Embryo Screening for Polygenic Disease Risk: Recent Advances and Ethical Considerations

Machine learning methods applied to large genomic datasets (such as those used in GWAS) have led to the creation of polygenic risk scores (PRSs) that can be used identify individuals who are at highly elevated risk for important disease conditions, such as coronary artery disease (CAD), diabetes, hy...

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Main Authors: Laurent C. A. M. Tellier, Jennifer Eccles, Nathan R. Treff, Louis Lello, Simon Fishel, Stephen Hsu
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/12/8/1105
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author Laurent C. A. M. Tellier
Jennifer Eccles
Nathan R. Treff
Louis Lello
Simon Fishel
Stephen Hsu
author_facet Laurent C. A. M. Tellier
Jennifer Eccles
Nathan R. Treff
Louis Lello
Simon Fishel
Stephen Hsu
author_sort Laurent C. A. M. Tellier
collection DOAJ
description Machine learning methods applied to large genomic datasets (such as those used in GWAS) have led to the creation of polygenic risk scores (PRSs) that can be used identify individuals who are at highly elevated risk for important disease conditions, such as coronary artery disease (CAD), diabetes, hypertension, breast cancer, and many more. PRSs have been validated in large population groups across multiple continents and are under evaluation for widespread clinical use in adult health. It has been shown that PRSs can be used to identify which of two individuals is at a lower disease risk, even when these two individuals are siblings from a shared family environment. The relative risk reduction (RRR) from choosing an embryo with a lower PRS (with respect to one chosen at random) can be quantified by using these sibling results. New technology for precise embryo genotyping allows more sophisticated preimplantation ranking with better results than the current method of selection that is based on morphology. We review the advances described above and discuss related ethical considerations.
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spelling doaj.art-8a150931c45c4807ab390d2aeab3c79d2023-11-22T07:44:35ZengMDPI AGGenes2073-44252021-07-01128110510.3390/genes12081105Embryo Screening for Polygenic Disease Risk: Recent Advances and Ethical ConsiderationsLaurent C. A. M. Tellier0Jennifer Eccles1Nathan R. Treff2Louis Lello3Simon Fishel4Stephen Hsu5Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824, USAGenomic Prediction, Inc., North Brunswick, NJ 08902, USAGenomic Prediction, Inc., North Brunswick, NJ 08902, USADepartment of Physics and Astronomy, Michigan State University, East Lansing, MI 48824, USACARE Fertility Group, Nottingham NG8 6PZ, UKDepartment of Physics and Astronomy, Michigan State University, East Lansing, MI 48824, USAMachine learning methods applied to large genomic datasets (such as those used in GWAS) have led to the creation of polygenic risk scores (PRSs) that can be used identify individuals who are at highly elevated risk for important disease conditions, such as coronary artery disease (CAD), diabetes, hypertension, breast cancer, and many more. PRSs have been validated in large population groups across multiple continents and are under evaluation for widespread clinical use in adult health. It has been shown that PRSs can be used to identify which of two individuals is at a lower disease risk, even when these two individuals are siblings from a shared family environment. The relative risk reduction (RRR) from choosing an embryo with a lower PRS (with respect to one chosen at random) can be quantified by using these sibling results. New technology for precise embryo genotyping allows more sophisticated preimplantation ranking with better results than the current method of selection that is based on morphology. We review the advances described above and discuss related ethical considerations.https://www.mdpi.com/2073-4425/12/8/1105genomicscomplex trait predictionPRSin vitro fertilizationgenetic engineering
spellingShingle Laurent C. A. M. Tellier
Jennifer Eccles
Nathan R. Treff
Louis Lello
Simon Fishel
Stephen Hsu
Embryo Screening for Polygenic Disease Risk: Recent Advances and Ethical Considerations
Genes
genomics
complex trait prediction
PRS
in vitro fertilization
genetic engineering
title Embryo Screening for Polygenic Disease Risk: Recent Advances and Ethical Considerations
title_full Embryo Screening for Polygenic Disease Risk: Recent Advances and Ethical Considerations
title_fullStr Embryo Screening for Polygenic Disease Risk: Recent Advances and Ethical Considerations
title_full_unstemmed Embryo Screening for Polygenic Disease Risk: Recent Advances and Ethical Considerations
title_short Embryo Screening for Polygenic Disease Risk: Recent Advances and Ethical Considerations
title_sort embryo screening for polygenic disease risk recent advances and ethical considerations
topic genomics
complex trait prediction
PRS
in vitro fertilization
genetic engineering
url https://www.mdpi.com/2073-4425/12/8/1105
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AT louislello embryoscreeningforpolygenicdiseaseriskrecentadvancesandethicalconsiderations
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