PSEA: Phenotype Set Enrichment Analysis—A New Method for Analysis of Multiple Phenotypes
Open accessAbstract
Most genome‐wide association studies (GWAS) are restricted to one phenotype, even if multiple related or unrelated phenotypes are available. However, an integrated analysis of multiple phenotypes can provide insight into their shared genetic basis and may improve the power of association studies. We present a new method, called “phenotype set enrichment analysis” (PSEA), which uses ideas of gene set enrichment analysis for the investigation of phenotype sets. PSEA combines statistics of univariate phenotype analyses and tests by permutation. It does not only allow analyzing predefined phenotype sets, but also to identify new phenotype sets. Apart from the application to situations where phenotypes and genotypes are available for each person, the method was adjusted to the analysis of GWAS summary statistics. PSEA was applied to data from the population‐based cohort KORA F 4 (N = 1,814) using iron‐related and blood count traits. By confirming associations previously found in large meta‐analyses on these traits, PSEA was shown to be a reliable tool. Many of these associations were not detectable by GWAS on single phenotypes in KORA F 4. Therefore, the results suggest that PSEA can be more powerful than a single phenotype GWAS for the identification of association with multiple phenotypes. PSEA is a valuable method for analysis of multiple phenotypes, which can help to understand phenotype networks. Its flexible design enables both the use of prior knowledge and the generation of new knowledge on connection of multiple phenotypes. A software program for PSEA based on GWAS results is available upon request.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Joint modeling of patient phenotypic features is essential for identifying genetic mutations with pleiotropic effects.
“This joint modeling of patient phenotypic features is essential for identifying genetic mutations with pleiotropic effects74–76.”
From Few shot learning for phenotype-driven diagnosis of patients with rare genetic diseases (2025) · cites this paper as [76]
Cites
Subramanian, A., Tamayo, P., Mootha, V. K., Mukherjee, S., Ebert, B. L., Gillette, M. A., Paulovich, A., Pomeroy, S. L., Golub, T. R., Lander, E. S., et al. (2005) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0506580102 · Cited by 53,625 · see citing works
PLINK: a tool set for whole-genome association and population-based linkage analyses.
Purcell, S., Neale, B., Todd-Brown, K., Thomas, L., Ferreira, M. A. R., Bender, D., Maller, J., Sklar, P., de Bakker, P. I. W., Daly, M. J., et al. (2007) · The American Journal of Human Genetics · doi:10.1086/519795 · Cited by 34,089 · see citing works
A new multipoint method for genome-wide association studies by imputation of genotypes
Marchini, J., Howie, B., Myers, S., McVean, G., & Donnelly, P. (2007) · Nature Genetics · doi:10.1038/ng2088 · Cited by 2,609 · see citing works
Hematopoiesis: An Evolving Paradigm for Stem Cell Biology
Orkin, S. H., & Zon, L. I. (2008) · Cell · doi:10.1016/j.cell.2008.01.025 · Cited by 2,570 · see citing works
Procedures for Comparing Samples with Multiple Endpoints
O’Brien, P. C. (1984) · Biometrics · doi:10.2307/2531158 · Cited by 1,163 · see citing works
Pathway-Based Approaches for Analysis of Genomewide Association Studies
Wang, K., Li, M., & Bućan, M. (2007) · The American Journal of Human Genetics · doi:10.1086/522374 · Cited by 858 · see citing works
On testing the significance of sets of genes
Efron, B., & Tibshirani, R. J. (2007) · The Annals of Applied Statistics · doi:10.1214/07-aoas101 · Cited by 785 · see citing works
Analysing biological pathways in genome-wide association studies
Wang, K., Li, M., & Hakonarson, H. H. (2010) · Nature Reviews Genetics · doi:10.1038/nrg2884 · Cited by 757 · see citing works
High-Resolution Mapping of Expression-QTLs Yields Insight into Human Gene Regulation
Veyrieras, J.-B., Kudaravalli, S., Kim, S. Y., Dermitzakis, E. T., Gilad, Y., Stephens, M., & Pritchard, J. K. (2008) · PLoS Genetics · doi:10.1371/journal.pgen.1000214 · Cited by 536 · see citing works
Soranzo, N., Spector, T. D., Mangino, M., Kuehnel, B., Rendon, A., Teumer, A., Willenborg, C., Wright, B. J., Chen, L., Li, M., et al. (2009) · Nature Genetics · doi:10.1038/ng.467 · Cited by 520 · see citing works
Self-citationSegrè, A. V., DIAGRAM Consortium, MAGIC investigators, Groop, L., Mootha, V. K., Daly, M. J., & Altshuler, D. (2010) · PLoS Genetics · doi:10.1371/journal.pgen.1001058 · Cited by 463 · see citing works
KORA-gen - Resource for Population Genetics, Controls and a Broad Spectrum of Disease Phenotypes
Wichmann, H. ‐., Gieger, C., & Illig, T. (2005) · Das Gesundheitswesen · doi:10.1055/s-2005-858226 · Cited by 417 · see citing works
