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An Association Between Bone Mineral Density and Serum Uric Acid in the Elderly Chinese: Observational and Mendelian Randomization Analyses. 中国老年人骨密度与血清尿酸的关系:观察性和孟德尔随机化分析。
IF 3.7 Q2 GENETICS & HEREDITY Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.1007/s43657-024-00214-5
Hongbin Xu, Min Xie, Haitao Zhang, Chunchun Yuan, Feihong Cai, Jiangxun Ji, Chen Huang, Binhao Shi, Jing Wang, Xiulan Ye, Yuan Chai, Wenjun Pu, Xuehua Xie, Yongjun Wang, Lijuan Jiang, Dezhi Tang, Qianqian Liang
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引用次数: 0
Causal Assessment of Phenotypic Risk Factors with Keratinocyte Carcinoma. 角化细胞癌表型危险因素的因果评估。
IF 3.7 Q2 GENETICS & HEREDITY Pub Date : 2025-04-09 eCollection Date: 2025-04-01 DOI: 10.1007/s43657-024-00174-w
Yantao Xu, Zixi Jiang, Ying Wang, Jiachen Liu, Shuang Zhao

Previous observational and genomic-wide association studies (GWAS) suggested the association between several phenotypic factors and keratinocyte carcinoma, including lifestyle and dietary, photodamage-related conditions and socioeconomic status. The causal effect of these phenotypic factors in keratinocytes carcinoma etiology remains unclear. In this study, we utilized two-sample mendelian randomization analysis from multiple large-scale GWAS datasets of keratinocytes carcinoma including more than 300,000 patients. Genetic instrumental variables (IVs) were constructed by identifying single nucleotide polymorphisms (SNPs) that associate with corresponding factors. The inverse variance weighted (IVW) method and four robust MR approaches, including weighted median estimator, MR-Egger regression, simple mode and weighted mode were implemented for causal inferences and assess the sensitivity across findings. In this analysis, ease of skin tanning was identified as casual protective factor of keratinocyte carcinoma (Basal cell carcinoma: IVW OR = 0.718, 95% CI 0.654-0.788, p < 0.001; Cutaneous squamous cell carcinoma: IVW OR = 0.601, 95% CI 0.516-0.701, p < 0.001). Other phenotypic factors, such as coffee intake, alcohol consumption, smoking and socioeconomic status, indicated insignificant effects on keratinocyte carcinoma risk in the analysis, and therefore, our study does not support their roles in modifying keratinocytes carcinoma risks. Our extensive analysis provides strong evidence of the causative protective effect of ease of skin tanning in keratinocyte carcinoma. The findings suggest that individuals who are less prone to tanning may need to pay greater attention to sun protection in their daily activities to reduce the potential risk of keratinocyte cancers.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-024-00174-w.

先前的观察性和全基因组关联研究(GWAS)表明,几种表型因素与角化细胞癌之间存在关联,包括生活方式和饮食、光损伤相关条件和社会经济地位。这些表型因子在角化细胞癌病因学中的因果作用尚不清楚。在这项研究中,我们对超过30万例角质形成细胞癌患者的多个大规模GWAS数据集进行了双样本孟德尔随机化分析。通过鉴定与相关因子相关的单核苷酸多态性(snp),构建遗传工具变量(IVs)。采用逆方差加权(IVW)方法和加权中位数估计、MR- egger回归、简单模型和加权模型四种鲁棒MR方法进行因果推断和评估结果间的敏感性。在本分析中,皮肤容易晒黑被确定为角化细胞癌(基底细胞癌:IVW OR = 0.718, 95% CI 0.654-0.788, pp)的偶然保护因素。补充信息:在线版本包含补充资料,可在10.1007/s43657-024-00174-w。
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引用次数: 0
Implication of Gut Mycobiome and Virome in Type-2 Diabetes Mellitus: Uncovering the Hidden Players. 肠道菌群和病毒组在2型糖尿病中的意义:揭示隐藏的玩家。
IF 6.2 Q2 GENETICS & HEREDITY Pub Date : 2025-04-07 eCollection Date: 2025-02-01 DOI: 10.1007/s43657-024-00199-1
Mona Kriti, Raj Ojha, Samradhi Singh, Devojit Kumar Sarma, Vinod Verma, Ashok Kumar Yadav, Ravinder Nagpal, Manoj Kumar

