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Chunk #30 — Disease risk prediction — Psychiatric disorders

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Polygenic risk scores: from research tools to clinical instruments.
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In Alzheimer’s disease (AD), the three APOE variants (ε2, ε3, and ε4) have been consistently associated with disease risk, making it the strongest single-gene predictor at a population level in neuropsychiatry. However, additional risk variants summarised in a PRS improve the prediction model further. For example, Desikan et al. [61] showed that amongst APOE ε3/3 carriers, PRS modified the expected age of AD onset by more than 10 years between the lowest and highest deciles (hazard ratio 3.34, p = 10−22).