For quantitative traits associated with risk to complex diseases, such
as heart disease, single major locus models are likely to be too simp
listic. Currently, researchers have begun to use oligogenic models of
inheritance, but the resolving power of these models remains to be det
ermined. As the major apoprotein of high density lipoprotein (HDL), ap
olipoprotein A1 (apo-A1) is generally accepted as a protective factor
for coronary artery disease. Although familial aggregation of apo-A1 l
evels has been reported, the mode of inheritance of apo-A1 remains ill
defined. In the present study, we conducted a segregation analysis co
mparing a series of one-locus and two-locus univariate models for apo-
A1 levels in a sample of 137 families ascertained through probands und
ergoing elective, diagnostic coronary angiography. A two-locus Mendeli
an model fit these data significantly better than any one-locus model.
The incorporation of the second major locus into the model of inherit
ance leads to a significant improvement in the fit, and a significant
decrease of the residual heritability. The best-fitting model included
two loci with a reciprocal pattern of epistasis generating 4 distinct
genotypic distributions. Taken together, these two major loci account
for 58% of the variance of adjusted apo-A1 levels. This demonstration
of a second major locus controlling apo-A1 levels may explain the equ
ivocal results obtained from previous studies. This two-locus model ma
y be more powerful for linkage analysis to map one or both of these qu
antitative trait loci. (C) 1998 Wiley-Liss, Inc.