2020
DOI: 10.1002/jbm4.10411
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Post‐GWAS Polygenic Risk Score: Utility and Challenges

Abstract: Over the past decade, through genome-wide association studies, more than 300 genetic variants have been identified to be associated with either BMD or fracture risk. These genetic variants are common in the general population, but they exert small to modest effects on BMD, suggesting that the utility of any single variant is limited. However, a combination of effect sizes from multiple variants in the form of the polygenic risk score (PRS) can provide a useful indicator of fracture risk beyond that obtained by… Show more

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Cited by 13 publications
(3 citation statements)
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“…Polygenic risk assessment is designed to improve the quality of predictive medicine [ 33 ], although its results should be interpreted with extreme caution, taking into account the ethnic origin of the sample and the variety of bioinformatic approaches to statistical analysis [ 34 ]. Thus, the results of PGS can be valuable in diagnostic medicine and have higher prognostic power at the individual level.…”
Section: Discussionmentioning
confidence: 99%
“…Polygenic risk assessment is designed to improve the quality of predictive medicine [ 33 ], although its results should be interpreted with extreme caution, taking into account the ethnic origin of the sample and the variety of bioinformatic approaches to statistical analysis [ 34 ]. Thus, the results of PGS can be valuable in diagnostic medicine and have higher prognostic power at the individual level.…”
Section: Discussionmentioning
confidence: 99%
“…Besides, rare variants (minor allele frequency <1%) or copy number variations are normally left out of a PRS as they are not included in the genetic data derived from GWAS. Thus, these inclusion criteria may restrict the genomic information included in the model leading to the inability of PRS to completely capture the genomic landscape of the selected trait [ 176 , 177 ]. Other important aspects of PRS calculation are subject to debate: the best way to model APOE within a PRS, the p-value threshold for including SNPs, and the comparison of PRSs for independent cohorts [ 173 , 178 , 179 ].…”
Section: Introductionmentioning
confidence: 99%
“…The main goals of trait mapping studies, including genome-wide association studies (GWASs), are to understand the genetic architecture of diseases, pinpoint the number of loci associated with a particular trait, and approximate the underlying heritability rate ( Hirschhorn and Daly, 2003 ; Cantor et al, 2010 ; Wray et al, 2010 ; Garfield, 2020 ). Once the disease-causing variants and genes are identified, this information will help researchers who are working in clinical, medical, or public health fields to establish prevention strategies, predict risks, and adapt therapeutic measurements Hirschhorn and Daly (2003) ; Cantor et al (2010) ; Tam et al (2019) ; Nguyen and Eisman (2020) ; Legge et al (2021) . Regardless of the successes, GWASs are still confronting many challenges and limitations Hao et al, 2019 ); Zhu et al (2017) and have received considerable criticism ( Zuka et al, 2012 ; Cantor et al, 2010) .…”
Section: Introductionmentioning
confidence: 99%