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Gene–environment interactions in case–control studies with silent disease
Authors:Iryna Lobach  Joshua Sampson  Siarhei Lobach  Li Zhang
Affiliation:1. Department of Epidemiology and Biostatistics, University of California, San Francisco, California;2. National Cancer Institute, National Institutes of Health, Bethesda, Maryland;3. Applied Mathematics and Computer Science Department, Belarusian State University, Minsk, Belarus;4. Department of Medicine, University of California, San Francisco, California
Abstract:Genome‐wide association studies (GWAS) often measure gene–environment interactions (G × E). We consider the problem of accurately estimating a G × E in a case–control GWAS when a subset of the controls have silent, or undiagnosed, disease and the frequency of the silent disease varies by the environmental variable. We show that using case–control status without accounting for misdiagnosis can lead to biased estimates of the G × E. We further propose a pseudolikelihood approach to remove the bias and accurately estimate how the relationship between the genetic variant and the true disease status varies by the environmental variable. We demonstrate our method in extensive simulations and apply our method to a GWAS of prostate cancer.
Keywords:case‐control study  gene‐environment interactions  prostate cancer  pseudolikelihood  silent disease
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