Polygenic Risk Scores in a Prospective Parkinson's Disease Cohort
Ming-Wei Sia1, Jia-Nee Foo2,3, Seyed-Ehsan Saffari4,5
1Duke-NUS Medical School, Singapore.
Background:
Ethnic-specific genetic risk assessment framework for Parkinson's disease (PD) is lacking for the Asian population.
Objective:
We investigated the association of a polygenic risk score (PRS) with PD incidence in a population-based Asian prospective cohort.
Methods:
Genetic, dietary, and lifestyle information were prospectively collected from 25,646 participants within the Singapore Chinese Health Study cohort. PRS was constructed with Asian-specific and top genome-wide association study variants. The association between PRS and PD incidence was evaluated with multivariable Cox proportional hazard models, Kaplan-Meier survival analysis, and concordance statistics.
Results:
A total of 333 incident cases were identified after a follow-up period of more than 20 years. Participants with PRS in the top tertile (hazard ratio [HR], 1.81; 95% confidence interval [CI], 1.37-2.39) and middle tertile (HR, 1.35; 95% CI, 1.00-1.83) are at higher risk of developing PD after adjusting for dietary and lifestyle risk factors, with a shorter time to PD event in a Kaplan-Meier survival analysis (P < 0.001).
Conclusion:
We identified a PRS that was significantly associated with PD incidence in a prospective Chinese cohort after adjusting for dietary and lifestyle factors. © 2021 International Parkinson and Movement Disorder Society.
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