Abstract Genome-wide association studies are vulnerable to confounding factors. This study provides evidence-based guidance for minimizing bias associated with genetic relatedness, SNP-specific non-additive allelic interactions, predisposed genotypes among controls, and multi-allelic polymorphism in case-control studies. The analyses demonstrated that genetic similarity within case or control groups introduces experimental bias, whereas genetic relatedness across case-control samples reduces this bias. These findings contribute to establishing a general framework for filtering of genetically related sub-communities or paired samples, while preserving maximal statistical power. Moreover, skewed odds ratios resulting from predisposed genotypes among controls underscored the importance of age-related filtering to minimize this confounding effect. To ensure accurate genetic estimates, such as polygenic risk scores, the identification of SNP-specific allelic interaction models was also emphasized in case-control studies, contingent upon normalization for within-population differences in genotype frequency. Finally, a strategy is recommended to accurately capture genetic effects at multi-allelic genomic positions.
Darbani et al. (Thu,) studied this question.
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