Development of a Polygenic Risk Score for BMI to Assess the Genetic Susceptibility to Obesity and Related Diseases in the Korean Population

Hundreds of genetic variants for body mass index (BMI) have been identified from numerous genome-wide association studies (GWAS) in different ethnicities. In this study, we aimed to develop a polygenic risk score (PRS) for BMI for predicting susceptibility to obesity and related traits in the Korean...

Full description

Bibliographic Details
Main Authors: Nara Yoon, Yoon Shin Cho
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/14/11560
_version_ 1797588949836759040
author Nara Yoon
Yoon Shin Cho
author_facet Nara Yoon
Yoon Shin Cho
author_sort Nara Yoon
collection DOAJ
description Hundreds of genetic variants for body mass index (BMI) have been identified from numerous genome-wide association studies (GWAS) in different ethnicities. In this study, we aimed to develop a polygenic risk score (PRS) for BMI for predicting susceptibility to obesity and related traits in the Korean population. For this purpose, we obtained base data resulting from a GWAS on BMI using 57,110 HEXA study subjects from the Korean Genome and Epidemiology Study (KoGES). Subsequently, we calculated PRSs in 13,504 target subjects from the KARE and CAVAS studies of KoGES using the PRSice-2 software. The best-fit PRS for BMI (PRS<sub>BMI</sub>) comprising 53,341 SNPs was selected at a <i>p</i>-value threshold of 0.064, at which the model fit had the greatest <i>R</i><sup>2</sup> score. The PRS<sub>BMI</sub> was tested for its association with obesity-related quantitative traits and diseases in the target dataset. Linear regression analyses demonstrated significant associations of PRS<sub>BMI</sub> with BMI, blood pressure, and lipid traits. Logistic regression analyses revealed significant associations of PRS<sub>BMI</sub> with obesity, hypertension, and hypo-HDL cholesterolemia. We observed about 2-fold, 1.1-fold, and 1.2-fold risk for obesity, hypertension, and hypo-HDL cholesterolemia, respectively, in the highest-risk group in comparison to the lowest-risk group of PRS<sub>BMI</sub> in the test population. We further detected approximately 26.0%, 2.8%, and 3.9% differences in prevalence between the highest and lowest risk groups for obesity, hypertension, and hypo-HDL cholesterolemia, respectively. To predict the incidence of obesity and related diseases, we applied PRS<sub>BMI</sub> to the 16-year follow-up data of the KARE study. Kaplan–Meier survival analysis showed that the higher the PRS<sub>BMI</sub>, the higher the incidence of dyslipidemia and hypo-HDL cholesterolemia. Taken together, this study demonstrated that a PRS developed for BMI may be a valuable indicator to assess the risk of obesity and related diseases in the Korean population.
first_indexed 2024-03-11T01:00:17Z
format Article
id doaj.art-0b1e618a9d16465ebf0dc538064d0f53
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-11T01:00:17Z
publishDate 2023-07-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-0b1e618a9d16465ebf0dc538064d0f532023-11-18T19:41:26ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-07-0124141156010.3390/ijms241411560Development of a Polygenic Risk Score for BMI to Assess the Genetic Susceptibility to Obesity and Related Diseases in the Korean PopulationNara Yoon0Yoon Shin Cho1Department of Biomedical Science, Hallym University, Chuncheon 24252, Republic of KoreaDepartment of Biomedical Science, Hallym University, Chuncheon 24252, Republic of KoreaHundreds of genetic variants for body mass index (BMI) have been identified from numerous genome-wide association studies (GWAS) in different ethnicities. In this study, we aimed to develop a polygenic risk score (PRS) for BMI for predicting susceptibility to obesity and related traits in the Korean population. For this purpose, we obtained base data resulting from a GWAS on BMI using 57,110 HEXA study subjects from the Korean Genome and Epidemiology Study (KoGES). Subsequently, we calculated PRSs in 13,504 target subjects from the KARE and CAVAS studies of KoGES using the PRSice-2 software. The best-fit PRS for BMI (PRS<sub>BMI</sub>) comprising 53,341 SNPs was selected at a <i>p</i>-value threshold of 0.064, at which the model fit had the greatest <i>R</i><sup>2</sup> score. The PRS<sub>BMI</sub> was tested for its association with obesity-related quantitative traits and diseases in the target dataset. Linear regression analyses demonstrated significant associations of PRS<sub>BMI</sub> with BMI, blood pressure, and lipid traits. Logistic regression analyses revealed significant associations of PRS<sub>BMI</sub> with obesity, hypertension, and hypo-HDL cholesterolemia. We observed about 2-fold, 1.1-fold, and 1.2-fold risk for obesity, hypertension, and hypo-HDL cholesterolemia, respectively, in the highest-risk group in comparison to the lowest-risk group of PRS<sub>BMI</sub> in the test population. We further detected approximately 26.0%, 2.8%, and 3.9% differences in prevalence between the highest and lowest risk groups for obesity, hypertension, and hypo-HDL cholesterolemia, respectively. To predict the incidence of obesity and related diseases, we applied PRS<sub>BMI</sub> to the 16-year follow-up data of the KARE study. Kaplan–Meier survival analysis showed that the higher the PRS<sub>BMI</sub>, the higher the incidence of dyslipidemia and hypo-HDL cholesterolemia. Taken together, this study demonstrated that a PRS developed for BMI may be a valuable indicator to assess the risk of obesity and related diseases in the Korean population.https://www.mdpi.com/1422-0067/24/14/11560obesitybody mass indexpolygenic risk scoresingle-nucleotide polymorphismgenome-wide association studydisease risk assessment
spellingShingle Nara Yoon
Yoon Shin Cho
Development of a Polygenic Risk Score for BMI to Assess the Genetic Susceptibility to Obesity and Related Diseases in the Korean Population
International Journal of Molecular Sciences
obesity
body mass index
polygenic risk score
single-nucleotide polymorphism
genome-wide association study
disease risk assessment
title Development of a Polygenic Risk Score for BMI to Assess the Genetic Susceptibility to Obesity and Related Diseases in the Korean Population
title_full Development of a Polygenic Risk Score for BMI to Assess the Genetic Susceptibility to Obesity and Related Diseases in the Korean Population
title_fullStr Development of a Polygenic Risk Score for BMI to Assess the Genetic Susceptibility to Obesity and Related Diseases in the Korean Population
title_full_unstemmed Development of a Polygenic Risk Score for BMI to Assess the Genetic Susceptibility to Obesity and Related Diseases in the Korean Population
title_short Development of a Polygenic Risk Score for BMI to Assess the Genetic Susceptibility to Obesity and Related Diseases in the Korean Population
title_sort development of a polygenic risk score for bmi to assess the genetic susceptibility to obesity and related diseases in the korean population
topic obesity
body mass index
polygenic risk score
single-nucleotide polymorphism
genome-wide association study
disease risk assessment
url https://www.mdpi.com/1422-0067/24/14/11560
work_keys_str_mv AT narayoon developmentofapolygenicriskscoreforbmitoassessthegeneticsusceptibilitytoobesityandrelateddiseasesinthekoreanpopulation
AT yoonshincho developmentofapolygenicriskscoreforbmitoassessthegeneticsusceptibilitytoobesityandrelateddiseasesinthekoreanpopulation