ADuLT: An efficient and robust time-to-event GWAS

Abstract Proportional hazards models have been proposed to analyse time-to-event phenotypes in genome-wide association studies (GWAS). However, little is known about the ability of proportional hazards models to identify genetic associations under different generative models and when ascertainment i...

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Main Authors: Emil M. Pedersen, Esben Agerbo, Oleguer Plana-Ripoll, Jette Steinbach, Morten D. Krebs, David M. Hougaard, Thomas Werge, Merete Nordentoft, Anders D. Børglum, Katherine L. Musliner, Andrea Ganna, Andrew J. Schork, Preben B. Mortensen, John J. McGrath, Florian Privé, Bjarni J. Vilhjálmsson
Format: Article
Language:English
Published: Nature Portfolio 2023-09-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-41210-z
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author Emil M. Pedersen
Esben Agerbo
Oleguer Plana-Ripoll
Jette Steinbach
Morten D. Krebs
David M. Hougaard
Thomas Werge
Merete Nordentoft
Anders D. Børglum
Katherine L. Musliner
Andrea Ganna
Andrew J. Schork
Preben B. Mortensen
John J. McGrath
Florian Privé
Bjarni J. Vilhjálmsson
author_facet Emil M. Pedersen
Esben Agerbo
Oleguer Plana-Ripoll
Jette Steinbach
Morten D. Krebs
David M. Hougaard
Thomas Werge
Merete Nordentoft
Anders D. Børglum
Katherine L. Musliner
Andrea Ganna
Andrew J. Schork
Preben B. Mortensen
John J. McGrath
Florian Privé
Bjarni J. Vilhjálmsson
author_sort Emil M. Pedersen
collection DOAJ
description Abstract Proportional hazards models have been proposed to analyse time-to-event phenotypes in genome-wide association studies (GWAS). However, little is known about the ability of proportional hazards models to identify genetic associations under different generative models and when ascertainment is present. Here we propose the age-dependent liability threshold (ADuLT) model as an alternative to a Cox regression based GWAS, here represented by SPACox. We compare ADuLT, SPACox, and standard case-control GWAS in simulations under two generative models and with varying degrees of ascertainment as well as in the iPSYCH cohort. We find Cox regression GWAS to be underpowered when cases are strongly ascertained (cases are oversampled by a factor 5), regardless of the generative model used. ADuLT is robust to ascertainment in all simulated scenarios. Then, we analyse four psychiatric disorders in iPSYCH, ADHD, Autism, Depression, and Schizophrenia, with a strong case-ascertainment. Across these psychiatric disorders, ADuLT identifies 20 independent genome-wide significant associations, case-control GWAS finds 17, and SPACox finds 8, which is consistent with simulation results. As more genetic data are being linked to electronic health records, robust GWAS methods that can make use of age-of-onset information will help increase power in analyses for common health outcomes.
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spelling doaj.art-eb3d95affd73451ea109b0d277fe474f2023-11-20T09:59:18ZengNature PortfolioNature Communications2041-17232023-09-0114111210.1038/s41467-023-41210-zADuLT: An efficient and robust time-to-event GWASEmil M. Pedersen0Esben Agerbo1Oleguer Plana-Ripoll2Jette Steinbach3Morten D. Krebs4David M. Hougaard5Thomas Werge6Merete Nordentoft7Anders D. Børglum8Katherine L. Musliner9Andrea Ganna10Andrew J. Schork11Preben B. Mortensen12John J. McGrath13Florian Privé14Bjarni J. Vilhjálmsson15National Centre for Register-Based Research, Aarhus UniversityNational Centre for Register-Based Research, Aarhus UniversityNational Centre for Register-Based Research, Aarhus UniversityNational Centre for Register-Based Research, Aarhus UniversityInstitute of Biological Psychiatry, Mental Health Center - Sct Hans, Copenhagen University Hospital - Mental Health Services CPHDepartment for Congenital Disorders, Statens Serum InstitutInstitute of Biological Psychiatry, Mental Health Center - Sct Hans, Copenhagen University Hospital - Mental Health Services CPHLundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCHLundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCHNational Centre for Register-Based Research, Aarhus UniversityInstitute for Molecular Medicine Finland, University of HelsinkiInstitute of Biological Psychiatry, Mental Health Center - Sct Hans, Copenhagen University Hospital - Mental Health Services CPHNational Centre for Register-Based Research, Aarhus UniversityNational Centre for Register-Based Research, Aarhus UniversityNational Centre for Register-Based Research, Aarhus UniversityNational Centre for Register-Based Research, Aarhus UniversityAbstract Proportional hazards models have been proposed to analyse time-to-event phenotypes in genome-wide association studies (GWAS). However, little is known about the ability of proportional hazards models to identify genetic associations under different generative models and when ascertainment is present. Here we propose the age-dependent liability threshold (ADuLT) model as an alternative to a Cox regression based GWAS, here represented by SPACox. We compare ADuLT, SPACox, and standard case-control GWAS in simulations under two generative models and with varying degrees of ascertainment as well as in the iPSYCH cohort. We find Cox regression GWAS to be underpowered when cases are strongly ascertained (cases are oversampled by a factor 5), regardless of the generative model used. ADuLT is robust to ascertainment in all simulated scenarios. Then, we analyse four psychiatric disorders in iPSYCH, ADHD, Autism, Depression, and Schizophrenia, with a strong case-ascertainment. Across these psychiatric disorders, ADuLT identifies 20 independent genome-wide significant associations, case-control GWAS finds 17, and SPACox finds 8, which is consistent with simulation results. As more genetic data are being linked to electronic health records, robust GWAS methods that can make use of age-of-onset information will help increase power in analyses for common health outcomes.https://doi.org/10.1038/s41467-023-41210-z
spellingShingle Emil M. Pedersen
Esben Agerbo
Oleguer Plana-Ripoll
Jette Steinbach
Morten D. Krebs
David M. Hougaard
Thomas Werge
Merete Nordentoft
Anders D. Børglum
Katherine L. Musliner
Andrea Ganna
Andrew J. Schork
Preben B. Mortensen
John J. McGrath
Florian Privé
Bjarni J. Vilhjálmsson
ADuLT: An efficient and robust time-to-event GWAS
Nature Communications
title ADuLT: An efficient and robust time-to-event GWAS
title_full ADuLT: An efficient and robust time-to-event GWAS
title_fullStr ADuLT: An efficient and robust time-to-event GWAS
title_full_unstemmed ADuLT: An efficient and robust time-to-event GWAS
title_short ADuLT: An efficient and robust time-to-event GWAS
title_sort adult an efficient and robust time to event gwas
url https://doi.org/10.1038/s41467-023-41210-z
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