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Chunk #34 — Discussion

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Inclusion of variants discovered from diverse populations improves polygenic risk score transferability.
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Our work shows that incorporating variants selected from European GWASs into a PRS can result in less-accurate prediction in non-European and admixed populations in comparison to variants selected from a well-powered African ancestry GWAS. Through simulations and application to real data analysis of multiple complex traits, we provide empirical evidence that supports the use of a linear mixture of multiple population-derived PRSs to remove bias with ancestry and achieve higher accuracy in admixed individuals with currently available non-European sample sizes. We also demonstrate the anticipated improvements in PRS prediction accuracy that may be achieved with the inclusion of diverse individuals in GWAS, highlighting the need to actively recruit non-European populations.