Combining Asian and European genome-wide association studies of colorectal cancer improves risk prediction across racial and ethnic populations

Abstract Polygenic risk scores (PRS) have great potential to guide precision colorectal cancer (CRC) prevention by identifying those at higher risk to undertake targeted screening. However, current PRS using European ancestry data have sub-optimal performance in non-European ancestry populations, li...

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Main Authors: Minta Thomas, Yu-Ru Su, Elisabeth A. Rosenthal, Lori C. Sakoda, Stephanie L. Schmit, Maria N. Timofeeva, Zhishan Chen, Ceres Fernandez-Rozadilla, Philip J. Law, Neil Murphy, Robert Carreras-Torres, Virginia Diez-Obrero, Franzel J. B. van Duijnhoven, Shangqing Jiang, Aesun Shin, Alicja Wolk, Amanda I. Phipps, Andrea Burnett-Hartman, Andrea Gsur, Andrew T. Chan, Ann G. Zauber, Anna H. Wu, Annika Lindblom, Caroline Y. Um, Catherine M. Tangen, Chris Gignoux, Christina Newton, Christopher A. Haiman, Conghui Qu, D. Timothy Bishop, Daniel D. Buchanan, David R. Crosslin, David V. Conti, Dong-Hyun Kim, Elizabeth Hauser, Emily White, Erin Siegel, Fredrick R. Schumacher, Gad Rennert, Graham G. Giles, Heather Hampel, Hermann Brenner, Isao Oze, Jae Hwan Oh, Jeffrey K. Lee, Jennifer L. Schneider, Jenny Chang-Claude, Jeongseon Kim, Jeroen R. Huyghe, Jiayin Zheng, Jochen Hampe, Joel Greenson, John L. Hopper, Julie R. Palmer, Kala Visvanathan, Keitaro Matsuo, Koichi Matsuda, Keum Ji Jung, Li Li, Loic Le Marchand, Ludmila Vodickova, Luis Bujanda, Marc J. Gunter, Marco Matejcic, Mark A. Jenkins, Martha L. Slattery, Mauro D’Amato, Meilin Wang, Michael Hoffmeister, Michael O. Woods, Michelle Kim, Mingyang Song, Motoki Iwasaki, Mulong Du, Natalia Udaltsova, Norie Sawada, Pavel Vodicka, Peter T. Campbell, Polly A. Newcomb, Qiuyin Cai, Rachel Pearlman, Rish K. Pai, Robert E. Schoen, Robert S. Steinfelder, Robert W. Haile, Rosita Vandenputtelaar, Ross L. Prentice, Sébastien Küry, Sergi Castellví-Bel, Shoichiro Tsugane, Sonja I. Berndt, Soo Chin Lee, Stefanie Brezina, Stephanie J. Weinstein, Stephen J. Chanock, Sun Ha Jee, Sun-Seog Kweon, Susan Vadaparampil, Tabitha A. Harrison, Taiki Yamaji, Temitope O. Keku, Veronika Vymetalkova, Volker Arndt, Wei-Hua Jia, Xiao-Ou Shu, Yi Lin, Yoon-Ok Ahn, Zsofia K. Stadler, Bethany Van Guelpen, Cornelia M. Ulrich, Elizabeth A. Platz, John D. Potter, Christopher I. Li, Reinier Meester, Victor Moreno, Jane C. Figueiredo, Graham Casey, Iris Lansdorp Vogelaar, Malcolm G. Dunlop, Stephen B. Gruber, Richard B. Hayes, Paul D. P. Pharoah, Richard S. Houlston, Gail P. Jarvik, Ian P. Tomlinson, Wei Zheng, Douglas A. Corley, Ulrike Peters, Li Hsu
Format: Article
Language:English
