Systematic comparison of phenome-wide association study of electronic medical record data and genome-wide association study data

When applied in large scale to electronic medical record data, the PheWAS approach replicates GWAS associations and reveals potentially new pleiotropic associations. Candidate gene and genome-wide association studies (GWAS) have identified genetic variants that modulate risk for human disease; many...

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Veröffentlicht in:Nature biotechnology 2013-12, Vol.31 (12), p.1102-1111
Hauptverfasser: Denny, Joshua C, Bastarache, Lisa, Ritchie, Marylyn D, Carroll, Robert J, Zink, Raquel, Mosley, Jonathan D, Field, Julie R, Pulley, Jill M, Ramirez, Andrea H, Bowton, Erica, Basford, Melissa A, Carrell, David S, Peissig, Peggy L, Kho, Abel N, Pacheco, Jennifer A, Rasmussen, Luke V, Crosslin, David R, Crane, Paul K, Pathak, Jyotishman, Bielinski, Suzette J, Pendergrass, Sarah A, Xu, Hua, Hindorff, Lucia A, Li, Rongling, Manolio, Teri A, Chute, Christopher G, Chisholm, Rex L, Larson, Eric B, Jarvik, Gail P, Brilliant, Murray H, McCarty, Catherine A, Kullo, Iftikhar J, Haines, Jonathan L, Crawford, Dana C, Masys, Daniel R, Roden, Dan M
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container_end_page 1111
container_issue 12
container_start_page 1102
container_title Nature biotechnology
container_volume 31
creator Denny, Joshua C
Bastarache, Lisa
Ritchie, Marylyn D
Carroll, Robert J
Zink, Raquel
Mosley, Jonathan D
Field, Julie R
Pulley, Jill M
Ramirez, Andrea H
Bowton, Erica
Basford, Melissa A
Carrell, David S
Peissig, Peggy L
Kho, Abel N
Pacheco, Jennifer A
Rasmussen, Luke V
Crosslin, David R
Crane, Paul K
Pathak, Jyotishman
Bielinski, Suzette J
Pendergrass, Sarah A
Xu, Hua
Hindorff, Lucia A
Li, Rongling
Manolio, Teri A
Chute, Christopher G
Chisholm, Rex L
Larson, Eric B
Jarvik, Gail P
Brilliant, Murray H
McCarty, Catherine A
Kullo, Iftikhar J
Haines, Jonathan L
Crawford, Dana C
Masys, Daniel R
Roden, Dan M
description When applied in large scale to electronic medical record data, the PheWAS approach replicates GWAS associations and reveals potentially new pleiotropic associations. Candidate gene and genome-wide association studies (GWAS) have identified genetic variants that modulate risk for human disease; many of these associations require further study to replicate the results. Here we report the first large-scale application of the phenome-wide association study (PheWAS) paradigm within electronic medical records (EMRs), an unbiased approach to replication and discovery that interrogates relationships between targeted genotypes and multiple phenotypes. We scanned for associations between 3,144 single-nucleotide polymorphisms (previously implicated by GWAS as mediators of human traits) and 1,358 EMR-derived phenotypes in 13,835 individuals of European ancestry. This PheWAS replicated 66% (51/77) of sufficiently powered prior GWAS associations and revealed 63 potentially pleiotropic associations with P < 4.6 × 10 −6 (false discovery rate < 0.1); the strongest of these novel associations were replicated in an independent cohort ( n = 7,406). These findings validate PheWAS as a tool to allow unbiased interrogation across multiple phenotypes in EMR-based cohorts and to enhance analysis of the genomic basis of human disease.
