Evidence map›Paper›PMID 41085130›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

GRPa-PRS: A risk stratification method to identify genetically-regulated pathways in polygenic diseases.

Xiaoyang Li, Brisa S Fernandes, Andi Liu, Jingchun Chen, Xiangning Chen, Zhongming Zhao, Yulin Dai

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Genetic Burden andJournal of personalized medicine · 2026
    Article
  2. GRPa-PRS: A risk stratification method to identify genetically-regulated pathways in polygenic diseases.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Xiaoyang LiCenter for Precision Health, McWilliams School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Brisa S FernandesCenter for Precision Health, McWilliams School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Andi LiuCenter for Precision Health, McWilliams School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Jingchun ChenCenter for Precision Health, McWilliams School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Xiangning ChenNevada Institute of Personalized Medicine, University of Nevada Las Vegas, Las Vegas, Nevada, USA.
Zhongming ZhaoCenter for Precision Health, McWilliams School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Yulin DaiCenter for Precision Health, McWilliams School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID 0000-0003-1874-7893

Funding

AIM-AI: an Actionable, Integrated and Multiscale genetic map of Alzheimer's disease via deep learningU01AG079847 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Christopher A. Gaiteri, Xiaoqian Jiang · 2023 to 2026
$5.1M
Transforming dbGaP genetic and genomic data to FAIR-ready by artificial intelligence and machine learning algorithmsR01LM012806 · NLM · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Zhongming Zhao · 2017 to 2026
$3.7M
Training in Precision Environmental Health SciencesT32ES027801 · NIEHS · BAYLOR COLLEGE OF MEDICINE · PI Cheryl L. Walker · 2018 to 2026
$2.8M
Role of cellular metabolism in palate morphogenesisR01DE029818 · NIDCR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI IWATA, JUNICHI, ZHAO, ZHONGMING · 2020 to 2024
$1.8M
Deep learning for decoding genetic regulation and cellular maps in craniofacial developmentR01DE030122 · NIDCR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI IWATA, JUNICHI, ZHAO, ZHONGMING · 2021 to 2023
$1.7M
Convolutional Neural Network for Disease Prediction, Biomarker Discovery, and Validation in Alzheimer's DiseaseR15AG083618 · NIA · UNIVERSITY OF NEVADA LAS VEGAS · PI Jingchun Chen · 2024 to 2026
$751k
Identify actionable drugs that enhance resilience in Alzheimer's disease individualsR21AG087299 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Yulin Dai, Lishan Yu · 2024 to 2026
$470k
Constructing A Transcriptomic Atlas of Retrotransposon in Alzheimer's DiseaseR03AG077191 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ZHAO, ZHONGMING · 2022 to 2022
$312k
Cancer Prevention and Research Institute of Texas RP240610Gulf Coast Consortia on Training in Precision Environmental Health Sciences (TPEHS) T32ES027801NIA NIH HHS R03 AG077191NIA NIH HHS R03AG077191NIA NIH HHS R15 AG083618NIA NIH HHS R15AG083618NIA NIH HHS R21 AG087299NIA NIH HHS R21AG087299NIA NIH HHS U01 AG079847NIA NIH HHS U01AG079847NIDCR NIH HHS R01 DE029818NIDCR NIH HHS R01DE029818NIDCR NIH HHS R01 DE030122NIDCR NIH HHS R01DE030122NIEHS NIH HHS T32 ES027801NIH HHS R21AG087299NLM NIH HHS R01 LM012806U.S. National Library of Medicine R01LM012806
6 · The paper itself

Abstract

introductionPolygenic risk score (PRS) assesses genetic risk for diseases, yet some high-risk individuals avoid illness while low-risk individuals develop it. We hypothesize that unknown counterfactors may reverse PRS predictions, offering insights into disease mechanisms and interventions.

methodsWe developed a novel framework to identify genetically-regulated pathways (GRPas) using PRS-based stratification in Alzheimer's disease (AD) and schizophrenia (SCZ) cohorts. We calculated PRS models, stratified individuals by risk and diagnosis, and analyzed differential GRPas. For AD, analyses were further conducted with and without apolipoprotein E (APOE) effects, and across APOE haplotype.

resultsIn AD, we identified several well-known AD-related pathways, including amyloid-beta clearance, tau protein binding, and resilience-related calcium signaling pathway, and divalent inorganic cation homeostasis. DISCUSSION: Our method offers flexibility for exploring GRPas among PRS-stratified subgroups using summary statistics or individual-level data. Fewer GRPas identified in the no-APOE AD model and SCZ suggest a more polygenic architecture, necessitating larger samples to detect significant GRPas. HIGHLIGHTS: Characterize genetically-regulated expression (GReX) among groups stratified by polygenic risk score (PRS) Leverage GReX and PRS to explore the resilience and susceptibility at the pathway level Highlight calcium signaling and cation homeostasis functions linked to resilience Enable personalized prevention by reinforcing the different resilience factors present or absent in each individual Our genetically-regulated pathway (GRPa) -PRS framework can be further expanded to other complex polygenic traits.

Indexed as

Alzheimer DiseaseGenetic Predisposition to DiseaseMultifactorial InheritanceSchizophreniaApolipoproteins ECohort StudiesFemaleGenome-Wide Association StudyHumansMaleRisk AssessmentApolipoproteins EAlzheimer's diseasegenetically‐regulated expressiongenetically‐regulated pathwaypolygenic risk scoreprecision psychiatryresilienceschizophrenia

Identifiers

PMID41085130
PMCPMC12519521

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.