Extreme discordant sibling-pair (EDSP) designs have been shown in theory to
be very powerful for mapping quantitative-trait loci (QTLs) in humans. How
ever, their practical applicability has been somewhat limited by the need t
o phenotype very large populations to find enough pairs that are extremely
discordant. In this paper, we demonstrate that there is also substantial po
wer in pairs that are only moderately discordant, and that designs using mo
derately discordant pairs can yield a more practical balance between phenot
yping and genotyping efforts. The power we demonstrate for moderately disco
rdant pairs stems from a new statistical result. Statistical analysis in di
scordant-pair studies is generally done by testing for reduced identity by
descent (IBD) sharing in the pairs. By contrast, the most commonly-used sta
tistical methods for more standard QTL mapping are Haseman-Elston regressio
n and variance-components analysis. Both of these use statistics that are f
unctions of the trait values given IBD information for the pedigree. We sho
w that IBD sharing statistics and "trait value given IBD" statistics contri
bute complementary rather than redundant information, and thus that statist
ics of the two types can be combined to form more powerful tests of linkage
. We propose a simple composite statistic, and test it with simulation stud
ies. The simulation results show that our composite statistic increases pow
er only minimally for extremely discordant pairs. However, it boosts the po
wer of moderately discordant pairs substantially and makes them a very prac
tical alternative. Our composite statistic is straightforward to calculate
with existing software; we give a practical example of its use by applying
it to a Genetic Analysis Workshop (GAW) data set.