Past exam of the mathematics course of the University of Cambridge / 2005 / iii / Paper 45 / 1 / i

Parametric linkage analysis specifies a disease-transmission model: the mode of inheritance, disease-allele frequency and penetrance of each genotype. Combining these with Mendelian segregation and the recombination fraction gives a pedigree likelihood. One can estimate the recombination fraction or compare a linked model, $\theta <1/2$, with the unlinked model, $\theta =1/2$, using a likelihood-ratio test or LOD score. Incomplete penetrance and unobserved genotypes are accommodated by summing over the possible underlying inheritance states.

Nonparametric linkage analysis instead tests whether relatives with the same disease phenotype share marker alleles identical by descent more often than expected from their pedigree. For example, affected-sib-pair analysis compares sharing among affected full siblings with its Mendelian null distribution. It avoids specifying a complete disease-penetrance model and disease-allele frequency. “Model-free” still assumes an inheritance model for the marker, correct family relationships and a justified treatment of genetic-study ascertainment; it does not mean assumption-free.