Cited by 1,033Genetic Associations and EpidemiologyRace, Genetics, and SocietyForensic and Genetic Research

Genetic analyses of diverse populations improves discovery for complex traits

Open access
Wojcik, Genevieve L., Graff, Mariaelisa, Nishimura, Katherine K., Tao, Ran, Haessler, Jeffrey, Gignoux, Christopher R., Highland, Heather M., Patel, Yesha M. +78 more·2019·Nature

Abstract

Genome-wide association studies (GWAS) have laid the foundation for investigations into the biology of complex traits, drug development and clinical guidelines. However, the majority of discovery efforts are based on data from populations of European ancestry 1-3. In light of the differential genetic architecture that is known to exist between populations, bias in representation can exacerbate existing disease and healthcare disparities. Critical variants may be missed if they have a low frequency or are completely absent in European populations, especially as the field shifts its attention towards rare variants, which are more likely to be population-specific 4-10. Additionally, effect sizes and their derived risk prediction scores derived in one population may not accurately extrapolate to other populations 11,12. Here we demonstrate the value of diverse, multi-ethnic participants in large-scale genomic studies. The Population Architecture using Genomics and Epidemiology (PAGE) study conducted a GWAS of 26 clinical and behavioural phenotypes in 49,839 non-European individuals. Using strategies tailored for analysis of multi-ethnic and admixed populations, we describe a framework for analysing diverse populations, identify 27 novel loci and 38 secondary signals at known loci, as well as replicate 1,444 GWAS catalogue associations across these traits. Our data show evidence of effect-size heterogeneity across ancestries for published GWAS associations, substantial benefits for fine-mapping using diverse cohorts and insights into clinical implications. In the United States-where minority populations have a disproportionately higher burden of chronic conditions 13-the lack of representation of diverse populations in genetic research will result in inequitable access to precision medicine for those with the highest burden of disease. We strongly advocate for continued, large genome-wide efforts in diverse populations to maximize genetic discovery and reduce health disparities.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1038/s41586-019-1310-4

Cites

54 of 54 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The field lacks adequate genetic data on determinants of A1C in diverse populations.

    “There is an emerging understanding of the genetic determinants of A1C (21), but the fi eld lacks adequate genetic data in diverse populations (26,27).”
  • Increasing sample size, improved access to trans-ethnic data, and more representative imputation reference panels provide a path to improved resolution of causal variants and clues to molecular mechanisms.

    “Increasing sample size, improved access to trans-ethnic data, and more representative imputation reference panels3 provide a path to improved resolution of the causal variants59 and clues to the molecular mechanisms through which they operate.”

    From A brief history of human disease genetics (2020) · cites this paper as [59]

