HGG Advances最新文献

{"title":"Heterozygous KRT32 variant is responsible for autosomal dominant loose anagen hair syndrome.","authors":"Marcelo Melo, Elizabeth Phillippi, Thomas Moninger, Lisa J Stille, Kya Foxx, Benjamin Darbro, Kelly N Messingham, Edward A Sander, Hatem El-Shanti","doi":"10.1016/j.xhgg.2025.100495","DOIUrl":"10.1016/j.xhgg.2025.100495","url":null,"abstract":"<p><p>Loose anagen hair syndrome is a form of childhood-onset non-scarring alopecia marked by easily and painlessly plucking terminal hair during its active growth, or anagen, phase. It is believed to result from poor hair shaft anchoring within the follicle due to premature keratinization. Our study identified a plausibly pathogenic variant in KRT32 (c.296C>T; p.Thr99Ile) that co-segregates with the phenotype in a large family. This study aimed to explore the role of KRT32, previously unassociated with loose anagen hair, in hair anchorage and assess the functional impact of its p.Thr99Ile variant. We hypothesized that the p.Thr99Ile variant reduces the binding affinity of KRT32 to KRT82, disrupting the intermediate filament structure in the hair shaft cuticle and leading to weak anagen hair anchorage. To test this hypothesis, we conducted a protein-protein interaction assay using far-western blotting and performed in silico intermediate filament network segmentation analysis on high-resolution fluorescent microscopy images. Our results showed a decreased binding affinity of KRT32^Thr99Ile to KRT82 when compared to KRT32^WT. There were significant differences in segment count and filament thickness, as measured by brightness, between the KRT32^Thr99Ile and the KRT32^WT. We conclude that the c.296C>T variant of KRT32 is associated with loose anagen hair phenotype.</p>","PeriodicalId":34530,"journal":{"name":"HGG Advances","volume":" ","pages":"100495"},"PeriodicalIF":3.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early-onset multivalvular disease caused by a missense variant in lamin A/C.","authors":"Alexandre Janin, Nathalie Gaudreault, Victoria Saavedra Armero, Zhonglin Li, Ran Xu, Dominique K Boudreau, Lily Frenette, Julien Ternacle, Danielle Tardif, Sébastien Thériault, Philippe Pibarot, Patrick Mathieu, Christian Steinberg, Yohan Bossé","doi":"10.1016/j.xhgg.2025.100491","DOIUrl":"10.1016/j.xhgg.2025.100491","url":null,"abstract":"<p><p>Lamins A/C, coded by LMNA gene, are crucial for nuclear architecture preservation. Pathogenic LMNA variants cause a wide range of inherited diseases called \"laminopathies\". A subgroup is referred to \"progeroid syndromes\" characterized by premature aging and other manifestations including cardiac valve abnormalities. Atypical phenotypes, generally less severe, have also been reported. We report the case of a 26-year-old male with calcific tricuspid aortic and mitral valve diseases. His father was diagnosed with severe aortic valve stenosis and mitral annulus calcification at the age of 38. The goal of this study was to identify the putative variant causing this non-syndromic multivalvular disease. Known disease-causing variants in NOTCH1, FLNA, and DCHS1 were first excluded by Sanger sequencing. Whole-exome sequencing was then performed in five family members. A LMNA variant (p.Glu262Val) was identified with in silico evidences of pathogenicity (CADD [combined annotation dependent depletion] = 33). Cells transfected with the cDNA construct harboring p.Glu262Val were characterized by abnormal nuclear morphology. Along with a literature review, the variant was classified as likely pathogenic. Elucidating the mechanism by which LMNA p.Glu262Val specifically affects cardiac heart valves is likely to provide insight about the pathogenesis of Mendelian forms of valvular heart diseases and may help guide the development of therapies.</p>","PeriodicalId":34530,"journal":{"name":"HGG Advances","volume":" ","pages":"100491"},"PeriodicalIF":3.