Cited by 255Genomics and Rare DiseasesRace, Genetics, and SocietyGenetic Associations and Epidemiology

Unequal representation of genetic variation across ancestry groups creates healthcare inequality in the application of precision medicine

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Petrovski, Slavé, Goldstein, David B.·2016·Genome Biology

Abstract

An important application of modern genomics is diagnosing genetic disorders. We use the largest publicly available exome sequence database to show that this key clinical service can currently be performed much more effectively in individuals of European genetic ancestry.

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  • Including individuals of non-European ancestries in genetic studies promotes healthcare equity and boosts genetic discoveries.

    “Including individuals of non-European ancestries in genetic studies promotes healthcare equity and boosts genetic discoveries11,30.”

    From Rare variant associations with plasma protein levels in the UK Biobank (2023) · cites this paper as [30]

    The Conclusions (page unavailable) say that increasing ancestry diversity in sequenced reference cohorts improves genomic interpretation for non-European individuals and helps prevent healthcare inequalities. The paper also describes improved identification of candidate variants, but it does not establish the broader claim that inclusion boosts genetic discoveries. (LLM, conf=0.82)

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Research works printed but not linked: 8

  1. [1]Need AC Goldstein DB Next generation disparities in human genomics: concerns and remedies Trends Genet 2009 25 489 94 10.1016/j.tig.2009.09.012 19836853 · DOI · Paper page
  2. [2]Bustamante CD Burchard EG De la Vega FM Genomics for the world Nature 2011 475 163 5 10.1038/475163a 21753830 PMC3708540 · DOI
  3. [3]Bustamante CD, Fledel-Alon A, Williamson S, Nielsen R, Hubisz MT, Glanowski S, Tanenbaum DM, White TJ, Sninsky JJ, Hernandez RD, et al. Natural selection on protein-coding genes in the human genome. Nature. 2005;437:1153–7. 16237444
  4. [4]Kimura M. The Neutral Theory of Molecular Evolution. 1st ed. Cambridge: Cambridge University Press, 1983. Cambridge Books Online. http://dx.doi.org/10.1017/CBO9780511623486. · DOI
  5. [6]Gravel S, Henn BM, Gutenkunst RN, Indap AR, Marth GT, Clark AG, Yu F, Gibbs RA, Genomes P, Bustamante CD. Demographic history and rare allele sharing among human populations. Proc Natl Acad Sci U S A. 2011;108:11983–8. PMC3142009 21730125
  6. [7]Lek M, Karczewski K, Minikel E, Samocha K, Banks E, Fennell T, O'Donnell-Luria A, Ware J, Hill A, Cummings B, et al. Analysis of protein-coding genetic variation in 60,706 humans. bioRxiv. 2015. http://dx.doi.org/10.1101/030338. PMC5018207 27535533 · DOI
  7. [9]Price AL Patterson NJ Plenge RM Weinblatt ME Shadick NA Reich D Principal components analysis corrects for stratification in genome-wide association studies Nat Genet 2006 38 904 9 10.1038/ng1847 16862161 · DOI · Paper page
  8. [10]Goldstein DB, Allen A, Keebler J, Margulies EH, Petrou S, Petrovski S, Sunyaev S. Sequencing studies in human genetics: design and interpretation. Nat Rev Genet. 2013;14:460–70. PMC4117319 23752795

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Authors
Petrovski, S., & Goldstein, D. B.
Affiliations
  • The Royal Melbourne Hospital (AU)
  • Columbia University (US)
Corresponding author
  • Petrovski, Slavé
  • Goldstein, David B.
Venue
Genome Biology
Published
2016-07-14
Volume
17
Issue
1
Pages
157-157
ISSN
  • 1465-6906 (ISSN-L)
  • 1474-760X
OpenAlex
W2461009071
Cited by
255
References
1
Citations by year
2026: 25 · 2025: 17 · 2024: 23 · 2023: 30 · 2022: 17 · 2021: 26 · 2020: 62 · 2019: 20 · 2018: 16 · 2017: 16 · 2016: 3
FWCI
12.30
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Genome biology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion, cc-by)
Funders
  • Medical Research Council
  • National Health and Medical Research Council
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Race, Genetics, and Society
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
Keywords
genetic ancestry, health care disparities, precision medicine, genetic disorder diagnosis, exome sequencing, genetic variation, underrepresentation, European ancestry
MeSH terms
Humans, Genetic Variation, Genomics, Genetic Diseases, Inborn, White People, Precision Medicine

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