Metabolomic and genomic prediction of common diseases in 700,217 participants in three national biobanks

Abstract Identifying individuals at high risk of chronic diseases via easily measured biomarkers could enhance efforts to prevent avoidable illness and death. Using ’omic data can stratify risk for many diseases simultaneously from a single measurement that captures multiple molecular predictors of...

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Main Author: Nightingale Health Biobank Collaborative Group
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-54357-0
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author Nightingale Health Biobank Collaborative Group
author_facet Nightingale Health Biobank Collaborative Group
author_sort Nightingale Health Biobank Collaborative Group
collection DOAJ
description Abstract Identifying individuals at high risk of chronic diseases via easily measured biomarkers could enhance efforts to prevent avoidable illness and death. Using ’omic data can stratify risk for many diseases simultaneously from a single measurement that captures multiple molecular predictors of risk. Here we present nuclear magnetic resonance metabolomics in blood samples from 700,217 participants in three national biobanks. We built metabolomic scores that identify high-risk groups for diseases that cause the most morbidity in high-income countries and show consistent cross-biobank replication of the relative risk of disease for these groups. We show that these metabolomic scores are more strongly associated with disease onset than polygenic scores for most of these diseases. In a subset of 18,709 individuals with metabolomic biomarkers measured at two time points we show that people whose scores change have different risk of disease, suggesting that repeat measurements capture changes both to health status and disease risk possibly due to treatment, lifestyle changes or other factors. Lastly, we assessed the incremental predictive value of metabolomic scores over existing clinical risk scores for multiple diseases and found modest improvements in discrimination for several diseases whose clinical utility, while promising, remains to be determined.
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spelling doaj-art-901a5f1bf5164724aab0d56dff1cbee52025-08-20T02:33:06ZengNature PortfolioNature Communications2041-17232024-11-0115111410.1038/s41467-024-54357-0Metabolomic and genomic prediction of common diseases in 700,217 participants in three national biobanksNightingale Health Biobank Collaborative Group0Nightingale HealthAbstract Identifying individuals at high risk of chronic diseases via easily measured biomarkers could enhance efforts to prevent avoidable illness and death. Using ’omic data can stratify risk for many diseases simultaneously from a single measurement that captures multiple molecular predictors of risk. Here we present nuclear magnetic resonance metabolomics in blood samples from 700,217 participants in three national biobanks. We built metabolomic scores that identify high-risk groups for diseases that cause the most morbidity in high-income countries and show consistent cross-biobank replication of the relative risk of disease for these groups. We show that these metabolomic scores are more strongly associated with disease onset than polygenic scores for most of these diseases. In a subset of 18,709 individuals with metabolomic biomarkers measured at two time points we show that people whose scores change have different risk of disease, suggesting that repeat measurements capture changes both to health status and disease risk possibly due to treatment, lifestyle changes or other factors. Lastly, we assessed the incremental predictive value of metabolomic scores over existing clinical risk scores for multiple diseases and found modest improvements in discrimination for several diseases whose clinical utility, while promising, remains to be determined.https://doi.org/10.1038/s41467-024-54357-0
spellingShingle Nightingale Health Biobank Collaborative Group
Metabolomic and genomic prediction of common diseases in 700,217 participants in three national biobanks
Nature Communications
title Metabolomic and genomic prediction of common diseases in 700,217 participants in three national biobanks
title_full Metabolomic and genomic prediction of common diseases in 700,217 participants in three national biobanks
title_fullStr Metabolomic and genomic prediction of common diseases in 700,217 participants in three national biobanks
title_full_unstemmed Metabolomic and genomic prediction of common diseases in 700,217 participants in three national biobanks
title_short Metabolomic and genomic prediction of common diseases in 700,217 participants in three national biobanks
title_sort metabolomic and genomic prediction of common diseases in 700 217 participants in three national biobanks
url https://doi.org/10.1038/s41467-024-54357-0
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