Most diseases are caused by multiple genes and environment

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-fat diet and not experience a heart attack, or who will succumb to disease when exposed to infectious bacteria. Estimates suggest that up to 60 percent of all people are affected by diseases that are genetically influenced. Identifying these genetic influences is another major task of molecular medicine and human genome sequencing.

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