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Estimation of direct and indirect polygenic effects and gene-environment interactions using polygenic scores in case-parent trio studies

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  • PGS-TRI framework estimates direct and indirect polygenic effects and gene-environment interactions in case-parent trio studies, including asymmetric maternal and paternal indirect effects.
  • Simulations demonstrate robustness to complex population structure and assortative mating, ensuring unbiased estimation under realistic confounding scenarios.
  • Applied to 18,383 autism and 1,904 orofacial cleft trios, PGS-TRI revealed transmission based direct effects, asymmetric parental indirect effects and maternal PGS interactions.
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Nat Genet. 2026 Jun 2. doi: 10.1038/s41588-026-02601-2. Online ahead of print.

ABSTRACT

We have proposed PGS-TRI, a framework for analyzing polygenic scores (PGSs) in case-parent trio studies that estimate the risk of an index condition associated with direct PGS effects, gene-environment interactions and asymmetrical maternal and paternal indirect effects. Simulations confirm its robustness in the presence of complex population structure and assortative mating. Applied to multi-ancestry autism spectrum disorders (ASD) trios (ntrio = 18,383), PGS-TRI yielded transmission-based direct effects of PGSs for ASD and other neurocognitive traits along a genetic ancestry continuum, and identified asymmetrical indirect effects of parental PGSs for body mass index and neurocognitive traits on children’s ASD risk. In a trio study of European and Asian orofacial clefts (OFCs) (ntrio = 1,904), PGS-TRI estimated direct and indirect effects of an established PGS and its interaction with maternal risk factors. Finally, we applied PGS-TRI to large-scale, transcriptome-wide and metabolome-wide traits to examine their direct and indirect effects on ASD and OFC risk.

PMID:42230772 | DOI:10.1038/s41588-026-02601-2

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