Published: Nature Portfolio 2023-10-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-41819-0
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author Minta Thomas
Yu-Ru Su
Elisabeth A. Rosenthal
Lori C. Sakoda
Stephanie L. Schmit
Maria N. Timofeeva
Zhishan Chen
Ceres Fernandez-Rozadilla
Philip J. Law
Neil Murphy
Robert Carreras-Torres
Virginia Diez-Obrero
Franzel J. B. van Duijnhoven
Shangqing Jiang
Aesun Shin
Alicja Wolk
Amanda I. Phipps
Andrea Burnett-Hartman
Andrea Gsur
Andrew T. Chan
Ann G. Zauber
Anna H. Wu
Annika Lindblom
Caroline Y. Um
Catherine M. Tangen
Chris Gignoux
Christina Newton
Christopher A. Haiman
Conghui Qu
D. Timothy Bishop
Daniel D. Buchanan
David R. Crosslin
David V. Conti
Dong-Hyun Kim
Elizabeth Hauser
Emily White
Erin Siegel
Fredrick R. Schumacher
Gad Rennert
Graham G. Giles
Heather Hampel
Hermann Brenner
Isao Oze
Jae Hwan Oh
Jeffrey K. Lee
Jennifer L. Schneider
Jenny Chang-Claude
Jeongseon Kim
Jeroen R. Huyghe
Jiayin Zheng
Jochen Hampe
Joel Greenson
John L. Hopper
Julie R. Palmer
Kala Visvanathan
Keitaro Matsuo
Koichi Matsuda
Keum Ji Jung
Li Li
Loic Le Marchand
Ludmila Vodickova
Luis Bujanda
Marc J. Gunter
Marco Matejcic
Mark A. Jenkins
Martha L. Slattery
Mauro D’Amato
Meilin Wang
Michael Hoffmeister
Michael O. Woods
Michelle Kim
Mingyang Song
Motoki Iwasaki
Mulong Du
Natalia Udaltsova
Norie Sawada
Pavel Vodicka
Peter T. Campbell
Polly A. Newcomb
Qiuyin Cai
Rachel Pearlman
Rish K. Pai
Robert E. Schoen
Robert S. Steinfelder
Robert W. Haile
Rosita Vandenputtelaar
Ross L. Prentice
Sébastien Küry
Sergi Castellví-Bel
Shoichiro Tsugane
Sonja I. Berndt
Soo Chin Lee
Stefanie Brezina
Stephanie J. Weinstein
Stephen J. Chanock
Sun Ha Jee
Sun-Seog Kweon
Susan Vadaparampil
Tabitha A. Harrison
Taiki Yamaji
Temitope O. Keku
Veronika Vymetalkova
Volker Arndt
Wei-Hua Jia
Xiao-Ou Shu
Yi Lin
Yoon-Ok Ahn
Zsofia K. Stadler
Bethany Van Guelpen
Cornelia M. Ulrich
Elizabeth A. Platz
John D. Potter
Christopher I. Li
Reinier Meester
Victor Moreno
Jane C. Figueiredo
Graham Casey
Iris Lansdorp Vogelaar
Malcolm G. Dunlop
Stephen B. Gruber
Richard B. Hayes
Paul D. P. Pharoah
Richard S. Houlston
Gail P. Jarvik
Ian P. Tomlinson
Wei Zheng
Douglas A. Corley
Ulrike Peters
Li Hsu
author_facet Minta Thomas
Yu-Ru Su
Elisabeth A. Rosenthal
Lori C. Sakoda
Stephanie L. Schmit
Maria N. Timofeeva
Zhishan Chen
Ceres Fernandez-Rozadilla
Philip J. Law
Neil Murphy
Robert Carreras-Torres
Virginia Diez-Obrero
Franzel J. B. van Duijnhoven
Shangqing Jiang
Aesun Shin
Alicja Wolk
Amanda I. Phipps
Andrea Burnett-Hartman
Andrea Gsur
Andrew T. Chan
Ann G. Zauber
Anna H. Wu
Annika Lindblom
Caroline Y. Um
Catherine M. Tangen
Chris Gignoux
Christina Newton
Christopher A. Haiman
Conghui Qu
D. Timothy Bishop
Daniel D. Buchanan
David R. Crosslin
