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What is it? SAM is a method used for large-scale gene or protein expression data like those collected with microarrays. It addresses the issue of analyzing large-scale data in which a microarray experiment of 10,000 proteins would identify 100 proteins by chance using a p-value cut-off of 0.01. Therefore, SAM applies a t-test at the individual gene or protein level to determine whether the expression pattern for that gene or protein is significant.
When is it used? This test is performed when the samples 1) may not be independent of each other and 2) are or are not normally distributed. It can help identify expression patterns that have little difference between the control and test groups but are nevertheless significant.
How does it work?
SAM Example
We want to find serological proteins that are different between 12 healthy and 12 diseased patients using an antibody-based microarray targeting 1,000 proteins.

Figure 1. Histogram plots of Protein 1 expression in different populations.

Figure 2. Permutation example for Protein 1. Note than an equal number of datasets from healthy (blue) and diseased (green) patients are being compared to each other. The "healthy" and "diseased" data sets would be compared in this permutation. Numerous permutations would be performed.

Figure 3. Scatter plot of observed vs. expected relative differences (t-statistic) of a protein. Dashed lines = threshold cut-off. Figure altered from Tusher et al. Proc Natl Acad Sci. 2001 Apr 24; 98(9): 5116-5121.
What does the data look like? For each gene or protein, SAM produces a test statistic value based upon the observed value’s deviation from the expected value. Unlike other models that use a p-value or FDR, SAM determines significance based on the deviation of the observed data from the expected value; the expected value is based on numerous permutations of the original data.