Institute for Human Genetics, Departments of Epidemiology and Biostatistics and Urology, University of California, San Francisco, San Francisco, California 94158-9001, USA.
Annu Rev Public Health. 2010;31:9-20 4 p following 20. doi: 10.1146/annurev.publhealth.012809.103723.
Genome-wide association studies (GWAS) provide an important avenue for undertaking an agnostic evaluation of the association between common genetic variants and risk of disease. Recent advances in our understanding of human genetic variation and the technology to measure such variation have made GWAS feasible. Over the past few years a multitude of GWAS have identified and replicated many associated variants. These findings are enriching our knowledge about the genetic basis of disease and leading some to advocate using GWA study results for genetic testing. For many of the GWA study results, however, the underlying mechanisms remain unclear and the findings explain only a limited amount of heritability. These issues may be clarified by more detailed investigations, including analyses of less common variants, sequence-level data, and environmental exposures. Such studies should help clarify the potential value of genetic testing to the public's health.
全基因组关联研究(GWAS)为开展对常见遗传变异与疾病风险之间关联的无偏见评估提供了一个重要途径。我们对人类遗传变异的理解以及测量这种变异的技术的最新进展使得 GWAS 成为可能。在过去的几年中,大量的 GWAS 已经确定并复制了许多相关的变异。这些发现丰富了我们对疾病遗传基础的认识,并促使一些人主张使用 GWAS 研究结果进行基因检测。然而,对于许多 GWAS 研究结果,其潜在机制仍不清楚,并且这些发现仅解释了有限的遗传率。通过更详细的研究,包括对罕见变异、序列水平数据和环境暴露的分析,可以澄清这些问题。这些研究应该有助于阐明基因检测对公众健康的潜在价值。