title: Hypothesis-driven candidate gene association studies: practical design and analytical considerations.
abstract: Candidate gene association studies (CGAS) are a useful epidemiologic approach to drawing inferences about relations between genes and disease, especially when experimental data support the involvement of specific biochemical pathways. The value of CGAS is apparent when allele frequencies are low, effect sizes are small, or the study population is limited or unique. CGAS is also valuable for validating previous reports of genetic associations with disease in different populations. Despite the many advantages, the information generated from CGAS is sometimes compromised because of either inefficient study design or suboptimal analytical approaches. Here the authors discuss issues related to the study design and statistical analyses of CGAS that can help to optimize their usefulness and information content. These issues include judicious hypothesis-driven selection of biochemical pathways, genes, and single nucleotide polymorphisms, as well as appropriate quality control and analytical procedures for measuring main effects and for evaluating environmental exposure modifications and interactions. A study design algorithm using the example of DNA repair genes and cancer is presented for purposes of illustration.
authors.affiliation: Department of Radiation Medicine, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC 20057, USA. tjorge01@georgetown.edu
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Jorgensen
authors.forename: Ingo
authors.initials: I
authors.lastname: Ruczinski
authors.forename: Bailey
authors.initials: B
authors.lastname: Kessing
authors.forename: Michael W
authors.initials: MW
authors.lastname: Smith
authors.forename: Yin Yao
authors.initials: YY
authors.lastname: Shugart
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Alberg
mesh_terms: D004260:DNA Repair / Q000235:genetics; D005787:Gene Frequency; D020022:Genetic Predisposition to Disease / Q000235:genetics; D055106:Genome-Wide Association Study / Q000379:methods; D006801:Humans; D017720:Molecular Epidemiology; D020641:Polymorphism, Single Nucleotide