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variational autoencoder-based model improves polygenic prediction in blood cell traits.","authors":"Xiaoqi Li, Elena Kharitonova, Minxing Pang, Jia Wen, Laura Y Zhou, Laura Raffield, Haibo Zhou, Huaxiu Yao, Can Chen, Yun Li, Quan Sun","doi":"10.1016/j.xhgg.2025.100490","DOIUrl":"10.1016/j.xhgg.2025.100490","url":null,"abstract":"<p><p>Genetic prediction of complex traits, enabled by large-scale genomic studies, has created new measures to understand individual genetic predisposition. Polygenic risk scores (PRSs) offer a way to aggregate information across the genome, enabling personalized risk prediction for complex traits and diseases. However, conventional PRS calculation methods that rely on linear models are limited in their ability to capture complex patterns and interaction effects in high-dimensional genomic data. In this study, we seek to improve the predictive power of PRS through applying advanced deep learning techniques. We show that the variational autoencoder-based model for PRS construction (VAE-PRS) outperforms currently state-of-the-art methods for biobank-level data in 14 out of 16 blood cell traits, while being computationally efficient. Through comprehensive experiments, we found that the VAE-PRS model offers the ability to capture interaction effects in high-dimensional data and shows robust performance across different pre-screened variant sets. Furthermore, VAE-PRS is easily interpretable via assessing the contribution of each individual marker to the final prediction score through the Shapley additive explanations method, providing potential new insights in identifying trait-associated genetic variants. In summary, VAE-PRS presents a measure to genetic risk prediction for blood cell traits by harnessing the power of deep learning methods given appropriate training sample size, which could further facilitate the development of personalized medicine and genetic research.</p>","PeriodicalId":34530,"journal":{"name":"HGG Advances","volume":" ","pages":"100490"},"PeriodicalIF":3.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveraging global genetics resources to enhance polygenic prediction across ancestrally diverse populations.","authors":"Oliver Pain","doi":"10.1016/j.xhgg.2025.100482","DOIUrl":"10.1016/j.xhgg.2025.100482","url":null,"abstract":"<p><p>Genome-wide association studies (GWASs) from multiple ancestral populations are increasingly available, offering opportunities to improve the accuracy and equity of polygenic scores (PGSs). Several methods now aim to leverage multiple GWAS sources, but predictive performance and computational efficiency remain unclear, particularly when individual-level tuning data are unavailable. This study evaluates a comprehensive set of PGS methods across African (AFR), East Asian (EAS), and European (EUR) ancestries for 10 complex traits, using summary statistics from the Ugandan Genome Resource, Biobank Japan, UK Biobank, and the Million Veteran Program. Single-source PGSs were derived using methods including DBSLMM, lassosum, LDpred2, MegaPRS, pT + clump, PRS-CS, QuickPRS, and SBayesRC. Multi-source approaches included PRS-CSx, TL-PRS, X-Wing, and combinations of independently optimized single-source scores. All methods were restricted to HapMap3 variants and used linkage disequilibrium reference panels matching the GWAS super population. A key contribution is a novel application of the LEOPARD method to estimate optimal linear combinations of population-specific PGSs using only summary statistics. Analyses were implemented using the open-source GenoPred pipeline. In AFR and EAS populations, PGS combining ancestry-aligned and European GWASs outperformed single-source models. Linear combinations of independently optimized scores consistently outperformed current jointly optimized multi-source methods, while being substantially more computationally efficient. The LEOPARD extension offered a practical solution for tuning these combinations when only summary statistics were available, achieving performance comparable to tuning with individual-level data. These findings highlight a flexible and generalizable framework for multi-source PGS construction. The GenoPred pipeline supports more equitable, accurate, and accessible polygenic prediction.</p>","PeriodicalId":34530,"journal":{"name":"HGG Advances","volume":" ","pages":"100482"},"PeriodicalIF":3.