Type-2 diabetes mellitus (T2DM) is a global epidemic with significant societal costs. The gut microbiota, including its metabolites, plays a pivotal role in maintaining health, while gut dysbiosis is implicated in several metabolic disorders, including T2DM. Although data exists on the relationship between the gut bacteriome and metabolic disorders, further attention is needed for the mycobiome and virome. Recent advancements have begun to shed light on these connections, offering potential avenues for preventive measures. However, more comprehensive investigations are required to untangle the interrelations between different microbial kingdoms and their role in T2DM development or mitigation. This review presents a simplified overview of the alterations in the gut bacteriome in T2DM and delves into the current understanding of the mycobiome and virome's role in T2DM, along with their interactions with the cohabiting bacteriome. Subsequently, it explores into the age-related dynamics of the gut microbiome and the changes observed in the microbiome composition with the onset of T2DM. Further, we explore the basic workflow utilized in gut microbiome studies. Lastly, we discuss potential therapeutic interventions in gut microbiome research, which could contribute to the amelioration of the condition, serve as preventive measures, or pave the way towards personalized medicine.

2型糖尿病(T2DM)是一种具有重大社会成本的全球性流行病。肠道菌群及其代谢物在维持健康中起着关键作用,而肠道生态失调与几种代谢性疾病(包括2型糖尿病)有关。虽然有关于肠道细菌组和代谢紊乱之间关系的数据,但需要进一步关注真菌组和病毒组。最近的进展已开始揭示这些联系,为采取预防措施提供了可能的途径。然而,需要更全面的研究来理清不同微生物王国之间的相互关系及其在T2DM发展或缓解中的作用。这篇综述对T2DM患者肠道菌群的改变进行了简单的概述,并深入探讨了目前对真菌组和病毒组在T2DM中的作用的理解,以及它们与共生菌群的相互作用。随后,该研究探讨了肠道微生物组的年龄相关动态以及随着T2DM发病而观察到的微生物组组成的变化。此外,我们探索了肠道微生物组研究中使用的基本工作流程。最后,我们讨论了肠道微生物组研究中潜在的治疗干预措施,这些干预措施可能有助于改善病情,作为预防措施,或为个性化医疗铺平道路。
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引用次数: 0
Multi-omics Quality Assessment in Personalized Medicine Through European Infrastructure for Translational Medicine (EATRIS): An Overview. 通过欧洲转化医学基础设施(EATRIS)进行个性化医疗的多组学质量评估:综述。
IF 6.2 Q2 GENETICS & HEREDITY Pub Date : 2025-04-01 eCollection Date: 2025-06-01 DOI: 10.1007/s43657-024-00170-0

Molecular characterization of a biological sample, e.g., with omics approaches, is fundamental for the development and implementation of personalized and precision medicine approaches. In this context, quality assessment is one of the most critical aspects. Accurate performance and interpretation of omics techniques is based on consensus, harmonization, and standardization of protocols, procedures, data analysis and reference values and materials. EATRIS, the European Infrastructure for Translational Medicine (www.EATRIS.eu), brings together resources and services to support researchers in developing their biomedical discoveries into novel translational tools and interventions for better health outcomes. Here we describe the efforts within the Horizon 2020 EATRIS-Plus project and activities of member facilities of EATRIS towards quality assessment of pre-clinical sample processing, clinical omics data generation, multi-omics data integration, and dissemination of the resources in a Multi-Omics Toolbox, which is the principal deliverable of the EATRIS-Plus project for the consolidation of EATRIS towards translational medicine.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-024-00170-0.

