Pulse Brain · Growing Health Evidence Index
Peer-reviewed

A multi-ancestry polygenic risk score improves risk prediction for coronary artery disease

Aniruddh P. Patel, Minxian Wang, Yunfeng Ruan, Satoshi Koyama, Shoa L. Clarke, Xiong Yang, Catherine Tcheandjieu, Saaket Agrawal, Akl C. Fahed, Patrick T. Ellinor, Philip S. Tsao, Yan V. Sun, Kelly Cho, Peter W.F. Wilson, Themistocles L. Assimes, David A. van Heel, Adam S. Butterworth, Krishna G. Aragam, Pradeep Natarajan, Amit V. Khera

Nature Medicine · 2023

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Summary

Identification of individuals at highest risk of coronary artery disease (CAD)-ideally before onset-remains an important public health need. Prior studies have developed genome-wide polygenic scores to enable risk stratification, reflecting the substantial inherited component to CAD risk. Here we develop a new and significantly improved polygenic score for CAD, termed GPS<sub>Mult</sub>, that incorporates genome-wide association data across five ancestries for CAD (>269,000 cases and >1,178,000 controls) and ten CAD risk factors. GPS<sub>Mult</sub> strongly associated with prevalent CAD (odds ratio per standard deviation 2.14, 95% confidence interval 2.10-2.19, P < 0.001) in UK Biobank participants of European ancestry, identifying 20.0% of the population with 3-fold increased risk and con

Source type
Peer-reviewed study
DOI
10.1038/s41591-023-02429-x
Catalogue ID
SNmohbaybf-vmnstk
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