eprintid: 10161825 rev_number: 6 eprint_status: archive userid: 699 dir: disk0/10/16/18/25 datestamp: 2022-12-15 09:18:55 lastmod: 2022-12-15 09:18:55 status_changed: 2022-12-15 09:18:55 type: article metadata_visibility: show sword_depositor: 699 creators_name: Mukadam, Naaheed creators_name: Giannakopoulou, Olga creators_name: Bass, Nick creators_name: Kuchenbaecker, Karoline creators_name: McQuillin, Andrew title: Genetic risk scores and dementia risk across different ethnic groups in UK Biobank ispublished: pub divisions: UCL divisions: B02 divisions: C07 divisions: D79 divisions: FH4 divisions: FH5 keywords: Humans, Biological Specimen Banks, Social Group, Risk Factors, Dementia, United Kingdom note: © 2022 Mukadam et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. abstract: BACKGROUND: Genetic Risk Scores (GRS) for predicting dementia risk have mostly been used in people of European ancestry with limited testing in other ancestry groups. METHODS: We conducted a logistic regression with all-cause dementia as the outcome and z-standardised GRS as the exposure across diverse ethnic groups. FINDINGS: There was variation in frequency of APOE alleles across ethnic groups. Per standard deviation (SD) increase in z-GRS including APOE, the odds ratio (OR) for dementia was 1.73 (95%CI 1.69-1.77). Z-GRS excluding APOE also increased dementia risk (OR 1.21 per SD increase, 95% CI 1.18-1.24) and there was no evidence that ethnicity modified this association. Prediction of secondary outcomes was less robust in those not of European ancestry when APOE was excluded from the GRS. INTERPRETATION: z-GRS derived from studies in people of European ancestry can be used to quantify genetic risk in people from more diverse ancestry groups. Urgent work is needed to include people from diverse ancestries in future genetic risk studies to make this field more inclusive. date: 2022-12-07 date_type: published publisher: Public Library of Science (PLoS) official_url: https://doi.org/10.1371/journal.pone.0277378 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1995236 doi: 10.1371/journal.pone.0277378 medium: Electronic-eCollection pii: PONE-D-22-19235 lyricists_name: Bass, Nicholas James lyricists_name: Kuchenbaecker, Karoline lyricists_name: Mukadam, Naaheed lyricists_id: NJBAS95 lyricists_id: KBEKK98 lyricists_id: NMUKA20 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner funding_acknowledgements: AS-SF-18b-001 [Alzheimer's Society] full_text_status: public publication: PLoS One volume: 17 number: 12 article_number: e0277378 event_location: United States issn: 1932-6203 citation: Mukadam, Naaheed; Giannakopoulou, Olga; Bass, Nick; Kuchenbaecker, Karoline; McQuillin, Andrew; (2022) Genetic risk scores and dementia risk across different ethnic groups in UK Biobank. PLoS One , 17 (12) , Article e0277378. 10.1371/journal.pone.0277378 <https://doi.org/10.1371/journal.pone.0277378>. Green open access document_url: https://discovery-pp.ucl.ac.uk/id/eprint/10161825/1/journal.pone.0277378.pdf