Polygenic risk and hazard scores for Alzheimer's disease prediction

<p style="text-align:justify;"> <b>Objective:</b> Genome‐wide association studies (GWAS) have identified over 30 susceptibility loci associated with Alzheimer's disease (AD). Using AD GWAS data from the International Genomics of Alzheimer's Project (IGAP), Poly...

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Main Authors: Leonenko, G, Sims, R, Shoai, M, Frizzati, A, Bossù, P, Spalletta, G, Fox, N, Williams, J, Hardy, J, Escott-Price, V
Other Authors: Gerad Consortium
Format: Journal article
Language:English
Published: Wiley 2019
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author Leonenko, G
Sims, R
Shoai, M
Frizzati, A
Bossù, P
Spalletta, G
Fox, N
Williams, J
Hardy, J
Escott-Price, V
author2 Gerad Consortium
author_facet Gerad Consortium
Leonenko, G
Sims, R
Shoai, M
Frizzati, A
Bossù, P
Spalletta, G
Fox, N
Williams, J
Hardy, J
Escott-Price, V
author_sort Leonenko, G
collection OXFORD
description <p style="text-align:justify;"> <b>Objective:</b> Genome‐wide association studies (GWAS) have identified over 30 susceptibility loci associated with Alzheimer's disease (AD). Using AD GWAS data from the International Genomics of Alzheimer's Project (IGAP), Polygenic Risk Score (PRS) was successfully applied to predict life time risk of AD development. A recently introduced Polygenic Hazard Score (PHS) is able to quantify individuals with age‐specific genetic risk for AD. The aim of this study was to quantify the age‐specific genetic risk for AD with PRS and compare the results generated by PRS with those from PHS.<br/> <b>Methods:</b> Quantification of individual differences in age‐specific genetic risk for AD identified by the PRS, was performed with Cox Regression on 9903 (2626 cases and 7277 controls) individuals from the Genetic and Environmental Risk in Alzheimer's Disease consortium (GERAD). Polygenic Hazard Scores were generated for the same individuals. The age‐specific genetic risk for AD identified by the PRS was compared with that generated by the PHS. This was repeated using varying SNPs P‐value thresholds for disease association.<br/> <b>Results:</b> Polygenic Risk Score significantly predicted the risk associated with age at AD onset when SNPs were preselected for association to AD at P ≤ 0.001. The strongest effect (B = 0.28, SE = 0.04, P = 2.5 × 10−12) was observed for PRS based upon genome‐wide significant SNPs (P ≤ 5 × 10−8). The strength of association was weaker with less stringent SNP selection thresholds.<br/> <b>Interpretation:</b> Both PRS and PHS can be used to predict an age‐specific risk for developing AD. The PHS approach uses SNP effect sizes derived with the Cox Proportional Hazard Regression model. When SNPs were selected based upon AD GWAS case/control P ≤ 10−3, we found no advantage of using SNP effects sizes calculated with the Cox Proportional Hazard Regression model in our study. When SNPs are selected for association with AD risk at P &gt; 10−3, the age‐specific risk prediction results are not significant for either PRS or PHS. However PHS could be more advantageous than PRS of age specific AD risk predictions when SNPs are prioritized for association with AD age at onset (i.e., powerful Cox Regression GWAS study). </p>
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spelling oxford-uuid:4f46b00a-a8a1-4de0-8078-dc39cdc7de532022-03-26T16:06:09ZPolygenic risk and hazard scores for Alzheimer's disease predictionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4f46b00a-a8a1-4de0-8078-dc39cdc7de53EnglishSymplectic Elements at OxfordWiley2019Leonenko, GSims, RShoai, MFrizzati, ABossù, PSpalletta, GFox, NWilliams, JHardy, JEscott-Price, VGerad Consortium <p style="text-align:justify;"> <b>Objective:</b> Genome‐wide association studies (GWAS) have identified over 30 susceptibility loci associated with Alzheimer's disease (AD). Using AD GWAS data from the International Genomics of Alzheimer's Project (IGAP), Polygenic Risk Score (PRS) was successfully applied to predict life time risk of AD development. A recently introduced Polygenic Hazard Score (PHS) is able to quantify individuals with age‐specific genetic risk for AD. The aim of this study was to quantify the age‐specific genetic risk for AD with PRS and compare the results generated by PRS with those from PHS.<br/> <b>Methods:</b> Quantification of individual differences in age‐specific genetic risk for AD identified by the PRS, was performed with Cox Regression on 9903 (2626 cases and 7277 controls) individuals from the Genetic and Environmental Risk in Alzheimer's Disease consortium (GERAD). Polygenic Hazard Scores were generated for the same individuals. The age‐specific genetic risk for AD identified by the PRS was compared with that generated by the PHS. This was repeated using varying SNPs P‐value thresholds for disease association.<br/> <b>Results:</b> Polygenic Risk Score significantly predicted the risk associated with age at AD onset when SNPs were preselected for association to AD at P ≤ 0.001. The strongest effect (B = 0.28, SE = 0.04, P = 2.5 × 10−12) was observed for PRS based upon genome‐wide significant SNPs (P ≤ 5 × 10−8). The strength of association was weaker with less stringent SNP selection thresholds.<br/> <b>Interpretation:</b> Both PRS and PHS can be used to predict an age‐specific risk for developing AD. The PHS approach uses SNP effect sizes derived with the Cox Proportional Hazard Regression model. When SNPs were selected based upon AD GWAS case/control P ≤ 10−3, we found no advantage of using SNP effects sizes calculated with the Cox Proportional Hazard Regression model in our study. When SNPs are selected for association with AD risk at P &gt; 10−3, the age‐specific risk prediction results are not significant for either PRS or PHS. However PHS could be more advantageous than PRS of age specific AD risk predictions when SNPs are prioritized for association with AD age at onset (i.e., powerful Cox Regression GWAS study). </p>
spellingShingle Leonenko, G
Sims, R
Shoai, M
Frizzati, A
Bossù, P
Spalletta, G
Fox, N
Williams, J
Hardy, J
Escott-Price, V
Polygenic risk and hazard scores for Alzheimer's disease prediction
title Polygenic risk and hazard scores for Alzheimer's disease prediction
title_full Polygenic risk and hazard scores for Alzheimer's disease prediction
title_fullStr Polygenic risk and hazard scores for Alzheimer's disease prediction
title_full_unstemmed Polygenic risk and hazard scores for Alzheimer's disease prediction
title_short Polygenic risk and hazard scores for Alzheimer's disease prediction
title_sort polygenic risk and hazard scores for alzheimer s disease prediction
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