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phasing millions of samples achieves near perfect accuracy, enabling parent-of-origin analyses.","authors":"Cole M Williams, Jared O'Connell, Ethan Jewett, William A Freyman, Christopher R Gignoux, Sohini Ramachandran, Amy L Williams","doi":"10.1016/j.xhgg.2025.100479","DOIUrl":"10.1016/j.xhgg.2025.100479","url":null,"abstract":"<p><p>Haplotype phasing, the process of determining which genetic variants are physically located on the same chromosome, is crucial for genetic analyses. Here, we benchmark SHAPEIT and Beagle, two state-of-the-art phasing methods, on two large datasets: >8 million research-consented 23andMe, Inc. customers and the UK Biobank (UKB). Remarkably, both methods' median switch error rate (SER) (after excluding single SNP switches, which we call \"blips\") is 0.00% across all tested 23andMe trio children and 0.026% in British samples from UKB. Across UKB samples, switch errors predominantly occur in regions lacking identity-by-descent (IBD) coverage. SHAPEIT and Beagle excel at intra-chromosomal phasing, but lack the ability to phase across chromosomes, motivating us to develop HAPTiC (HAPlotype Tiling and Clustering), an inter-chromosomal phasing method that assigns paternal and maternal variants genome-wide. Our approach uses IBD segments to phase blocks of variants on different chromosomes. HAPTiC represents the segments a focal individual shares with their relatives as nodes in a signed graph and performs spectral clustering. We test HAPTiC on 1,022 UKB trios, yielding a median per-site phase error of 0.13% in regions covered by IBD segments (45.1% of sites). We also ran HAPTiC in the 23andMe database and found a median phase error rate of 0.49% in Europeans (100% of sites) and 0.16% in admixed Africans (99.8% of sites). HAPTiC enables analyses that require the parent-of-origin of variants, such as association studies and ancestry inference of untyped parents.</p>","PeriodicalId":34530,"journal":{"name":"HGG Advances","volume":" ","pages":"100479"},"PeriodicalIF":3.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical syndromes linked to biallelic germline variants in MCM8 and MCM9.","authors":"Noah C Helderman, Ting Yang, Claire Palles, Diantha Terlouw, Hailiang Mei, Ruben H P Vorderman, Davy Cats, Marcos Díaz-Gay, Marjolijn C J Jongmans, Ashwin Ramdien, Irma van de Beek, Thomas F Eleveld, Andrew Green, Frederik J Hes, Marry M van den Heuvel-Eibrink, Annelore Van Der Kelen, Sabine Kliesch, Roland P Kuiper, Inge M M Lakeman, Lisa E E L O Lashley, Leendert H J Looijenga, Manon S Oud, Johanna Steingröver, Yardena Tenenbaum-Rakover, Carli M Tops, Frank Tüttelmann, Richarda M de Voer, Dineke Westra, Margot J Wyrwoll, Mariano Golubicki, Marina Antelo, Laia Bonjoch, Mariona Terradas, Laura Valle, Ludmil B Alexandrov, Hans Morreau, Tom van Wezel, Sergi Castellví-Bel, Yael Goldberg, Maartje Nielsen","doi":"10.1016/j.xhgg.2025.100480","DOIUrl":"10.1016/j.xhgg.2025.100480","url":null,"abstract":"<p><p>MCM8 and MCM9 are newly proposed cancer predisposition genes, linked to polyposis and early-onset cancer, in addition to their previously established association with hypogonadism. Given the uncertain range of phenotypic manifestations and unclear cancer risk estimates, this study aimed to delineate the molecular and clinical characteristics of biallelic germline MCM8/MCM9 variant carriers. We found significant enrichment of biallelic MCM9 variants in individuals with colonic polyps (odds ratio [OR] 6.51, 95% confidence interval [CI] 1.24-34.11, p = 0.03), rectal polyps (OR 8.40, 95% CI 1.28-55.35, p = 0.03), and gastric cancer (OR 27.03, 95% CI 2.93-248.5; p = 0.004) in data from the 100000 Genomes Project, compared to controls. No similar enrichment was found for biallelic MCM8 variants or in the 200000 UK Biobank. Likewise, in our case series, which included 26 MCM8 and 28 MCM9 variant carriers, we documented polyposis, gastric cancer, and early-onset colorectal cancer (CRC) in MCM9 carriers but not in MCM8 carriers. Moreover, our case series indicates that beyond hypogonadism, biallelic MCM8 and MCM9 variants are associated with early-onset germ cell tumors (occurring before age 15). Tumors from MCM8/MCM9 variant carriers predominantly displayed clock-like mutational processes, without evidence of DNA repair deficiency-associated signatures. Collectively, our data indicate that biallelic MCM9 variants are associated with polyposis, gastric cancer, and early-onset CRC, while both biallelic MCM8 and MCM9 variants are linked to hypogonadism and the early development of germ cell tumors. These findings underscore the importance of including MCM8/MCM9 in diagnostic gene panels for certain clinical contexts and suggest that biallelic carriers may benefit from cancer surveillance.</p>","PeriodicalId":34530,"journal":{"name":"HGG Advances","volume":" ","pages":"100480"},"PeriodicalIF":3.