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Development of genome-wide polygenic risk scores for lipid traits and clinical applications for dyslipidemia, subclinical atherosclerosis, and diabetes cardiovascular complications among East Asians.


ABSTRACT:

Background

The clinical utility of personal genomic information in identifying individuals at increased risks for dyslipidemia and cardiovascular diseases remains unclear.

Methods

We used data from Biobank Japan (n?=?70,657-128,305) and developed novel East Asian-specific genome-wide polygenic risk scores (PRSs) for four lipid traits. We validated (n?=?4271) and subsequently tested associations of these scores with 3-year lipid changes in adolescents (n?=?620), carotid intima-media thickness (cIMT) in adult women (n?=?781), dyslipidemia (n?=?7723), and coronary heart disease (CHD) (n?=?2374 cases and 6246 controls) in type 2 diabetes (T2D) patients.

Results

Our PRSs aggregating 84-549 genetic variants (0.251?-?103?-?75) and 3-year lipid changes (1.4?×?10-?6?-?3?-?10?trend?=?0.0182). Independent of conventional risk factors, the quintile of PRSs for TC [OR (95% CI)?=?1.07 (1.03-1.11)], TG [OR (95% CI)?=?1.05 (1.01-1.09)], and LDL-C [OR (95% CI)?=?1.05 (1.01-1.09)] were significantly associated with increased risk of CHD in T2D patients (4.8?×?10-?4?ConclusionsThe PRSs derived and validated here highlight the potential for early genomic screening and personalized risk assessment for cardiovascular disease.

SUBMITTER: Tam CHT 

PROVIDER: S-EPMC7893928 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

Development of genome-wide polygenic risk scores for lipid traits and clinical applications for dyslipidemia, subclinical atherosclerosis, and diabetes cardiovascular complications among East Asians.

Tam Claudia H T CHT   Lim Cadmon K P CKP   Luk Andrea O Y AOY   Ng Alex C W ACW   Lee Heung-Man HM   Jiang Guozhi G   Lau Eric S H ESH   Fan Baoqi B   Wan Raymond R   Kong Alice P S APS   Tam Wing-Hung WH   Ozaki Risa R   Chow Elaine Y K EYK   Lee Ka-Fai KF   Siu Shing-Chung SC   Hui Grace G   Tsang Chiu-Chi CC   Lau Kam-Piu KP   Leung Jenny Y Y JYY   Tsang Man-Wo MW   Kam Grace G   Lau Ip-Tim IT   Li June K Y JKY   Yeung Vincent T F VTF   Lau Emmy E   Lo Stanley S   Fung Samuel S   Cheng Yuk-Lun YL   Chow Chun-Chung CC   Hu Miao M   Yu Weichuan W   Tsui Stephen K W SKW   Huang Yu Y   Lan Huiyao H   Szeto Cheuk-Chun CC   Tang Nelson L S NLS   Ng Maggie C Y MCY   So Wing-Yee WY   Tomlinson Brian B   Chan Juliana C N JCN   Ma Ronald C W RCW  

Genome medicine 20210219 1


<h4>Background</h4>The clinical utility of personal genomic information in identifying individuals at increased risks for dyslipidemia and cardiovascular diseases remains unclear.<h4>Methods</h4>We used data from Biobank Japan (n = 70,657-128,305) and developed novel East Asian-specific genome-wide polygenic risk scores (PRSs) for four lipid traits. We validated (n = 4271) and subsequently tested associations of these scores with 3-year lipid changes in adolescents (n = 620), carotid intima-medi  ...[more]

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