Doctor of Philosophy, Case Western Reserve University, 2010, Epidemiology and Biostatistics
Complex disease sometimes has system-wide level impact by affecting a constellation of physiologically interrelated phenotypes rather than a single phenotype, resulting in a set of co-morbidities. The physiological connection between the phenotypes, and the consequent co-occurrence of morbidities, varies from individual to individual in a way that can affect diseases prognosis. As an example, when obesity and its associated morbidities, dyslipidemia, hypertension and insulin resistance, do co-occur, this co-occurrence increases risk of diabetes and coronary heart disease in a way not explained by the presence of each individual morbidity alone. In this work, the physiological connections for each individual are characterized by the correlation values that the phenotypes present in their repeated measurements throughout the individual's life. The variation in the within-individual phenotypic relationships, from individual to individual, can then be studied as a new quantitative trait.
First, this study shows that traditional genetic approaches which target variation in the phenotypic values do not capture the variation in within individual phenotypic correlations. Secondly, two approaches designed to specifically model the new quantitative trait are statistically compared. Finally, the biological relevance of the phenotypic correlations underlying obesity and its associated morbidities is investigated using the Framingham heart study data (human data) and the C57BL/6J and A/J chromosome substitution strain panel (mouse data). It is found that these phenotypic correlations are associated to diabetes and cardiovascular disease in a way not explained by the phenotypic values alone. It is also shown that there is genetic variation underlying these phenotypic correlations and that it is distinct and independent from that underlying the phenotypic values.
This work concludes that approaches that exclusively model phenotypic values when studying the genetics of co-morbidi (open full item for complete abstract)
Committee: J. Sunil Rao PhD (Committee Chair); Joseph Nadeau PhD (Advisor); Xiaofeng Zhu PhD (Committee Member); Catherine Stein PhD (Committee Member)
Subjects: Biomedical Research; Biostatistics; Genetics