The example of cancer illustrates how many common phenotypes, including ones that cause disease, are multifactorial; that is, they are caused by the interactions of many genes and proteins with one or more factors in the environment. When studying genetics, we tend to call individuals either normal (wild type) or abnormal (mutant); however, in reality every individual contains thousands or millions of genetic variations that arose through mutations. Our susceptibility to disease is often determined by complex interactions between these genotypes and factors in the environment, such as the foods we eat or the pathogens we encounter. For example, a complex set of genotypes determines who among us can eat a high-
323