Implementation and implications for polygenic risk scores in healthcare
Increasing amounts of genetic data have led to the development of polygenic risk scores (PRSs) for a variety of diseases. These scores, built from the summary statistics of genome-wide association studies (GWASs), are able to stratify individuals based on their genetic risk of developing various com...
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| Published in: | Human genomics Vol. 15; no. 1; pp. 46 - 18 |
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| Main Authors: | , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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London
BioMed Central
20.07.2021
Springer Nature B.V BMC |
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| ISSN: | 1479-7364, 1473-9542, 1479-7364 |
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| Abstract | Increasing amounts of genetic data have led to the development of polygenic risk scores (PRSs) for a variety of diseases. These scores, built from the summary statistics of genome-wide association studies (GWASs), are able to stratify individuals based on their genetic risk of developing various common diseases and could potentially be used to optimize the use of screening and preventative treatments and improve personalized care for patients. Many challenges are yet to be overcome, including PRS validation, healthcare professional and patient education, and healthcare systems integration. Ethical challenges are also present in how this information is used and the current lack of diverse populations with PRSs available. In this review, we discuss the topics above and cover the nature of PRSs, visualization schemes, and how PRSs can be improved. With these tools on the horizon for multiple diseases, scientists, clinicians, health systems, regulatory bodies, and the public should discuss the uses, benefits, and potential risks of PRSs. |
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| AbstractList | Increasing amounts of genetic data have led to the development of polygenic risk scores (PRSs) for a variety of diseases. These scores, built from the summary statistics of genome-wide association studies (GWASs), are able to stratify individuals based on their genetic risk of developing various common diseases and could potentially be used to optimize the use of screening and preventative treatments and improve personalized care for patients. Many challenges are yet to be overcome, including PRS validation, healthcare professional and patient education, and healthcare systems integration. Ethical challenges are also present in how this information is used and the current lack of diverse populations with PRSs available. In this review, we discuss the topics above and cover the nature of PRSs, visualization schemes, and how PRSs can be improved. With these tools on the horizon for multiple diseases, scientists, clinicians, health systems, regulatory bodies, and the public should discuss the uses, benefits, and potential risks of PRSs.Increasing amounts of genetic data have led to the development of polygenic risk scores (PRSs) for a variety of diseases. These scores, built from the summary statistics of genome-wide association studies (GWASs), are able to stratify individuals based on their genetic risk of developing various common diseases and could potentially be used to optimize the use of screening and preventative treatments and improve personalized care for patients. Many challenges are yet to be overcome, including PRS validation, healthcare professional and patient education, and healthcare systems integration. Ethical challenges are also present in how this information is used and the current lack of diverse populations with PRSs available. In this review, we discuss the topics above and cover the nature of PRSs, visualization schemes, and how PRSs can be improved. With these tools on the horizon for multiple diseases, scientists, clinicians, health systems, regulatory bodies, and the public should discuss the uses, benefits, and potential risks of PRSs. Increasing amounts of genetic data have led to the development of polygenic risk scores (PRSs) for a variety of diseases. These scores, built from the summary statistics of genome-wide association studies (GWASs), are able to stratify individuals based on their genetic risk of developing various common diseases and could potentially be used to optimize the use of screening and preventative treatments and improve personalized care for patients. Many challenges are yet to be overcome, including PRS validation, healthcare professional and patient education, and healthcare systems integration. Ethical