doi_str_mv 10.1038/nbt.2749
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Candidate gene and genome-wide association studies (GWAS) have identified genetic variants that modulate risk for human disease; many of these associations require further study to replicate the results. Here we report the first large-scale application of the phenome-wide association study (PheWAS) paradigm within electronic medical records (EMRs), an unbiased approach to replication and discovery that interrogates relationships between targeted genotypes and multiple phenotypes. We scanned for associations between 3,144 single-nucleotide polymorphisms (previously implicated by GWAS as mediators of human traits) and 1,358 EMR-derived phenotypes in 13,835 individuals of European ancestry. This PheWAS replicated 66% (51/77) of sufficiently powered prior GWAS associations and revealed 63 potentially pleiotropic associations with P &lt; 4.6 × 10 −6 (false discovery rate &lt; 0.1); the strongest of these novel associations were replicated in an independent cohort ( n = 7,406). 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Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nature biotechnology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Denny, Joshua C</au><au>Bastarache, Lisa</au><au>Ritchie, Marylyn D</au><au>Carroll, Robert J</au><au>Zink, Raquel</au><au>Mosley, Jonathan D</au><au>Field, Julie R</au><au>Pulley, Jill M</au><au>Ramirez, Andrea H</au><au>Bowton, Erica</au><au>Basford, Melissa A</au><au>Carrell, David S</au><au>Peissig, Peggy L</au><au>Kho, Abel N</au><au>Pacheco, Jennifer A</au><au>Rasmussen, Luke V</au><au>Crosslin, David R</au><au>Crane, Paul K</au><au>Pathak, Jyotishman</au><au>Bielinski, Suzette J</au><au>Pendergrass, Sarah A</au><au>Xu, Hua</au><au>Hindorff, Lucia A</au><au>Li, Rongling</au><au>Manolio, Teri A</au><au>Chute, Christopher G</au><au>Chisholm, Rex L</au><au>Larson, Eric B</au><au>Jarvik, Gail P</au><au>Brilliant, Murray H</au><au>McCarty, Catherine A</au><au>Kullo, Iftikhar J</au><au>Haines, Jonathan L</au><au>Crawford, Dana C</au><au>Masys, Daniel R</au><au>Roden, Dan M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic comparison of phenome-wide association study of electronic medical record data and genome-wide association study data</atitle><jtitle>Nature biotechnology</jtitle><stitle>Nat Biotechnol</stitle><addtitle>Nat Biotechnol</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>31</volume><issue>12</issue><spage>1102</spage><epage>1111</epage><pages>1102-1111</pages><issn>1087-0156</issn><eissn>1546-1696</eissn><abstract>When applied in large scale to electronic medical record data, the PheWAS approach replicates GWAS associations and reveals potentially new pleiotropic associations. Candidate gene and genome-wide association studies (GWAS) have identified genetic variants that modulate risk for human disease; many of these associations require further study to replicate the results. Here we report the first large-scale application of the phenome-wide association study (PheWAS) paradigm within electronic medical records (EMRs), an unbiased approach to replication and discovery that interrogates relationships between targeted genotypes and multiple phenotypes. We scanned for associations between 3,144 single-nucleotide polymorphisms (previously implicated by GWAS as mediators of human traits) and 1,358 EMR-derived phenotypes in 13,835 individuals of European ancestry. This PheWAS replicated 66% (51/77) of sufficiently powered prior GWAS associations and revealed 63 potentially pleiotropic associations with P &lt; 4.6 × 10 −6 (false discovery rate &lt; 0.1); the strongest of these novel associations were replicated in an independent cohort ( n = 7,406). These findings validate PheWAS as a tool to allow unbiased interrogation across multiple phenotypes in EMR-based cohorts and to enhance analysis of the genomic basis of human disease.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>24270849</pmid><doi>10.1038/nbt.2749</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1087-0156
ispartof Nature biotechnology, 2013-12, Vol.31 (12), p.1102-1111
issn 1087-0156
1546-1696
language eng
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source MEDLINE; SpringerLink Journals; Nature Journals Online
subjects 631/208/205
692/308/575
692/699
Agriculture
Analysis
Bioinformatics
Biomedical Engineering/Biotechnology
Biomedicine
Biotechnology
Chromosome Mapping - methods
Data analysis
Data Mining - methods
Disease susceptibility
Electronic health records
Electronic Health Records - statistics & numerical data
Genetic aspects
Genetic Predisposition to Disease - epidemiology
Genetic Predisposition to Disease - genetics
Genetic variance
Genome-Wide Association Study - methods
Genome-Wide Association Study - statistics & numerical data
Genomics
Genotype & phenotype
Genotypes
Humans
Life Sciences
Medical Record Linkage - methods
Medical records
Phenotype
Polymorphism, Single Nucleotide - genetics
title Systematic comparison of phenome-wide association study of electronic medical record data and genome-wide association study data
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