Longitudinal analysis of genetic susceptibility and body mass index throughout adult life

Song et. al 2017 preprint in Diabetes (Critique by Hannah Lennon)
09 Jan 2018


Single nucleotide polymorphisms

  • SNPs occur once in every 300 nucleotides on average
  • Roughly 10 million SNPs in the human genome
  • Most commonly, these variations are found in the DNA between genes. Can act as biological markers, helping scientists locate genes that are associated with disease.
  • When SNPs occur within a gene or in a regulatory region near a gene, they may play a more direct role in disease by affecting the gene’s function.

Background: Nature paper, Locke et al, 2013 with n=339,224

  • 97 BMI-associated SNPs each with an \( \hat \beta>0 \) effect size indicating up-regulation of expression with the allele


BMI-associated SNPs

Genetic Risk Score (GRS) has values from 0 to 194 and defined by \( GRS=\frac{97 \times \sum_{i=1}^{97} \beta_i x_i }{\sum_{i=1}^{97} \beta_i} \) where \( SNP_i \) is recoded to \( x_i=0,1,2 \) according to number of risk alleles

  • Each unit of GRS represents one risk allele

Song study aim: Assess the relationship of BMI over adulthood (ages 18/21 and 45-75) with GRS Question: Is the effect of genetic risk of adult BMI and changes in BMI modified by age? (Test for an interaction Age:GRS)

Data n~10k women, 6.5k men with a genetic data GRS

  • with BMI recorded by questionnaire every 2 years and the average used for ages 45, 50, 55, 60,…, 80, 85 years

For person \( i=1, \dots, n, \, \) at time \( t = 18/21, 45, \dots, 85 \), \( Model \, 1: \quad BMI_{it} = \beta_0 + {\color{red} \beta_1} GRS^*_{i} + \beta_2 age_{it} + \epsilon_{it}, \) \( Model \, 2: \quad BMI_{it} = \beta_0 + { \color{red} \beta_1 GRS^*_{i}} + \beta_{2} age_{it} + b_0 age_{it} + \epsilon_{it}, \) \( Model \, 3: \quad BMI_{it} = \beta_0 + { \color{red} \beta_1 GRS^*_{i}} + \beta_{2} age_{it} + \beta_{3} age^2_{it} + b_0 age_{it} + \epsilon_{it}, \)

Conclusion 1: Effect modicication of GRS:Change in BMI in Women only

For each time period 18-45, 45-65 and 65-80

\( Stratified \, Model: \quad \Delta BMI_{i} = \beta_0 + { \color{red} \beta_1 GRS^*_{i}} + \epsilon_{i}, \)

Critique

  • Requires a clearer description of statitsical methods used
  • GRS defined as '1 unit represents 1 risk allele' but the paper uses 10-allele increments
  • States a peak of GRS:BMI assoc of men at 45y but only has BMI at 21,45-85 years
  • Recall BMI at 18/21 years
  • Analysis uses the most recent GWAS SNPs from 2015
  • Used GWAS derived in European ancestry cohort

Strengths

  • Considers BMI at 10 ages and change of BMI associations
  • 97 SNPs \( {\color{orange}>} \) 32 SNPs
  • BMI at middle-later life ages \( {\color{orange}>} \) early->middle