Multifactorial Traits
Chapter Seven
           Multifactorial
• Not all diseases are Mendelian
• Multifactorial = many factors
In Genetics:
• Multifactorial = both environment and
  genetics (usually more than one gene)
• Polygenic = more than one gene
• Each gene separately follows Mendel’s
  laws, but the trait overall does not
          Complex Traits
• Disorder that is proven heritable, yet has
  no clear mode of inheritance
  – Doesn’t follow Mendel’s laws
• More than one gene - polygenic
• Interaction between genes - epistasis
• Interaction between genes and
  environment - multifactorial
Why Common Complex Disorders
 and Rare Mendelian Disorders?
 • Evolution can act upon a single
   detrimental gene
   – negative selection
 • Gene functions that are good for some
   things, but can be harmful in excess
   ex rational fear vs. anxiety disorders
 • Normal alleles only predisposing
   – other mutations/environment present
                          Genes vs. Environment
                          100
Percent Genetic Control
                          50
                           Eye Color   Heart Disease   Car Accident
Percent Environmental Control
                                 Genes vs. Environment
                                100
                                50
                                 Eye Color   Heart Disease   Car Accident
               Causation
•    There are only two factors that cause
     any trait:
    1. Genetics
    2. Environment
•   Nature vs. Nurture
•   Interaction of two is multifactorial
      Multifactorial Traits:
• Height
• Weight
• Eye color
  – although basically no environmental
    component is involved
• Skin color
• Heart Disease
• What else?
         Quantitative Traits
• Quantitative = measurable traits
• Disease state is Qualitative
  – Affected vs. unaffected
  – Show trait vs. do not show trait
 ex Autistic or normal?
• Multifactorial traits are often Quantitative
   – Height ? – quantify in inches
   – Weight ? – quantify in pounds
 ex “speaking ability is stuck at 2 years of age”
                Quantitative Traits
       • Quantitative traits produce a continuum of
         phenotypes:
# Individuals
                         Height (in)
                      Quantitative Traits
       • Disease state may be beyond “threshold”
# Individuals
                           Speaking Ability
                Autistic
        Quantitative Traits
Rather than genes people often talk about:
• Quantitative Trait Loci (QTL) =
  chromosomal regions that have been
  associated with a complex trait
• If a QTL is correct then one of the genes
  residing in this region should be directly
  involved in causing trait
Remember – More than one gene!
  therefore – more than one QTL too
     How to identify QTL
1. Linkage
2. Animal Models
3. Association Studies
           QTL Mapping
• Start with a complex trait of interest
• Phenotype a large group of individuals for
  trait – quantitatively
• Genotype everyone
• Do people who share the trait also share
  specific genomic regions (QTL) more often
  than chance?
         Wait a Second!?!
• What if the trait we are interested in is
  NOT genetic at all?
• What would happen then?
• No matter how hard you studied, you
  would never find the genes, because there
  are none!
        st
       1 :   Is Trait Genetic?
• Calculate Heritability
• Heritability (H2) = proportion of the trait
  that is controlled by genetics
  – H2 = 100 % – trait is fully genetic
  – H2 = 0 %   – trait is fully environmental
• Complex traits are somewhere in between
              Heritability
• Different ways to calculate/estimate
• All based on this:
        # of relatives that share the trait
 # expected to share if trait was 100% genetic
• Expected is calculated based on amount of
  genetic material shared between two
  relatives
   Heritability – Expected:
• Use “Correlation Coefficient”
• Fancy way of saying – how related are
  these two people?
       Relationship      Percent Genes Shared
     Monozygotic Twins           100%
      Dizygotic Twins             50%
          Siblings                50%
      Parent and Child            50%
       Aunt or Uncle              25%
       Grandparent                25%
        First Cousin             12.5%
                Heritability
• Gather a group of relatives
   – 100 sibling pairs
   – 100 MZ twins
• Phenotype for trait:
  ex 40 of 100 sib pairs share trait
   – .40/.50 = 80 %
   – Therefore, trait is 80 % controlled by genetics
   – 20 % controlled by environment
 Problems with Heritability?
What do you think is wrong, or lacking, with
  H2 estimate from relative pairs?
