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Chunk #1 — Introduction

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Inclusion of variants discovered from diverse populations improves polygenic risk score transferability.
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gene-environment interactions.4 However, in traits such as BMI and type 2 diabetes, 70%–80% of European-based PRS accuracy loss in African ancestry has been attributed to differences in allele frequency and LD; therefore, most causal variants discovered in Europeans are likely to be shared.5 Recent methods developed to improve PRS accuracy in non-Europeans have prioritized the use of European-discovered variants and population-specific weighting.6, 7, 8 However, only small gains in accuracy are possible with limited sample sizes of non-European cohorts.4