在非西班牙裔白人和黑人人口中评估肺癌易感性的多基因风险评分
Matthew R Trendowski1,2, Christine M Lusk1,2, Angela S Wenzlaff1,2
1Department of Oncology, Wayne State University School of Medicine, Detroit, Michigan.
概括
多基因风险评分 (PRS) 显示了白人肺癌的预测能力,但不是黑人. 这凸显了开发和验证不同祖先特有的癌症风险模型的迫切需要.
科学领域:
- 遗传学 是一个遗传学.
- 在瘤学瘤学.
- 人口健康 人口健康
背景情况:
- 多基因风险评分 (PRS) 越来越多地用于评估癌症易感性.
- 现有的PRS模型在历史上代表黑人人口不足.
- 这项研究解决了PRS开发和验证方面的差异.
研究的目的:
- 在不同的人群中评估以前发表的肺癌PRS.
- 评估PRS在白人和黑人参与者的预测性能.
- 确定对祖先特异性肺癌风险模型的需求.
主要方法:
- 利用了基于80个单核酸多态 (SNP) 的肺癌PRS.
- 在INHALE队列中验证了PRS,根据年龄,性别,吸烟史,家族史,COPD和遗传祖先进行调整.
- 在白人和黑人参与者中评估了PRS与肺癌风险的相关性.
主要成果:
- 80个PRSSNP中的14个与白人参与者的肺癌风险有显著的关联.
- 在白人 (P = 0.007) 中,PRS与肺癌风险有显著的关联,但在黑人 (P = 0.88) 中没有.
- 在不符合当前肺癌查指南的白人中,PRS仍然是一个重要的预测因子.
结论:
- 一个先前验证的PRS在白人参与者中证明了预测效用.
- 在黑人参与者中,PRS没有显示出预测能力.
- 这些发现强调了开发和验证祖先特异性肺癌风险模型的必要性.
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