2019
DOI: 10.1038/s41588-019-0385-z
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Opportunities and challenges for transcriptome-wide association studies

Abstract: Transcriptome-wide association studies (TWAS) integrate genome-wide association studies (GWAS) and gene expression datasets to identify gene-trait associations. In this Perspective, we explore properties of TWAS as a potential approach to prioritize causal genes at GWAS loci, by using simulations and case studies of literature-curated candidate causal genes for schizophrenia, low-density-lipoprotein cholesterol and Crohn's disease. We explore risk loci where TWAS accurately prioritizes the likely causal gene a… Show more

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Cited by 638 publications
(695 citation statements)
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“…Finally, we comment on our view that TWAS is a weighted Sum test and its related issues, which are also discussed by Wainberg et al. () and in http://hakyimlab.org/post/vulnerabilities/. Although TWAS was originally proposed to identify GWAS associations through gene expression, any such discovery based on a single eQTL/GWAS dataset is at most only suggestive to mediating effects of gene expression.…”
Section: Discussionmentioning
confidence: 77%
“…Finally, we comment on our view that TWAS is a weighted Sum test and its related issues, which are also discussed by Wainberg et al. () and in http://hakyimlab.org/post/vulnerabilities/. Although TWAS was originally proposed to identify GWAS associations through gene expression, any such discovery based on a single eQTL/GWAS dataset is at most only suggestive to mediating effects of gene expression.…”
Section: Discussionmentioning
confidence: 77%
“…33 In addition, TWAS cannot distinguish causal relationship and pleiotropy. TWAS genes are more appropriately interpreted as prioritized or ranked candidate causal genes at loci.…”
Section: Discussionmentioning
confidence: 99%
“…TWAS genes are more appropriately interpreted as prioritized or ranked candidate causal genes at loci. 33 In addition, TWAS cannot distinguish causal relationship and pleiotropy. For example, if the same SNPs affect the expression level of more than one gene, TWAS cannot delineate the causal one.…”
Section: Discussionmentioning
confidence: 99%
“…Then we test the association between the imputed gene expression and the GWAS trait. If there is an association, then, under suitable modeling assumptions (Hu et al, 2019;Mancuso et al, 2019;Wainberg et al, 2019;Xu, Wu, Wei, & Pan, 2017), it is claimed that the gene is (putatively) causal to the trait: some causal SNPs affect the trait through the mediating effects of the gene's expression.…”
Section: Introductionmentioning
confidence: 99%