预孕前预测与母亲和父亲的多基因风险分数:TMM BirThree队列研究
Hisashi Ohseto1, Mami Ishikuro2,3, Taku Obara1,4,5
1Graduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan.
Scientific reports
|April 21, 2025
概括
父母多基因风险评分 (PRS) 对于血压和孕前 (PE) 是有前途的生物标志物. 母亲和父亲的PRS,特别是对透气血压,当与临床因素相结合时,可以帮助预测PE发病.
科学领域:
- 基因组学就是基因组学.
- 产科 产科 产科 产科 产科
- 心血管科学 心血管科学
背景情况:
- 孕前 (PE) 在怀孕期间存在重大风险.
- 确定有效的生物标志物来预测PE对于孕产妇健康至关重要.
- 来自父母的基因组数据可能会提供新的预测见解.
研究的目的:
- 为了调查血压 (BP) 和PE与PE发病的父母多基因风险评分 (PRS) 之间的关联.
- 评估PRS在与临床变量集成时的预测性能.
主要方法:
- 利用了19836名参与东北医疗大银行项目出生和三代队列研究的数据.
- 基因型的参与者和计算的PRS用于心血压,心血压和PE.
- 在培训,内部验证和外部验证队列中优化PRS计算和评估预测模型.
主要成果:
- 在外部验证队列中,SBP,DBP和PE的家长PRS与PE发病有关.
- 母亲PRS显示了整体关联,但在队列之间存在显著的异质性.
- 使用LDpred2计算的母体透气BP-PRS显著改善了预测模型.
- 父亲腹筋BP-PRS在内部验证队列中也增强了预测模型.
结论:
- 父母PRS有潜力作为产前的预测生物标志物.
- 将家长的PRS与现有的临床变量相结合,可以提高PE预测的准确性.
- 需要进一步的研究来完善PRS在临床PE风险评估中的实用性.
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