生物样本的分子表征,例如使用组学方法,是开发和实施个性化和精准医学方法的基础。在这方面,质量评估是最关键的方面之一。组学技术的准确表现和解释是基于协议、程序、数据分析和参考值和材料的共识、协调和标准化。欧洲转化医学基础设施(www.EATRIS.eu)汇集了资源和服务,以支持研究人员将其生物医学发现发展成新的转化工具和干预措施,以改善健康结果。在这里,我们描述了地平线2020 EATRIS- plus项目中的努力,以及EATRIS成员机构在临床前样品处理质量评估、临床组学数据生成、多组学数据整合和多组学工具箱资源传播方面的活动,这是EATRIS- plus项目的主要成果,旨在巩固EATRIS向转化医学的发展。补充资料:在线版本提供补充资料,网址为10.1007/s43657-024-00170-0。
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引用次数: 0
TonguExpert: A Deep Learning-Based Algorithm Platform for Fine-Grained Extraction and Classification of Tongue Phenotypes. 舌头专家:基于深度学习的细粒度舌头表型提取和分类算法平台。
IF 3.7 Q2 GENETICS & HEREDITY Pub Date : 2025-03-26 eCollection Date: 2025-04-01 DOI: 10.1007/s43657-024-00210-9
Ting Li, Ling Zuo, Pengyu Wang, Liangfu Yang, Zijia Liu, Xu Wang, Jingze Tan, Yajun Yang, Jiucun Wang, Yong Zhou, Li Jin, Guangtao Zhai, Jianxin Chen, Qianqian Peng, Guoqing Zhang, Sijia Wang

Tongue analysis holds promise for disease detection and health monitoring, especially in traditional Chinese medicine. However, its subjectivity hinders clinical applications. Deep learning offers a path for automated tongue diagnosis, yet existing methods struggle to capture subtle details, and the lack of large datasets hampers the development of robust and generalizable models. To address these challenges, we introduce TonguExpert (https://www.biosino.org/TonguExpert), a free platform for archiving, analyzing, and extracting phenotypes from tongue images. Our deep learning framework integrates cutting-edge techniques for tongue segmentation and phenotype extraction. TonguExpert analyzes a massive dataset of 5992 tongue images from a Chinese population and extracts 773 phenotypes including five predicted labels and their probabilities, 355 global features (entire tongue, tongue body, and tongue coating) and 408 local features (fissures and tooth marks) in a unified process. Besides, 580 additional features for five tongue subregions are also available for future study. Notably, TonguExpert outperforms manual classification methods, achieving high accuracy (ROC-AUC 0.89-0.99 for color, 0.97 for fissures, 0.88 for tooth marks). Additionally, the model generalizes well to predict new phenotypes (e.g., greasy coating) using external datasets. This allows the model to learn from a broader spectrum of data, potentially improving its overall performance. We also release the largest publicly available dataset of tongue images and phenotypes, which is invaluable for advancing automated analysis and clinical applications of tongue diagnosis. In summary, this research advances automated tongue diagnosis, paving the way for wider clinical adoption and potentially expanding the applications in the future.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-024-00210-9.

舌头分析有望用于疾病检测和健康监测,特别是在传统中医中。然而,其主观性阻碍了临床应用。深度学习为自动舌头诊断提供了一条途径,但现有的方法难以捕捉细微的细节,而且缺乏大型数据集阻碍了鲁棒性和可泛化模型的发展。为了应对这些挑战,我们推出了TonguExpert (https://www.biosino.org/TonguExpert),这是一个免费的平台,用于从舌头图像中存档、分析和提取表型。我们的深度学习框架集成了舌头分割和表型提取的尖端技术。TonguExpert分析了5992张来自中国人群的舌头图像,并在一个统一的过程中提取了773种表型,包括5种预测标签及其概率,355种全局特征(整个舌头、舌体和舌苔)和408种局部特征(裂隙和牙印)。此外,还有580个额外的特征可供未来研究。值得注意的是,TonguExpert优于人工分类方法,实现了很高的准确率(颜色的ROC-AUC为0.89-0.99,裂缝为0.97,牙印为0.88)。此外,该模型可以很好地使用外部数据集来预测新的表型(例如,油腻涂层)。这使得模型可以从更广泛的数据中学习,从而潜在地提高其整体性能。我们还发布了最大的公开可用的舌图像和表型数据集,这对于推进舌诊断的自动化分析和临床应用是无价的。总之,这项研究推进了自动舌头诊断,为更广泛的临床应用铺平了道路,并有可能在未来扩大应用范围。补充信息:在线版本包含补充资料,下载地址为10.1007/s43657-024-00210-9。
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引用次数: 0
A EPCAM Pathogenic Variant in Familial Lynch Syndrome-Associated Colon Cancer: Insights into Genetic Basis and Tumor Microenvironment Characteristics. 家族性Lynch综合征相关结肠癌的EPCAM致病变异:遗传基础和肿瘤微环境特征的见解
IF 3.7 Q2 GENETICS & HEREDITY Pub Date : 2025-03-26 eCollection Date: 2025-04-01 DOI: 10.1007/s43657-024-00202-9
Sumeng Wang, Ke Zhang, Yifei Cheng, Lingxiang Liu, Mulong Du