1. Families share genetics AND
    environment
2. More shared genetics usually correlates
    to more shared environment too:
  ex Twins usually share bedroom
   Siblings raised in same house, unlike cousins
      Separate Genes from
         Environment
1. Adopted children
  •   Compare birth parents to adopted parents
  •   Sharing environment only, not genes
2. Twins
  •   Compare MZ vs. DZ twins
  •   Differences in twins is only difference
      between amount of genes shared,
      environment is constant
      Concordance Rates
• Compare the percent of MZ twins that are
  concordant for the trait vs. the percent of
  DZ twins concordant
• If MZ twins are more concordant than
  difference is attributed to genetics
  ex Autism:           90% MZ vs. 2% DZ
  Homosexuality:    52% MZ vs. 20% DZ
  Depression:       46% MZ vs. 9% DZ
Problem with Concordance?
 More shared genetics usually correlates to
   more shared environment too
   – MZ twins can be raised in more similar
     environments than DZ twins
ex Tuberculosis was found more often in MZ
    twins than DZ twins
   – Obviously TB (caused by bacteria), is not
     genetic at all!
     What would be ideal?
• MZ twins, separated at birth, raised
  completely apart
• Animal models, where one can separate
  the genetics from the environment
     Genetic Counselors
• What happens when parents ask you the
  risk of having a child with a complex
  disorder?
• Cannot calculate an exact statistical
  likelihood based on Mendel’s laws
Instead give:
• Heritability estimates
• Empiric Risk
                 Empiric Risk
• The incidence of the trait in a specific
  population:
  Differs based on ethnic background:
           Ethnic Background          Prevalence of Disease
                 Caucasian                     50
                   African                     3.8
             African-American                  26
             Native American                   5.9
  Also depending on whether relative has trait:
    Relationship to Affected Individual       Risk of Recurrence
              Identical Twin                          40%
                  Sibling                              5%
                   Child                             3.5%
               First Cousin                         0.30%
            QTL Mapping
• Start with a complex trait of interest
  – That shows strong genetic contribution
• Phenotype a large group of individuals for
  trait – quantitatively
• Genotype everyone
• Do people who share the trait also share
  specific genomic regions (QTL) more often
  than chance?
            QTL Mapping
1. Linkage:
  - Marker and phenotype are correlated
2. Animal Models
  - Animal can be manipulated to show phenotype
  - Compare differences in genetics, matched to
     differences in phenotypes
3. Association Studies:
  - Are certain alleles correlated with phenotype?
      Association Studies
“Linkage Disequilibrium” – alleles are
  inherited together (rather than genes)
  – LD only ranges a short distance
  – ~ 10,000 bases
  – Because alleles are so close they are always
    inherited together (no crossing over)
• Association comparing alleles
• Linkage usually done in families,
  association usually done case vs. control
         Case vs. Control
• Gather a group of individuals with trait
• Compare them to a group of individuals
  who do not have trait
• Whatever alleles (genes) are different =
  cause of trait
• Problems?
  – What about ethnic genetic background?
  – Need to perfectly match the background of
    the two groups
         Case vs. Control
• Perfect match = family members
  Association studies are now often done in:
  – Sib pairs (two siblings, both affected)
  – Trios (two parents and one affected child)
• 2nd best = genotype both groups across
  entire genome
  – Make sure genetic backgrounds are the same
  – “Genomic Controls”
                              Complexity of Trait
• More complex the trait, more difficult it will
  be to identify QTL or genes involved
# Individuals Needed
                       1000
                                                          This is assuming
                       100                                 environment is
                                                             completely
                        50                                  controlled for
                              1       2    3     4    5
                                  # Genes Causing Trait
                Summary
1. Figure out whether trait is genetic:
  •   Compare relatives vs. general population
  •   MZ vs. DZ twins
  •   Adoption Studies
2. Estimate how genetic:
  •   Heritability
  •   Empiric Risk
3. Try to identify genes involved in trait
   (QTL’s)
                Summary
QTL = regions associated with phenotype:
  – Linkage – correlation between genomic
    regions and phenotype
  – Association – correlation between alleles and
    phenotype
  – Animal Models
• Association Studies can be:
  – Case vs. Control
  – Sib pairs or Trios
         Important Terms:
Empiric Risk – known incidence of trait in
 particular population
Heritability – estimate of percentage of trait
 that is caused by genetics
Correlation Coefficient – proportion of genes
 two relatives share
Concordance – Percentage of twin pairs that
 both show phenotype
        Example: Obesity
• Qualitative = obese, overweight, normal
• Quantitative = weight in pounds
• Multifactorial
  – Controlled by environment
  – Controlled by genetics:
               Next Class:
• Read Chapter Eight
• Homework – Chapter Seven Problems;
  – Review: 1,4, 7,8,10
  – Applied: 1,3,5,6,10,11