Pippa, Manos, Siva, Sam, Emmanuel 1 Compare and contrast the information that has been obtained about quantitative traits from twin studies and GWAS Genome Wide Association Studies (GWAS) and twin studies provide researchers with vital tools to study quantitative traits. Quantitative traits are continuously measured complex traits such as height or weight, which are more difficult to account for than other traits, because these traits have a combined effect of many genetic quantities. These traits include several complex diseases such as schizophrenia, diabetes, coronary artery disease, hypertension and other traits including intelligence, human longevity and depression, which are controlled by multiple genes with various effects. Some of the multivariate traits described above are associated with parameters like gender or age. In addition, genetic predisposition may play a critical role in the behaviour and personality of an individual. Twin studies are a method of genetic study that attempt to comparatively review the relative significance of genetic (i.e. heritable) influences and environmental influences upon presented phenotypes. The classical twin study compares trait resemblance between monozygotic twins (share almost identical genomes) with dizygotic twins (share half of genetic makeup). While twin studies estimate the degree heritability for a particular complex trait using the ACE model—joins aspects of additive genetics (A), common environment (C) and the unique environment (E)— GWAS looks for a given trait from individuals of a study cohort and attempts to identify whether a single nucleotide polymorphism (SNP) is associated with the trait. Each study is powerful in its own domain, but there are many differences between them that are important to note, to fully understand what is learnt from them. Geneticists have long attempted to learn more about trait heritability. Whether or not a trait, and often more specifically whether a disease is heritable and therefore due greater to a genetic component rather than environmental factors is an important question in the field of genetic epidemiology. By estimating the heritability of genetic variants from monozygotic and dizygotic twins, intrinsically regulating epigenetic mechanisms can be further mapped; also enhancing knowledge about associations between genetic variants and disease. Assessing the proportion of genetic inheritance and the environmental influences on such a disease helps to explain the onset and distribution of the disease in the general population, and develop proper agents to control the spread of the disease. Sophisticated gene expression, gene regulation and epigenetic regulation limits information learned from GWAS of complex traits as it does not provide a true measure of heritability, leading to some papers reporting complex traits are ‘missing heritability’, when in reality heritability has not been assessed properly. The introduction of small effect alleles and rare variants leaves unanswered questions that neither twin studies nor GWAS seem to account for. Acquiring twins with relatively identical genetic information and coming from a uniquely shared environment helps the interpretation of data and enhances what is learned from these studies. In classical twin studies looking at intelligence, it is found that heritability of intelligence due to genetic factors increases as the individual gets older, while the shared environmental factors decrease and are greatest at an early age. This suggests that intelligence of the twins is dependent to interaction between themselves during prepubescent development. As the twins grow older, becoming more independent of each other, shared environmental factors decrease and unique environmental factors i.e. unique life decisions tend to increase. Smoking has a large proportion of heritability explained by shared environmental factors as one twin’s decisions will influence the other one’s life choices. From twin studies, it is shown how manifestation of some complex traits goes beyond the genetic makeup of the individual. By knowing that one individuals decisions can be influenced by his twin, choosing twins [for a study] that are older from the start takes into Pippa, Manos, Siva, Sam, Emmanuel 2 effect that they are able to think for themselves, making the information learned more applicable to the external population. Doing so includes unique environmental factors from undetermined and random life events that can place certain pressure on the person’s genetic makeup. It is this genetic shielding that protects individuals from the environmental factors that can give rise to a trait, such as a disease causing gene. On the contrary, data collected from GWAS decays in the interpretation step as it is difficult to define if a complex trait is directly expressed due to genetic predisposition or environmental factors as several studies do not recruit twins are test subjects. Twin studies have and continue to be a better model for studying the genetic basis of human behaviour and interaction. Purely as it is easier to make and correlate such observations than when scanning the genome for SNPs under GWAS. Consequently they have highlighted fundamental aspects of human nature that are heritable: extroversion/introversion, openness, agreeableness, and neuroticism. Furthermore, some aspects of our personality are surprisingly less influenced by the environment but rather more fixed by our genetics. In the Minnesota twin study, a pair of twins separated at birth and raised under different living conditions (economical and social), showed remarkable similarity in behaviour. Dubbed the “giggle twins” – these women enjoyed pranks, would laugh easily, and had a sense of humour that formed a key aspect of who they were. Work by Dr. Helen Fisher suggests that our personalities are influenced biologically to a great extent by the ratio of receptor genes we inherit primarily for testosterone, oestrogen, dopamine, and serotonin. Those with a higher level of dopamine receptors and hence higher exposure, labelled “explorers” are far more willing to take risks, are curious and explore be it sexually or via adventurous sport. These individuals are also more susceptible to drug addiction due to higher dopamine activity. Such ground breaking studies