Wang Tzu-Hao, Wang Hsin-Shih
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University, Tao-Yuan, Taiwan.
Taiwan J Obstet Gynecol. 2009 Jun;48(2):89-95. doi: 10.1016/S1028-4559(09)60265-5.
Genome-wide association studies (GWAS) use high-throughput genotyping technology to relate hundreds of thousands of genetic markers (genotypes) to clinical conditions and measurable traits (phenotypes). This review is intended to serve as an introduction to GWAS for clinicians, to allow them to better appreciate the value and limitations of GWAS for genotype-disease association studies. The input of clinicians is vital for GWAS, since disease heterogeneity is frequently a confounding factor that can only really be solved by clinicians. For diseases that are difficult to diagnose, clinicians should ensure that the cases do indeed have the disease; for common diseases, clinicians should ensure that the controls are truly disease-free.
全基因组关联研究(GWAS)使用高通量基因分型技术,将数十万种遗传标记(基因型)与临床病症和可测量性状(表型)联系起来。本综述旨在为临床医生介绍GWAS,使他们能更好地理解GWAS在基因型-疾病关联研究中的价值和局限性。临床医生的参与对GWAS至关重要,因为疾病异质性常常是一个混杂因素,而这一因素只有临床医生才能真正解决。对于难以诊断的疾病,临床医生应确保病例确实患有该疾病;对于常见疾病,临床医生应确保对照者确实无病。