No gene is an island: the flip-flop phenomenon - PubMed
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No gene is an island: the flip-flop phenomenon
Ping-I Lin et al. Am J Hum Genet. 2007 Mar.
Erratum in
- Am J Hum Genet. 2007 May;80(5):1002
Abstract
An increasing number of publications are replicating a previously reported disease-marker association but with the risk allele reversed from the previous report. Do such "flip-flop" associations confirm or refute the previous association findings? We hypothesized that these associations may indeed be confirmations but that multilocus effects and variation in interlocus correlations contribute to this flip-flop phenomenon. We used theoretical modeling to demonstrate that flip-flop associations can occur when the investigated variant is correlated, through interactive effects or linkage disequilibrium, with a causal variant at another locus, and we show how these findings could explain previous reports of flip-flop associations.
Figures

Penetrance values for each two-locus genotype combination under different models of multilocus effect. The penetrance values were calculated by specifying
α=.001,
θ1=0.1, and
θ2=0.2for each model.

ORs corresponding to the effect size of allele A under models I and IV. Parameters for each situation are specified. A,
f=0.001,
θ1=0.1, and
θ2=0.2under model I. B,
f=0.001,
θ1=0.1, and
θ2=-0.2under model I. C,
f=0.001,
θ1=0.1, and
θ2=0.2under model IV. D,
f=0.001,
θ1=0.1, and
θ2=-0.2under model IV.

Directions of allelic association for the A allele in different situations. We used the statistic
χ=(PA-PB)/, where
, to demonstrate how the direction of allelic association varies depending on θ2, given the same frequency of the A (and B) allele (∼50%) and model of multilocus effect. θ1 is fixed at 0.1 for all models. Panel A indicates the situation where A is a risk allele and B is also a risk allele; panel B indicates the situation where the A allele is a risk allele and the B allele is a protective allele.

The effect of the Val allele (i.e., the A allele at NlaIII RSP) on SCZD across 32 populations. Allelic effect is presented by OR. For model A,
θ1=0.1and
θ2=0.2; for model B,
θ1=0.1and
θ2=0.4; for model C,
θ1=0.1and
θ2=0.8. For all four models,
f=0.001.

The effect of the Val allele (presented by OR) on SCZD in the Cambodian population, given different disease models (i.e., different effect ratios for the P2 promoter compared with the Val allele).
Comment in
-
Genetic flip-flop without an accompanying change in linkage disequilibrium.
Zaykin DV, Shibata K. Zaykin DV, et al. Am J Hum Genet. 2008 Mar;82(3):794-6; author reply 796-7. doi: 10.1016/j.ajhg.2008.02.001. Am J Hum Genet. 2008. PMID: 18319078 Free PMC article. No abstract available.
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