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...
Personalised medical treatment based on genome profiles is a major
goal of genetic research in the $21^{st}$ century
\cite[see][]{avery09,province08}. \citep[see][]{avery09,province08}. However, complex
genotype-environment interactions for common diseases make it
difficult to determine which specific genetic features should be used
to construct such profiles. Hence the prediction of genetic risk is a
...
shares with the more common Type 2 Diabetes mellitus (T2D) a
characteristic symptom of high blood glucose levels. In some cases,
this glucose also passes through to the urine, creating a sticky/sweet
substance that attracts ants
\cite[see][pp. \citep[see][pp. 7,11]{ekoe02}. In T2D,
this high blood glucose is caused by cells not responding to insulin
(insulin resistance), while in T1D the excess is caused by a reduction
in insulin production (insulin dependence).
...
manifest in childhood (younger than 18 years), and the disease is
believed to be caused by an abnormal immune response after exposure to
environmental triggers such as viruses, toxins or food
\cite[see][]{daneman06}. \citep[see][]{daneman06}.
\subsubsection{Symptoms, Diagnosis and Management of T1D}
\label{sec:sig-thy-t1d-symp-management}
...
distinct from T2D) encompasses a range of diseases that involve
autoimmunity. It can be diagnosed by the presence of antibodies to
glutamic acid decarboxylase, islet cells, insulin, or ICA512
\cite[see][p. \citep[see][p. 19]{ekoe02}.
As the symptoms of T1D are caused by high blood glucose levels
(hyperglycaemia) due to a lack of insulin, these symptoms can be
relieved by the introduction of insulin into the blood. This is
typically carried out by supplying measured doses of insulin via
intramuscular injections or by the use of insulin pumps
\cite[see][]{daneman06}. \citep[see][]{daneman06}. Individuals with T1D need a constant supply
of insulin for survival, together with occasional insulin bursts to
control variable blood glucose levels throughout the day (e.g. after
meals). Individuals with T2D only require insulin for survival in rare
cases
\cite[see][p. \citep[see][p. 16]{ekoe02}. Slow-release insulin and consumption
of foods with a low glycaemic index can help to reduce the extremes of
T1D symptoms.
...
(hypoglycaemia), which produce short-term autonomic and neurological
problems such as trembling, dizziness, blurred vision, and difficulty
concentrating. Hypoglycaemia is treated either by ingestion of sugar,
or by intravenous glucose in severe cases
\cite[see][]{daneman06}. \citep[see][]{daneman06}.
\subsubsection{Complications of T1D}
\label{sec:sig-thy-t1d-symptoms}
...
The initial symptoms of T1D are not usually severe, and the disease
may progress for a few years before a diagnosis is made and treatment
is given. However, long-term complications can appear when the disease
is not managed appropriately
\cite[see][p. \citep[see][p. 8]{ekoe02}. Retinal damage
progresses in about 20-25\% of individuals with T1D, with later stages
causing retinal detachment and consequent loss of sight. Renal failure
is also a problem in diabetic individuals, which is indicated by high
...
Neural defects are also a potential complication of T1D, most commonly
damage to peripheral nerves, leading to ulceration, poor healing and
gangrene unless good care is taken of the body extremities
\cite[see][]{daneman06}. \citep[see][]{daneman06}.
\subsubsection{Genetic Contribution to T1D Risk}
\label{sec:sig-thy-t1d-genetics}
...
susceptibility can be attributed to genetic factors. About 50\% of the
genetic contribution to T1D can be accounted for by variation in the
HLA region on chromosome 6, and 15\% is accounted for by variation in
two other genes, IDDM2 and IDDM12
\cite[see][]{daneman06}. \citep[]{daneman06}. Incidence
rates in migrant populations quickly converge to those of the
background population, suggesting that although the genetic
contribution to the disease is high, environmental factors probably
play a significant role in triggering the onset of disease
\cite[see][]{daneman06}. \citep[see][]{daneman06}.
\subsection{Wellcome Trust Case Control Consortium Study}
\label{sec:sig-thy-intr-wtccc}
...
region of chromosome 6, a region in which multiple SNPs had strong
associations with T1D, but only one of those SNPs (rs9272346) was
reported in the results table of the strongest associations
\cite[see][table \citep[see][table 3]{wellcome07}.
\subsection{Replication Issues in GWAS}
\label{sec:sig-thy-intr-rep-iss}
...
followed up with studies attempting to determine the true causative
status of that association. Such causative studies are difficult, and
progress towards understanding the aetiology of common disease has
been slow
\cite[see][]{dermitzakis09}. \citep[see][]{dermitzakis09}.
\subsection{Sampling Errors in GWAS}
\label{sec:sig-thy-intr-sampling}
...
exists. This is particularly important when considering populations
with mixed ancestry, where markers that are informative for
distinguishing population ancestry may become accidentally associated
with a particular disease
\cite[see][]{pritchard01}. \citep[see][]{pritchard01}.
Bootstrapping by repeated re-sampling of a representative draw made
from a group can estimate population variation in genotype frequencies
...
method used in this chapter utilises a re-sampling technique in order
to reduce the influence of allele frequency variation in producing
false-positive results for particular samplings of the population.