PMID- 28816567 OWN - NLM STAT- MEDLINE DCOM- 20180511 LR - 20220129 IS - 1744-8352 (Electronic) IS - 1473-7159 (Linking) VI - 17 IP - 10 DP - 2017 Oct TI - How close are we to implementing a genetic risk score for coronary heart disease? PG - 905-915 LID - 10.1080/14737159.2017.1368388 [doi] AB - Genome-wide association meta-analysis have now identified more than 150 loci where common variants (SNPs) are significantly associated with coronary heart disease (CHD) and CHD end points. Areas covered: The authors review publications from their own laboratory and published recently where identified CHD risk SNPs are used in combination, and 'scaled' by their effect size, to create a 'weighted' Genetic risk Score (GRS), which, in combination with an individual's classical CHD risk factors, can be used to identify those at overall low, intermediate and high future risk. Those at highest risk can be offered life-style and therapeutic options to reduce their risk and those at intermediate levels can be monitored. Expert commentary: The authors discuss the selection of the best variants to be included in the GRS, and the potential utility of such scores in different clinical settings. The limitations of the current data sets and the way forward in the next 5 years is discussed. FAU - Beaney, Katherine AU - Beaney K AD - a Centre for Cardiovascular Genetics, BHF Laboratories, Institute of Cardiovascular Science , University College London , London , UK. FAU - Drenos, Fotios AU - Drenos F AD - a Centre for Cardiovascular Genetics, BHF Laboratories, Institute of Cardiovascular Science , University College London , London , UK. AD - b MRC Integrative Epidemiology Unit, School of Social and Community Medicine , University of Bristol , Bristol , UK. FAU - Humphries, Steve E AU - Humphries SE AD - a Centre for Cardiovascular Genetics, BHF Laboratories, Institute of Cardiovascular Science , University College London , London , UK. LA - eng GR - RG/08/008/25291/BHF_/British Heart Foundation/United Kingdom GR - MC_UU_12013/1-9/MRC_/Medical Research Council/United Kingdom GR - 1270920/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20170904 PL - England TA - Expert Rev Mol Diagn JT - Expert review of molecular diagnostics JID - 101120777 RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Leupeptins) RN - 110044-82-1 (acetylleucyl-leucyl-norleucinal) SB - IM MH - Coronary Disease/*diagnosis/epidemiology/*genetics/prevention & control MH - *Genetic Association Studies/methods MH - *Genetic Predisposition to Disease MH - Genetic Testing MH - Genome-Wide Association Study/methods MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use MH - Leupeptins MH - Medication Adherence MH - Polymorphism, Single Nucleotide MH - Practice Guidelines as Topic MH - Primary Prevention/methods MH - Risk Assessment MH - Risk Factors MH - Sex Factors MH - United Kingdom/epidemiology OTO - NOTNLM OT - Genome wide association studies OT - algorithm OT - classical risk factors OT - coronary heart disease OT - genetic risk score EDAT- 2017/08/18 06:00 MHDA- 2018/05/12 06:00 CRDT- 2017/08/18 06:00 PHST- 2017/08/18 06:00 [pubmed] PHST- 2018/05/12 06:00 [medline] PHST- 2017/08/18 06:00 [entrez] AID - 10.1080/14737159.2017.1368388 [doi] PST - ppublish SO - Expert Rev Mol Diagn. 2017 Oct;17(10):905-915. doi: 10.1080/14737159.2017.1368388. Epub 2017 Sep 4.