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Updated: Oct 16, 2025

Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
Associating complex traits with genetic variants: polygenic risk scores, pleiotropy and endophenotypes
1Paul H. Chook Dept. of CIS & Statistics, CUNY/Baruch College, New York, NY, USA. gsfisch@hotmail.com.
Genotype-phenotype causal modeling has advanced with genomewide assays for complex traits. However, challenges in research design and statistical complexity impact the reliability of polygenic risk scores for human disorders.
Area of Science:
- Genetics
- Bioinformatics
- Statistical genomics
Background:
- Genotype-phenotype causal modeling has evolved significantly from early designs.
- Genomewide assays have expanded the scope of genotype-phenotype research for complex traits.
- Polygenic risk scores are developed from causal variant clusters to predict clinical diagnoses.
Purpose of the Study:
- To review the evolution and current state of genotype-phenotype causal modeling.
- To discuss challenges and complexities in genomewide investigations.
- To examine controversies and contributing factors in genotype-phenotype research.
Main Methods:
- Review of historical genotype-phenotype causal modeling designs.
- Analysis of genomewide assay applications for complex traits.
- Examination of statistical complexities and research design challenges.
Main Results:
- Genomewide assays have increased the scope of genotype-phenotype research.
- Challenges in research design and statistical complexity hinder prediction reliability.
- Controversies exist regarding heritability estimates and causal clusters.
Conclusions:
- Genotype-phenotype causal modeling faces significant challenges despite advancements.
- Reliability and validity of predictions from genomewide studies require further investigation.
- Pleiotropy and endophenotypes add complexity to causal models.
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