Evidence map›Paper›PMID 41559216›Full record

ReviewNature genetics2026

The polygenic, omnigenic and stratagenic models of complex disease risk.

Judit García-González, Paul F O'Reilly

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature genetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

2 authors.

Judit García-GonzálezDepartment of Genetic and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York City, NY, USA. judit.garciagonzalez@mssm.edu.ORCID 0000-0001-6245-740X
Paul F O'ReillyDepartment of Genetic and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York City, NY, USA. paul.oreilly@mssm.edu.ORCID 0000-0001-7515-0845

Funding

Next-generation, pathway-specific, polygenic risk scoresR01MH122866 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI O'REILLY, PAUL FRANCIS · 2020 to 2024
$3.1M
PATHFINDER: Finding the genomic and clinical pathways underlying heterogeneity in complex diseaseK99HG013547 · NHGRI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GARCIA GONZALEZ, JUDIT · 2024 to 2025
$292k
NHGRI NIH HHS K99 HG013547U.S. Department of Health & Human Services | NIH | National Human Genome Research Institute (NHGRI) K99HG013547U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH122866
6 · The paper itself

Abstract

A key goal of human genetics research is to understand how the effects of genetic variants combine to produce the risk of complex disease. Here we discuss and contrast three conceptual models developed to explain how multigenic risk is generated. The polygenic model, derived from the century-old infinitesimal model, has been the dominant framework for understanding the genetic inheritance of complex traits. More recently, two mechanistic models have been proposed: the omnigenic model, which hypothesizes core genes with direct effects on disease and peripheral genes with regulatory, indirect effects, and what we call the 'stratagenic' model, in which the genetic risk of disease is stratified across genomic pathways of functional relevance. There are key differences in the implications of these models for research, drug development and precision medicine. Therefore, it is essential to determine which model is most accurate for each disease or whether a single model is broadly optimal across complex diseases.

Indexed as

Genetic Predisposition to DiseaseModels, GeneticMultifactorial InheritanceGenetic Risk ScoreGenetic VariationHumans

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.