Genetic liability estimated from large-scale family data improves genetic prediction, risk score profiling, and gene mapping for major depression

Morten Dybdahl Krebs*, Kajsa Lotta Georgii Hellberg, Mischa Lundberg, Vivek Appadurai, Henrik Ohlsson, Emil Pedersen, Jette Steinbach, Jamie Matthews, Richard Border, Sonja LaBianca, Xabier Calle, Joeri J. Meijsen, Andrés Ingason, Alfonso Buil, Bjarni J. Vilhjálmsson, Jonathan Flint, Silviu Alin Bacanu, Na Cai, Andy Dahl, Noah ZaitlenThomas Werge, Kenneth S. Kendler, Andrew J. Schork*, iPSYCH Study Consortium

*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Abstract

Large biobank samples provide an opportunity to integrate broad phenotyping, familial records, and molecular genetics data to study complex traits and diseases. We introduce Pearson-Aitken Family Genetic Risk Scores (PA-FGRS), a method for estimating disease liability from patterns of diagnoses in extended, age-censored genealogical records. We then apply the method to study a paradigmatic complex disorder, major depressive disorder (MDD), using the iPSYCH2015 case-cohort study of 30,949 MDD cases, 39,655 random population controls, and more than 2 million relatives. We show that combining PA-FGRS liabilities estimated from family records with molecular genotypes of probands improves three lines of inquiry. Incorporating PA-FGRS liabilities improves classification of MDD over and above polygenic scores, identifies robust genetic contributions to clinical heterogeneity in MDD associated with comorbidity, recurrence, and severity and can improve the power of genome-wide association studies. Our method is flexible and easy to use, and our study approaches are generalizable to other datasets and other complex traits and diseases.

Original languageEnglish
JournalAmerican Journal of Human Genetics
Volume111
Issue11
Pages (from-to)2494-2509
Number of pages16
ISSN0002-9297
DOIs
Publication statusPublished - 7 Nov 2024

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