Genetic Stratification of Age-Dependent Parkinson's Disease Risk by Polygenic Hazard Score.

Genetic Stratification of Age-Dependent Parkinson's Disease Risk by Polygenic Hazard Score.
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DOI:
10.1002/mds.28808
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发表时间:
2022-01
期刊:
影响因子:
8.6
通讯作者:
Andreassen, Ole A.
Andreassen, Ole A.
中科院分区:
医学1区
文献类型:
--
作者:
Pihlstrom, Lasse;Fan, Chun C.;Frei, Oleksandr;Tan, Manuela;Karunamuni, Roshan A.;Blauwendraat, Cornelis;Bandres-Ciga, Sara;Gan-Or, Ziv;Grosset, Donald G.;Dale, Anders M.;Seibert, Tyler M.;Andreassen, Ole A.

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A polygenic hazard score captures the influence of common genetic variation on age-dependent risk of Parkinson’s disease and could be clinically useful for individual risk stratification. To develop and validate a polygenic hazard score model in sporadic Parkinson’s disease. Training and independent validation of a polygenic hazard score model in a genetic association study based on a Cox regression framework. Bioinformatic analyses of multicenter datasets from genome-wide association studies. A reference dataset of 11,693 Parkinson’s disease patients and 9,841 controls, a large test dataset of 5112 PD patients and 5372 controls and a small single-study validation sample of 360 patients and 160 controls. Common single-nucleotide polymorphisms previously associated with Parkinson’s disease. Age at onset of Parkinson’s disease in patients or last healthy examination in controls. A polygenic hazard score predicts onset of Parkinson’s disease. The hazard ratio was 3.78 (95% CI 3.49–4.10) when comparing the highest to the lowest risk decile. The score is combined with epidemiological data on incidence rate to estimate genetically stratified instantaneous Parkinson’s disease risk across age groups. We demonstrate the feasibility of a polygenic hazard approach in Parkinson’s disease, integrating the genetic effects on disease risk and age at onset in a single model. The approach holds promise for risk stratification in future clinical trials of disease-modifying therapies, which aim to postpone the onset of Parkinson’s disease.
全基因组生存研究确定了帕金森病认知进展的新突触位点和多基因评分
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