David V. Conti
Dong-Hyun Kim
Elizabeth Hauser
Emily White
Erin Siegel
Fredrick R. Schumacher
Gad Rennert
Graham G. Giles
Heather Hampel
Hermann Brenner
Isao Oze
Jae Hwan Oh
Jeffrey K. Lee
Jennifer L. Schneider
Jenny Chang-Claude
Jeongseon Kim
Jeroen R. Huyghe
Jiayin Zheng
Jochen Hampe
Joel Greenson
John L. Hopper
Julie R. Palmer
Kala Visvanathan
Keitaro Matsuo
Koichi Matsuda
Keum Ji Jung
Li Li
Loic Le Marchand
Ludmila Vodickova
Luis Bujanda
Marc J. Gunter
Marco Matejcic
Mark A. Jenkins
Martha L. Slattery
Mauro D’Amato
Meilin Wang
Michael Hoffmeister
Michael O. Woods
Michelle Kim
Mingyang Song
Motoki Iwasaki
Mulong Du
Natalia Udaltsova
Norie Sawada
Pavel Vodicka
Peter T. Campbell
Polly A. Newcomb
Qiuyin Cai
Rachel Pearlman
Rish K. Pai
Robert E. Schoen
Robert S. Steinfelder
Robert W. Haile
Rosita Vandenputtelaar
Ross L. Prentice
Sébastien Küry
Sergi Castellví-Bel
Shoichiro Tsugane
Sonja I. Berndt
Soo Chin Lee
Stefanie Brezina
Stephanie J. Weinstein
Stephen J. Chanock
Sun Ha Jee
Sun-Seog Kweon
Susan Vadaparampil
Tabitha A. Harrison
Taiki Yamaji
Temitope O. Keku
Veronika Vymetalkova
Volker Arndt
Wei-Hua Jia
Xiao-Ou Shu
Yi Lin
Yoon-Ok Ahn
Zsofia K. Stadler
Bethany Van Guelpen
Cornelia M. Ulrich
Elizabeth A. Platz
John D. Potter
Christopher I. Li
Reinier Meester
Victor Moreno
Jane C. Figueiredo
Graham Casey
Iris Lansdorp Vogelaar
Malcolm G. Dunlop
Stephen B. Gruber
Richard B. Hayes
Paul D. P. Pharoah
Richard S. Houlston
Gail P. Jarvik
Ian P. Tomlinson
Wei Zheng
Douglas A. Corley
Ulrike Peters
Li Hsu
author_sort Minta Thomas
collection DOAJ
description Abstract Polygenic risk scores (PRS) have great potential to guide precision colorectal cancer (CRC) prevention by identifying those at higher risk to undertake targeted screening. However, current PRS using European ancestry data have sub-optimal performance in non-European ancestry populations, limiting their utility among these populations. Towards addressing this deficiency, we expand PRS development for CRC by incorporating Asian ancestry data (21,731 cases; 47,444 controls) into European ancestry training datasets (78,473 cases; 107,143 controls). The AUC estimates (95% CI) of PRS are 0.63(0.62-0.64), 0.59(0.57-0.61), 0.62(0.60-0.63), and 0.65(0.63-0.66) in independent datasets including 1681-3651 cases and 8696-115,105 controls of Asian, Black/African American, Latinx/Hispanic, and non-Hispanic White, respectively. They are significantly better than the European-centric PRS in all four major US racial and ethnic groups (p-values < 0.05). Further inclusion of non-European ancestry populations, especially Black/African American and Latinx/Hispanic, is needed to improve the risk prediction and enhance equity in applying PRS in clinical practice.
