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+ Genetic Risk Scores Chelsea Thomas & Haley McPeek + What is a Genetic Risk Score? A genetic risk score (GRS) is “a kind of summary of genetic risk from all the different variants in the genome that GWAS (genome wide association studies) had identified as predisposing” a certain disease or disorder. They are multi-locus profiles of genetic risk based on genotypes at multiple single nucleotide polymorphisms (SNPs). Certain loci are known to be genetic risks for developing a disease (like schizophrenia), and the GRS is what measures these risks. + GWAS & SNPs A Genome Wide Association Study is a method where genomes are rapidly scanned across many people in order to find genetic variations associated with a particular disease. They are then put into a database to be compared with other’s DNA. SNPs are simply these different genetic variations. If a SNP is located within a gene, it may play a more direct role in disease by affecting that gene’s function. + Schizophrenia Gene Database SZGene The table lists all genetic loci with at least one nominally significant meta-analysis result in SZGene. Loci are ranked by statistical significance (P-value). A grade "A" is assigned when the total number of minor alleles of cases and controls combined in the meta-analyses exceeds 1,000, "B" when it is between 100 and 1,000, and "C" when it is less than 100. + Calculating GRS SNPs that have been correlated with a certain disease (like schizophrenia, for example) are selected. The number of risk alleles are also selected. Using a complicated formula, these two factors are what go into computing a GRS: + Understanding what different genetic risk scores mean In order for us to understand what different GRS scores mean, we can look at two pretend patients. Patient 1: AA, GG, TT, CT, AG, TT, GG / Patient 2: GG, GG, TT, TT, GC, CC, GC This Researcher has made an online calculator where patients and doctors can use 7 genetic markers to determine their GRS for IgA Nephropathy (a biomarker for kidney disorders). http://www.columbiamedicine.org/divisions/gharavi/calc_g enetic.php + Applying it to schizophrenia + Applying it to schizophrenia (cont.) GRS in today’s reading was used by calculating a GRS for each participant based on 41 SNPs. They were examining GRS and working memory. They found that GRS did not correlate with age, SIRP performance, parental SES, or IQ. There were no significant correlations between GRS and cumulative and current drug doses, nor negative/positive symptoms. Score didn’t differ between gender, diagnostic group, or race. + What does it mean? GRS for schizophrenia positively correlated with increased working memory (WM)-related DLPFC activity. However, GRS could not be correlated with symptom severity, population stratification, or group difference in WM performance. Researchers concluded based on the fact that GRS was linked only to brain function and not performance/symptom severity that GRS reflects different genetic aspects that aren’t well represented in the clinical/cognitive performances of patients. + http://sites.duke.edu/danbelsky/tag/genetic-risk-score/ http://cran.rproject.org/web/packages/gtx/vignettes/ashg2012.pdf http://ghr.nlm.nih.gov/handbook/genomicresearch/snp http://web.archive.org/web/20110909085812/http://www.sz gene.org/TopResults.asp