Lynch syndrome (LS) is an inherited condition caused by germline mutations in genes involved in DNA mismatch repair (MMR), which could increase the risk of developing colorectal cancer and other types of cancers. Current understanding of MMR gene mutations cannot fully account for the genetic predisposition to LS-associated colon cancer. This study uncovered a novel germline mutation, EPCAM c.661 A > G, in members of a three-generation family using next-generation sequencing technique, which was related to a vertically transmitted risk for LS-associated colon cancer. Genetically, EPCAM c.661 A > G was proposed to modulate the transcriptional activity of MSH2 through the DNA methylation alteration, as well as influence the stability of EpCAM protein. Through spatial transcriptomic analysis, we discovered a "cold" tumor microenvironment feature and distinct cellular interactions among epithelial cell subpopulations. In conclusion, these findings highlight the importance of identifying and characterizing novel pathogenic mutations of MMR genes to better understand the genetic basis of LS and its association with colon cancer.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-024-00202-9.

Lynch综合征(LS)是一种由DNA错配修复(MMR)相关基因的种系突变引起的遗传性疾病,可能增加患结直肠癌和其他类型癌症的风险。目前对MMR基因突变的理解不能完全解释ls相关结肠癌的遗传易感性。这项研究发现了一种新的种系突变,EPCAM c.661利用新一代测序技术,在一个三代家族的成员中发现了一个> G,这与ls相关结肠癌的垂直传播风险有关。基因上,EPCAM c.661> G通过DNA甲基化改变来调节MSH2的转录活性,并影响EpCAM蛋白的稳定性。通过空间转录组学分析,我们发现了一个“冷”肿瘤微环境特征和上皮细胞亚群之间不同的细胞相互作用。总之,这些发现强调了鉴定和表征MMR基因的新型致病突变对于更好地了解LS的遗传基础及其与结肠癌的关系的重要性。补充信息:在线版本包含补充资料,下载地址:10.1007/s43657-024-00202-9。
{"title":"A <i>EPCAM</i> Pathogenic Variant in Familial Lynch Syndrome-Associated Colon Cancer: Insights into Genetic Basis and Tumor Microenvironment Characteristics.","authors":"Sumeng Wang, Ke Zhang, Yifei Cheng, Lingxiang Liu, Mulong Du","doi":"10.1007/s43657-024-00202-9","DOIUrl":"10.1007/s43657-024-00202-9","url":null,"abstract":"<p><p>Lynch syndrome (LS) is an inherited condition caused by germline mutations in genes involved in DNA mismatch repair (MMR), which could increase the risk of developing colorectal cancer and other types of cancers. Current understanding of MMR gene mutations cannot fully account for the genetic predisposition to LS-associated colon cancer. This study uncovered a novel germline mutation, <i>EPCAM</i> c.661 A > G, in members of a three-generation family using next-generation sequencing technique, which was related to a vertically transmitted risk for LS-associated colon cancer. Genetically, <i>EPCAM</i> c.661 A > G was proposed to modulate the transcriptional activity of <i>MSH2</i> through the DNA methylation alteration, as well as influence the stability of EpCAM protein. Through spatial transcriptomic analysis, we discovered a \"cold\" tumor microenvironment feature and distinct cellular interactions among epithelial cell subpopulations. In conclusion, these findings highlight the importance of identifying and characterizing novel pathogenic mutations of MMR genes to better understand the genetic basis of LS and its association with colon cancer.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s43657-024-00202-9.</p>","PeriodicalId":74435,"journal":{"name":"Phenomics (Cham, Switzerland)","volume":"5 2","pages":"183-191"},"PeriodicalIF":3.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12209482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of Next Generation Probiotics for Cardiometabolic Diseases. 新一代心脏代谢疾病益生菌的开发。
IF 3.7 Q2 GENETICS & HEREDITY Pub Date : 2025-03-21 eCollection Date: 2025-02-01 DOI: 10.1007/s43657-025-00230-z
Muhammed Tanweer Khan, Fredrik Bäckhed
{"title":"Development of Next Generation Probiotics for Cardiometabolic Diseases.","authors":"Muhammed Tanweer Khan, Fredrik Bäckhed","doi":"10.1007/s43657-025-00230-z","DOIUrl":"https://doi.org/10.1007/s43657-025-00230-z","url":null,"abstract":"","PeriodicalId":74435,"journal":{"name":"Phenomics (Cham, Switzerland)","volume":"5 1","pages":"18-22"},"PeriodicalIF":3.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relational Stability: A New Strategy for Defining the Human Core Microbiome. 关系稳定性:定义人类核心微生物组的新策略。
IF 3.7 Q2 GENETICS & HEREDITY Pub Date : 2025-03-20 eCollection Date: 2025-02-01 DOI: 10.1007/s43657-025-00236-7
Liping Zhao
{"title":"Relational Stability: A New Strategy for Defining the Human Core Microbiome.","authors":"Liping Zhao","doi":"10.1007/s43657-025-00236-7","DOIUrl":"https://doi.org/10.1007/s43657-025-00236-7","url":null,"abstract":"","PeriodicalId":74435,"journal":{"name":"Phenomics (Cham, Switzerland)","volume":"5 1","pages":"14-17"},"PeriodicalIF":3.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stratification by Mutational Landscape Reveals Differential Immune Infiltration and Predicts the Recurrence and Clinical Outcome of Cervical Cancer. 突变景观的分层揭示了不同的免疫浸润,并预测宫颈癌的复发和临床结局。
IF 6.2 Q2 GENETICS & HEREDITY Pub Date : 2025-03-19 eCollection Date: 2025-08-01 DOI: 10.1007/s43657-024-00158-w
Chun Gao, Qian Zhou, Liting Liu, Hong Liu, Yifan Yang, Shen Qu, Qing He, Yafei Huang, Ximiao He, Hui Wang

