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多基因发病风险评分的预测值:系统性审查和元分析
Takafumi Kubota1, Irma Wati Ngadimon2, Hisashi Ohseto3
1Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan; Department of Epileptology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan; YES-AO, a regional chapter of the Young Epilepsy Section of the International League Against Epilepsy (ILAE-YES) in Asia-Oceania.
多基因风险评分 (PRS) 可以预测的发展,特别是一般性. 较高的PRS表明风险增加,表明PRS是一种有价值的预测工具.
科学领域:
- 遗传学和基因组学 在
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 是一种复杂的神经系统疾病,具有重要的遗传成分.
- 多基因风险评分 (PRS) 是评估对疾病的遗传倾向的新兴工具.
研究的目的:
- 系统地审查和整合现有关于PRS对的预测价值的研究.
- 澄清PRS与患风险之间的关联,区分通用型和焦点型.
主要方法:
- 在MEDLINE,EMBASE和CENTRAL数据库中进行了系统的文献搜索.
- 对使用类似PRS方法的研究进行了随机效应模型的元分析.
- 根据PRS计算了发作的几率比率 (OR),并进行了偏差风险和异质性评估.
主要成果:
- 包括11项涉及主要是欧洲血统的队列的研究.
- 较高的PRS与风的风险增加有关,特别是泛性.
- 分析显示,在不同的PRS量度中,普遍性的OR值是显著的 (例如,顶部0.5%的OR值是4.62);焦点的OR值在顶部量度中较低,但显著.
结论:
- 多基因风险评分显示出作为预测发作的有效工具的潜力.
- 与焦点相比,PRS的预测能力在泛性方面似乎更强大.
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