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.
Impact Factor
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Times Cited
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Altmetric
Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
Typ der Hochschulschrift
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
Keywords plus
Sprache
englisch
Veröffentlichungsjahr
2024
Prepublished im Jahr
0
HGF-Berichtsjahr
2024
ISSN (print) / ISBN
2666-979X
e-ISSN
2666-979X
ISBN
Bandtitel
Konferenztitel
Konferzenzdatum
Konferenzort
Konferenzband
Quellenangaben
Band: 4,
Heft: 12,
Seiten: ,
Artikelnummer: 100722
Supplement: ,
Reihe
Verlag
Elsevier
Verlagsort
Radarweg 29, 1043 Nx Amsterdam, Netherlands
Tag d. mündl. Prüfung
0000-00-00
Betreuer
Gutachter
Prüfer
Topic
Hochschule
Hochschulort
Fakultät
Veröffentlichungsdatum
0000-00-00
Anmeldedatum
0000-00-00
Anmelder/Inhaber
weitere Inhaber
Anmeldeland
Priorität
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