Cervical cancer (CC) is the second most common cancer of female reproductive system. However, satisfactory prognostic model for CC remains to be established. In this study, we perform whole-exome sequencing on formalin-fixed and paraffin-embedded tumor specimens extracted from 67 recurrent and 28 matched non-recurrent CC patients. As a result, four core mutated genes (i.e., DCHS2, DNAH10, RYR1, and WDFY4) that are differentially presented in recurrent and non-recurrent CC patients are screened out to construct a recurrence-free related score (RRS) model capable of predicting CC prognosis in our cohort, which is further confirmed in TCGA CESC cohort. Moreover, combining tumor mutational burden (TMB) and RRS into an integrated RRS/TMB model enables better stratification of CC patients with distinct prognosis in both cohorts. Increased infiltration of multiple immune cell types, enriched interferon signaling pathway, and elevated cytolytic activity are evident in tumors from patients with a higher RRS and/or a higher TMB. In summary, this study establishes a novel mutation-based prognostic model for CC, the predictive value of which can be attributable to immunological mechanisms. This study will provide insight into the utilization of mutational analysis in guiding therapeutic strategies for CC patients.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-024-00158-w.

宫颈癌(CC)是女性生殖系统的第二大常见癌症。然而,令人满意的CC预后模型仍有待建立。在这项研究中,我们对67例复发和28例匹配的非复发CC患者的福尔马林固定和石蜡包埋肿瘤标本进行了全外显子组测序。因此,筛选出在复发性和非复发性CC患者中存在差异的4个核心突变基因(DCHS2、DNAH10、RYR1和WDFY4),构建了本队列中能够预测CC预后的无复发相关评分(RRS)模型,并在TCGA CESC队列中得到进一步证实。此外,将肿瘤突变负担(tumor mutational burden, TMB)和RRS结合成一个综合的RRS/TMB模型,可以更好地对两组预后不同的CC患者进行分层。在高RRS和/或高TMB患者的肿瘤中,多种免疫细胞类型的浸润增加,干扰素信号通路丰富,细胞溶解活性升高是明显的。综上所述,本研究建立了一种新的基于突变的CC预后模型,其预测价值可归因于免疫机制。本研究将为利用突变分析指导CC患者的治疗策略提供见解。补充信息:在线版本包含补充资料,下载地址:10.1007/s43657-024-00158-w。
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引用次数: 0
A Self-Adapting Polygenic Risk Score Model Improves Risk Prediction of Venous Thromboembolism in Han Chinese Cohorts. 自适应多基因风险评分模型改进了汉族人群静脉血栓栓塞的风险预测。
IF 6.2 Q2 GENETICS & HEREDITY Pub Date : 2025-03-12 eCollection Date: 2025-08-01 DOI: 10.1007/s43657-024-00192-8
Zhaoman Wan, Zhu Zhang, Mingming Su, Haobo Li, Yu Zhang, Xinlei Zhang, Aiping Wu, Taijiao Jiang, Peng Zhang, Zhenguo Zhai

