2018
DOI: 10.1016/j.ajhg.2018.10.001
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Deciphering the Emerging Complexities of Molecular Mechanisms at GWAS Loci

Abstract: Genome-wide association studies (GWASs) have identified thousands of loci associated with hundreds of complex diseases and traits, and progress is being made toward elucidating the causal variants and genes underlying these associations. Functional characterization of mechanisms at GWAS loci is a multi-faceted challenge. Challenges include linkage disequilibrium and allelic heterogeneity at each locus, the noncoding nature of most loci, and the time and cost needed for experimentally evaluating the potential m… Show more

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Cited by 97 publications
(83 citation statements)
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References 134 publications
(146 reference statements)
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“…These results revealed cis and trans regulators of a previously unrecognized mechanism that activates the endogenous INS gene. Transcriptional regulatory DNA variants play a central role in human disease 44 , yet so far most efforts have investigated their function in experimental systems that do not consider their in vivo impact [45][46][47] . This is a major limitation, because it is currently clear that gene regulation entails a complex interplay between elements that are difficult to reproduce outside of an in vivo context, including chromatin structure, epigenetic chemical modifications, or noncoding RNAs.…”
Section: Discussionmentioning
confidence: 99%
“…These results revealed cis and trans regulators of a previously unrecognized mechanism that activates the endogenous INS gene. Transcriptional regulatory DNA variants play a central role in human disease 44 , yet so far most efforts have investigated their function in experimental systems that do not consider their in vivo impact [45][46][47] . This is a major limitation, because it is currently clear that gene regulation entails a complex interplay between elements that are difficult to reproduce outside of an in vivo context, including chromatin structure, epigenetic chemical modifications, or noncoding RNAs.…”
Section: Discussionmentioning
confidence: 99%
“…GWASs have been used to identify causal variants, disease pathways, and upstream or downstream regulators in various complex diseases. ( 33 ) However, functional characterization of mechanisms at GWAS loci is a multifaceted challenge. The post‐GWAS approach is currently not satisfactory for identifying critical molecular targets in these complex diseases.…”
Section: Discussionmentioning
confidence: 99%
“…Methods for multi-site mapping of tightly linked causal variants need to be further explored. One strategy is to incorporate functional evidence from ENCODE or evolutionary conservation into the mapping algorithm (25,26), though this strategy seems to be more productive for promoter-proximal than distal elements.…”
Section: Discussionmentioning
confidence: 99%