Self-citationA general modular framework for gene set enrichment analysis
Ackermann, M., & Strimmer, K. (2009) · BMC Bioinformatics · doi:10.1186/1471-2105-10-47 · Cited by 358 · see citing works
Genome-wide association study identifies variants in TMPRSS6 associated with hemoglobin levels
Chambers, J. C., Zhang, W., Li, Y., Sehmi, J., Wass, M. N., Zabaneh, D., Hoggart, C. J., Bayele, H. K., McCarthy, M. I., Peltonen, L., et al. (2009) · Nature Genetics · doi:10.1038/ng.462 · Cited by 249 · see citing works
A multivariate test of association
Ferreira, M. A. R., & Purcell, S. (2008) · Bioinformatics · doi:10.1093/bioinformatics/btn563 · Cited by 247 · see citing works
Variants in TF and HFE Explain ∼40% of Genetic Variation in Serum-Transferrin Levels
Benyamin, B., McRae, A. F., Zhu, G., Gordon, S. D., Henders, A. K., Palotie, A. V., Peltonen, L., Martin, N. G., Montgomery, G. W., Whitfield, J. B., et al. (2008) · The American Journal of Human Genetics · doi:10.1016/j.ajhg.2008.11.011 · Cited by 169 · see citing works
A genome-wide association analysis of serum iron concentrations
Tanaka, T., Roy, C. N., Yao, W., Matteini, A. M., Semba, R. D., Arking, D. E., Walston, J. D., Fried, L. P., Singleton, A., Guralnik, J. M., et al. (2009) · Blood · doi:10.1182/blood-2009-07-232496 · Cited by 159 · see citing works
Klei, L., Luca, D., Devlin, B., & Roeder, K. (2007) · Genetic Epidemiology · doi:10.1002/gepi.20257 · Cited by 150 · see citing works
Yang, Q., Wu, H., Guo, C., & Fox, C. S. (2010) · Genetic Epidemiology · doi:10.1002/gepi.20497 · Cited by 142 · see citing works
A Genome-Wide Association Study of Red Blood Cell Traits Using the Electronic Medical Record
Kullo, I. J., Ding, K., Jouni, H., Smith, C. Y., & Chute, C. G. (2010) · PLoS ONE · doi:10.1371/journal.pone.0013011 · Cited by 118 · see citing works
Liu, J., Pei, Y., Papasian, C. J., & Deng, H. (2008) · Genetic Epidemiology · doi:10.1002/gepi.20372 · Cited by 106 · see citing works
Oexle, K., Ried, J. S., Hicks, A. A., Tanaka, T., Hayward, C., Bruegel, M., Gögele, M., Lichtner, P., Müller‐Myhsok, B., Döring, A., et al. (2010) · Human Molecular Genetics · doi:10.1093/hmg/ddq538 · Cited by 75 · see citing works
Self-citationHuang, J., Johnson, A. D., & O’Donnell, C. J. (2011) · Bioinformatics · doi:10.1093/bioinformatics/btr116 · Cited by 64 · see citing works
Gupta, M., Cheung, C., Hsu, Y., Demissie, S., Cupples, L. A., Kiel, D. P., & Karasik, D. (2011) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.333 · Cited by 62 · see citing works
Tintle, N., Borchers, B., Brown, M., & Bekmetjev, A. (2009) · BMC Proceedings · doi:10.1186/1753-6561-3-s7-s96 · Cited by 54 · see citing works
A new permutation strategy of pathway-based approach for genome-wide association study
Guo, Y.-F., Li, J., Chen, Y., Zhang, L.-S., & Deng, H. (2009) · BMC Bioinformatics · doi:10.1186/1471-2105-10-429 · Cited by 38 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Few shot learning for phenotype-driven diagnosis of patients with rare genetic diseases
Alsentzer, E., Li, M. M., Kobren, S. N., Noori, A., Undiagnosed Diseases Network, Kohane, I. S., & Zitnik, M. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01749-1 · Cited by 54 · see citing works
- Authors
- Ried, J. S., Döring, A., Oexle, K., Meisinger, C., Winkelmann, J., Klopp, N., Meitinger, T., Peters, A., Suhre, K., Wichmann, H. ‐., & Gieger, C.
- Affiliations
- Helmholtz Munich (DE)
- Technical University of Munich (DE)
- Corresponding author
- Gieger, Christian
- ORCID
- Venue
- Genetic Epidemiology
- Publisher
- Wiley
- Published
- 2012-04
- Volume
- 36
- Issue
- 3
- Pages
- 244-252
- ISSN
- 0741-0395 (ISSN-L)
- 1098-2272
- OpenAlex
- W1594811851
- Cited by
- 21
- References
- 26
- Citations by year
- 2025: 1 · 2023: 1 · 2021: 2 · 2019: 2 · 2018: 2 · 2016: 4 · 2015: 4 · 2014: 4 · 2012: 1
- FWCI
- 1.16
- Type
- journal article
- Language
- en
- Open access
- green
- zenodo.org
- Licence
- Locations
- Genetic Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Site cant be reached (submittedVersion)
- OPUS (Augsburg University) (submittedVersion)
- Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, other-oa)
- Funders
- Bundesministerium für Bildung und Forschung
- Helmholtz Zentrum München
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bioinformatics and Genomic Networks
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Mapping and Diversity in Plants and Animals
- Keywords
- multiple phenotypes, gene set enrichment analysis, genome-wide association study, GWAS summary statistics, statistical power
- MeSH terms
- Blood Proteins, Erythrocytes, Genotype, Humans, Models, Genetic, Phenotype, Software, Cohort Studies, Polymorphism, Single Nucleotide, Genome-Wide Association Study
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review