David Goldstein and collegues report today the results of a genome-wide association study for a particular side effect (treatment-induced anemia) of treatment for hepatitis C. It turns out that variants in a single gene–ITPA–are overwhelmingly associated with the development of this side effect. This is a nice, probably clinically-important result, and there’s likely some interesting biology here as well.
One twist is that the authors identify two presumably causal variants in the gene–one a nonsynonymous SNP, and the other a SNP falling in a splice site. The authors make the following point:
Two related features of these observations are worth emphasizing. First, the ITPA variants constitute a clear example of a synthetic association in which the effects of rarer functional variants are observed as an association for a more common variant present on a whole-genome genotyping chip: indeed, the minor-allele frequency is higher for the top-associated SNP rs6051702 (19.4%) than for the causal variants rs1127354 (7.6%) and rs7270101 (12.3%) in European-Americans
Some readers will recall the paper recently published by this group on “synthetic associations“, where they posited a model for common diseases in which multiple rare (< 5% minor allele frequency) SNPs in a gene can lead to identification of as association with a common allele. Now, it appears, any gene with more than one functional variant, rare or not, fits their model!
That aside, I can see their point–the patterns of linkage disequilibrium around a locus with two causal variants leads in this case to a strong association signal at a SNP that happens to be correlated with both of them. But this isn’t a new phenomenon worthy of a special name; for example, multiple correlated SNPs in the MHC influence risk for celiac disease, and most people are happy to call it that–multiple causal variants at a locus. It seems a bit like the authors are trying to shoehorn the data to fit their theories a bit awkwardly.

There’s apparently a game in this sport at the Olympics tonight. Canada is the favorite. Which is awesome, because if the USA loses, no one in the USA will care. But if the USA wins, we’ll get to laugh at the Canadians. Don’t lie, you know Canada is the country that keeps on giving in terms of humor.