance if the statistical models are correct or at least a good approximation of the true underlying causes of variation. With sufficient data, our approach allows the testing of hitherto untestable underlying assumptions in other models and, for large samples, allows the estimation of non-additive genetic variation for disease susceptibility and quantitative traits. Therefore, the two methods should be seen as complementary. There is a continuum in the estimation of genetic parameters from genome-wide IBD sharing to quantitative trait loci (QTL) mapping. In QTL mapping, variation in IBD sharing is maximal but many estimations/tests are performed. For sib pairs, the variance of IBD sharing at a single location is 1/8 [14,19–21], whereas it is only 0.0392 genome-wide. Hence, relative to the mean there is about 82 times more variation in IBD sharing between sib pairs at a particular locus than in the genome-wide average [22]. The disadvantage of QTL mapping is that a genome-wide search is performed at many correlated locations, whereas the estimation of genetic variance from genome-wide IBD sharing is a single estimate. An intermediate between the two is to estimate the proportion of additive genetic variance associated with a chromosome [23–25]. The variance in proportion of a chromosome-shared IBD is intermediate between the sharing proportion at a single location and genome-wide, as shown in Table 3. We note that the emphasis in this study is on the estimation of genetic parameters rather than its detection. Hence, in contrast to QTL mapping where hypothesis testing and p-values are important, we have concentrated on the sampling variance of the estimated parameters, because for most traits it is usually known that there is genetic variance, and the scientific question is what proportion of observed variation is genetic. Although our estimates of the variation in mean IBD and IBD2 sharing per chromosome are very similar to the theoretical values (Figure 2) and consistent with recently reported genome-wide sharing statistics from a sample of 498 sib pairs [22], a few caveats are required. Firstly, the theoretical value may be too low for the true variance in IBD sharing on a chromosome because in reality there may be more crossovers than modeled [13,14]. Secondly, the empirical variance of IBD sharing is likely to be an underestimate because the marker information was not perfect. If we assume that our genome-wide average multipoint marker information content was approximately 80%, then we would expect to find a regression slope of the empirical on theoretical SD in IBD sharing of √ 0.80 = 0.89, close to the observed value of 0.92 (Figure 2A). Nevertheless, the correlations of 0.98 between empirical and theoretical values are extremely high. We detected a small genome-wide deviation of the observed IBD sharing statistics from expectation. Genome-wide transmission distortion, which results in excess allele sharing between relatives, has been reported previously [26]. Our results were driven by a deficit of the probability of sharing two alleles IBD, hence we do not replicate the findings of [26] with our large sample of 4,401 pairs. Our simulation studies confirmed that a large number of pairs is needed for accurate estimation, and showed that the estimates of heritability were biased downwards when there was no underlying source of non-genetic family resemblance. This bias is the result of ML estimation because of the usual constraints that estimated variance components have to be non-negative and that the sum of the partitioned variance ratios is bounded by zero and one. The observed bias is not particular to our method because it applies to any variance partitioning approach by ML, in particular when sampling variances are large [27,28]. We have estimated a single additive genetic variance from genome-wide segregation of marker loci within families, after adjusting phenotypes for the fixed effects of sex and age at measurement. However, genetic variances for males and females and younger and older siblings may be different, and the genetic correlation across these groups may be smaller than unity. Although we have ignored these potential sources of heterogeneity of genetic variance in this study because of sample size considerations, models that include, for example, sex-limitation effects are, in principle, straightforward to implement. We have ignored the contribution of the sex chromosomes to genome-wide IBD. In humans, the X chromosome accounts for 4% of genes and 5% of physical length [29]. If all chromosomes account for genetic variation in proportion to the number of genes or physical length, then our estimate of heritability will be biased downwards by about 4% to 5%. Although our sample size of 3,375 was sufficient to estimate the heritability of height with reasonable accuracy, for phenotypes with smaller heritability (and to distinguish additive from dominance variance), larger sample sizes are necessary. Such large datasets are in the process of being generated, either from large national studies or by combining samples across countries. For example, the GenomEUtwin study will accrue over 10,000 sib pairs for linkage studies [30]. Therefore, in the near future we will be able to estimate unbiased genetic parameters for traits that have been controversial in the past due to the assumptions regarding the (non-genetic) resemblance between relatives. If a large population resource of relatives with measured phenotypes were to be available, then a selective genotyping strategy in which only concordant and discordant pairs are genotyped may be efficient in estimating quantitative genetic parameters accurately, for the same reason that such a design can be powerful in gene mapping studies [31,32]. Our application was on a single quantitative trait and using a simple pedigree structure. However, the method is entirely general and can be applied to disease phenotypes, multiple traits, and large arbitrary pedigrees. All that is required is genome-wide estimates of IBD sharing between relatives, observations on relevant phenotypes, large samples, and software to estimate components of (co)variance. There are limitations of the applied method, the main one being that large sample sizes are required with dense marker coverage of genotyped individuals. This may be unachievable for most single labs now, but future large population-based studies that have a family component, or pooling of sample resources across studies, will have the desired effect of increasing sample size. A second limitation is that sufficient markers need to be genotyped to obtain an accurate estimate of genome-wide sharing statistics. This is less of a problem because many samples that are suitable for our suggested analyses are genotyped for linkage studies, and marker density is likely to increase in the near future because of the availability of relatively cheap single nucleotide polymorphism genotyping. With the advent of high density single nucleotide polymorphism genotyping platforms, the error in estimation of genome-wide IBD sharing between relatives is likely to be small, and we have assumed, in the present study, that it is negligible. If the estimation of genome-wide IBD sharing is less than 100% accurate, then the variation in IBD sharing between pairs is less than the true variation, resulting in less powerful analysis but still unbiased estimates [33]. With less complete marker coverage, the estimate of the proportion of alleles shared IBD is unbiased but has larger prediction error variance. For a single location in the genome, we derived the prediction error variance as: , with Pi the probability of having i alleles IBD; note that this variance could be used as a weight in gene mapping studies. To a first order approximation, the sampling variance of the estimate of the heritability, relative to the situation of perfect marker information, is increased by the reciprocal of the average genome-wide information content [34]. A third limitation is that it is difficult to disentangle additive from non-additive effects. However, with sufficient data the large correlation between additive and