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Shan Y, Zhang Y, Zhao Y, Lu Y, Chen B, Yang L, Tan C, Bai Y, Sang Y, Liu J, Jian M, Ruan L, Zhang C, Li T. Development and validation of a cardiovascular diseases risk prediction model for Chinese males (CVDMCM). Front Cardiovasc Med 2022; 9:967097. [DOI: 10.3389/fcvm.2022.967097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 11/02/2022] [Indexed: 11/21/2022] Open
Abstract
BackgroundDeath due to cardiovascular diseases (CVD) increased significantly in China. One possible way to reduce CVD is to identify people at risk and provide targeted intervention. We aim to develop and validate a CVD risk prediction model for Chinese males (CVDMCM) to help clinicians identify those males at risk of CVD and provide targeted intervention.MethodsWe conducted a retrospective cohort study of 2,331 Chinese males without CVD at baseline to develop and internally validate the CVDMCM. These participants had a baseline physical examination record (2008–2016) and at least one revisit record by September 2019. With the full cohort, we conducted three models: A model with Framingham CVD risk model predictors; a model with predictors selected by univariate cox proportional hazard model adjusted for age; and a model with predictors selected by LASSO algorithm. Among them, the optimal model, CVDMCM, was obtained based on the Akaike information criterion, the Brier's score, and Harrell's C statistic. Then, CVDMCM, the Framingham CVD risk model, and the Wu's simplified model were all validated and compared. All the validation was carried out by bootstrap resampling strategy (TRIPOD statement type 1b) with the full cohort with 1,000 repetitions.ResultsCVDMCM's Harrell's C statistic was 0.769 (95% CI: 0.738–0.799), and D statistic was 4.738 (95% CI: 3.270–6.864). The results of Harrell's C statistic, D statistic and calibration plot demonstrated that CVDMCM outperformed the Framingham CVD model and Wu's simplified model for 4-year CVD risk prediction.ConclusionsWe developed and internally validated CVDMCM, which predicted 4-year CVD risk for Chinese males with a better performance than Framingham CVD model and Wu's simplified model. In addition, we developed a web calculator–calCVDrisk for physicians to conveniently generate CVD risk scores and identify those males with a higher risk of CVD.
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Zhao B, Ibrahim JG, Li Y, Li T, Wang Y, Shan Y, Zhu Z, Zhou F, Zhang J, Huang C, Liao H, Yang L, Thompson PM, Zhu H. Heritability of Regional Brain Volumes in Large-Scale Neuroimaging and Genetic Studies. Cereb Cortex 2020; 29:2904-2914. [PMID: 30010813 DOI: 10.1093/cercor/bhy157] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2018] [Revised: 06/11/2018] [Indexed: 12/20/2022] Open
Abstract
Brain genetics is an active research area. The degree to which genetic variants impact variations in brain structure and function remains largely unknown. We examined the heritability of regional brain volumes (P ~ 100) captured by single-nucleotide polymorphisms (SNPs) in UK Biobank (n ~ 9000). We found that regional brain volumes are highly heritable in this study population and common genetic variants can explain up to 80% of their variabilities (median heritability 34.8%). We observed omnigenic impact across the genome and examined the enrichment of SNPs in active chromatin regions. Principal components derived from regional volume data are also highly heritable, but the amount of variance in brain volume explained by the component did not seem to be related to its heritability. Heritability estimates vary substantially across large-scale functional networks, exhibit a symmetric pattern across left and right hemispheres, and are consistent in females and males (correlation = 0.638). We repeated the main analysis in Alzheimer's Disease Neuroimaging Initiative (n ~ 1100), Philadelphia Neurodevelopmental Cohort (n ~ 600), and Pediatric Imaging, Neurocognition, and Genetics (n ~ 500) datasets, which demonstrated that more stable estimates can be obtained from the UK Biobank.
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Affiliation(s)
- Bingxin Zhao
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Joseph G Ibrahim
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.,Department of Statistics and Operations Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Yun Li
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.,Department of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.,Department of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Tengfei Li
- Department of Biostatistics, University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Yue Wang
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Yue Shan
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Ziliang Zhu
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Fan Zhou
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Jingwen Zhang
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Chao Huang
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Huiling Liao
- Department of Statistics, Texas A&M University, College Station, TX, USA
| | - Liuqing Yang
- Department of Statistics and Operations Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Paul M Thompson
- Imaging Genetics Center, Mark and Mary Stevens Institute for Neuroimaging & Informatics, University of Southern California, Los Angeles, CA, USA
| | - Hongtu Zhu
- Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.,Department of Biostatistics, University of Texas MD Anderson Cancer Center, Houston, TX, USA
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Korchagin V, Mironov K, Platonov A, Dribnokhodova O, Akselrod E, Dunaeva E, Stolyar M, Gorbenko A, Gritsan G, Olkhovskiy I, Rakova N, Roytman A, Sotnikov A, Raskurazhev A, Maksimova M, Tanashyan M, Illarioshkin S, Shipulin G. Application of the genetic risk model for the analysis of predisposition to nonlacunar ischemic stroke. Per Med 2019; 16:369-378. [PMID: 31552798 DOI: 10.2217/pme-2018-0104] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Aim: The purpose of our study was to analyze the predictive ability of the multiplicative model of genetic risk of nonlacunar ischemic stroke (IS) for independent samples from Russia. Patients & methods: A total of 181 patients and 360 healthy controls were included in this study. The discriminative accuracy of model was evaluated by the area under the receiver operating characteristic curve (AUC). Results: Classification model based on 15 single-nucleotide polymorphisms (SNPs), which are associated with a cardioembolic subtype of IS, had an AUC of 0.62 in patients with corresponding subtypes and an AUC of 0.58 for all patients. Conclusion: Risk calculation approach based on IS-associated SNPs had satisfactory performance in predicting the predisposition to the disease.
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Affiliation(s)
| | | | | | | | - Elina Akselrod
- Central Research Institute of Epidemiology, Moscow, Russia
| | - Elena Dunaeva
- Central Research Institute of Epidemiology, Moscow, Russia
| | - Marina Stolyar
- Department of Health, Krasnoyarsk Branch of the Federal State budgetary Institution 'Hematology Research Center,' Krasnoyarsk, Russia.,Federal Research Center 'Krasnoyarsk Scientific Center' of the Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russia
| | - Aleksey Gorbenko
- Department of Health, Krasnoyarsk Branch of the Federal State budgetary Institution 'Hematology Research Center,' Krasnoyarsk, Russia.,Federal Research Center 'Krasnoyarsk Scientific Center' of the Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russia
| | - Galina Gritsan
- Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russia
| | - Igor Olkhovskiy
- Department of Health, Krasnoyarsk Branch of the Federal State budgetary Institution 'Hematology Research Center,' Krasnoyarsk, Russia.,Federal Research Center 'Krasnoyarsk Scientific Center' of the Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russia
| | - Natalia Rakova
- Moscow City Clinical Hospital named after S.P. Botkin, Moscow, Russia
| | - Alexander Roytman
- Moscow City Clinical Hospital named after S.P. Botkin, Moscow, Russia
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