RT Journal Article SR Electronic T1 Understanding genetic interactions and assessing the utility of the additive and multiplicative models through simulations JF bioRxiv FD Cold Spring Harbor Laboratory SP 706234 DO 10.1101/706234 A1 Lina-Marcela Diaz-Gallo A1 Boel Brynedal A1 Helga Westerlind A1 Rickard Sandberg A1 Daniel Ramsköld YR 2019 UL http://biorxiv.org/content/early/2019/07/18/706234.abstract AB Interaction analysis is used to investigate the effect which two risk factors have on each other, and on disease risk. To study interactions, both additive and multiplicative models have been used, although their interpretations are not universally understood. In this study, we simulated several scenarios of risk factors relationships and investigated the resulting interactions using additive or multiplicative models. Independent risk factors approach additive effect at low disease prevalence, showing a sub-additive relationship. However, risk factors that contribute to the same chain of events (i.e. have synergy) lead to multiplicative relative risk. Thresholds on the number of required risk factors lead to intermediaries between additive and multiplicative risk. We proposed a novel metric of interaction consistent with additive, multiplicative and multifactorial threshold models. Finally, we demonstrate the utility of the simulation-strategy and discovered relationships by analyzing and interpreting gene-gene odds ratios obtained in a rheumatoid arthritis cohort.