2022
DOI: 10.1186/s13073-022-01065-3
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Diversity in EWAS: current state, challenges, and solutions

Abstract: Here, we report a lack of diversity in epigenome-wide association studies (EWAS) and DNA methylation (DNAm) data, discuss current challenges, and propose solutions for EWAS and DNAm research in diverse populations. The strategies we propose include fostering community involvement, new data generation, and cost-effective approaches such as locus-specific analysis and ancestry variable region analysis.

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Cited by 17 publications
(15 citation statements)
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“…Although there are known differences in the methylation pattern of a number of CpGs between different ethnicities ( 143 ), there is a lack of ethnic diversity in EWAS, which are based mainly on individuals of European ancestry ( 144 , 145 ). A recent multi-ancestry EWAS on kidney function ( 135 ) revealed several population-specific methylation patterns for eGFR in the general population with little overlap between African and European populations.…”
Section: Discussionmentioning
confidence: 99%
“…Although there are known differences in the methylation pattern of a number of CpGs between different ethnicities ( 143 ), there is a lack of ethnic diversity in EWAS, which are based mainly on individuals of European ancestry ( 144 , 145 ). A recent multi-ancestry EWAS on kidney function ( 135 ) revealed several population-specific methylation patterns for eGFR in the general population with little overlap between African and European populations.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, the lack of diversity in GWAS is raising concerns about exacerbating health inequality now that the clinical translation of PGS is being evaluated [111]. Prospective studies are now starting to show that MPS biomarkers could have clinical utility [46], so more efforts are needed to diversify MWAS data sets [117].…”
Section: Ancestrymentioning
confidence: 99%
“…No previous studies investigated the association of methylation aging with CHD risk in the Asian population, despite the mortality rate of CHD has been increasing continuously in the Asian population [ 13 ]. Studies are warranted to increase the genetic diversity of study participants to understand the mechanisms underlying DNA methylation aging across humans [ 14 ]. In addition, the current knowledge of how environmental factors affect methylation aging is still lacking [ 15 ].…”
Section: Introductionmentioning
confidence: 99%