Clinical utility of polygenic scores for cardiometabolic disease in Arabs
Injeong Shim,
Hiroyuki Kuwahara,
NingNing Chen,
Mais O. Hashem,
Lama AlAbdi,
Mohamed Abouelhoda,
Hong-Hee Won,
Pradeep Natarajan,
Patrick T. Ellinor,
Amit V. Khera,
Xin Gao (),
Fowzan S. Alkuraya () and
Akl C. Fahed ()
Additional contact information
Injeong Shim: Massachusetts General Hospital, Harvard Medical School
Hiroyuki Kuwahara: King Abdullah University of Science and Technology (KAUST)
NingNing Chen: King Abdullah University of Science and Technology (KAUST)
Mais O. Hashem: King Faisal Specialist Hospital and Research Center
Lama AlAbdi: King Faisal Specialist Hospital and Research Center
Mohamed Abouelhoda: King Faisal Specialist Hospital and Research Center
Hong-Hee Won: Sungkyunkwan University, Samsung Medical Center
Pradeep Natarajan: Massachusetts General Hospital, Harvard Medical School
Patrick T. Ellinor: Massachusetts General Hospital, Harvard Medical School
Amit V. Khera: Verve Therapeutics
Xin Gao: King Abdullah University of Science and Technology (KAUST)
Fowzan S. Alkuraya: King Faisal Specialist Hospital and Research Center
Akl C. Fahed: Massachusetts General Hospital, Harvard Medical School
Nature Communications, 2023, vol. 14, issue 1, 1-11
Abstract:
Abstract Arabs account for 5% of the world population and have a high burden of cardiometabolic disease, yet clinical utility of polygenic risk prediction in Arabs remains understudied. Among 5399 Arab patients, we optimize polygenic scores for 10 cardiometabolic traits, achieving a performance that is better than published scores and on par with performance in European-ancestry individuals. Odds ratio per standard deviation (OR per SD) for a type 2 diabetes score was 1.83 (95% CI 1.74–1.92), and each SD of body mass index (BMI) score was associated with 1.18 kg/m2 difference in BMI. Polygenic scores associated with disease independent of conventional risk factors, and also associated with disease severity—OR per SD for coronary artery disease (CAD) was 1.78 (95% CI 1.66–1.90) for three-vessel CAD and 1.41 (95% CI 1.29–1.53) for one-vessel CAD. We propose a pragmatic framework leveraging public data as one way to advance equitable clinical implementation of polygenic scores in non-European populations.
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:14:y:2023:i:1:d:10.1038_s41467-023-41985-1
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DOI: 10.1038/s41467-023-41985-1
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