Lupus & antiphospholipid syndrome

Multiple polygenic risk scores can improve the prediction of systemic lupus erythematosus in Taiwan

Lupus Sci MedPublished Case-control genome-wide association study

Authors' conclusion

The use of PRSs to predict SLE enables the identification of high-risk patients before abnormal laboratory data were obtained or symptoms were manifested.

Study context

Population
Patients with SLE and controls from China Medical University Hospital in Taiwan
Participants
2,429 vs 48,580
Comparison
SLE vs controls
  • SLEn = 2,429
  • Controlsn = 48,580reference
Outcome
Diagnostic accuracy of polygenic risk score (PRS) models for SLE
Methodological detailssingle-centre, polygenic risk score analysis, Youden Index cut-off points
  • Single-centre
  • Polygenic risk score analysis
  • Youden Index cut-off points

Main finding

As reported in the abstract

Combined PRSs for SLE, ANA, dsDNA and Sm, prediction of SLE

AUC at optimal cut-off points

0.64

Observational data: associations, not effects.

Further findings

Novel genes associated with SLE in Taiwan (genome-wide association study (GWAS))

Some novel genes, e.g. RCC1L and EGLN3, associated with SLE in Taiwan

Human leucocyte antigen (HLA) haplotypes in SLE

HLA-DQA1*01:01 and HLA-DQB1*05:01 carriers at higher risk of being classified into the SLE group

Original publication

Multiple polygenic risk scores can improve the prediction of systemic lupus erythematosus in Taiwan. Lupus Sci Med. Published 9 May 2024. doi:10.1136/lupus-2023-001035

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