dominance coefficients is not an issue, and one could even consider estimating additional non-additive effects, for example additive-by-additive or additive-by-dominance effects. In conclusion, we have shown that it is feasible to estimate genetic variance entirely within families, by correlating phenotypes and genome-wide similarity. Our assumption-free method facilitates a complete separation of genetic and environmental causes of family resemblance and will allow the estimation and testing of non-additive sources of variation. Materials and Methods Variance of genome-wide IBD sharing. The variance of the proportion of chromosome segments that are IBD between relatives has been derived by a number of authors for pairs of full sibs [13,14,23,33,35], complex pedigrees [12,36,37], for inbred individuals [38], and for experimental backcross populations [39,40]. In the case of full sibs we give a derivation for both the additive and dominance component of covariance, and their correlation, following the approach of Hill [39]. Additive effects. For a given sib pair, the genome-wide mean IBD sharing (π) is the sum of the proportion shared from the paternal (p) and maternal (m) contribution, Hence, to calculate the variance it is sufficient to consider the contribution from a single parent only. For parent k, the sharing of alleles by progeny depends on the proportion of alleles shared due to the parent's paternal or maternal gamete. Let δi be an indicator variable for locus i, which is one if both sibs have inherited the paternal allele or both sibs have inherited the maternal allele, and zero otherwise. Then, The covariance of the indicator variables at two loci (i and j) is: Assuming the Haldane mapping function, the covariance can be written as: with dij the distance (in Morgan) between the loci. For n loci, the variance of chromosome-wide sharing between two sibs is: (following [39]). If n becomes very large this equation can be expressed as an integral [12,39], with l the length of the chromosome (in Morgan) and r2l the recombination fraction for a segment of length 2l. Hence, the total variance in IBD sharing between two siblings for chromosome i of length l is: Finally, genome-wide π is, πg = (1/L) Σ(l i π i ), with L = Σ(l i), and: because there are 22 autosomes and r2li ≈ ½. These results are the same as those of Guo [11], whose derivations were based upon Markov chains. They imply, that to a first order approximation, the variance in genome-wide IBD sharing is a function of the total genome length only [12,36,38,39]. For L = 35 Morgan, the SD of genome-wide IBD sharing is approximately 0.039. Table 3 shows a breakdown in the variance of IBD sharing per chromosome and the equivalent number of independent loci. It was constructed using the above equations, with physical and genetic lengths from [41], and using the sex-averaged recombination map. For comparison, the SD of the proportion of alleles shared at a given locus is 0.354. Dominance. Dominance variance is a function of the probability that two siblings share both alleles IBD (= IBD2). In a non-inbred population, this probability is also called the coefficient of fraternity [2]. The prior probability that full sibs share two alleles IBD is ¼, and the mean and variance of an indicator variable that is one if both alleles are shared IBD and zero otherwise is ¼ and 3/16, respectively. Note that the variance of IBD2 sharing at a single locus is 1.5 times the variance of mean IBD sharing. The probability that the sibs share two alleles IBD at a linked locus, given that they are IBD2, is (1 − r)4 + 2[(1 − r)r]2 + r4 = [(1 − r)2 + r2]2. Hence the covariance of the indicator variable (δ) at loci i and j is: After some algebra it can be shown that the variance of the mean IBD2 sharing (πdi) on a chromosome of length l is: The genome-wide variance in mean IBD2 sharing is: Hence, the variance of the genome-wide IBD2 sharing is larger (by about 30% if L = 35) than the variance of the genome-wide mean IBD sharing. The correlation between mean genome-wide allele sharing and mean genome-wide IBD2 sharing is the ratio of the SD, The actual relationship between full sibs can be estimated with genetic markers. For fully informative markers and close relatives, only a few markers are needed per chromosome to capture the proportion of alleles shared IBD [23,24]. This is because the number of recombination events per chromosome is small. Sampling variance of estimators of genetic variance. For n sib pairs, the simplest estimation procedure is to apply the Haseman-Elston regression analysis [33] of the squared difference between the phenotypes (Yi1 and Yi2) of the ith pair of siblings on the estimate of their genome-wide IBD proportion (πi), The parameter β is proportional to the within-family additive genetic variance, adjusted for inbreeding in the parents, [2,3,33]. We will assume that parents are not inbred, so that the regression slope equals minus twice the additive genetic variance. Then, an estimate of the narrow sense heritability is simply, with an estimate of the total phenotypic variance. If we ignore the sampling correlation between the estimate of the regression coefficient and the total phenotypic variance, then the sampling variance of the heritability is, using a Taylor series expansion [2]: The variance of the regression coefficient is approximately, with t the sib intra-class correlation [20,21]. Hence, the sampling variance of the estimate of the narrow sense heritability is, approximately, This is fully analogous to the estimation of the proportion of variance explained by a single QTL, the only difference being the variance in genome-wide IBD sharing. The non-centrality-parameter (NCP) for a test of significance of genome-wide additive genetic variance is, which reduces to the form given by Sham and Purcell [20] and Visscher and Hopper [21] for a single QTL when var(π) = 1/8. Following the derivations in Sham and Purcell [20] and Visscher and Hopper [21], the SE of the estimate of the heritability and NCP when using both the squared difference and squared sum of the sib pairs are, approximately, and Hence, power calculations for QTL mapping can be used to assess the sample size required to “detect” genome-wide additive genetic variance. For example, to detect a heritability of a given size is equivalent to detecting a QTL at a fully informative locus explaining q2 of the phenotypic variance when h 4 var(π) = (1/8)q 4, i.e., a QTL explaining about 0.11h2 of the phenotypic variance. ML estimation uses more information than the difference between the sib pairs, and the resulting estimate of the heritability is more accurate. For a single QTL asymptotically (large sample size and a QTL that explains a small amount of variance), the sampling variance of the ML estimator is that of the least squares estimator, when both the squared differences and sums are used in the regression analysis [20,21]. For genome-wide estimation, the proportion of variance explained by π is small (~ 0.11h 2), so it seems reasonable to use the predictions for the regression analysis. However, the predictions differ dramatically if there is no other source of family resemblance than sharing of genetic effects. The following approximate results were derived assuming the simple equation: with the estimate of the intra-class correlation under the null hypothesis of no genome-wide additive genetic effect, the estimate of the proportion of the variance due to residual familial effects under the alternative hypothesis, and ĥ 2 the estimate of the heritability under the full model. Equation 21 is a good approximation because the intra-class correlation, which is estimated relatively precisely under the reduced model, is essentially partitioned into a genetic and non-genetic component in the full model. The sampling correlation between the estimates of f2 and h2 is approximately −1. If there are no constraints imposed on the estimates, then, using results from [42], (from [20,21]). By difference, Hence, the SE of the estimate of the non-genetic familial resemblance is approximately half of the SE of the estimate of the genome-wide heritability. The above