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spelling doaj.art-e7a280372db24e62a96e2b247dd527662023-11-20T10:00:34ZengNature PortfolioNature Communications2041-17232023-10-0114111310.1038/s41467-023-41819-0Combining Asian and European genome-wide association studies of colorectal cancer improves risk prediction across racial and ethnic populationsMinta Thomas0Yu-Ru Su1Elisabeth A. Rosenthal2Lori C. Sakoda3Stephanie L. Schmit4Maria N. Timofeeva5Zhishan Chen6Ceres Fernandez-Rozadilla7Philip J. Law8Neil Murphy9Robert Carreras-Torres10Virginia Diez-Obrero11Franzel J. B. van Duijnhoven12Shangqing Jiang13Aesun Shin14Alicja Wolk15Amanda I. Phipps16Andrea Burnett-Hartman17Andrea Gsur18Andrew T. Chan19Ann G. Zauber20Anna H. Wu21Annika Lindblom22Caroline Y. Um23Catherine M. Tangen24Chris Gignoux25Christina Newton26Christopher A. Haiman27Conghui Qu28D. Timothy Bishop29Daniel D. Buchanan30David R. Crosslin31David V. Conti32Dong-Hyun Kim33Elizabeth Hauser34Emily White35Erin Siegel36Fredrick R. Schumacher37Gad Rennert38Graham G. Giles39Heather Hampel40Hermann Brenner41Isao Oze42Jae Hwan Oh43Jeffrey K. Lee44Jennifer L. Schneider45Jenny Chang-Claude46Jeongseon Kim47Jeroen R. Huyghe48Jiayin Zheng49Jochen Hampe50Joel Greenson51John L. Hopper52Julie R. Palmer53Kala Visvanathan54Keitaro Matsuo55Koichi Matsuda56Keum Ji Jung57Li Li58Loic Le Marchand59Ludmila Vodickova60Luis Bujanda61Marc J. Gunter62Marco Matejcic63Mark A. Jenkins64Martha L. Slattery65Mauro D’Amato66Meilin Wang67Michael Hoffmeister68Michael O. Woods69Michelle Kim70Mingyang Song71Motoki Iwasaki72Mulong Du73Natalia Udaltsova74Norie Sawada75Pavel Vodicka76Peter T. Campbell77Polly A. Newcomb78Qiuyin Cai79Rachel Pearlman80Rish K. Pai81Robert E. Schoen82Robert S. Steinfelder83Robert W. Haile84Rosita Vandenputtelaar85Ross L. Prentice86Sébastien Küry87Sergi Castellví-Bel88Shoichiro Tsugane89Sonja I. Berndt90Soo Chin Lee91Stefanie Brezina92Stephanie J. Weinstein93Stephen J. Chanock94Sun Ha Jee95Sun-Seog Kweon96Susan Vadaparampil97Tabitha A. Harrison98Taiki Yamaji99Temitope O. Keku100Veronika Vymetalkova101Volker Arndt102Wei-Hua Jia103Xiao-Ou Shu104Yi Lin105Yoon-Ok Ahn106Zsofia K. Stadler107Bethany Van Guelpen108Cornelia M. Ulrich109Elizabeth A. Platz110John D. Potter111Christopher I. Li112Reinier Meester113Victor Moreno114Jane C. Figueiredo115Graham Casey116Iris Lansdorp Vogelaar117Malcolm G. Dunlop118Stephen B. Gruber119Richard B. Hayes120Paul D. P. Pharoah121Richard S. Houlston122Gail P. Jarvik123Ian P. Tomlinson124Wei Zheng125Douglas A. Corley126Ulrike Peters127Li Hsu128Public Health Sciences Division, Fred Hutchinson Cancer CenterPublic Health Sciences Division, Fred Hutchinson Cancer CenterDepartment of Medicine (Medical Genetics), University of Washington Medical CenterPublic Health Sciences Division, Fred Hutchinson Cancer CenterGenomic Medicine Institute, Cleveland ClinicDanish Institute for Advanced Study (DIAS), Epidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern DenmarkDivision of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University Medical CenterInstituto de Investigacion Sanitaria de Santiago (IDIS), Choupana snDivision of Genetics and Epidemiology, The Institute of Cancer ReseachNutrition and Metabolism Branch, International Agency for Research on Cancer, World Health OrganizationDigestive Diseases and Microbiota Group, Girona Biomedical Research Institute (IDIBGI)Unit of Biomarkers and Susceptibility, Oncology Data Analytics Program, Catalan Institute of OncologyDivision of Human Nutrition and Health, Wageningen University & ResearchPublic Health Sciences Division, Fred Hutchinson Cancer CenterDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul National University Cancer Research InstituteInstitute of Environmental Medicine, Karolinska InstitutetPublic Health Sciences Division, Fred Hutchinson Cancer CenterInstitute for Health Research, Kaiser Permanente Colorado.Center for Cancer Research, Medical University ViennaDivision of Gastroenterology, Massachusetts General Hospital and Harvard Medical SchoolDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer CenterUniversity of Southern California, Preventative MedicineDepartment of Clinical Genetics, Karolinska University HospitalDepartment of Population Science, American Cancer SocietySWOG Statistical Center, Fred Hutchinson Cancer Research CenterColorado Center for Personalized Medicine, University of Colorado - Anschutz Medical CampusDepartment of Population Science, American Cancer SocietyDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern CaliforniaPublic Health Sciences Division, Fred Hutchinson Cancer CenterLeeds Institute of Cancer and Pathology, University of LeedsColorectal Oncogenomics Group, Department of Clinical Pathology, The University of MelbourneDepartment of Bioinformatics and Medical Education, University of Washington Medical CenterDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern CaliforniaDepartment of Social and Preventive Medicine, Hallym University College of MedicineVA