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"De novo missense variants in CHTF18: The potential to expand the clinical spectrum of cohesinopathies.","authors":"Erfan Aref-Eshghi, Ingrid M Wentzensen, Tawfeg Ben-Omran, Reem Ibrahim Bux, Nina B Gold, Erin McRoy, Hoanh Nguyen, Lauren O'Grady, Shao Ching Tu, Yanmin Chen, Leandra Folk, Bobbi McGivern","doi":"10.1016/j.xhgg.2025.100485","DOIUrl":"10.1016/j.xhgg.2025.100485","url":null,"abstract":"<p><p>Cohesin is a multiprotein complex that maintains chromosome integrity during cell division. Disruptions in cohesin or its regulators, including CHTF18, can lead to neurodevelopmental and congenital disorders known as cohesinopathies. CHTF18 participates in cohesin loading during DNA replication, but its role in human disease is not understood. Through exome analysis of >665,000 individuals, we identified multiple (<10) unrelated individuals with rare missense variants in CHTF18 and overlapping clinical phenotypes suggestive of a cohesinopathy disorder. Among these, three individuals with neurodevelopmental delay and epilepsy, each carrying a previously unreported rare de novo variant in CHTF18, are presented in detail. Overlapping clinical features of additional individuals who were not available for case-level consent are presented in aggregate. All the CHTF18 variants in the cohort were located in the vicinity of the AAA+ATPase domain of CHTF18, which plays a crucial role in cohesin loading during DNA replication. In addition to cohort findings from our large database, the function, relevance, and pathway involvement of CHTF18 make it a promising candidate gene for disease. The study calls for further research to explore the role of CHTF18 variants in disease and highlights the importance of including CHTF18 as a candidate gene in broad genetic testing for individuals with unsolved neurodevelopmental conditions.</p>","PeriodicalId":34530,"journal":{"name":"HGG Advances","volume":" ","pages":"100485"},"PeriodicalIF":3.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12375246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Haploinsufficient variants in SMAD5 are associated with isolated congenital heart disease.","authors":"Dimuthu Alankarage, Iryna Leshchynska, Stephanie Portelli, Alena Sipka, Gillian M Blue, Victoria O'Reilly, Debjani Das, Emma M Rath, Annabelle Enriquez, Michael Troup, Miriam Fine, Nicola Poplawski, Maxim Verlee, David T Humphreys, Richard P Harvey, Gavin Chapman, Edwin P Kirk, David S Winlaw, Bert Callewaert, Wendy K Chung, David Ascher, Eleni Giannoulatou, Sally L Dunwoodie","doi":"10.1016/j.xhgg.2025.100478","DOIUrl":"10.1016/j.xhgg.2025.100478","url":null,"abstract":"<p><p>Mothers against decapentaplegic homolog 5 (SMAD5) is a transcriptional regulator that functions within the TGF-β signaling cascade. Evidence from animal studies show that it is crucial for dorsoventral patterning, left-right asymmetry, cardiac looping, and other embryonic processes. However, its role in human development has not been explored, and the contribution of SMAD5 variants to congenital disease is unknown. Here, we report SMAD5 variants identified in six unrelated families with seven individuals presenting with congenital heart disease (CHD). Isolated congenital heart defects are observed in six individuals who carry de novo or inherited missense, nonsense, frameshift, or copy-number variants in SMAD5. A multi-organ phenotype is observed in one individual with a de novo SMAD5 variant that alters an amino acid crucial for SMAD5 multimerization. Septal defects, identified in four individuals, are the most common cardiac lesion in our cohort, with hypoplastic left heart also observed in two individuals. In silico assessment of SMAD5 missense variants predicts disrupted binding to co-factors, and in vitro functional assessment shows changes in SMAD5 gene and protein expression, as well as impaired activation of a BMP4-responsive promoter by the variants. Our findings suggest haploinsufficiency as the underlying molecular mechanism in five of the six families, resulting in isolated CHD, with a SMAD5 dominant-negative variant identified in one family leading to multiple congenital defects. Here, we provide evidence that SMAD5 variants lead to CHD and offer a basis for future exploration of SMAD5 variants in both CHD and post-natal disease.</p>","PeriodicalId":34530,"journal":{"name":"HGG Advances","volume":" ","pages":"100478"},"PeriodicalIF":3.