SE of the estimates can be used to calculate the probability that the ML estimate is zero, using standard normal distribution truncation theory [3] with truncation values of −f 2/σ( ) and −h 2/σ(ĥ 2), respectively. This was validated using simulations (unpublished data). Conditional on f2 = 0. When the true residual familial component is zero, the ML estimate is zero with a probability of ½, and > 0 with a probability of ½ [27,28]. When the estimate of f2 = 0 then the estimate of the heritability is approximately twice the intra-class correlation of the sibs. Hence, asymptotically, When the estimate of f2 > 0, the mean estimate of the familial component is, approximately, with i the mean value of a truncated standard normal distribution. For a truncation value of 0, as is the case here, i = 0.798 [3]. The variance of the truncated distribution is: Taking the whole of the distribution of the estimate of f2 gives the mean and variances as: and Similarly for the estimate of the heritability, and Equations 23, 30, and 31 were used to predict the mean and SE of the estimate of the heritability and were found to be close to simulation results for large samples (Table 1). For small samples the distribution of the estimates of the two variance ratios could be approximated by a truncated bivariate distribution. This situation is more complex because the probability that either estimate is zero as well as the probability that the estimates are constrained at unity needs to be considered jointly. If there is no residual non-genetic family resemblance then the SE of the estimate of the heritability is nearly halved relative to the case where such effects are present. The case of no residual family resemblance is very unlikely for QTL mapping (where the effects of genes elsewhere in the genome and common environmental effects cause resemblance) but realistic for genome-wide analysis of highly heritable phenotypes. The reduction in SE is at the expense of a downward bias in the estimate of the heritability. Models. The basic additive genetic model, fitted in both the simulation study and data application, is Yij = μ + Fi + Aij + Eij, with μ the fixed effects of the mean and F, A, and E the random effects of non-genetic family, additive genetic, and residual factors, respectively. The covariance between the phenotypes of two siblings is modeled as cov(Yi1,Yi2) = var(Fi) + cov(Ai1,Ai2) = σF 2 + πa(i)σA 2, and cov(Yij,Ykl) = 0 if i ≠ j. Extensions to non-additive models are straightforward, in principle. For example, the covariance for a model containing dominance (D) and additive-by-additive (AA) effects is: cov(Yi1,Yi2) = σF 2 + πa(i)σA 2 + πd(i)σD 2 + πa(i)πa(i)σAA 2. Simulation. Simulations were performed to validate the predictions of the sampling variance of the heritability and statistical power. Genome-wide IBD sharing between pairs of sibs and their phenotypes were simulated from a simple model, with μ, F, A, and E defined as before, with distributions Regression and ML analyses were performed (for details, see [21]). The number of pairs (n) in the simulation was either 2,500 or 10,000; heritability values were 0.4, 0.6, and 0.8; and the proportion of variance due to non-genetic family effects was either 0.0 or 0.2. For each set of population parameters, 1,000 replicates were run. Power was calculated using Web-based software for power of QTL analysis [43] at a type-I error rate of 0.05, which is appropriate because we performed a single hypothesis test. Application to data. We estimated the mean and variance of genome-wide IBD sharing from 4,401 quasi-independent full-sib pairs, and applied the ML estimation method to 3,375 quasi-independent full-sib pairs with both marker data and phenotypic measurements on height. These data were collected from two cohorts of Australian twins and their siblings. Phenotypes for the adolescent cohort were collected in the context of continuing longitudinal studies examining risk factors for melanoma [44] and cognitive functioning [45]. For this cohort, height was measured during a clinical examination using a stadiometer at ages 12, 14, and 16; the most recent measurement being used in the current analyses. In the first instance phenotypes for the adult cohort (consisting of twins registered with the Australian Twin Registry born prior to 1971) were collected from self-report questionnaires. Through their subsequent participation in a variety of studies, 58% of the twins included here attended a clinical examination in which height was measured using a stadiometer [15,46]; self-reported height was analyzed if no clinical measurement existed. Correlation between clinically measured and self-reported height was 0.92 in individuals measured both ways [15]. Age at time of measurement was used as a covariate in both cohorts. Genotypic information was available for a subset of the adolescent and adult participants. For the adolescent cohort, genotypic information was available for 1,201 individuals from 500 families, yielding 950 quasi-independent full-sib pairs. Genotypic information was available for up to 791 autosomal markers. The number of markers per participant in the current study ranged from 211 to 791, with a mean and SD of 588 and 194, respectively, giving an average marker spacing of 6 cM per genotyped individual. The genotyping, error checking, and cleaning of these data have been described in detail elsewhere [47]. For the adult cohort, genotypic information was available for 3,804 individuals from 1,512 families, yielding 3,451 quasi-independent full-sib pairs. Genotypic information was available for up to 1,717 autosomal markers. The number of markers per participant in the current study ranging from 201 to 1,717, with mean and SD of 628 and 264, respectively, and the average marker spacing was 5.6 cM per individual. Details of the genotyping, error checking, and cleaning strategies of these data are given elsewhere [48]. Phenotypes for height were missing on 481 individuals, eight in the adolescent cohort and 473 in the adult cohort. The number of sib pairs for which both individuals had a measured phenotype for the adolescent cohort, the adult cohort, and the combined cohort was 931, 2,444, and 3,375, respectively. IBD probabilities at 1 cM intervals were calculated using Merlin [49], and the estimate of chromosome and genome-wide IBD sharing was enumerated by averaging the IBD probabilities over the length of a chromosome and the whole genome, respectively. Each dataset was first adjusted for fixed effects, using a general linear model in which sex was fitted as a fixed factor and age at measurement as a linear covariate. Residuals from this analysis were standardized by the residual variance for each dataset because there was some evidence of heterogeneity of variance: the residual SD for the adolescent and adult dataset was 7.71 cm and 6.89 cm, respectively. ML analysis was performed using Mx [4]. The full model, termed FAE, contained F and A and E. The covariance between the phenotypes of sibs one and two of pair i was modeled as cov(Yi1,Yi2) = σF 2 + πa(i)σA 2, with πa(i) the estimate of the genome-wide actual additive relationship of the sibling pair. Reduced models FE and AE were subsequently fitted. A likelihood-ratio-test was performed to test the null hypothesis that A was zero, by comparing the MLs of models FAE and FE. A p-value was calculated assuming that the test statistic has an asymptotic distribution that is 0 with a probability of ½ and a one degree of freedom χ2 with a probability of ½ [27,28]. CIs of the variance ratios were calculated by Mx and verified by a profile likelihood approach, in which one variance component at a time was changed from its ML value, while maximizing the likelihood for the remaining parameters, until a drop in twice the log-likelihood of 3.84 was reached. In addition to estimating the ML estimate of the variance components for F, A, and E, the ML estimate of (F + A) and its 95% CI were estimated. This was performed because the estimates of F and A have a large negative sampling correlation, so that the estimate of their sum is more precise than the estimate of the individual components.
