Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

Clinical use of polygenic risk scores: current status, barriers and future directions

Iftikhar J. Kullo

Nature Reviews Genetics · 2025

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Summary

This narrative review by Kullo (2025) examines the present state of polygenic risk score deployment in clinical medicine, as published in Nature Reviews Genetics. The paper identifies substantive barriers to widespread adoption—likely encompassing technical, infrastructural, and interpretive challenges—and outlines prospective directions for integrating PRS into routine clinical practice. Whilst not directly concerned with farming or soil health, the work is relevant to Pulse Brain insofar as polygenic risk stratification may increasingly inform personalised dietary and lifestyle recommendations grounded in genetic predisposition to metabolic or cardiovascular disease.

Regional applicability

The UK, through the NHS Genomics Medicine Service and initiatives such as the 100,000 Genomes Project, is actively developing infrastructure for genomic medicine; findings on PRS implementation barriers and solutions may directly inform UK policy and practice in precision medicine. However, equity and access challenges noted in the review may be particularly acute in the NHS given resource constraints.

Key measures

Current clinical adoption rates of polygenic risk scores; identified barriers to implementation; proposed frameworks for clinical integration

Outcomes reported

The paper examines the current clinical implementation of polygenic risk scores (PRS), identifying barriers to their adoption and proposing pathways for future clinical utility. It appears to assess readiness for PRS use in personalised medicine and disease risk stratification.

Theme
Nutrition & health
Subject
Other / interdisciplinary
Study type
Narrative Review
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
System type
Human clinical
DOI
10.1038/s41576-025-00900-8
Catalogue ID
SNmojad56o-sy612z

Topic tags

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