Display options
Share it on

Circ Genom Precis Med. 2021 Jun;14(3):e003201. doi: 10.1161/CIRCGEN.120.003201. Epub 2021 Apr 12.

Heterogeneity of the Predictive Polygenic Risk Scores for Coronary Heart Disease Age-at-Onset in Three Different Coronary Heart Disease Family-Based Ascertainments.

Circulation. Genomic and precision medicine

Mary F Feitosa, Allison L Kuipers, Mary K Wojczynski, Lihua Wang, Emma Barinas-Mitchell, Alexander M Kulminski, Bharat Thyagarajan, Joseph H Lee, Thomas Perls, Kaare Christensen, Anne B Newman, Joseph M Zmuda, Michael A Province

Affiliations

  1. Division of Statistical Genomics, Department of Genetics, Washington University School of Medicine, St. Louis, MO (M.F.F., M.K.W., L.W., M.A.P.).
  2. Department of Epidemiology (A.L.K., E.B.-M., A.B.N., J.M.Z.), University of Pittsburgh, PA.
  3. Biodemography of Aging Research Unit, Social Science Research Institute, Duke University, Durham, NC (A.M.K.).
  4. Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis (B.T.).
  5. Sergievsky Center, Taub Institute, Department of Epidemiology and Department of Neurology, Columbia University, NY (J.H.L.).
  6. Department of Medicine, Boston University School of Medicine, MA (T.P.).
  7. Danish Aging Research Center, University of Southern Denmark, Odense C (K.C.).
  8. Department of Human Genetics (J.M.Z.), University of Pittsburgh, PA.

PMID: 33844929 PMCID: PMC8214825 DOI: 10.1161/CIRCGEN.120.003201

Abstract

BACKGROUND: Polygenic risk scores (PRS) for coronary heart disease (CHD) may contribute to assess the overall risk of CHD. We evaluated how PRS may influence CHD risk when the distribution of age-at-onset, sex, and family health history differ significantly.

METHODS: Our study included 3 family-based ascertainments: LLFS (Long Life Family Study, N

RESULTS: Healthy-aging LLFS presented ≈17 years delayed for CHD age-at-onset compared with FamHS-high risk (

CONCLUSIONS: Differences in CHD family-based ascertainments show evidence of PRS interacting with sex to predict CHD risk. In women, CHD age-at-onset was associated with PRS, CHD family history, and interactions of PRS with family history. In men, PRS and CHD family history were the major effects on the CHD age-at-onset. Understanding the heterogeneity of risks associated with CHD end points at both the personal and familial levels may shed light on the underlying genetic effects influencing CHD and lead to more personalized risk prediction.

Keywords: aging; cardiovascular diseases; coronary artery disease; risk factors

References

  1. BMJ. 2014 Nov 17;349:g5992 - PubMed
  2. Circ Genom Precis Med. 2018 Oct;11(10):e002324 - PubMed
  3. Circulation. 2020 Mar 3;141(9):e139-e596 - PubMed
  4. Nat Genet. 2015 Oct;47(10):1121-1130 - PubMed
  5. Aging (Albany NY). 2011 Jan;3(1):63-76 - PubMed
  6. Nat Genet. 2018 Sep;50(9):1219-1224 - PubMed
  7. Am J Epidemiol. 1996 Jun 15;143(12):1219-28 - PubMed
  8. Heart. 2016 Jun 1;102(11):825-31 - PubMed
  9. Adv Exp Med Biol. 2018;1065:61-70 - PubMed
  10. Arterioscler Thromb Vasc Biol. 2016 Jun;36(6):1286-92 - PubMed
  11. Am J Cardiol. 2004 Jul 1;94(1):20-4 - PubMed
  12. Am J Epidemiol. 2019 Aug 1;188(8):1563-1568 - PubMed
  13. Adv Exp Med Biol. 2018;1065:627-642 - PubMed
  14. Circulation. 2008 Sep 2;118(10):1057-63 - PubMed
  15. Nat Genet. 2017 Sep;49(9):1392-1397 - PubMed
  16. Nat Genet. 2017 Jul;49(7):1113-1119 - PubMed
  17. Ann Epidemiol. 2015 Aug;25(8):569-574.e3 - PubMed
  18. J Am Heart Assoc. 2017 Mar 20;6(3): - PubMed
  19. J Am Heart Assoc. 2019 Sep 3;8(17):e012307 - PubMed
  20. Am J Epidemiol. 2009 Dec 15;170(12):1555-62 - PubMed
  21. Nat Genet. 2017 Sep;49(9):1385-1391 - PubMed
  22. Circ Res. 2018 Feb 2;122(3):433-443 - PubMed
  23. Adv Exp Med Biol. 2018;1065:307-328 - PubMed

Publication Types

Grant support