Combining Asian and European genome-wide association studies of colorectal cancer improves risk prediction across racial and ethnic populations.
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ICR Authors
Authors
Thomas, M
Su, Y-R
Rosenthal, EA
Sakoda, LC
Schmit, SL
Timofeeva, MN
Chen, Z
Fernandez-Rozadilla, C
Law, PJ
Murphy, N
Carreras-Torres, R
Diez-Obrero, V
van Duijnhoven, FJB
Jiang, S
Shin, A
Wolk, A
Phipps, AI
Burnett-Hartman, A
Gsur, A
Chan, AT
Zauber, AG
Wu, AH
Lindblom, A
Um, CY
Tangen, CM
Gignoux, C
Newton, C
Haiman, CA
Qu, C
Bishop, DT
Buchanan, DD
Crosslin, DR
Conti, DV
Kim, D-H
Hauser, E
White, E
Siegel, E
Schumacher, FR
Rennert, G
Giles, GG
Hampel, H
Brenner, H
Oze, I
Oh, JH
Lee, JK
Schneider, JL
Chang-Claude, J
Kim, J
Huyghe, JR
Zheng, J
Hampe, J
Greenson, J
Hopper, JL
Palmer, JR
Visvanathan, K
Matsuo, K
Matsuda, K
Jung, KJ
Li, L
Le Marchand, L
Vodickova, L
Bujanda, L
Gunter, MJ
Matejcic, M
Jenkins, MA
Slattery, ML
D'Amato, M
Wang, M
Hoffmeister, M
Woods, MO
Kim, M
Song, M
Iwasaki, M
Du, M
Udaltsova, N
Sawada, N
Vodicka, P
Campbell, PT
Newcomb, PA
Cai, Q
Pearlman, R
Pai, RK
Schoen, RE
Steinfelder, RS
Haile, RW
Vandenputtelaar, R
Prentice, RL
Küry, S
Castellví-Bel, S
Tsugane, S
Berndt, SI
Lee, SC
Brezina, S
Weinstein, SJ
Chanock, SJ
Jee, SH
Kweon, S-S
Vadaparampil, S
Harrison, TA
Yamaji, T
Keku, TO
Vymetalkova, V
Arndt, V
Jia, W-H
Shu, X-O
Lin, Y
Ahn, Y-O
Stadler, ZK
Van Guelpen, B
Ulrich, CM
Platz, EA
Potter, JD
Li, CI
Meester, R
Moreno, V
Figueiredo, JC
Casey, G
Lansdorp Vogelaar, I
Dunlop, MG
Gruber, SB
Hayes, RB
Pharoah, PDP
Houlston, RS
Jarvik, GP
Tomlinson, IP
Zheng, W
Corley, DA
Peters, U
Hsu, L
Su, Y-R
Rosenthal, EA
Sakoda, LC
Schmit, SL
Timofeeva, MN
Chen, Z
Fernandez-Rozadilla, C
Law, PJ
Murphy, N
Carreras-Torres, R
Diez-Obrero, V
van Duijnhoven, FJB
Jiang, S
Shin, A
Wolk, A
Phipps, AI
Burnett-Hartman, A
Gsur, A
Chan, AT
Zauber, AG
Wu, AH
Lindblom, A
Um, CY
Tangen, CM
Gignoux, C
Newton, C
Haiman, CA
Qu, C
Bishop, DT
Buchanan, DD
Crosslin, DR
Conti, DV
Kim, D-H
Hauser, E
White, E
Siegel, E
Schumacher, FR
Rennert, G
Giles, GG
Hampel, H
Brenner, H
Oze, I
Oh, JH
Lee, JK
Schneider, JL
Chang-Claude, J
Kim, J
Huyghe, JR
Zheng, J
Hampe, J
Greenson, J
Hopper, JL
Palmer, JR
Visvanathan, K
Matsuo, K
Matsuda, K
Jung, KJ
Li, L
Le Marchand, L
Vodickova, L
Bujanda, L
Gunter, MJ
Matejcic, M
Jenkins, MA
Slattery, ML
D'Amato, M
Wang, M
Hoffmeister, M
Woods, MO
Kim, M
Song, M
Iwasaki, M
Du, M
Udaltsova, N
Sawada, N
Vodicka, P
Campbell, PT
Newcomb, PA
Cai, Q
Pearlman, R
Pai, RK
Schoen, RE
Steinfelder, RS
Haile, RW
Vandenputtelaar, R
Prentice, RL
Küry, S
Castellví-Bel, S
Tsugane, S
Berndt, SI
Lee, SC
Brezina, S
Weinstein, SJ
Chanock, SJ
Jee, SH
Kweon, S-S
Vadaparampil, S
Harrison, TA
Yamaji, T
Keku, TO
Vymetalkova, V
Arndt, V
Jia, W-H
Shu, X-O
Lin, Y
Ahn, Y-O
Stadler, ZK
Van Guelpen, B
Ulrich, CM
Platz, EA
Potter, JD
Li, CI
Meester, R
Moreno, V
Figueiredo, JC
Casey, G
Lansdorp Vogelaar, I
Dunlop, MG
Gruber, SB
Hayes, RB
Pharoah, PDP
Houlston, RS
Jarvik, GP
Tomlinson, IP
Zheng, W
Corley, DA
Peters, U
Hsu, L
Document Type
Journal Article
Date
2023-10-02
Date Accepted
2023-09-19
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.
Citation
Nature Communications, 2023, 14 (1), pp. 6147 -
Source Title
Nature Communications
Publisher
NATURE PORTFOLIO
ISSN
2041-1723
eISSN
2041-1723
2041-1723
2041-1723
Collections
Research Team
Cancer Genomics