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Wojcik, G. L., Graff, M., Nishimura, K. K., Tao, R., Haessler, J., Gignoux, C. R., Highland, H. M., Patel, Y. M., Sorokin, E. P., Avery, C. L., Belbin, G. M., Bien, S. A., Cheng, I., Cullina, S., Hodonsky, C. J., Hu, Y., Huckins, L. M., Jeff, J., Justice, A. E., Kocarnik, J. M., Lim, U., Lin, B. M., Lu, Y., Nelson, S. C., Park, S.-S. L., Poisner, H., Preuss, M. H., Richard, M. A., Schurmann, C., Setiawan, V. W., Sockell, A., Vahi, K., Verbanck, M., Vishnu, A., Walker, R. W., Young, K. L., Zubair, N., Acuña-Alonso, V., Ambite, J. L., Barnes, K. C., Boerwinkle, E., Bottinger, E. P., Bustamante, C. D., Caberto, C., Canizales-Quinteros, S., Conomos, M. P., Deelman, E., Do, R., Doheny, K., Fernández-Rhodes, L., Fornage, M., Hailu, B., Heiss, G., Henn, B. M., Hindorff, L. A., Jackson, R. D., Laurie, C. A., Laurie, C. C., Li, Y., Lin, D.-Y., Moreno-Estrada, A., Nadkarni, G., Norman, P. J., Pooler, L. C., Reiner, A. P., Romm, J., Sabatti, C., Sandoval, K., Sheng, X., Stahl, E. A., Stram, D. O., Thornton, T. A., Wassel, C. L., Wilkens, L. R., Winkler, C. A., Yoneyama, S., Buyske, S., Haiman, C. A., Kooperberg, C., Le Marchand, L., Loos, R. J. F., Matise, T. C., North, K. E., Peters, U., Kenny, E. E., & Carlson, C. S.
Affiliations
  • Stanford University (US)
  • University of North Carolina at Chapel Hill (US)
  • Fred Hutch Cancer Center (US)
  • Vanderbilt University Medical Center (US)
  • University of Colorado Anschutz (US)
  • University of Southern California (US)
  • Icahn School of Medicine at Mount Sinai (US)
  • University of California, San Francisco (US)
  • University of Hawaii Cancer Center (US)
  • University of Washington (US)
  • Brown Foundation (US)
  • Hasso Plattner Institute (DE)
  • The University of Texas Health Science Center at Houston (US)
  • Johns Hopkins University (US)
  • National Institutes of Health (US)
  • University of California, Davis (US)
  • The Ohio State University Wexner Medical Center (US)
  • Cancer Prevention Institute of California (US)
  • University of Vermont (US)
  • Frederick National Laboratory for Cancer Research (US)
  • Rutgers, The State University of New Jersey (US)
Corresponding author
  • Kenny, Eimear E.
  • Carlson, Christopher S.
Venue
Nature
Published
2019-06
Volume
570
Issue
7762
Pages
514-518
ISSN
  • 0028-0836 (ISSN-L)
  • 1476-4687
OpenAlex
W2952013316
Cited by
1,033
References
54
Citations by year
2026: 94 · 2025: 134 · 2024: 166 · 2023: 163 · 2022: 162 · 2021: 157 · 2020: 117 · 2019: 38 · 2018: 2
FWCI
71.48
Type
journal article
Language
en
Open access
Locations
  • Nature (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Rutgers University Community Repository (Rutgers University) (submittedVersion)
  • Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • UNC Libraries
Funders
  • National Institutes of Health (2r24hd050924-06, n01hc65235-13-0-1, n01hc65234-5-0-0, n01hc65237-14-0-1, HHSN268201100004C, n01hc65236-16-0-1, n01hc65233-9-0-0, HHSN268201100001C, HHSN268201100002C, KL2TR001109, KL2TR000421, HHSN268201100003C)
  • National Institute on Aging (HHSN-271-2011-00004C,)
  • National Heart, Lung, and Blood Institute (N01 HC065235, HHSN2682011-00001I, R01HL104608, HHSN2682011-00002I, N01 HC065237, N01 HC065234, HHSN268201200008I, HHSN2682011‐00004I, HHSN268201200008C, N01 HC065236, HHSN268201100046C, N01 HC065233, HHSN2682011-00003I, K99HL130580, T32HL007055)
  • National Human Genome Research Institute (U01HG007416, U01HG007417, K22HG000044, U01HG007397, U01HG007419, U01HG009080, U01HG007376, T32HG000044)
  • National Cancer Institute (R01CA082659, P01CA142538, R25CA094880, U01CA164973)
  • National Institute of General Medical Sciences (P01GM099568, R01GM047845)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK101855)
  • National Center for Advancing Translational Sciences
  • National Institute on Minority Health and Health Disparities (L60 MD008384)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24 HD-050924, P2CHD050924, T32HD007168, T32HD049311)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Race, Genetics, and Society
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Forensic and Genetic Research
Keywords
multi-ethnic population, admixed populations, non-European ancestry, complex traits, PAGE study, fine mapping, rare variants, genetic discovery, health disparities, precision medicine
MeSH terms
Health Equity, Black or African American, Body Height, Female, Genetics, Medical, Hispanic or Latino, Humans, Male, Minority Groups, United States, Cohort Studies, Women's Health, Multifactorial Inheritance, Black People, Asian People, Health Status Disparities, Genome-Wide Association Study

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review