Cooperative Studies Program Epidemiology Center, Durham Veterans Affairs Health Care SystemPublic Health Sciences Division, Fred Hutchinson Cancer CenterCancer Epidemiology Program, H. Lee Moffitt Cancer Center and Research InstituteDepartment of Population and Quantitative Health Sciences, Case Western Reserve UniversityDepartment of Community Medicine and Epidemiology, Lady Davis Carmel Medical CenterCancer Epidemiology Division, Cancer Council VictoriaDivision of Human Genetics, Department of Internal Medicine, The Ohio State University Comprehensive Cancer CenterDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ).Division of Cancer Epidemiology and Prevention, Aichi Cancer Center Research Institute.Research Institute and Hospital, National Cancer Center.Department of Gastroenterology, Kaiser Permanente San Francisco Medical CenterDivision of Research, Kaiser Permanente Northern CaliforniaDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ)Department of Cancer Biomedical Science, Graduate School of Cancer Science and Policy, National Cancer CenterPublic Health Sciences Division, Fred Hutchinson Cancer CenterPublic Health Sciences Division, Fred Hutchinson Cancer CenterDepartment of Medicine I, University Hospital Dresden, Technische Universität Dresden (TU Dresden)Department of Pathology, University of MichiganCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of MelbourneSlone Epidemiology Center, School of Medicine, Boston UniversityDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public HealthDivision of Molecular and Clinical Epidemiology, Aichi Cancer Center Research InstituteLaboratory of Clinical Genome Sequencing, Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, University of TokyoInstitute for Health Promotion, Graduate School of Public Health, Yonsei UniversityDepartment of Family Medicine, University of VirginiaUniversity of Hawaii Cancer CenterDepartment of Molecular Biology of Cancer, Institute of Experimental Medicine of the Czech Academy of SciencesDepartment of Gastroenterology, Biodonostia Health Research Institute, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Universidad del País Vasco (UPV/EHU)Nutrition and Metabolism Branch, International Agency for Research on Cancer, World Health OrganizationMoffitt Cancer CenterUniversity of Melbourne Centre for Cancer Research, Victorian Comprehensive Cancer CentreDepartment of Internal Medicine, University of UtahDepartment of Medicine and Surgery, LUM UniversityDepartment of Environmental Genomics, School of Public Health, Nanjing Medical UniversityDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ)Memorial University of Newfoundland, Discipline of GeneticsPublic Health Sciences Division, Fred Hutchinson Cancer CenterDivision of Gastroenterology, Massachusetts General Hospital and Harvard Medical SchoolDivision of Epidemiology, National Cancer Center Institute for Cancer Control, National Cancer CenterDepartment of Biostatistics, School of Public Health, Nanjing Medical UniversityDivision of Research, Kaiser Permanente Northern CaliforniaDivision of Cohort Research, National Cancer Center Institute for Cancer Control, National Cancer CenterDepartment of Molecular Biology of Cancer, Institute of Experimental Medicine of the Czech Academy of SciencesDepartment of Epidemiology and Population Health, Albert Einstein College of MedicinePublic Health Sciences Division, Fred Hutchinson Cancer CenterDivision of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University Medical CenterDivision of Human Genetics, Department of Internal Medicine, The Ohio State University Comprehensive Cancer CenterDepartment of Laboratory Medicine and Pathology, Mayo Clinic ArizonaDepartment of Medicine and Epidemiology, University of Pittsburgh Medical CenterPublic Health Sciences Division, Fred Hutchinson Cancer CenterSamuel Oschin Comprehensive Cancer Institute, CEDARS-SINAIDepartment of Public Health, Erasmus University Medical CenterPublic Health Sciences Division, Fred Hutchinson Cancer CenterNantes Université, CHU Nantes, Service de Génétique MédicaleGastroenterology Department, Hospital Clínic, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), University of BarcelonaDivision of Cohort Research, National Cancer Center Institute for Cancer Control, National Cancer CenterDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of HealthNational University Cancer Institute.Center for Cancer Research, Medical University ViennaDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of HealthDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of HealthDepartment of Epidemiology and Health Promotion, Graduate School of Public Health, Yonsei UniversityDepartment of Preventive Medicine, Chonnam National University Medical SchoolDepartments of Epidemiology and Nutrition, Harvard TH Chan School of Public HealthPublic Health Sciences Division, Fred Hutchinson Cancer CenterDivision of Epidemiology, National Cancer Center Institute for Cancer Control, National Cancer CenterCenter