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Chunk #37 — Discussion

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Theoretical and empirical quantification of the accuracy of polygenic scores in ancestry divergent populations.
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We note a few limitations to our study. First, our model uses LD and MAF estimated from a reference panel. We have shown the effectiveness of this strategy in population of homogenous ancestry; however, its application remains challenging in admixed populations with complex LD patterns and demographic history. In addition, our theoretical approach cannot be directly applied to predict the RA of PGS using SNP effects estimated from a trans-ancestry meta-analysis, although a straightforward extension could be derived for fixed-effects trans-ancestry meta-analyses. In practice, random effect models, which already accounts for allele frequency differences between ancestries, are often preferred over fixed-effects models. Therefore, we acknowledge that further theoretical work is required to address that specific question. Secondly, we only analysed common SNPs (with MAF >0.01 in each ancestry) in all populations, which limits the generalization of our conclusions to rarer variants. Indeed, rare variants are more likely to be population specific and are usually poorly imputed using a small imputation reference panel. Thirdly, our study has focused on PGS calculated from GWS SNPs alone while other methods such as LDpred37