New publication in @JACCJournals:

south asians suffer from high rates of coronary disease vs other races

we validate a polygenic score that identifies 5% of South Asians with >3x risk

@MGHHeartHealth @broadinstitute @MassGeneralNews @JACCJournals

https://bit.ly/2XEMs1x 
South Asians account for 23% of the global population — nearly 2 billion people —

but only 1.8% of participants in genetic association studies to date

and almost no prior studies have studied a genetic risk predictor in a South Asian population
Using results from a large GWAS — 77% European ancestry and only 13% South Asians

We derive a a polygenic score using 7K South Asians in
@uk_biobank

and validate using new whole genome sequencing data in a Bangladeshi study led by @aidanbutty and @rajeevgg
The genome-wide polygenic score — inclusive of > 6 million variants

demonstrated performance approaching what we previously observed in European ancestry individuals

and significantly improved reclassification within the case-control study design
But calculation of a polygenic score is complicated

a) distributions vary by ancestry
b) how to know what score is high or low?

we turned to the GenomeAsia study— a new population genetics resource with whole genome sequencing in >1500 Indians

to make a reference distribution
This reference population static, so it allows us to:

a) project any newly recruited individual onto a quantitative ancestry space,

so the polygenic score is compared to others with similar background

and

b) provides us with an ancestry-specific reference distribution
With @MedGenomeLabs, we studied 3,000 coronary artery disease cases or controls in India

cases were in the 64th % of the distribution and oods ratio of top versus bottom quintile ~4

Top 5% versus middle quintile >3x risk

and not captured by clinical risk factors
You can follow @amitvkhera.
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