for Gastrointestinal Biology and Disease, University of North CarolinaDepartment of Molecular Biology of Cancer, Institute of Experimental Medicine of the Czech Academy of SciencesDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ)State Key Laboratory of Oncology in South China, Cancer Center, Sun Yat-sen UniversityVanderbilt University Medical CenterPublic Health Sciences Division, Fred Hutchinson Cancer CenterDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul National University Cancer Research InstituteDepartment of Medicine, Memorial Sloan Kettering Cancer CenterDepartment of Radiation Sciences, Oncology Unit, Umeå UniversityHuntsman Cancer Institute and Department of Population Health Sciences, University of UtahDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public HealthPublic Health Sciences Division, Fred Hutchinson Cancer CenterPublic Health Sciences Division, Fred Hutchinson Cancer CenterDepartment of Public Health, Erasmus University Medical CenterOncology Data Analytics Program, Catalan Institute of Oncology-IDIBELL, L’Hospitalet de LlobregatDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern CaliforniaCenter for Public Health Genomics, University of VirginiaDepartment of Public Health, Erasmus University Medical CenterColon Cancer Genetics Group, Medical Research Council Human Genetics Unit, Institute of Genetics and Cancer, University of EdinburghDepartment of Medical Oncology & Therapeutics Research, City of Hope National Medical CenterDivision of Epidemiology, Department of Population Health, New York University School of MedicineDepartment of Public Health and Primary Care, University of CambridgeDivision of Genetics and Epidemiology, The Institute of Cancer ReseachDepartment of Medicine (Medical Genetics), University of Washington Medical CenterEdinburgh Cancer Research Centre, Institute of Genomics and Cancer, University of EdinburghDivision of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University Medical CenterDivision of Research, Kaiser Permanente Northern CaliforniaPublic Health Sciences Division, Fred Hutchinson Cancer CenterPublic Health Sciences Division, Fred Hutchinson Cancer CenterAbstract Polygenic risk scores (PRS) have great potential to guide precision colorectal cancer (CRC) prevention by identifying those at higher risk to undertake targeted screening. However, current PRS using European ancestry data have sub-optimal performance in non-European ancestry populations, limiting their utility among these populations. Towards addressing this deficiency, we expand PRS development for CRC by incorporating Asian ancestry data (21,731 cases; 47,444 controls) into European ancestry training datasets (78,473 cases; 107,143 controls). The AUC estimates (95% CI) of PRS are 0.63(0.62-0.64), 0.59(0.57-0.61), 0.62(0.60-0.63), and 0.65(0.63-0.66) in independent datasets including 1681-3651 cases and 8696-115,105 controls of Asian, Black/African American, Latinx/Hispanic, and non-Hispanic White, respectively. They are significantly better than the European-centric PRS in all four major US racial and ethnic groups (p-values < 0.05). Further inclusion of non-European ancestry populations, especially Black/African American and Latinx/Hispanic, is needed to improve the risk prediction and enhance equity in applying PRS in clinical practice.https://doi.org/10.1038/s41467-023-41819-0
spellingShingle Minta Thomas
Yu-Ru Su
Elisabeth A. Rosenthal
Lori C. Sakoda
Stephanie L. Schmit
Maria N. Timofeeva
Zhishan Chen
Ceres Fernandez-Rozadilla
Philip J. Law
Neil Murphy
Robert Carreras-Torres
Virginia Diez-Obrero
Franzel J. B. van Duijnhoven
Shangqing Jiang
Aesun Shin
Alicja Wolk
Amanda I. Phipps
Andrea Burnett-Hartman
Andrea Gsur
Andrew T. Chan
Ann G. Zauber
Anna H. Wu
Annika Lindblom
Caroline Y. Um
Catherine M. Tangen
Chris Gignoux
Christina Newton
Christopher A. Haiman
Conghui Qu
D. Timothy Bishop
Daniel D. Buchanan
David R. Crosslin
David V. Conti
Dong-Hyun Kim
Elizabeth Hauser
Emily White
Erin Siegel
Fredrick R. Schumacher
Gad Rennert
Graham G. Giles
Heather Hampel
Hermann Brenner
Isao Oze
Jae Hwan Oh
Jeffrey K. Lee
Jennifer L. Schneider
Jenny Chang-Claude
Jeongseon Kim
Jeroen R. Huyghe
Jiayin Zheng
Jochen Hampe
Joel Greenson
John L. Hopper
Julie R. Palmer
Kala Visvanathan
Keitaro Matsuo
Koichi Matsuda
Keum Ji Jung
Li Li
Loic Le Marchand
Ludmila Vodickova
Luis Bujanda
Marc J. Gunter
Marco Matejcic
Mark A. Jenkins
Martha L. Slattery
Mauro D’Amato
Meilin Wang
Michael Hoffmeister
Michael O. Woods
Michelle Kim
Mingyang Song
Motoki Iwasaki
Mulong Du
Natalia Udaltsova
Norie Sawada
Pavel Vodicka
Peter T. Campbell
Polly A. Newcomb
Qiuyin Cai
Rachel Pearlman
Rish K. Pai
Robert E. Schoen
Robert S. Steinfelder
Robert W. Haile
Rosita Vandenputtelaar
Ross L. Prentice
Sébastien Küry
Sergi Castellví-Bel
Shoichiro Tsugane
Sonja I. Berndt
Soo Chin Lee
Stefanie Brezina
Stephanie J. Weinstein
Stephen J. Chanock
Sun Ha Jee
Sun-Seog Kweon
Susan Vadaparampil
Tabitha A. Harrison
Taiki Yamaji
Temitope O. Keku
Veronika Vymetalkova