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                Author and article information

                Journal
                9216904
                2419
                Nat Genet
                Nat. Genet.
                Nature genetics
                1061-4036
                1546-1718
                8 September 2014
                05 October 2014
                November 2014
                01 May 2015
                : 46
                : 11
                : 1173-1186
                Affiliations
                [1 ]Genetics of Complex Traits, University of Exeter Medical School, University of Exeter, Exeter EX1 2LU, UK
                [2 ]Estonian Genome Center, University of Tartu, Tartu 51010, Estonia
                [3 ]Division of Endocrinology, Genetics and Basic and Translational Obesity Research, Boston Children’s Hospital, Boston, MA 02115, USA
                [4 ]Broad Institute of the Massachusetts Institute of Technology and Harvard University, Cambridge 02142, MA, USA
                [5 ]Department of Genetics, Harvard Medical School, Boston, MA 02115, USA
                [6 ]Queensland Brain Institute, The University of Queensland, Brisbane 4072, Australia
                [7 ]The University of Queensland Diamantina Institute, The Translation Research Institute, Brisbane 4012, Australia
                [8 ]Center for Biological Sequence Analysis, Department of Systems Biology, Technical University of Denmark, Lyngby 2800, Denmark
                [9 ]Science for Life Laboratory, Uppsala University, Uppsala 75185, Sweden
                [10 ]Department of Medical Sciences, Molecular Epidemiology, Uppsala University, Uppsala 75185, Sweden
                [11 ]Division of Preventive Medicine, Brigham and Women’s Hospital, Boston, MA 02215, USA
                [12 ]Department of Internal Medicine, Erasmus Medical Center, 3015GE Rotterdam, The Netherlands
                [13 ]Analytic and Translational Genetics Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
                [14 ]MRC Epidemiology Unit, University of Cambridge, Institute of Metabolic Science, Addenbrooke’s Hospital, Hills Road, Cambridge, CB2 0QQ, UK
                [15 ]Institute of Social and Preventive Medicine (IUMSP), Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne 1010, Switzerland
                [16 ]Swiss Institute of Bioinformatics, Lausanne 1015, Switzerland
                [17 ]Department of Medical Genetics, University of Lausanne, Lausanne 1005, Switzerland
                [18 ]Genetic Epidemiology Unit, Department of Epidemiology, Erasmus University Medical Center, 3015 GE Rotterdam, The Netherlands
                [19 ]Department of Genetics, University of North Carolina, Chapel Hill, NC 27599, USA
                [20 ]Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA 02115, USA
                [21 ]Division of Statistical Genomics, Department of Genetics Washington University School of Medicine, St. Louis, MO, USA
                [22 ]Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm 17177, Sweden
                [23 ]Department of Genetics, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands
                [24 ]Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford OX3 7BN, UK
                [25 ]Center for Statistical Genetics, Department of Biostatistics, University of Michigan, Ann Arbor, MI 48109, USA
                [26 ]Montreal Heart Institute, Montreal, Quebec H1T 1C8, Canada
                [27 ]Institute of Molecular and Cell Biology, University of Tartu, Tartu 51010, Estonia
                [28 ]Istituto di Ricerca Genetica e Biomedica (IRGB), Consiglio Nazionale delle Ricerche, Cagliari, Sardinia 09042, Italy
                [29 ]Wellcome Trust Sanger Institute, Hinxton, Cambridge CB10 1SA, UK
                [30 ]Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Essen, Germany
                [31 ]Clinical Epidemiology, Integrated Research and Treatment Center, Center for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany
                [32 ]Department of Genetic Epidemiology, Institute of Epidemiology and Preventive Medicine, University of Regensburg, D-93053 Regensburg, Germany
                [33 ]Harvard School of Public Health, Department of Nutrition, Harvard University, Boston, MA 2115, USA
                [34 ]HudsonAlpha Institute for Biotechnology, Huntsville, AL 35806, USA
                [35 ]Institute of Genetic Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health, D-85764 Neuherberg, Germany
                [36 ]Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, Western Australia 6008, Australia
                [37 ]Section on Growth and Development, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human evelopment, National Institutes of Health, Bethesda, MD 20892, USA
                [38 ]Netherlands Consortium for Healthy Aging (NCHA), Leiden University Medical Center, Leiden 2300 RC, The Netherlands
                [39 ]Department of Molecular Epidemiology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands
                [40 ]Department of Human Genetics, Leiden University Medical Center, 2333 ZC Leiden, The Netherlands
                [41 ]Center for Complex Disease Genomics, McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
                [42 ]Cardiology, Department of Specialties of Internal Medicine, Geneva University Hospital, Geneva 1211, Switzerland
                [43 ]Department of Epidemiology Research, Statens Serum Institut, Copenhagen DK-2300, Denmark
                [44 ]Department of Genetics, Washington University School of Medicine, St. Louis, MO 63110, USA
                [45 ]Centre for Population Health Sciences, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, Scotland, UK
                [46 ]Division of Cardiovacular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford OX3 9DU, UK
                [47 ]Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
                [48 ]Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
                [49 ]William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, EC1M 6BQ UK
                [50 ]Vth Department of Medicine (Nephrology, Hypertensiology, Endocrinology, Diabetology, Rheumatology), Medical Faculty of Mannheim, University of Heidelberg, Germany
                [51 ]Department of Internal Medicine II, Ulm University Medical Centre, D-89081 Ulm, Germany
                [52 ]National Institute for Health and Welfare, FI-00271 Helsinki, Finland
                [53 ]Epidemiology Program, University of Hawaii Cancer Center, Honolulu, HI USA
                [54 ]The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
                [55 ]Department of Twin Research and Genetic Epidemiology, King’s College London, London SE1 7EH, UK
                [56 ]Department of Cardiology, University Medical Center Groningen, University of Groningen, 9700RB Groningen, The Netherlands
                [57 ]Netherlands Consortium for Healthy Aging (NCHA), 3015GE Rotterdam, The Netherlands
                [58 ]Department of Epidemiology, Erasmus Medical Center, 3015GE Rotterdam, The Netherlands
                [59 ]Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, MD 20892, USA
                [60 ]QIMR Berghofer Medical Research Institute, Queensland 4006, Australia
                [61 ]Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford OX3 7LJ, UK
                [62 ]Department of Genomics of Common Disease, School of Public Health, Imperial College London, Hammersmith Hospital, London, UK
                [63 ]Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA
                [64 ]Department of Clinical Sciences, Genetic & Molecular Epidemiology Unit, Lund University Diabetes Center, Skåne University Hosptial, Malmö 205 02, Sweden