and their thought provoking knowledge is made possible by initial revelations found under twin studies – not GWAS. However, for certain characteristics GWAS and twin studies are in agreement, and prove a useful source of checking the robustness of a conclusion gained from one approach via comparison with the other. In the complex case of schizophrenia, SNPs associated with disease as well as a twin studies categorising illness based on symptoms suggest many subtypes of the mental disorder exist. Such results enable specific treatment options to be considered when treating each subtype in the future; but what GWAS has succeeded at more is in providing candidate genes for traits, as associated SNPs identified tend to be near genes actually involved and less often within the genes responsible. Scanning around SNPs, genes for traits such as longevity can be located, and knocked out in model organisms to confirm their predicted role. For instance, one candidate gene implicated in longevity is MAD1; it is part of the mitotic-spindle checkpoint ensuring that microtubules are correctly attached to the chromosomes before proceeding onto anaphase. It is a feasible candidate gene, regulating a vital function, which when prone to error is likely to cause problems. This candidate gene was found by GWAS – not twin studies. Twin studies were the first to show differences in traits – be it longevity or postnatal depression – depending on sex. Analysing the percentage of variance of cognitive/personality traits and cardiovascular risk factors, using ACE, against men and women shows close similarity of inheritance of the traits between sexes. However, carrying out sex differentiated analysis on significant SNPs, by GWAS, has found different susceptibility to coronary artery disease and Crohn’s disease between males and females. Another advantage of information from twin studies over GWAS is the ability of twin studies to look at time and age in correspondence to gene expression of traits, and furthermore heritability. Time and age have a significant impact upon gene expression; an example of this is the longitudinal genetic study of verbal and nonverbal IQ from early childhood to young adulthood, where Dutch twin pairs were measured in IQ at ages 5, 6, 10, 12 Pippa, Manos, Siva, Sam, Emmanuel 3 and 18 years old. Heritability was shown to increase with age. This shows that twin studies can be used to investigate the effect of time and age has on gene expression based on heritability differences due to change of age. GWAS however, is only beginning to take time and age into account. New methods mean gene expression can be integrated as provided by Illumina HumanHT-12 Gene Expression BeadChip, allowing whole-genome gene expression within a trait based GWAS. It can be used to screen for functional category enrichment within genes and to show any hidden variability in a supposedly uniform phenotype by GWAS. This means despite initial advantages provided by twin studies regarding role of age and gender, GWAS is catching up. What we have and will learn, from twin studies and GWAS is that both are susceptible to the advancing technology and research. In the case of twin studies, current work on discordant identical twins – genetically identical, but displaying significant differences in certain traits – is key to understanding epigenetic influence. Take IQ – one study found low methylation of promoter regions and hence high gene expression of genes involved ion channels in the twin who performed worse in IQ tests; thus, it could be corresponded with this discordant trait. Though not necessarily a causal relationship, it provides a clue as to identifying and better understanding discordant traits and disease patterns. Hence, this move away from classical to non-classical twin studies is an important step in understanding why one twin may develop cancer whilst the other does not, even when living under same lifestyle. For GWAS, work published by ENCODE of “functional elements” (80 percent) in the human genome surprisingly correlate with SNPs associated with disease or traits – most of these are genetic switches encoding non-coding RNA, which up or down-regulate several genes in relation to gene expression in the whole genome. Thus, it may be the switches that are vital and not the genes with regard to differences in quantitative traits. Whole chromosomal regions, often on separate chromosomes were also found to interact and share regulatory regions, such as enhancers. Therefore, this new research highlights the complexity of the human genome, as well as providing enriched data for future studies and improved incarnations of GWAS. To conclude, both GWAS and twin studies provide us with important data concerning complex traits. When researchers are dealing with complex traits that are associated with the environment, twin studies are proven to be more useful. Since environmental factors can be important in the expression of particular multivariate traits, twin studies have the advantage to monitor individuals through a time of shared environment and follow onto adulthood, which presents the unique environment. Therefore, we can learn about how a complex trait develops and estimate its heritability by looking at a time scale of multiple environmental insults. However, what we learn from twin studies is limited when applying it to the general population, because twins are a selected group and do not represent the whole population. On the other hand, GWAS helps to provide a physical area of the genome that is responsible for the specific complex trait, and by exploiting linkage disequilibrium and association analysis, information on how it is passed on to subsequent generations can be learned. Avoiding ascertainment bias for twin studies and ensuring the collection of enough data for statistical analysis in GWAS, both study methods prove to be quite successful. It is the growing fusion of twin studies and GWAS that strengthens our understanding on how rare variants that are common to infectious diseases arise from genetic footprints, from ancestor populations, by scanning associations within the genome, and assessing environmental pressures; thus giving out an estimate on how much of the phenotypic variance is due to additive genetic effects and random environmental factors.