Gene-environment interactions due to quantile-specific heritability of triglyceride and VLDL concentrations paul t. Williams "Quantile-dependent expressivity" is a dependence of genetic effects on whether the phenotype (e.g., triglycerides) is high or low relative to its distribution in the population. Quantile-specific offspringparent regression slopes (β op) were estimated by quantile regression for 6227 offspring-parent pairs. Quantile-specific heritability (h 2), estimated by 2β op /(1 + r spouse), decreased 0.0047 ± 0.0007 (P = 2.9 × 10 −14) for each one-percent decrement in fasting triglyceride concentrations, i.e., h 2 ± Se were: 0.428 ± 0.059, 0.230 ± 0.030, 0.111 ± 0.015, 0.050 ± 0.016, and 0.033 ± 0.010 at the 90th, 75th, 50th, 25th, and 10th percentiles of the triglyceride distribution, respectively. Consistent with quantile-dependent expressivity, 11 drug studies report smaller genotype differences at lower (posttreatment) than higher (pre-treatment) triglyceride concentrations. This meant genotype-specific triglyceride changes could not move in parallel when triglycerides were decreased pharmacologically, so that subtracting pre-treatment from post-treatment triglyceride levels necessarily created a greater triglyceride decrease for the genotype with a higher pre-treatment value (purported precision-medicine genetic markers). In addition, sixty-five purported gene-environment interactions were found to be potentially attributable to triglyceride's quantile-dependent expressivity, including gene-adiposity