Many environmental risk factors for common, complex human diseases have been revealed by epidemiologic studies, but how genotypes at specific loci modulate individual responses to environmental risk factors is largely unknown. Gene-environment interactions will be missed in genome-wide association studies and may account for some of the 'missing heritability' for these diseases. In this review, we focus on asthma as a model disease for studying gene-environment interactions because of relatively large numbers of candidate gene-environment interactions with asthma risk in the literature. Identifying these interactions using genome-wide approaches poses formidable methodological problems and elucidating molecular mechanisms for these interactions has been challenging. We suggest that studying gene-environment interactions in animal models, while more tractable, is not likely to shed light on the genetic architecture of human diseases. Lastly, we propose avenues for future studies to find gene-environment interactions.
The Problem: Accounting for the Heritability of Common Human DiseasesDissecting the genetics of common human diseases with complex etiologies continues to be challenging and the genetic architectures of these diseases remain elusive. Despite the many successes of genome-wide association studies (GWAS) during the past four years (refs.1,2 as examples), there is a growing consensus that the common variants with modest effects on disease risk discovered through GWAS do not account for the majority of the estimated heritabilities of these diseases. This observation was initially termed 'missing heritability'3-5, to suggest that additional genetic variation (such as rare variants or copy number variants) or interactions that are not explicitly modeled (such as epistasis or gene-environment interactions [GEIs]) have been missed by GWAS and may account for a significant proportion of the heritability. More recently, the term 'hidden heritability' 6 was suggested in response to the argument that the joint or simultaneous analysis of individual common risk alleles may account for more of the heritability than the sum of each allele7,8. Of course, it is likely that the genetic architecture of most, if not all, common human diseases will include all of the above components, and it is timely in the post-GWAS era to begin to directly assess the contribution of each to the overall heritability of complex diseases. Here, we will © 2010 Elsevier Ltd. All rights reserved. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. focus on the role of GEIs on risk for human diseas...