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<p>This variation in expression can be affected by <a href="page.php?w=Human_disease_modifier_gene">modifier genes</a>, <a href="page.php?w=Epigenetics">epigenetic factors</a> or the environment.</p>

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# Modifier genes can alter the expression of other genes in either an additive or multiplicative way. Meaning the phenotype that is observed can be a result of two different <a href="page.php?w=allele">allele</a>s (gene variants) being summed or multiplied. However, a reduction in expression may also occur in which the primary <a href="page.php?w=Locus_%28genetics%29">locus</a>,</p><p>
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