Most genome-wide association studies (GWAS) of Venous Thromboembolism (VTE) have used data from individuals of European descent, however, genetic factors for VTE have not been fully identified in Chinese populations, which causes the limited use of existing polygenic risk scores (PRS) to identify subpopulations at high risk of VTE for prevention. We, therefore, aimed to curate all the potential VTE-related single-nucleotide polymorphisms (SNPs) for the construction of a new improved PRS model based on the self-adapting method, and then evaluate its utility and effectiveness in the stratification of VTE risk in Chinese populations. We comprehensively analyzed the mutation spectrum of VTE-associated SNPs in the Chinese cohort, and ranked their individual risk effects independently using risk ratio, logistic regression coefficient, and penalty regression coefficient as evaluation criteria. By integrating various algorithms and evaluating their performance, we trained the optimal prediction model of VTE risk in the Chinese population with the least SNP features, established an adaptive PRS model with progressive SNP overlay, and tested it on an independent Chinese population cohort. Self-adaptive polygenic risk score model based on all 318 SNPs or on the 44 most strongly associated SNPs performed similarly (areas under receiver-operating characteristic curves (AUCs) of 0.739 and 0.709, respectively) on the testing dataset of the Chinese VTE cohort, and that achieve the overall best level of the AUC from a conventional PRS model based on known genetic risk factors (0.620-0.718). In addition, we observed the self-adaptive PRS model was an independent effective risk stratification indicator beyond other clinical characteristics including age and smoking status. Our data revealed that only 44 SNPs-derived PRS model can be effectively used in discriminating subpopulations at high risk of VTE. To become clinically useful, our model could benefit from a practically feasible VTE screening program for precision prevention in Chinese populations.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-024-00192-8.

大多数静脉血栓栓塞(VTE)的全基因组关联研究(GWAS)都使用了欧洲血统个体的数据,然而,在中国人群中,VTE的遗传因素尚未完全确定,这导致现有的多基因风险评分(PRS)在识别VTE高风险亚群以进行预防方面的应用有限。因此,我们旨在收集所有潜在的VTE相关单核苷酸多态性(snp),构建基于自适应方法的改进PRS模型,然后评估其在中国人群VTE风险分层中的实用性和有效性。我们综合分析了中国队列中vte相关snp的突变谱,并以风险比、logistic回归系数和惩罚回归系数作为评价标准,对其个体风险效应进行独立排序。通过整合各种算法并评估其性能,我们训练了具有最少SNP特征的中国人群VTE风险的最优预测模型,建立了具有渐进式SNP覆盖的自适应PRS模型,并在独立的中国人群队列上进行了测试。基于318个snp的自适应多基因风险评分模型或基于44个相关性最强的snp的自适应多基因风险评分模型在中国VTE队列测试数据集上的表现相似(受试者操作特征曲线下面积(AUC)分别为0.739和0.709),并且达到了基于已知遗传风险因素的传统PRS模型的总体最佳AUC水平(0.62 -0.718)。此外,我们观察到自适应PRS模型是一个独立有效的风险分层指标,超越了其他临床特征,包括年龄和吸烟状况。我们的数据显示,只有44个snp衍生的PRS模型可以有效地用于区分静脉血栓栓塞高风险亚群。为了在临床上发挥作用,我们的模型可以从一个切实可行的静脉血栓栓塞筛查项目中受益,以便在中国人群中进行精确预防。补充资料:在线版本提供补充资料,网址为10.1007/s43657-024-00192-8。
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引用次数: 0
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Phenomics (Cham, Switzerland)
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