Evidence map›Paper›PMID 39670376›Full record

ArticlePacific Symposium on Biocomputing. Pacific Symposium on Biocomputing2025

Constructing a multi-ancestry polygenic risk score for uterine fibroids using publicly available data highlights need for inclusive genetic research.

Jessica L G Winters, Jacqueline A Piekos, Jacklyn N Hellwege, Ozan Dikilitas, Iftikhar J Kullo, Daniel J Schaid, Todd L Edwards, Digna R Velez Edwards

Abstract read
In one paragraph

Article in Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jessica L G WintersVanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN 37203, USA.
Jacqueline A PiekosVanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN 37203, USA.
Jacklyn N HellwegeVanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN 37203, USA.
Ozan DikilitasDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Iftikhar J KulloDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Daniel J SchaidDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN 55905, USA.
Todd L EdwardsDivision of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37203, USA, todd.l.edwards@vumc.org.
Digna R Velez EdwardsDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, USA, digna.r.velez.edwards@vumc.org.

Funding

Building Interdisciplinary Research Careers in Women's HealthK12HD043483 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARTMANN, KATHERINE E, MAJOR, AMY S · 2002 to 2023
$10.3M
Vanderbilt Genome-Electronic Records (VGER) ProjectU01HG011181 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DAN M RODEN, Digna R Velez Edwards · 2020 to 2026
$7.0M
Initiative for Maximizing Student Development (IMSD) at VanderbiltT32GM139800 · NIGMS · VANDERBILT UNIVERSITY · PI RHOADES (STERLING), JULIE A, SEREZANI, C. HENRIQUE · 2021 to 2025
$3.7M
Large-scale studies in eMERGE to discover the genetic determinants of uterine fibroidsR01HD093671 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI EDWARDS, TODD L, VELEZ EDWARDS, DIGNA R · 2017 to 2021
$3.3M
Understanding the genetic risk underlying racial disparities in uterine fibroids - Diversity SupplementR01HD074711 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI VELEZ EDWARDS, DIGNA R · 2013 to 2017
$2.9M
Evaluating the impact of altered gene expression on uterine fibroid risk in African ancestry populationsR01HD112169 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Todd L Edwards, Digna R Velez Edwards · 2024 to 2026
$2.1M
Building Interdisciplinary Research Careers in Women's HealthK12AR084232 · NIAMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI AMY S MAJOR, Digna R Velez Edwards · 2023 to 2026
$1.3M
Using the Exome to Discover Genetic Determinants of Fibroids in African AmericansR03HD078567 · NICHD · VANDERBILT UNIVERSITY · PI VELEZ EDWARDS, DIGNA R · 2014 to 2015
$155k
NHGRI NIH HHS U01 HG011181NIAMS NIH HHS K12 AR084232NICHD NIH HHS K12 HD043483NICHD NIH HHS R01 HD074711NICHD NIH HHS R01 HD093671NICHD NIH HHS R01 HD112169NICHD NIH HHS R03 HD078567NIGMS NIH HHS T32 GM139800
6 · The paper itself

Abstract

Uterine leiomyomata, or fibroids, are common gynecological tumors causing pelvic and menstrual symptoms that can negatively affect quality of life and child-bearing desires. As fibroids grow, symptoms can intensify and lead to invasive treatments that are less likely to preserve fertility. Identifying individuals at highest risk for fibroids can aid in access to earlier diagnoses. Polygenic risk scores (PRS) quantify genetic risk to identify those at highest risk for disease. Utilizing the PRS software PRS-CSx and publicly available genome-wide association study (GWAS) summary statistics from FinnGen and Biobank Japan, we constructed a multi-ancestry (META) PRS for fibroids. We validated the META PRS in two cross-ancestry cohorts. In the cross-ancestry Electronic Medical Record and Genomics (eMERGE) Network cohort, the META PRS was significantly associated with fibroid status and exhibited 1.11 greater odds for fibroids per standard deviation increase in PRS (95% confidence interval [CI]: 1.05 - 1.17, p = 5.21x10-5). The META PRS was validated in two BioVU cohorts: one using ICD9/ICD10 codes and one requiring imaging confirmation of fibroid status. In the ICD cohort, a standard deviation increase in the META PRS increased the odds of fibroids by 1.23 (95% CI: 1.15 - 1.32, p = 9.68x10-9), while in the imaging cohort, the odds increased by 1.26 (95% CI: 1.18 - 1.35, p = 2.40x10-11). We subsequently constructed single ancestry PRS for FinnGen (European ancestry [EUR]) and Biobank Japan (East Asian ancestry [EAS]) using PRS-CS and discovered a nominally significant association in the eMERGE cohort within fibroids and EAS PRS but not EUR PRS (95% CI: 1.09 - 1.20, p = 1.64x10-7). These findings highlight the strong predictive power of multi-ancestry PRS over single ancestry PRS. This study underscores the necessity of diverse population inclusion in genetic research to ensure precision medicine benefits all individuals equitably.

Indexed as

Computational BiologyGenetic Predisposition to DiseaseGenome-Wide Association StudyLeiomyomaMultifactorial InheritanceUterine NeoplasmsAdultCohort StudiesDatabases, GeneticFemaleGenetic ResearchGenetic Risk ScoreHumansJapanPolymorphism, Single NucleotideRisk Assessment

Identifiers

PMID39670376
PMCPMC11731894

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.