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The expected polygenic risk score (ePRS) framework: an equitable metric for quantifying polygenetic risk via modeling of ancestral makeup.

TitleThe expected polygenic risk score (ePRS) framework: an equitable metric for quantifying polygenetic risk via modeling of ancestral makeup.
Publication TypeJournal Article
Year of Publication2024
AuthorsHuang, Y-J, Kurniansyah, N, Goodman, MO, Spitzer, BW, Wang, J, Stilp, A, Laurie, C, de Vries, PS, Chen, H, Min, Y-I, Sims, M, Peloso, GM, Guo, X, Bis, JC, Brody, JA, Raffield, LM, Smith, JA, Zhao, W, Rotter, JI, Rich, SS, Redline, S, Fornage, M, Kaplan, R, Franceschini, N, Levy, D, Morrison, AC, Boerwinkle, E, Smith, NL, Kooperberg, C, Psaty, BM, Zöllner, S, Sofer, T
Corporate/Institutional AuthorsTrans-Omics in Precision Medicine Consortium
JournalmedRxiv
Date Published2024 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'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>
DOI10.1101/2024.03.05.24303738
Alternate JournalmedRxiv
PubMed ID39763564
PubMed Central IDPMC11702733
Grant ListR56 HG013163 / HG / NHGRI NIH HHS / United States
OT2 OD026556 / OD / NIH HHS / United States
R01 HL139553 / HL / NHLBI NIH HHS / United States
U2C OD023196 / OD / NIH HHS / United States
OT2 OD025315 / OD / NIH HHS / United States
OT2 OD026551 / OD / NIH HHS / United States
U24 OD023121 / OD / NIH HHS / United States
OT2 OD026549 / OD / NIH HHS / United States
OT2 OD025337 / OD / NIH HHS / United States
OT2 OD025277 / OD / NIH HHS / United States
OT2 OD026555 / OD / NIH HHS / United States
OT2 OD026550 / OD / NIH HHS / United States
OT2 OD026553 / OD / NIH HHS / United States
OT2 OD023205 / OD / NIH HHS / United States
OT2 OD025276 / OD / NIH HHS / United States
OT2 OD026557 / OD / NIH HHS / United States
OT2 OD026554 / OD / NIH HHS / United States
U24 OD023163 / OD / NIH HHS / United States
R01 HG011031 / HG / NHGRI NIH HHS / United States
OT2 OD023206 / OD / NIH HHS / United States
R01 HL154385 / HL / NHLBI NIH HHS / United States
U24 OD023176 / OD / NIH HHS / United States
OT2 OD026548 / OD / NIH HHS / United States
OT2 OD026552 / OD / NIH HHS / United States
R01 HL161012 / HL / NHLBI NIH HHS / United States
R01 HL142711 / HL / NHLBI NIH HHS / United States
R01 AG080598 / AG / NIA NIH HHS / United States
ePub date: 
24/12