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FAHD1-mediated pyruvate metabolism in hepatocellular carcinoma: Multi-omics and causal genetic evidence.","authors":"Jin Huang, Shijie Liang, Jiamin Sun, Huaping Chen","doi":"10.1016/j.xhgg.2025.100494","DOIUrl":"10.1016/j.xhgg.2025.100494","url":null,"abstract":"<p><p>Hepatocellular carcinoma (HCC) progression is driven by metabolic reprogramming in the tumor microenvironment (TME), yet the causal regulators of pyruvate metabolism and their spatial interplay remain elusive. Here, we integrate single-cell transcriptomics, spatial mapping, and genetic causal inference to identify a pyruvate-hyperactive epithelial subpopulation (PyHighEpi) in HCC, characterized by enhanced stemness, proliferation, and metastatic traits. Spatial analyses reveal metabolic zonation, with pyruvate activity concentrated in tumor cores and associated with aggressive clones. Summary data-based Mendelian randomization identifies fumarylacetoacetate hydrolase domain containing 1 (FAHD1) as a potential causal driver, with its expression associated with a poor prognosis. FAHD1+epi cells interact with cancer-associated fibroblasts through ITGB2-mediated interactions, facilitating the formation of a transforming growth factor-β/vascular endothelial growth factor-enriched niche that promotes immune evasion. Clinically, FAHD1 overexpression correlated with poor prognosis, validated through functional assays showing its knockdown suppressed proliferation, invasion, and migration in HCC models. An FAHD1-derived risk score robustly stratifies patient prognosis and predicts responsiveness to immunotherapy, while molecular docking highlighted tivozanib as a potential FAHD1-targeting agent.</p>","PeriodicalId":34530,"journal":{"name":"HGG Advances","volume":" ","pages":"100494"},"PeriodicalIF":3.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differential performance of polygenic risk scores for heart disease in Hispanic/Latino subgroups: Findings of the Hispanic Community Health Study/Study of Latinos.","authors":"Christina G Hutten, Frederick J Boehm, Jennifer A Smith, Brian W Spitzer, Sylvia Wassertheil-Smoller, Carmen R Isasi, Jianwen Cai, Jonathan T Unkart, Jiehuan Sun, Victoria Persky, Martha L Daviglus, Tamar Sofer, Maria Argos","doi":"10.1016/j.xhgg.2025.100486","DOIUrl":"10.1016/j.xhgg.2025.100486","url":null,"abstract":"<p><p>Coronary heart disease (CHD) is a leading cause of death among Hispanics/Latinos in the United States (US) whose underrepresentation in genomic research may worsen health disparities. We evaluated predictive performance of polygenic risk scores (PRSs) for myocardial infarction (MI) using data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), a cohort of 16,415 participants from 4 US centers. Standardized CHD-PRSs were derived (LDpred, AnnoPred, stacked clumping and thresholding, and LDPred2-GPSmult) and evaluated in survey-weighted Cox models for time to adjudicated MI, adjusted for age, sex, and first 5 principal components. Analyses were stratified by Caribbean (Puerto Rican, Dominican, or Cuban) and Mainland (Mexican, Central American, or South American) heritage. Concordance statistic (C-index), integrated discrimination improvement (IDI), and net reclassification improvement (NRI) were used to compare PRS performances with traditional risk factors (TRFs). Over 13 years (2008-2021), MI incidence was 1.9% (n = 140/7,248), mean age 48.7 years, 61% female. PRSs showed stronger associations with MI among Mainland participants; LDPred2-GPSmult+TRFs performed best (hazard ratio = 2.09; 95% confidence interval 1.59-2.75; C-index = 0.884; IDI p < 0.001; NRI p < 0.001; and improved C-index over TRFs by 0.008). Among Caribbean participants, AnnoPred+TRFs performed best (C-index = 0.739) and LDPred2-GPSmults discriminated best (IDI p = 0.02), but neither were significantly associated with MI risk. PRS performance remains limited among Caribbean individuals with substantial African ancestry. AnnoPred and LDPred2-GPSmult showed potential that leveraging functional annotations and multi-trait approaches may enhance risk prediction in diverse populations. These findings emphasize the need to optimize genetic risk prediction of CHD in underrepresented Hispanic/Latino populations.</p>","PeriodicalId":34530,"journal":{"name":"HGG Advances","volume":" ","pages":"100486"},"PeriodicalIF":3.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}