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Chunk #8 — Predictable basis of disparities in PRS accuracy — Complexities of history, selection, and the environment

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Clinical use of current polygenic risk scores may exacerbate health disparities.
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populations than individual SNPs. Mathematically, we can simplistically think of this in terms of a two-SNP model, in which the sum of two SNP effects is likely to explain more phenotypic variance than the product of the same SNPs. Some machine learning approaches may thus modestly improve PRS accuracy beyond current approaches for some phenotypes52, but most likely for atypical traits with simpler architectures, known interactions, and poor prediction generalizability across populations, such as skin pigmentation53.