challenges are also present in how this information is used and the current lack of diverse populations with PRSs available. In this review, we discuss the topics above and cover the nature of PRSs, visualization schemes, and how PRSs can be improved. With these tools on the horizon for multiple diseases, scientists, clinicians, health systems, regulatory bodies, and the public should discuss the uses, benefits, and potential risks of PRSs. Abstract Increasing amounts of genetic data have led to the development of polygenic risk scores (PRSs) for a variety of diseases. These scores, built from the summary statistics of genome-wide association studies (GWASs), are able to stratify individuals based on their genetic risk of developing various common diseases and could potentially be used to optimize the use of screening and preventative treatments and improve personalized care for patients. Many challenges are yet to be overcome, including PRS validation, healthcare professional and patient education, and healthcare systems integration. Ethical challenges are also present in how this information is used and the current lack of diverse populations with PRSs available. In this review, we discuss the topics above and cover the nature of PRSs, visualization schemes, and how PRSs can be improved. With these tools on the horizon for multiple diseases, scientists, clinicians, health systems, regulatory bodies, and the public should discuss the uses, benefits, and potential risks of PRSs. |
| ArticleNumber | 46 |
| Author | Ehli, Erik A. Slunecka, John L. Johnson, Brandon N. Beck, Jeffrey J. Hottenga, Jouke-Jan de Geus, Eco J. C. van der Zee, Matthijs D. Finnicum, Casey T. Pool, René |
| Author_xml | – sequence: 1 givenname: John L. orcidid: 0000-0001-6462-1146 surname: Slunecka fullname: Slunecka, John L. email: john.slunecka@coyotes.usd.edu organization: Avera Institute for Human Genetics, Avera McKennan & University Health Center – sequence: 2 givenname: Matthijs D. orcidid: 0000-0003-4076-9167 surname: van der Zee fullname: van der Zee, Matthijs D. organization: Department of Biological Psychology, Netherlands Twin Register, Vrije Universiteit Amsterdam – sequence: 3 givenname: Jeffrey J. orcidid: 0000-0002-1152-9968 surname: Beck fullname: Beck, Jeffrey J. organization: Avera Institute for Human Genetics, Avera McKennan & University Health Center – sequence: 4 givenname: Brandon N. orcidid: 0000-0001-6633-2882 surname: Johnson fullname: Johnson, Brandon N. organization: Avera Institute for Human Genetics, Avera McKennan & University Health Center – sequence: 5 givenname: Casey T. orcidid: 0000-0001-5959-3961 surname: Finnicum fullname: Finnicum, Casey T. organization: Avera Institute for Human Genetics, Avera McKennan & University Health Center – sequence: 6 givenname: René orcidid: 0000-0001-5579-0933 surname: Pool fullname: Pool, René organization: Department of Biological Psychology, Netherlands Twin Register, Vrije Universiteit Amsterdam – sequence: 7 givenname: Jouke-Jan orcidid: 0000-0002-5668-2368 surname: Hottenga fullname: Hottenga, Jouke-Jan organization: Department of Biological Psychology, Netherlands Twin Register, Vrije Universiteit Amsterdam – sequence: 8 givenname: Eco J. C. orcidid: 0000-0001-6022-2666 surname: de Geus fullname: de Geus, Eco J. C. organization: Department of Biological Psychology, Netherlands Twin Register, Vrije Universiteit Amsterdam – sequence: 9 givenname: Erik A. orcidid: 0000-0002-7865-3015 surname: Ehli fullname: Ehli, Erik A. organization: Avera Institute for Human Genetics, Avera McKennan & University Health Center |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34284826$$D View this record in MEDLINE/PubMed |
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| Keywords | Polygenic risk score PRS Genetic risk Clinical genetics Public health Risk stratification |
| Language | English |
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| SubjectTerms | Algorithms Bioinformatics Biomedical and Life Sciences Biomedicine Cardiovascular disease Clinical genetics Diabetes Ethnicity Genes Genetic Diseases, Inborn - genetics Genetic Predisposition to Disease - genetics Genetic risk Genome-wide association studies Genome-Wide Association Study - statistics & numerical data Genomes Health risk assessment Human Genetics Humans Multifactorial Inheritance - genetics Phenotype Polygenic risk score Proteomics PRS Public health Quantitative genetics Review Risk Factors Risk stratification Schizophrenia |
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| Title | Implementation and implications for polygenic risk scores in healthcare |
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