                [65 ]Department of Public Health and Clinical Medicine, Unit of Medicine, Umeå University, Umeå 901 87, Sweden
                [66 ]Department of Odontology, Umeå University, Umeå 901 85, Sweden
                [67 ]University of Eastern Finland, FI-70210 Kuopio, Finland
                [68 ]Atherosclerosis Research Unit, Center for Molecular Medicine, Department of Medicine, Karolinska Institutet, Stockholm 17176, Sweden
                [69 ]Division of Biostatistics, Washington University School of Medicine, St. Louis, MO 63110, USA
                [70 ]Translational Gerontology Branch, National institute on Aging, Baltimore MD 21225, USA
                [71 ]Interfaculty Institute for Genetics and Functional Genomics, University Medicine Greifswald, D-17475 Greifswald, Germany
                [72 ]Department of Cardiology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands
                [73 ]Department of Gerontology and Geriatrics, Leiden University Medical Center, 2300 RC Leiden, The Netherlands
                [74 ]Experimental Cardiology Laboratory, Division Heart and Lungs, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
                [75 ]Department of Medical Genetics, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
                [76 ]Department of Endocrinology, University of Groningen, University Medical Center Groningen, Groningen, 9700 RB, The Netherlands
                [77 ]DZHK (Deutsches Zentrum für Herz-Kreislaufforschung – German Centre for Cardiovascular Research), partner site Greifswald, D-17475 Greifswald, Germany
                [78 ]Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, D-17475 Greifswald, Germany
                [79 ]Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA
                [80 ]Core Genotyping Facility, SAIC-Frederick, Inc., NCI-Frederick, Frederick, MD 21702, USA
                [81 ]CNRS UMR 8199, F-59019 Lille, France
                [82 ]European Genomic Institute for Diabetes, F-59000 Lille, France
                [83 ]Université de Lille 2, F-59000 Lille, France
                [84 ]Ealing Hospital NHS Trust, Middlesex UB1 3HW, UK
                [85 ]Department of Epidemiology and Biostatistics, Imperial College London, London W2 1PG, UK
                [86 ]School of Health and Social Studies, Dalarna University, Falun, Sweden
                [87 ]PathWest Laboratory Medicine of Western Australia, NEDLANDS, Western Australia 6009, Australia
                [88 ]Geriatric Unit, Azienda Sanitaria Firenze (ASF), Florence, Italy
                [89 ]Department of Genetics, Texas Biomedical Research Institute, San Antonio, TX, USA
                [90 ]Department of Medical Sciences, Endocrinology, Diabetes and Metabolism, Uppsala University, Uppsala 75185, Sweden
                [91 ]IFB Adiposity Diseases, University of Leipzig, D-04103 Leipzig, Germany
                [92 ]Department of Medicine, University of Leipzig, D-04103 Leipzig, Germany
                [93 ]LifeLines, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands
                [94 ]Department of Pharmacology and Therapeutics, University College Cork, Cork, Ireland
                [95 ]Department of Statistics & Biostatistics, Rutgers University, Piscataway, N.J. USA
                [96 ]Department of Genetics, Rutgers University, Piscataway, N.J. USA.
                [97 ]Department of Biology, Norwegian University of Science and Technology, Trondheim, Norway
                [98 ]Genome Technology Branch, National Human Genome Research Institute, NIH, Bethesda, MD 20892, USA
                [99 ]Clinical Trial Service Unit, Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
                [100 ]Division of Endocrinology, Diabetes and Metabolism, Ulm University Medical Centre, D-89081 Ulm, Germany
                [101 ]Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands
                [102 ]Department of Biomedical Informatics, Vanderbilt University, Nashville, TN 37232, USA
                [103 ]Department of Human Nutrition, Wageningen University, Wageningen, The Netherlands
                [104 ]Department of Dietetics-Nutrition, Harokopio University, Athens, Greece
                [105 ]Medical Research Institute, University of Dundee, Ninewells Hospital and Medical School, Dundee DD1 9SY, UK
                [106 ]Department of Internal Medicine B, University Medicine Greifswald, D-17475 Greifswald, Germany
                [107 ]Institute for Molecular Medicine, University of Helsinki, FI-00014 Helsinki, Finland
                [108 ]Laboratory of Epidemiology and Population Sciences, National Institute on Aging, NIH, Bethesda, MD 20892, USA
                [109 ]Department of Public Health and Caring Sciences, Geriatrics, Uppsala University, Uppsala 75185, Sweden
                [110 ]Kaiser Permanente, Division of Research, Oakland, CA 94612, USA
                [111 ]Research Unit of Molecular Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health, D-85764 Neuherberg, Germany
                [112 ]German Center for Diabetes Research (DZD), Neuherberg, Germany
                [113 ]Department of Medicine III, University Hospital Carl Gustav Carus, Technische Universität Dresden, D-01307 Dresden, Germany
                [114 ]Department of Public Health and Clinical Medicine, Unit of Nutritional Research, Umeå University, Umeå 90187, Sweden
                [115 ]Department of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
                [116 ]Kuopio Research Institute of Exercise Medicine, Kuopio, Finland
                [117 ]MRC Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Western General Hospital, Edinburgh, EH4 2XU, Scotland, UK
                [118 ]National Heart, Lung, and Blood Institute, the Framingham Heart Study, Framingham MA 01702, USA
                [119 ]Department of Neurology, Boston University School of Medicine, Boston, MA 02118, USA
                [120 ]Department of Medical Statistics and Bioinformatics, Leiden University Medical Center, 2300 RC Leiden, The Netherlands
                [121 ]Faculty of Psychology and Education, VU University Amsterdam, Amsterdam, The Netherlands
                [122 ]Department of Epidemiology, University Medical Center Groningen, University of Groningen, 9700 RB Groningen, The Netherlands
                [123 ]Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
                [124 ]Institute for Community Medicine, University Medicine Greifswald, D-17475 Greifswald, Germany
                [125 ]Division of Medical Genetics, Department of Biomedicine, University of Basel, Basel, Switzerland
                [126 ]Department of Genomics, Life & Brain Center, University of Bonn, Bonn, Germany
                [127 ]Institute of Human Genetics, University of Bonn, Bonn, Germany
                [128 ]Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim 7489, Norway
                [129 ]Hannover Unified Biobank, Hannover Medical School, Hannover, D-30625 Hannover, Germany
                [130 ]Center for Medical Sytems Biology, Leiden, The Netherlands
                [131 ]Department of Pulmonary Physiology and Sleep Medicine, NEDLANDS, Western Australia 6009, Australia
                [132 ]School of Medicine and Pharmacology, University of Western Australia, CRAWLEY 6009, Australia
                [133 ]Uppsala University, Department of Immunology, Genetics & Pathology, SciLifeLab, Rudbeck Laboratory, SE-751 85, Uppsala, Sweden
                [134 ]Department of Haematology, University of Cambridge, Cambridge CB2 0PT, UK
                [135 ]NHS Blood and Transplant, Cambridge CB2 0PT, UK
                [136 ]Department of Medicine, University of Oulo, Oulo, Finland
