The impact of age on genetic risk for common diseases.

Inherited genetic variation contributes to individual risk for many complex diseases and is increasingly being used for predictive patient stratification. Previous work has shown that genetic factors are not equally relevant to human traits across age and other contexts, though the reasons for such...

Full description

Saved in:
Bibliographic Details
Main Authors: Xilin Jiang, Chris Holmes, Gil McVean
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-08-01
Series:PLoS Genetics
Online Access:https://journals.plos.org/plosgenetics/article/file?id=10.1371/journal.pgen.1009723&type=printable
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841527091450871808
author Xilin Jiang
Chris Holmes
Gil McVean
author_facet Xilin Jiang
Chris Holmes
Gil McVean
author_sort Xilin Jiang
collection DOAJ
description Inherited genetic variation contributes to individual risk for many complex diseases and is increasingly being used for predictive patient stratification. Previous work has shown that genetic factors are not equally relevant to human traits across age and other contexts, though the reasons for such variation are not clear. Here, we introduce methods to infer the form of the longitudinal relationship between genetic relative risk for disease and age and to test whether all genetic risk factors behave similarly. We use a proportional hazards model within an interval-based censoring methodology to estimate age-varying individual variant contributions to genetic relative risk for 24 common diseases within the British ancestry subset of UK Biobank, applying a Bayesian clustering approach to group variants by their relative risk profile over age and permutation tests for age dependency and multiplicity of profiles. We find evidence for age-varying relative risk profiles in nine diseases, including hypertension, skin cancer, atherosclerotic heart disease, hypothyroidism and calculus of gallbladder, several of which show evidence, albeit weak, for multiple distinct profiles of genetic relative risk. The predominant pattern shows genetic risk factors having the greatest relative impact on risk of early disease, with a monotonic decrease over time, at least for the majority of variants, although the magnitude and form of the decrease varies among diseases. As a consequence, for diseases where genetic relative risk decreases over age, genetic risk factors have stronger explanatory power among younger populations, compared to older ones. We show that these patterns cannot be explained by a simple model involving the presence of unobserved covariates such as environmental factors. We discuss possible models that can explain our observations and the implications for genetic risk prediction.
format Article
id doaj-art-43f89e3741c548fcb9d7da36209ddb38
institution Kabale University
issn 1553-7390
1553-7404
language English
publishDate 2021-08-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS Genetics
spelling doaj-art-43f89e3741c548fcb9d7da36209ddb382025-01-16T05:31:14ZengPublic Library of Science (PLoS)PLoS Genetics1553-73901553-74042021-08-01178e100972310.1371/journal.pgen.1009723The impact of age on genetic risk for common diseases.Xilin JiangChris HolmesGil McVeanInherited genetic variation contributes to individual risk for many complex diseases and is increasingly being used for predictive patient stratification. Previous work has shown that genetic factors are not equally relevant to human traits across age and other contexts, though the reasons for such variation are not clear. Here, we introduce methods to infer the form of the longitudinal relationship between genetic relative risk for disease and age and to test whether all genetic risk factors behave similarly. We use a proportional hazards model within an interval-based censoring methodology to estimate age-varying individual variant contributions to genetic relative risk for 24 common diseases within the British ancestry subset of UK Biobank, applying a Bayesian clustering approach to group variants by their relative risk profile over age and permutation tests for age dependency and multiplicity of profiles. We find evidence for age-varying relative risk profiles in nine diseases, including hypertension, skin cancer, atherosclerotic heart disease, hypothyroidism and calculus of gallbladder, several of which show evidence, albeit weak, for multiple distinct profiles of genetic relative risk. The predominant pattern shows genetic risk factors having the greatest relative impact on risk of early disease, with a monotonic decrease over time, at least for the majority of variants, although the magnitude and form of the decrease varies among diseases. As a consequence, for diseases where genetic relative risk decreases over age, genetic risk factors have stronger explanatory power among younger populations, compared to older ones. We show that these patterns cannot be explained by a simple model involving the presence of unobserved covariates such as environmental factors. We discuss possible models that can explain our observations and the implications for genetic risk prediction.https://journals.plos.org/plosgenetics/article/file?id=10.1371/journal.pgen.1009723&type=printable
spellingShingle Xilin Jiang
Chris Holmes
Gil McVean
The impact of age on genetic risk for common diseases.
PLoS Genetics
title The impact of age on genetic risk for common diseases.
title_full The impact of age on genetic risk for common diseases.
title_fullStr The impact of age on genetic risk for common diseases.
title_full_unstemmed The impact of age on genetic risk for common diseases.
title_short The impact of age on genetic risk for common diseases.
title_sort impact of age on genetic risk for common diseases
url https://journals.plos.org/plosgenetics/article/file?id=10.1371/journal.pgen.1009723&type=printable
work_keys_str_mv AT xilinjiang theimpactofageongeneticriskforcommondiseases
AT chrisholmes theimpactofageongeneticriskforcommondiseases
AT gilmcvean theimpactofageongeneticriskforcommondiseases
AT xilinjiang impactofageongeneticriskforcommondiseases
AT chrisholmes impactofageongeneticriskforcommondiseases
AT gilmcvean impactofageongeneticriskforcommondiseases