@article {9851,
	title = {The expected polygenic risk score (ePRS) framework: an equitable metric for quantifying polygenetic risk via modeling of ancestral makeup.},
	journal = {medRxiv},
	year = {2024},
	month = {2024 Dec 20},
	abstract = {<p>Polygenic risk scores (PRSs) depend on genetic ancestry due to differences in allele frequencies between ancestral populations. This leads to implementation challenges in diverse populations. We propose a framework to calibrate PRS based on ancestral makeup. We define a metric called "expected PRS" (ePRS), the expected value of a PRS based on one{\textquoteright}s global or local admixture patterns. We further define the "residual PRS" (rPRS), measuring the deviation of the PRS from the ePRS. Simulation studies confirm that it suffices to adjust for ePRS to obtain nearly unbiased estimates of the PRS-outcome association without further adjusting for PCs. Using the TOPMed dataset, the estimated effect size of the rPRS adjusting for the ePRS is similar to the estimated effect of the PRS adjusting for genetic PCs. Similarly, we applied the ePRS framework to six cardiovascular-related traits in the All of Us dataset, and the results are consistent with those from the TOPMed analysis. The ePRS framework can protect from population stratification in association analysis and provide an equitable strategy to quantify genetic risk across diverse populations.</p>},
	doi = {10.1101/2024.03.05.24303738},
	author = {Huang, Yu-Jyun and Kurniansyah, Nuzulul and Goodman, Matthew O and Spitzer, Brian W and Wang, Jiongming and Stilp, Adrienne and Laurie, Cecelia and de Vries, Paul S and Chen, Han and Min, Yuan-I and Sims, Mario and Peloso, Gina M and Guo, Xiuqing and Bis, Joshua C and Brody, Jennifer A and Raffield, Laura M and Smith, Jennifer A and Zhao, Wei and Rotter, Jerome I and Rich, Stephen S and Redline, Susan and Fornage, Myriam and Kaplan, Robert and Franceschini, Nora and Levy, Daniel and Morrison, Alanna C and Boerwinkle, Eric and Smith, Nicholas L and Kooperberg, Charles and Psaty, Bruce M and Z{\"o}llner, Sebastian and Sofer, Tamar}
}