                [137 ]Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA
                [138 ]Unit of Periodontology, Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, D-17475 Greifswald, Germany
                [139 ]Department of Internal Medicine I, Ulm University Medical Centre, D-89081 Ulm, Germany
                [140 ]Institute of Human Genetics, Helmholtz Zentrum München - German Research Center for Environmental Health, D-85764 Neuherberg, Germany
                [141 ]Department of Medical Sciences, Cardiovascular Epidemiology, Uppsala University, Uppsala 75185, Sweden
                [142 ]Centre for Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg 413 45, Sweden
                [143 ]The Genetics of Obesity and Related Metabolic Traits Program, The Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
                [144 ]Steno Diabetes Center A, S, Gentofte DK-2820, Denmark
                [145 ]Service of Nephrology, Department of Medicine, Lausanne University Hospital (CHUV), Lausanne 1005, Switzerland
                [146 ]School of Social and Community Medicine, University of Bristol, Bristol BS8 2BN, UK
                [147 ]Tropical Metabolism Research Unit, Tropical Medicine Research Institute, The University of the West Indies, Mona, Kingston 7, Jamaica
                [148 ]Global Health Institute, Department of Life Sciences, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
                [149 ]Institute of Microbiology, University Hospital and University of Lausanne, Lausanne 1011, Switzerland
                [150 ]The Center for Observational Research, Amgen, Inc., Thousand Oaks, CA 91320, USA
                [151 ]Center for Evidence-based Healthcare, University Hospital Carl Gustav Carus, Technische Universität Dresden, D-01307 Dresden, Germany
                [152 ]Department of Medicine I, University Hospital Grosshadern, Ludwig-Maximilians-Universität, D-81377 Munich, Germany
                [153 ]Institute of Medical Informatics, Biometry and Epidemiology, Chair of Genetic Epidemiology, Ludwig-Maximilians-Universität, D-85764 Neuherberg, Germany
                [154 ]Deutsches Forschungszentrum für Herz-Kreislauferkrankungen (DZHK) (German Research Centre for Cardiovascular Research), Munich Heart Alliance, D-80636 Munich, Germany
                [155 ]Department of Respiratory Medicine, Sir Charles Gairdner Hospital, NEDLANDS, Western Australia 6009, Australia
                [156 ]Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands
                [157 ]Department of Internal Medicine, Division of Endocrinology and Metabolism, Medical University of Graz, 8036 Graz, Austria
                [158 ]Diabetology-Endocrinology-Nutrition, AP-HP, Bichat Hospital, F-75018 Paris, France
                [159 ]INSERM, U872, Centre de Recherche des Cordeliers, F-75006 Paris, France
                [160 ]Paris Diderot University, F-75018 Paris, France
                [161 ]Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz 8036, Austria
                [162 ]Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
                [163 ]Deutsches Herzzentrum München, Technische Universität München, D-80636 Munich, Germany
                [164 ]National Cancer Institute, Bethesda, MD, USA
                [165 ]Department of Sociology, University of Helsinki, Helsinki FI-00014, Finland
                [166 ]EMGO Institute for Health and Care Research, VU University, 1081BT Amsterdam, The Netherlands
                [167 ]Department of Psychiatry, Neuroscience Campus, VU University Amsterdam, Amsterdam, The Netherlands
                [168 ]Icelandic Heart Association, Kopavogur 201, Iceland
                [169 ]University of Iceland, Reykjavik 101, Iceland
                [170 ]Molecular & Cellular Therapeutics, Royal College of Surgeons in Ireland, 123 St Stephens Green, Dublin 2, Ireland
                [171 ]Institute of Cardiovascular and Medical Sciences, Faculty of Medicine, University of Glasgow, Glasgow G12 8TA, UK
                [172 ]Department of Medical Sciences, Molecular Medicine, Uppsala University, Uppsala 75144, Sweden
                [173 ]Department of Public Health Sciences, Stritch School of Medicine, Loyola University of Chicago, Maywood, IL 61053, USA
                [174 ]deCODE Genetics, Amgen inc., Reykjavik 101, Iceland
                [175 ]Department of Ocology, University of Cambridge, Cambridge CB2 0QQ, UK
                [176 ]Department of Internal Medicine section of Geriatrics, Academic Medical Center, Amsterdam, The Netherlands
                [177 ]Department of Child and Adolescent Psychiatry, Psychology, Erasmus University Medical Centre, 3000 CB Rotterdam, The Netherlands
                [178 ]Department for Health Evidence, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands
                [179 ]Department of Genetics, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands
                [180 ]Department of Clinical Chemistry, Ulm University Medical Centre, D-89081 Ulm, Germany
                [181 ]Deutsches Forschungszentrum für Herz-Kreislauferkrankungen (DZHK) (German Research Centre for Cardiovascular Research), partner site Hamburg/Lubeck/Kiel, Lubeck, Germany
                [182 ]Institut für Integrative und Experimentelle Genomik, Universität zu Lübeck, D-23562 Lübeck, Germany
                [183 ]Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Tromsø, Tromsø, Norway
                [184 ]MRC Unit for Lifelong Health and Ageing at UCL, London WC1B 5JU, UK
                [185 ]Department of Epidemiology and Public Health, EA3430, University of Strasbourg, Faculty of Medicine, Strasbourg, France
                [186 ]Department of Internal Medicine, University Medical Center Groningen, University of Groningen, 9700RB Groningen, The Netherlands
                [187 ]Pathology and Laboratory Medicine, The University of Western Australia, Western Australia 6009, Australia
                [188 ]Cedars-Sinai Diabetes and Obesity Research Institute, Los Angeles, CA, USA
                [189 ]Department of Prosthetic Dentistry, Gerostomatology and Dental Materials, University Medicine Greifswald, D-17475 Greifswald, Germany
                [190 ]Biological Psychology, VU University Amsterdam, 1081BT Amsterdam, The Netherlands
                [191 ]Institute of Social and Preventive Medicine (IUMSP), Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
                [192 ]Ministry of Health, Victoria, Republic of Seychelles
                [193 ]Laboratory Medicine, Hospital of Desio, department of Health Sciences, University of Milano, Bicocca, Italy
                [194 ]Clinical Pharmacology Unit, University of Cambridge, Addenbrooke’s Hospital, Hills Road, Cambridge CB2 2QQ, UK
                [195 ]Clinical Pharmacology and Barts and The London Genome Centre, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London EC1M 6BQ, UK
                [196 ]Center for Human Genetics Research, Vanderbilt University Medical Center, Nashville TN 37203, USA
                [197 ]Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN 37232, USA
                [198 ]Department of Biostatistics, Boston University School of Public Health, Boston, MA 02118, USA
                [199 ]Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
                [200 ]Division of Cardiovascular Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden, Stockholm 17177, Sweden
                [201 ]Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
                [202 ]Clinic of Cardiology, West-German Heart Centre, University Hospital Essen, Essen, Germany
                [203 ]Department of General Practice and Primary Health Care, University of Helsinki, FI-00290 Helsinki, Finland
