Sadowski, M.* ; Thompson, M.* ; Mefford, J.* ; Haldar, T.* ; Oni-Orisan, A.* ; Border, R.* ; Pazokitoroudi, A.* ; Cai, N. ; Ayroles, J.F.* ; Sankararaman, S.* ; Dahl, A.W.* ; Zaitlen, N.*
     
 
    
        
Characterizing the genetic architecture of drug response using gene-context interaction methods.
    
    
        
    
    
        
        Cell Genom. 4:100722 (2024)
    
    
    
		
		
			
				Identifying factors that affect treatment response is a central objective of clinical research, yet the role of common genetic variation remains largely unknown. Here, we develop a framework to study the genetic architecture of response to commonly prescribed drugs in large biobanks. We quantify treatment response heritability for statins, metformin, warfarin, and methotrexate in the UK Biobank. We find that genetic variation modifies the primary effect of statins on LDL cholesterol (9% heritable) as well as their side effects on hemoglobin A1c and blood glucose (10% and 11% heritable, respectively). We identify dozens of genes that modify drug response, which we replicate in a retrospective pharmacogenomic study. Finally, we find that polygenic score (PGS) accuracy varies up to 2-fold depending on treatment status, showing that standard PGSs are likely to underperform in clinical contexts.
			
			
				
			
		 
		
			
				
					
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
    
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        Herausgeber
        
    
    
        Schlagwörter
        Gene-environment Interactions ; Genetic Heterogeneity ; Genetic Testing ; Heritability ; Heteroskedasticity ; Personalized Medicine ; Pharmacogenomics; Genome-wide Association; Environment Interactions; Cardiovascular-disease; Polygenic-score; Uk Biobank; Metformin; Therapy; Risk; Efficacy; Genotype
    
 
    
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        Sprache
        englisch
    
 
    
        Veröffentlichungsjahr
        2024
    
 
    
        Prepublished im Jahr 
        0
    
 
    
        HGF-Berichtsjahr
        2024
    
 
    
    
        ISSN (print) / ISBN
        2666-979X
    
 
    
        e-ISSN
        2666-979X
    
 
    
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	    Band: 4,  
	    Heft: 12,  
	    Seiten: ,  
	    Artikelnummer: 100722 
	    Supplement: ,  
	
    
 
  
        
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            Verlag
            Elsevier
        
 
        
            Verlagsort
            Radarweg 29, 1043 Nx Amsterdam, Netherlands
        
 
	
        
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        Begutachtungsstatus
        Peer reviewed
    
 
    
        Institut(e)
        Helmholtz Pioneer Campus (HPC)
    
 
    
        POF Topic(s)
        30202 - Environmental Health
    
 
    
        Forschungsfeld(er)
        Pioneer Campus
    
 
    
        PSP-Element(e)
        G-510007-001
    
 
    
        Förderungen
        National Institutes of Health
Chan Zuckerberg Initiative grant
    
 
    
        Copyright
        
    
 	
    
    
    
    
    
        Erfassungsdatum
        2024-12-10