Work

Contextualizing genetic risk score for disease screening and rare variant discovery

Year: 2021
Type: article
Abstract: Studies of the genetic basis of complex traits have demonstrated a substantial role for common, small-effect variant polygenic burden (PB) as well as large-effect variants (LEV, primarily rare). We identify sufficient conditions in which GWAS-derived PB may be used for well-powered rare pathogenic variant discovery or as a sample prioritization tool for whole-genome or exome sequencing. Through extensive simulations of genetic architectures and generative models of disease liability with parameters informed by empirical data, we quantify the power to detect, among cases, a lower PB in LEV carriers than in non-carriers. Furthermore, we uncover clinically useful conditions wherein the risk derived from the PB is comparable to the LEV-derived risk. The resulting summary-statistics-based methodology (with publicly available software, PB-LEV-SCAN) makes predictions on PB-based LEV screening for 36 complex traits, which we confirm in several disease datasets with available LEV information in the UK Biobank, with important implications on clinical decision-making.
Language: English
Subfield: Genetics
Open Access status: gold
Estimated APC paid: $5,560
Awards: G1182793083, G1435936284, Pharmacogenomics of Arrhythmia Therapy, G1511474956, G1531600799, Integrating Common and Rare Variation to Discover Genes Associated with Tourette Syndrome, G1766209448, G1846282300, G1951620746, G2043477120, G2103760183, G2209161966, Understanding the genetic risk underlying racial disparities in uterine fibroids, G2265622010, G2308744219, G2615776415, G2683268942, G332351177, Improving Prediction of Drug Action, G3395468139, Mental health and chronic disease: A psycheMERGE investigation into the shared biology underlying psychiatric disorders and their physical comorbidities, G3619590958, G364208108, G3791753988, G3938985443, G4049315607, G4107354744, G4198746417, Automated Storage and Retrieval of Biological Systems, G4335719375, G4395870004, G4410787187, G4425699080, Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at Vanderbilt, G5366963641, G560889077, G563474107, G5679716143, G5717004637, Haplotype-aware models of gene and isoform expression with application to genetic studies of disease in diverse populations, G5868276417, Functional Genomics: A Phenome-wide Survey, Genetic Epidemiology of Multiple Sclerosis, G6159295536, G6173849340, G6263508347, G6589054092, The Vanderbilt Institute for Clinical and Translational Research (VICTR) UL1, Large-Scale Collaborative Genetic and Epigenetic Studies of Tourette Syndrome, VESPA: Vanderbilt Electronic Systems for Pharmacogenomic Assessment, G7163342664, G7653134492, G7750255963, The Vanderbilt Institute for Clinical and Translational Research (VICTR), Vanderbilt Genome Electronic Records Project, Discovering Biology for Neuropsychiatric Diseases Through Omics Studies on Comorbidities, G8098630230, Epidemiologic Architecture for Genes Linked to Environment (EAGLE), G8332127685, G8680553600, G8843537459, G8844593329, Advancing Multi-Omics and Electronic Health Records Computational Methodologies, G8997515769, G9000033427, G9000300101, Vanderbilt Institute for Clinical and Translational Research (VICTR)
OpenAlex ID: W3183867452
FWCI: 3.248
Cites: 60
Cited by: 29
Related to: 10