Dr. Salem?s ultimate career goal is to be a successful and independent human genetics researcher, applying statistical and epidemiological methods to understand the genetic architecture of complex traits and disease. During the time period of his K99 grant, Dr. Salem will acquire the requisite skills in advanced statistical methodology and phenotype harmonization to achieve this goal through a combination of formal course work, attendance of seminars, mentoring and hands on research experience. Biomedical researchers face many challenges when dissecting the genetic basis of complex traits and diseases of medical and public health importance such as diabetes, hypertension, and cardiovascular disease. These traits and diseases are notoriously difficult to study as they are influenced by the interplay of multiple genetic, environmental, and behavioral factors. GWAS have identified thousands of common polymorphisms contributing to many complex traits and disease. These studies have tended to focus on a single phenotype at a single time point. The complexity of polygenic traits may not admit to such simple characterizations. Use of more informative phenotypes, study designs and analyses, has the potential to shed light on new biology. One way to improve the yield of association studies both in terms of novel loci and biological insights is for researchers to consider more elaborate analyses. Hypotheses that leverage more sophisticated approaches may yield new discoveries. For example, the traditional use of a phenotypic measurement at a single point at a specific time in current case-control candidate gene and GWA studies does not do justice to the likely age or time dependence and/or general developmental pathogenesis of most biomedical traits and diseases, nor does it illuminate the potential shared genetics between phenotypes. This project aims to develop a resource of ~145,000 subjects from dbGaP and evaluate the contribution of genes on temporal changes and the interplay between traits via statistical methods development and application. This project will be guided by an important public health and clinical problem, metabolic disease. Through his prior research experience and training, Dr. Salem has acquired a strong foundation in statistics and genetics. He now seeks further training in the advanced statistical methodologies and phenotype characterization required to fully understand complex traits. He will be mentored by Dr. Joel Hirschhorn, a leading investigator in the genetics of obesity and height, and will be co-mentored by leaders in the area of statistics and phenotype harmonization. The research proposed in this K99 application has broad implications for understanding complex traits and disease, particularly metabolic syndrome. It also has the potential to significantly understanding of and impact the diagnosis and treat of metabolic syndrome. Dr. Salem is confident that completion of the work and training plan will prepare him for a successful career as an independent investigator in human genetics.

Public Health Relevance

Genetic research has the potential to help scientists understand how genes influence the biology of traits and disease. Currently, most genetic studies only consider a single disease or trait measurement, ignoring changes that occur with age and the interaction between traits. This project proposes to study how genes influence traits over time and many traits together.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Transition Award (R00)
Project #
4R00HL122515-03
Application #
9376979
Study Section
Special Emphasis Panel (NSS)
Program Officer
Wang, Wayne C
Project Start
2017-01-01
Project End
2019-12-31
Budget Start
2017-01-01
Budget End
2017-12-31
Support Year
3
Fiscal Year
2017
Total Cost
Indirect Cost
Name
University of California, San Diego
Department
Family Medicine
Type
Schools of Medicine
DUNS #
804355790
City
La Jolla
State
CA
Country
United States
Zip Code
92093
Shadyab, A H; Terkeltaub, R; Kooperberg, C et al. (2018) Prospective associations of C-reactive protein (CRP) levels and CRP genetic risk scores with risk of total knee and hip replacement for osteoarthritis in a diverse cohort. Osteoarthritis Cartilage 26:1038-1044
van Zuydam, Natalie R; Ahlqvist, Emma; Sandholm, Niina et al. (2018) A Genome-Wide Association Study of Diabetic Kidney Disease in Subjects With Type 2 Diabetes. Diabetes 67:1414-1427
Astley, Christina M; Todd, Jennifer N; Salem, Rany M et al. (2018) Genetic Evidence That Carbohydrate-Stimulated Insulin Secretion Leads to Obesity. Clin Chem 64:192-200
Marty Pyke, Rachel; Thompson, Wesley Kurt; Salem, Rany M et al. (2018) Evolutionary Pressure against MHC Class II Binding Cancer Mutations. Cell 175:416-428.e13
Guo, Michael H; Nandakumar, Satish K; Ulirsch, Jacob C et al. (2017) Comprehensive population-based genome sequencing provides insight into hematopoietic regulatory mechanisms. Proc Natl Acad Sci U S A 114:E327-E336
Sandholm, Niina; Van Zuydam, Natalie; Ahlqvist, Emma et al. (2017) The Genetic Landscape of Renal Complications in Type 1 Diabetes. J Am Soc Nephrol 28:557-574
Guo, Michael H; Dauber, Andrew; Lippincott, Margaret F et al. (2016) Determinants of Power in Gene-Based Burden Testing for Monogenic Disorders. Am J Hum Genet 99:527-539