Volker Arndt
Wei-Hua Jia
Xiao-Ou Shu
Yi Lin
Yoon-Ok Ahn
Zsofia K. Stadler
Bethany Van Guelpen
Cornelia M. Ulrich
Elizabeth A. Platz
John D. Potter
Christopher I. Li
Reinier Meester
Victor Moreno
Jane C. Figueiredo
Graham Casey
Iris Lansdorp Vogelaar
Malcolm G. Dunlop
Stephen B. Gruber
Richard B. Hayes
Paul D. P. Pharoah
Richard S. Houlston
Gail P. Jarvik
Ian P. Tomlinson
Wei Zheng
Douglas A. Corley
Ulrike Peters
Li Hsu
Combining Asian and European genome-wide association studies of colorectal cancer improves risk prediction across racial and ethnic populations
Nature Communications
title Combining Asian and European genome-wide association studies of colorectal cancer improves risk prediction across racial and ethnic populations
title_full Combining Asian and European genome-wide association studies of colorectal cancer improves risk prediction across racial and ethnic populations
title_fullStr Combining Asian and European genome-wide association studies of colorectal cancer improves risk prediction across racial and ethnic populations
title_full_unstemmed Combining Asian and European genome-wide association studies of colorectal cancer improves risk prediction across racial and ethnic populations
title_short Combining Asian and European genome-wide association studies of colorectal cancer improves risk prediction across racial and ethnic populations
title_sort combining asian and european genome wide association studies of colorectal cancer improves risk prediction across racial and ethnic populations
url https://doi.org/10.1038/s41467-023-41819-0
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AT aesunshin combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT alicjawolk combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT amandaiphipps combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT andreaburnetthartman combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT andreagsur combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT andrewtchan combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT anngzauber combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT annahwu combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT annikalindblom combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT carolineyum combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT catherinemtangen combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT chrisgignoux combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT christinanewton combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT christopherahaiman combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT conghuiqu combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT dtimothybishop combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT danieldbuchanan combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT davidrcrosslin combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT davidvconti combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT donghyunkim combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT elizabethhauser combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT emilywhite combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT erinsiegel combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT fredrickrschumacher combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT gadrennert combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT grahamggiles combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT heatherhampel combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT hermannbrenner combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT isaooze combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT jaehwanoh combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT jeffreyklee combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT jenniferlschneider combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT jennychangclaude combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT jeongseonkim combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT jeroenrhuyghe combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT jiayinzheng combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT jochenhampe combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT joelgreenson combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT johnlhopper combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT julierpalmer combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT kalavisvanathan combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT keitaromatsuo combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT koichimatsuda combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT keumjijung combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT lili combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT loiclemarchand combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT ludmilavodickova combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT