Distinct genetic liability profiles define clinically relevant patient strata across common diseases.
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ABSTRACT: Stratified medicine holds great promise to tailor treatment to the needs of individual patients. While genetics holds great potential to aid patient stratification, it remains a major challenge to operationalize complex genetic risk factor profiles to deconstruct clinical heterogeneity. Contemporary approaches to this problem rely on polygenic risk scores (PRS), which provide only limited clinical utility and lack a clear biological foundation. To overcome these limitations, we develop the CASTom-iGEx approach to stratify individuals based on the aggregated impact of their genetic risk factor profiles on tissue specific gene expression levels. The paradigmatic application of this approach to coronary artery disease or schizophrenia patient cohorts identified diverse strata or biotypes. The
SUBMITTER: Trastulla L
PROVIDER: S-EPMC11217418 | biostudies-literature | 2024 Jul
REPOSITORIES: biostudies-literature
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