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Updated: Oct 15, 2025

Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
Exploiting family history in aggregation unit-based genetic association tests
Yanbing Wang1, Han Chen2,3, Gina M Peloso4
1Department of Biostatistics, School of Public Health, Boston University, Massachusetts, MA, 02215, USA. yanbing@bu.edu.
New methods, family history aggregation unit-based test (FHAT) and optimal FHAT (FHAT-O), improve rare variant association analysis. These methods enhance statistical power and identify novel disease regions for conditions like dementia and hypertension.
Area of Science:
- Genetics
- Biostatistics
- Computational Biology
Background:
- Sequencing technology advancements necessitate novel methods for disease association studies.
- Family history (FH) data offers cost-effective insights into disease risk and genetic associations.
- Integrating FH data can overcome limitations of insufficient cases or missing genotype information.
Purpose of the Study:
- To develop and evaluate novel statistical methods for rare variant association analysis using family history data.
- To compare the performance of proposed methods against existing approaches.
Main Methods:
- Proposed family history aggregation unit-based test (FHAT) and optimal FHAT (FHAT-O).
- Extended the liability threshold model of case-control status and FH (LT-FH) for aggregated unit-based analysis.
- Conducted simulations and applied methods to UK Biobank exome sequencing data for dementia and hypertension.
Main Results:
- FHAT, FHAT-O, and LT-FH provide reasonable type I error control, with FHAT and FHAT-O showing improved power over LT-FH and conventional methods.
- FHAT and FHAT-O demonstrated computational efficiency and flexibility.
- Application to UK Biobank data improved significance for known disease regions and identified novel associations for dementia and hypertension.
Conclusions:
- FHAT and FHAT-O are powerful and efficient methods for rare variant association analysis incorporating family history.
- These methods enhance the detection of genetic associations for complex diseases.
- The findings support the utility of family history data in large-scale genetic studies.
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