luisbujanda combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT marcjgunter combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT marcomatejcic combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT markajenkins combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT marthalslattery combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT maurodamato combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT meilinwang combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT michaelhoffmeister combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT michaelowoods combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT michellekim combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT mingyangsong combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT motokiiwasaki combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT mulongdu combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT nataliaudaltsova combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT noriesawada combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT pavelvodicka combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT petertcampbell combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT pollyanewcomb combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT qiuyincai combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT rachelpearlman combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT rishkpai combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT roberteschoen combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT robertssteinfelder combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT robertwhaile combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT rositavandenputtelaar combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT rosslprentice combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT sebastienkury combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT sergicastellvibel combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT shoichirotsugane combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT sonjaiberndt combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT soochinlee combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT stefaniebrezina combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT stephaniejweinstein combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT stephenjchanock combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT sunhajee combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT sunseogkweon combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT susanvadaparampil combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT tabithaaharrison combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT taikiyamaji combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT temitopeokeku combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT veronikavymetalkova combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT volkerarndt combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT weihuajia combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT xiaooushu combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT yilin combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT yoonokahn combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT zsofiakstadler combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT bethanyvanguelpen combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT corneliamulrich combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT elizabethaplatz combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT johndpotter combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT christopherili combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT reiniermeester combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT victormoreno combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT janecfigueiredo combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT grahamcasey combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT irislansdorpvogelaar combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT malcolmgdunlop combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT stephenbgruber combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT richardbhayes combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT pauldppharoah combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT richardshoulston combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT gailpjarvik combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT ianptomlinson combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT weizheng combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT douglasacorley combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT ulrikepeters combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations
AT lihsu combiningasianandeuropeangenomewideassociationstudiesofcolorectalcancerimprovesriskpredictionacrossracialandethnicpopulations