                [204 ]Unit of General Practice, Helsinki University Central Hospital, Helsinki 00290, Finland
                [205 ]Department of Internal Medicine, University of Pisa, Pisa, Italy
                [206 ]CNR Institute of Clinical Physiology, University of Pisa, Pisa, Italy
                [207 ]Department of Cardiology, Toulouse University School of Medicine, Rangueil Hospital, Toulouse, France
                [208 ]Robertson Center for Biostatistics, University of Glasgow, Glasgow, UK
                [209 ]NorthShore University HealthSystem, Evanston, IL, University of Chicago, Chicago, IL, USA
                [210 ]Service of Therapeutic Education for Diabetes, Obesity and Chronic Diseases, Geneva University Hospital, Geneva CH-1211, Switzerland
                [211 ]Vanderbilt University School of Medicine, Department of Medicine, Pharmacology, Pathology, Microbiology and Immunology, Nashville, Tennessee, USA
                [212 ]Leeds MRC Medical Bioinformatics Centre, University of Leeds, UK
                [213 ]Institute of Biomedical & Clinical Science, University of Exeter, Barrack Road, Exeter, EX2 5DW
                [214 ]Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA
                [215 ]Center for Biomedicine, European Academy Bozen, Bolzano (EURAC), Bolzano 39100, Italy
                [216 ]Affiliated Institute of the University of Lübeck, D-23562 Lübeck, Germany
                [217 ]Division of Genomic Medicine, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA
                [218 ]Institute of Cardiovascular Science, University College London, WC1E 6BT, UK
                [219 ]Department of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands
                [220 ]Centre for Cardiovascular Genetics, Institute Cardiovascular Sciences, University College London, London WC1E 6JJ, UK
                [221 ]Cardiovascular Genetics Division, Department of Internal Medicine, University of Utah, Salt Lake City, Utah 84108, USA
                [222 ]School of Population Health and Sansom Institute for Health Research, University of South Australia, Adelaide 5000, Australia
                [223 ]South Australian Health and Medical Research Institute, Adelaide, Australia
                [224 ]Centre for Paediatric Epidemiology and Biostatistics, UCL Institute of Child Health, London WC1N 1EH, UK
                [225 ]National Institute for Health and Welfare, FI-90101 Oulu, Finland
                [226 ]MRC Health Protection Agency (HPE) Centre for Environment and Health, School of Public Health, Imperial College London, UK
                [227 ]Unit of Primary Care, Oulu University Hospital, FI-90220 Oulu, Finland
                [228 ]Biocenter Oulu, University of Oulu, FI-90014 Oulu, Finland
                [229 ]Institute of Health Sciences, FI-90014 University of Oulu, Finland
                [230 ]Hjelt Institute Department of Public Health, University of Helsinki, FI-00014 Helsinki, Finland
                [231 ]Department of Forensic Molecular Biology, Erasmus MC, 3015GE Rotterdam, The Netherlands
                [232 ]UKCRC Centre of Excellence for Public Health (NI), Queens University of Belfast, Northern Ireland
                [233 ]Faculty of Medicine, Institute of Health Sciences, University of Oulu, Oulu, Finland
                [234 ]Unit of General Practice, Oulu University Hospital, Oulu, Finland
                [235 ]Department of Urology, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands
                [236 ]Imperial College Healthcare NHS Trust, London W12 0HS, UK
                [237 ]National Heart and Lung Institute, Imperial College, London W12 0NN, UK
                [238 ]Department of Epidemiology and Public Health, UCL London, WC1E 6BT, UK
                [239 ]Department of Medicine, Kuopio University Hospital and University of Eastern Finland, FI-70210 Kuopio, Finland
                [240 ]Department of Physiology, Institute of Biomedicine, University of Eastern Finland, Kuopio Campus, Kuopio, Finland
                [241 ]Department of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland
                [242 ]Department of Clinical Chemistry, Fimlab Laboratories and School of Medicine University of Tampere, FI-33520 Tampere, Finland
                [243 ]Department of Health Sciences, University of Milano, I 20142, Italy
                [244 ]Fondazione Filarete, Milano I 20139, Italy
                [245 ]Division of Nephrology and Dialysis, San Raffaele Scientific Institute, Milano I 20132, Italy
                [246 ]Università Vita-Salute San Raffaele, Milano I 20132, Italy
                [247 ]Institut Universitaire de Cardiologie et de Pneumologie de Québec, Faculty of Medicine, Laval University, Quebec, QC G1V 0A6, Canada
                [248 ]Institute of Nutrition and Functional Foods, Laval University, Quebec, QC G1V 0A6, Canada
                [249 ]Department of Biostatistics, University of Washington, Seattle, WA 98195, USA
                [250 ]Department of Surgery, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
                [251 ]Department of Biostatistics, University of Liverpool, Liverpool L69 3GA, UK
                [252 ]Department of Pediatrics, University of Iowa, Iowa City, Iowa IA 52242, USA
                [253 ]Institute of Epidemiology II, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany, D-85764 Neuherberg, Germany
                [254 ]Department of Neurology, General Central Hospital, Bolzano 39100, Italy
                [255 ]Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts, USA
                [256 ]Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, FI-20521 Turku, Finland
                [257 ]Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, FI-20521 Turku, Finland
                [258 ]Human Genomics Laboratory, Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA
                [259 ]Center for Systems Genomics, The Pennsylvania State University, University Park, PA 16802, USA
                [260 ]Croatian Centre for Global Health, Faculty of Medicine, University of Split, 21000 Split, Croatia
                [261 ]Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, UK
                [262 ]National Institute for Health Research (NIHR) Leicester Cardiovascular Biomedical Research Unit, Glenfield Hospital, Leicester, LE3 9QP, UK
                [263 ]South Carelia Central Hospital. 53130 Lappeenranta. Finland
                [264 ]Paul Langerhans Institute Dresden, German Center for Diabetes Research (DZD), Dresden, Germany
                [265 ]International Centre for Circulatory Health, Imperial College London, London W2 1PG, UK
                [266 ]Program for Personalized and Genomic Medicine, and Division of Endocrinology, Diabetes and Nutrition, University of Maryland School of Medicine, Baltimore, MD 21201, USA
                [267 ]Geriatric Research and Education Clinical Center, Vetrans Administration Medical Center, Baltimore, MD 21201, USA
                [268 ]HUCH Heart and Lungcenter, Department of Medicine, Helsinki University Central Hospital, FI-00290 Helsinki, Finland
                [269 ]Université de Montréal, Montreal, Quebec H1T 1C8, Canada
                [270 ]Department of Kinesiology, Laval University, Quebec, QC G1V 0A6, Canada
                [271 ]Dipartimento di Scienze Farmacologiche e Biomolecolari, Università di Milano & Centro Cardiologico Monzino, IRCCS, Milan 20133, italy
                [272 ]Department of Food Science and Nutrition, Laval University, Quebec, QC G1V 0A6, Canada
                [273 ]The electronic medical records and genomics (eMERGE) consortium
                [274 ]Myocardial Infarction Genetics (MIGen) Consortium
                [275 ]Membership to this consortium is provided below.
