1
|
Forrest IS, Chan L, Chaudhary K, Saha A, Wen HH, Cepin CL, Marquez-Luna C, Rocheleau G, Cho J, Narula J, Nadkarni GN, Do R. Genome-first recall of healthy individuals by polygenic risk score reveals differences in coronary artery calcium. Am Heart J 2022; 250:29-33. [PMID: 35526571 DOI: 10.1016/j.ahj.2022.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 04/13/2022] [Accepted: 04/17/2022] [Indexed: 06/14/2023]
Abstract
Genetic risk for coronary artery disease (CAD) is commonly measured with polygenic risk scores (PRS); yet, the relationship of atherosclerotic burden with PRS in healthy individuals not at high clinical risk for CAD (ie, without a high pooled cohort equations [PCE] score) is unknown. Here, we implemented a novel recall-by-PRS strategy to measure coronary artery calcium (CAC) scores prospectively in 53 healthy individuals with extreme high PRS (median [IQR] PRS = 94% [83-98]) and low PRS (median [IQR] PRS = 3.6% [1.2-10]). The high PRS group was associated with a 2.8-fold greater CAC than the low PRS group, adjusted for age, sex, BMI, smoking, and statin use, and had a 6.7-fold greater proportion of individuals with CAC exceeding 300 HU. These findings reveal that extreme PRS tracks with CAD risk even in those without high clinical risk and demonstrate proof of principle for recall-by-PRS approaches that should be assessed prospectively in larger trials.
Collapse
Affiliation(s)
- Iain S Forrest
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, Annenberg Building, Floor 18 Room 16, 1468 Madison Ave, New York, NY 10029, United States; Medical Scientist Training Program, Icahn School of Medicine at Mount Sinai, New York, NY; The BioMe Phenomics Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Lili Chan
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, Annenberg Building, Floor 18 Room 16, 1468 Madison Ave, New York, NY 10029, United States; The BioMe Phenomics Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Kumardeep Chaudhary
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, Annenberg Building, Floor 18 Room 16, 1468 Madison Ave, New York, NY 10029, United States; The BioMe Phenomics Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Institute of Genomics and Integrative Biology, Council of Scientific and Industrial Research, Delhi, India
| | - Aparna Saha
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, Annenberg Building, Floor 18 Room 16, 1468 Madison Ave, New York, NY 10029, United States; The BioMe Phenomics Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Huei Hsun Wen
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, Annenberg Building, Floor 18 Room 16, 1468 Madison Ave, New York, NY 10029, United States; The BioMe Phenomics Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Cristina Liriano Cepin
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, Annenberg Building, Floor 18 Room 16, 1468 Madison Ave, New York, NY 10029, United States; The BioMe Phenomics Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Carla Marquez-Luna
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, Annenberg Building, Floor 18 Room 16, 1468 Madison Ave, New York, NY 10029, United States; Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Ghislain Rocheleau
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, Annenberg Building, Floor 18 Room 16, 1468 Madison Ave, New York, NY 10029, United States; Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Judy Cho
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, Annenberg Building, Floor 18 Room 16, 1468 Madison Ave, New York, NY 10029, United States; The BioMe Phenomics Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Jagat Narula
- Mount Sinai Heart, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Girish N Nadkarni
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, Annenberg Building, Floor 18 Room 16, 1468 Madison Ave, New York, NY 10029, United States; The BioMe Phenomics Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Hasso Plattner Institute for Digital Health, Icahn School of Medicine at Mount Sinai, New York, NY.
| | - Ron Do
- The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, Annenberg Building, Floor 18 Room 16, 1468 Madison Ave, New York, NY 10029, United States; The BioMe Phenomics Center, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
| |
Collapse
|