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      Improving genetic prediction by leveraging genetic correlations among human diseases and traits

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          Abstract

          Genomic prediction has the potential to contribute to precision medicine. However, to date, the utility of such predictors is limited due to low accuracy for most traits. Here theory and simulation study are used to demonstrate that widespread pleiotropy among phenotypes can be utilised to improve genomic risk prediction. We show how a genetic predictor can be created as a weighted index that combines published genome-wide association study (GWAS) summary statistics across many different traits. We apply this framework to predict risk of schizophrenia and bipolar disorder in the Psychiatric Genomics consortium data, finding substantial heterogeneity in prediction accuracy increases across cohorts. For six additional phenotypes in the UK Biobank data, we find increases in prediction accuracy ranging from 0.7% for height to 47% for type 2 diabetes, when using a multi-trait predictor that combines published summary statistics from multiple traits, as compared to a predictor based only on one trait.

          Abstract

          Genetic prediction of complex traits so far has limited accuracy because of insufficient understanding of the genetic risk. Here, Maier et al. develop an improved method for trait prediction that makes use of genetic correlations between traits and apply it to summary statistics of psychiatric diseases.

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          Most cited references45

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          LD Score regression distinguishes confounding from polygenicity in genome-wide association studies.

          Both polygenicity (many small genetic effects) and confounding biases, such as cryptic relatedness and population stratification, can yield an inflated distribution of test statistics in genome-wide association studies (GWAS). However, current methods cannot distinguish between inflation from a true polygenic signal and bias. We have developed an approach, LD Score regression, that quantifies the contribution of each by examining the relationship between test statistics and linkage disequilibrium (LD). The LD Score regression intercept can be used to estimate a more powerful and accurate correction factor than genomic control. We find strong evidence that polygenicity accounts for the majority of the inflation in test statistics in many GWAS of large sample size.
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            Biological Insights From 108 Schizophrenia-Associated Genetic Loci

            Summary Schizophrenia is a highly heritable disorder. Genetic risk is conferred by a large number of alleles, including common alleles of small effect that might be detected by genome-wide association studies. Here, we report a multi-stage schizophrenia genome-wide association study of up to 36,989 cases and 113,075 controls. We identify 128 independent associations spanning 108 conservatively defined loci that meet genome-wide significance, 83 of which have not been previously reported. Associations were enriched among genes expressed in brain providing biological plausibility for the findings. Many findings have the potential to provide entirely novel insights into aetiology, but associations at DRD2 and multiple genes involved in glutamatergic neurotransmission highlight molecules of known and potential therapeutic relevance to schizophrenia, and are consistent with leading pathophysiological hypotheses. Independent of genes expressed in brain, associations were enriched among genes expressed in tissues that play important roles in immunity, providing support for the hypothesized link between the immune system and schizophrenia.
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              An Atlas of Genetic Correlations across Human Diseases and Traits

              Identifying genetic correlations between complex traits and diseases can provide useful etiological insights and help prioritize likely causal relationships. The major challenges preventing estimation of genetic correlation from genome-wide association study (GWAS) data with current methods are the lack of availability of individual genotype data and widespread sample overlap among meta-analyses. We circumvent these difficulties by introducing a technique – cross-trait LD Score regression – for estimating genetic correlation that requires only GWAS summary statistics and is not biased by sample overlap. We use this method to estimate 276 genetic correlations among 24 traits. The results include genetic correlations between anorexia nervosa and schizophrenia, anorexia and obesity and associations between educational attainment and several diseases. These results highlight the power of genome-wide analyses, since there currently are no significantly associated SNPs for anorexia nervosa and only three for educational attainment.
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                Author and article information

                Contributors
                rmaier@broadinstitute.org
                peter.visscher@uq.edu.au
                matthew.robinson@unil.ch
                Journal
                Nat Commun
                Nat Commun
                Nature Communications
                Nature Publishing Group UK (London )
                2041-1723
                7 March 2018
                7 March 2018
                2018
                : 9
                : 989
                Affiliations
                [1 ]ISNI 0000 0000 9320 7537, GRID grid.1003.2, Queensland Brain Institute, , University of Queensland, ; Queensland, QLD 4072 Australia
                [2 ]GRID grid.66859.34, Stanley Center for Psychiatric Research, , Broad Institute, ; Cambridge, MA 02142 USA
                [3 ]ISNI 0000 0004 0386 9924, GRID grid.32224.35, Analytic and Translational Genetics Unit, , Massachusetts General Hospital and Harvard Medical School, ; Boston, MA 02114 USA
                [4 ]ISNI 0000 0000 9320 7537, GRID grid.1003.2, Institute for Molecular Bioscience, , University of Queensland, ; Queensland, QLD 4072 Australia
                [5 ]ISNI 0000 0000 8994 5086, GRID grid.1026.5, Centre for Population Health Research, School of Health Sciences and Sansom Institute of Health Research, , University of South Australia, ; Adelaide, SA 5000 Australia
                [6 ]ISNI 0000 0004 1936 9916, GRID grid.412807.8, Division of Genetic Medicine, Department of Medicine, Psychiatry and Biomedical Informatics, Vanderbilt Genetics Institute, , Vanderbilt University Medical Center, ; Nashville, TN 37235 USA
                [7 ]ISNI 0000 0001 0670 2351, GRID grid.59734.3c, Institute for Genomics and Multiscale Biology, , Icahn School of Medicine at Mount Sinai, ; New York, NY 10029 USA
                [8 ]ISNI 0000 0001 2218 4662, GRID grid.6363.0, Department of Psychiatry and Psychotherapy, , Charité, Campus Mitte, ; 10117 Berlin, Germany
                [9 ]ISNI 0000 0001 2165 4204, GRID grid.9851.5, Department of Computational Biology, , University of Lausanne, ; 1015 Lausanne, Switzerland
                [10 ]ISNI 0000 0001 2223 3006, GRID grid.419765.8, Swiss Institute of Bioinformatics, ; CH-1015 Lausanne, Switzerland
                Author information
                http://orcid.org/0000-0002-3044-090X
                http://orcid.org/0000-0001-7421-3357
                http://orcid.org/0000-0003-2001-2474
                http://orcid.org/0000-0002-2143-8760
                Article
                2769
                10.1038/s41467-017-02769-6
                5841449
                29515099
                5fdad688-a708-4d71-b9ff-db100204ea55
                © The Author(s) 2018

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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                : 29 April 2017
                : 22 December 2017
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