                [276 ]Population Architecture using Genomics and Epidemiology Consortium
                [277 ]The LifeLines Cohort Study, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
                [278 ]Institut Pasteur de Lille; INSERM, U744; Université de Lille 2; F-59000 Lille, France
                [279 ]Department of Cardiology, Division Heart and Lungs, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
                [280 ]Durrer Center for Cardiogenetic Research, Interuniversity Cardiology Institute Netherlands-Netherlands Heart Institute, 3501 DG Utrecht, The Netherlands
                [281 ]Lee Kong Chian School of Medicine, Imperial College London and Nanyang Technological University, Singapore, 637553 Singapore, Singapore
                [282 ]Health Science Center at Houston, University of Texas, Houston, TX, USA
                [283 ]Department of Medicine, Division of Genetics, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA
                [284 ]Department of Epidemiology, University Medical Center Utrecht, Utrecht, The Netherlands
                [285 ]Lund University Diabetes Centre and Department of Clinical Science, Diabetes & Endocrinology Unit, Lund University, Malmö 221 00, Sweden
                [286 ]Harvard School of Public Health, Department of Epidemiology, Harvard University, Boston, MA 2115, USA
                [287 ]Interuniversity Cardiology Institute of the Netherlands (ICIN), Utrecht, the Netherlands
                [288 ]Albert Einstein College of Medicine. Department of epidemiology and population health, Belfer 1306, NY 10461, USA
                [289 ]Center for Human Genetics, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA
                [290 ]Synlab Academy, Synlab Services GmbH, Mannheim, Germany
                [291 ]Department of Clinical Genetics, Erasmus University Medical Center, Rotterdam, The Netherlands
                [292 ]Harvard Medical School, Boston, MA 02115, USA
                [293 ]Institute for Translational Genomics and Population Sciences, Los Angeles BioMedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA
                [294 ]Finnish Diabetes Association, Kirjoniementie 15, FI-33680 Tampere, Finland
                [295 ]Pirkanmaa Hospital District, Tampere, Finland
                [296 ]Center for Non-Communicable Diseases, Karatchi, Pakistan
                [297 ]Department of Medicine, University of Pennsylvania, Philadelphia, USA
                [298 ]Laboratory of Genetics, National Institute on Aging, Baltimore, MD 21224, USA
                [299 ]Instituto de Investigacion Sanitaria del Hospital Universario LaPaz (IdiPAZ), Madrid, Spain
                [300 ]Diabetes Research Group, King Abdulaziz University, Jeddah, Saudi Arabia
                [301 ]Centre for Vascular Prevention, Danube-University Krems, 3500 Krems, Austria
                [302 ]Department of Public Health and Clinical Nutrition, University of Eastern Finland, Finland
                [303 ]Research Unit, Kuopio University Hospital, Kuopio, Finland
                [304 ]Institute of Cellular Medicine, Newcastle University, Newcastle NE1 7RU, UK
                [305 ]Institute of Medical Informatics, Biometry and Epidemiology, Chair of Epidemiology, Ludwig-Maximilians-Universität, D-85764 Munich, Germany
                [306 ]Klinikum Grosshadern, D-81377 Munich, Germany
                [307 ]Institute of Epidemiology I, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany, D-85764 Neuherberg, Germany
                [308 ]Department of Pulmonology, University Medical Center Utrecht, Utrecht, The Netherlands
                [309 ]King Abdulaziz University, Jeddah 21589, Saudi Arabia
                [310 ]Department of Internal Medicine, Division of Gastroenterology, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI 48109
                [311 ]Faculty of Medicine, University of Iceland, Reykjavik 101, Iceland
                [312 ]University of Cambridge Metabolic Research Laboratories, Institute of Metabolic Science, Addenbrooke’s Hospital, Cambridge CB2 OQQ, UK
                [313 ]NIHR Cambridge Biomedical Research Centre, Institute of Metabolic Science, Addenbrooke’s Hospital, Cambridge CB2 OQQ, UK
                [314 ]Carolina Center for Genome Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
                [315 ]Division of Population Health Sciences & Education, St George’s, University of London, London SW17 0RE, UK
                [316 ]Service of Medical Genetics, CHUV University Hospital, Lausanne, Switzerland
                [317 ]Oxford NIHR Biomedical Research Centre, Oxford University Hospitals NHS Trust, Oxford, OX3 7LJ, UK
                [318 ]Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, MI, USA
                [319 ]Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA
                [320 ]Department of Human Genetics, University of Michigan, Ann Arbor, MI, USA
                [321 ]Harvard School of Public Health, Department of Biostatistics, Boston, MA 02115, USA
                [322 ]The Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
                [323 ]Biosciences Research Division, Department of Primary Industries, Victoria 3083, Australia
                [324 ]Department of Food and Agricultural Systems, University of Melbourne, Victoria 3010, Australia
                Author notes
                [‡]

                These authors jointly directed the work

                Article
                EMS60217
                10.1038/ng.3097
                4250049
                25282103
                c517bccb-5ab5-4060-b80f-cc6d27d05d0b
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                Genetics
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