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Updated: Jan 8, 2026

Large-Scale Multi-Omics Genome-Wide Association Studies Mo-GWAS: Guidelines for Sample Preparation and Normalization
Published on: July 27, 2021
Co-expression-wide association studies link genetically regulated interactions with complex traits
Mykhaylo M Malakhov1, Wei Pan2
1Division of Biostatistics and Health Data Science, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Introducing co-expression-wide association study (COWAS), a new method to find gene and protein pairs linked to complex traits. COWAS reveals how interacting proteins influence diseases, even when acting alone they don't.
Area of Science:
- Genetics and Systems Biology
- Computational Biology
- Disease Risk Prediction
Background:
- Transcriptome- and proteome-wide association studies (TWAS/PWAS) identify genes/proteins linked to disease risk.
- Existing methods overlook co-expression and interaction effects between genes or proteins.
- Understanding molecular networks is crucial for complex trait genetics.
Purpose of the Study:
- Introduce the co-expression-wide association study (COWAS) method.
- Identify gene/protein pairs with genetically regulated co-expression associated with complex traits.
- Investigate the role of protein-protein interactions in disease etiology.
Main Methods:
- COWAS trains models to predict expression and co-expression from genetic variation.
- Tests association between imputed co-expression and traits, accounting for direct effects.
- Applies the method to UK Biobank plasma proteomic data.
Main Results:
- Identified dozens of interacting protein pairs associated with cholesterol levels, Alzheimer's, and Parkinson's diseases.
- Demonstrated that protein co-expression can influence complex traits independently of individual protein effects.
- Showcased COWAS's ability to disentangle direct and interaction effects in molecular networks.
Conclusions:
- COWAS provides a novel approach to uncover genetically regulated co-expression patterns associated with complex traits.
- Protein-protein interactions revealed by COWAS offer new insights into disease mechanisms.
- The method enhances understanding of molecular networks mediating genetic effects on disease.
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