SlideShare a Scribd company logo
P = G + EType 2 Diabetes

Cancer

Alzheimer’s

Gene expression
Phenotype Genome
Variants
Environment
Infectious agents

Diet + Nutrients

Pollutants

Drugs
Chirag Patel 

@chiragjp

3/1/19

NCI Systems Epidemiology workshop
Lakhani et al, Nature Genetics 2019http://apps.chiragjpgroup.org/catch/
56K twins and 700K siblings in a massive health insurance cohort
point to complex and elusive variation in 560 phenotypes
https://rdcu.be/boZeV
Chirag Patel 

@chiragjp

3/1/19

NCI Systems Epidemiology workshop
56K twins and 700K siblings in a massive health insurance cohort
point to complex and elusive variation in 560 phenotypes
560phenotypes
Nature Genetics 2019http://apps.chiragjpgroup.org/catch/
h2=0.3 (🧬)
c2=0.1 (🏠)
?
https://rdcu.be/boZeV
Chirag Patel 

@chiragjp

3/1/19

NCI Systems Epidemiology workshop
🐘
Chirag Patel 

@chiragjp

3/1/19

NCI Systems Epidemiology workshop
Elephant in the room (full of system epidemiologists):

Is all cancer risk random?
Tomasetti and Vogelstein Science 2015
Chirag Patel 

@chiragjp

3/1/19

NCI Systems Epidemiology workshop
• What techniques, cohorts, and data
measurement modalities to capture non-genetic
variation in populations?

• Does it matter?
• Is it possible to develop approaches to partition
genetic vs non-genetic vs random chance in
disease variation?

• What is “error” vs. true non-genetic signal?
Chirag Patel 

@chiragjp

3/1/19

NCI Systems Epidemiology workshop

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Comparing Evolved Extractive Text Summary Scores of Bidirectional Encoder Rep...
 

NCI systems epidemiology 03012019

  • 1. P = G + EType 2 Diabetes Cancer Alzheimer’s Gene expression Phenotype Genome Variants Environment Infectious agents Diet + Nutrients Pollutants Drugs Chirag Patel @chiragjp 3/1/19 NCI Systems Epidemiology workshop
  • 2. Lakhani et al, Nature Genetics 2019http://apps.chiragjpgroup.org/catch/ 56K twins and 700K siblings in a massive health insurance cohort point to complex and elusive variation in 560 phenotypes https://rdcu.be/boZeV Chirag Patel @chiragjp 3/1/19 NCI Systems Epidemiology workshop
  • 3. 56K twins and 700K siblings in a massive health insurance cohort point to complex and elusive variation in 560 phenotypes 560phenotypes Nature Genetics 2019http://apps.chiragjpgroup.org/catch/ h2=0.3 (🧬) c2=0.1 (🏠) ? https://rdcu.be/boZeV Chirag Patel @chiragjp 3/1/19 NCI Systems Epidemiology workshop
  • 4. 🐘 Chirag Patel @chiragjp 3/1/19 NCI Systems Epidemiology workshop
  • 5. Elephant in the room (full of system epidemiologists): Is all cancer risk random? Tomasetti and Vogelstein Science 2015 Chirag Patel @chiragjp 3/1/19 NCI Systems Epidemiology workshop
  • 6. • What techniques, cohorts, and data measurement modalities to capture non-genetic variation in populations? • Does it matter? • Is it possible to develop approaches to partition genetic vs non-genetic vs random chance in disease variation? • What is “error” vs. true non-genetic signal? Chirag Patel @chiragjp 3/1/19 NCI Systems Epidemiology workshop