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J Am Coll Cardiol, 2006; 48:10-14, doi:10.1016/j.jacc.2006.06.046
(Published online 16 October 2006). © 2006 by the American College of Cardiology Foundation |
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Center for Human Nutrition and McDermott Center for Human Growth and Development, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas.
Manuscript received November 29, 2005; revised manuscript received May 22, 2006, accepted June 20, 2006.
* Reprint requests and correspondence: Dr. Jonathan C. Cohen, Center for Human Nutrition, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, Texas 75390. (Email: jonathan.cohen{at}utsouthwestern.edu).
Developments in high-throughput genotyping have progressed to the point where genome-wide association studies are becoming practical. Multistage designs involving large numbers of sequence variants (
300,000) and relatively large samples sizes (several hundred cases and control subjects) will be essential to reliably detect alleles with appreciable effect sizes (2-fold increase in relative risk). Direct sequencing of candidate genes in cases and control subjects provides an alternative approach that can reveal low-frequency alleles that influence disease susceptibility. Ultimately, the outcome of both approaches will depend on the genetic architecture of coronary heart disease.
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