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Two-step hypothesis testing to detect gene-environment interactions in a genome-wide scan with a survival endpoint.


ABSTRACT: Defined by their genetic profile, individuals may exhibit differential clinical outcomes due to an environmental exposure. Identifying subgroups based on specific exposure-modifying genes can lead to targeted interventions and focused studies. Genome-wide interaction scans (GWIS) can be performed to identify such genes, but these scans typically suffer from low power due to the large multiple testing burden. We provide a novel framework for powerful two-step hypothesis tests for GWIS with a time-to-event endpoint under the Cox proportional hazards model. In the Cox regression setting, we develop an approach that prioritizes genes for Step-2 G×E testing based on a carefully constructed Step-1 screening procedure. Simulation results demonstrate this two-step approach can lead to substantially higher power for identifying gene-environment ( G×E ) interactions compared to the standard GWIS while preserving the family wise error rate over a range of scenarios. In a taxane-anthracycline chemotherapy study for breast cancer patients, the two-step approach identifies several gene expression by treatment interactions that would not be detected using the standard GWIS.

SUBMITTER: Kawaguchi ES 

PROVIDER: S-EPMC9007892 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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Two-step hypothesis testing to detect gene-environment interactions in a genome-wide scan with a survival endpoint.

Kawaguchi Eric S ES   Li Gang G   Lewinger Juan Pablo JP   Gauderman W James WJ  

Statistics in medicine 20220124 9


Defined by their genetic profile, individuals may exhibit differential clinical outcomes due to an environmental exposure. Identifying subgroups based on specific exposure-modifying genes can lead to targeted interventions and focused studies. Genome-wide interaction scans (GWIS) can be performed to identify such genes, but these scans typically suffer from low power due to the large multiple testing burden. We provide a novel framework for powerful two-step hypothesis tests for GWIS with a time  ...[more]

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