1. Benchmarking multi-ancestry prostate cancer polygenic risk scores in a real-world cohort.
- Author
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Shah, Yajas, Kulm, Scott, Nauseef, Jones T., Chen, Zhengming, Elemento, Olivier, Kensler, Kevin H., and Sharaf, Ravi N.
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PROSTATE cancer , *DISEASE risk factors , *PROSTATE cancer patients , *DISEASE incidence , *ASIANS - Abstract
Prostate cancer is a heritable disease with ancestry-biased incidence and mortality. Polygenic risk scores (PRSs) offer promising advancements in predicting disease risk, including prostate cancer. While their accuracy continues to improve, research aimed at enhancing their effectiveness within African and Asian populations remains key for equitable use. Recent algorithmic developments for PRS derivation have resulted in improved pan-ancestral risk prediction for several diseases. In this study, we benchmark the predictive power of six widely used PRS derivation algorithms, including four of which adjust for ancestry, against prostate cancer cases and controls from the UK Biobank and All of Us cohorts. We find modest improvement in discriminatory ability when compared with a simple method that prioritizes variants, clumping, and published polygenic risk scores. Our findings underscore the importance of improving upon risk prediction algorithms and the sampling of diverse cohorts. Author summary: Prostate cancer incidence is disproportionally higher in men of African ancestry when compared to Caucasian counterparts. However, disease risk prediction in these individuals remains poor. Algorithmic development has yielded improved risk prediction in diverse populations for select diseases. We benchmark the most commonly used algorithms and find modest improvements for prostate cancer prediction in men of African ancestry. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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