Polygenic Scores for Cancer Prevention
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WATCH THE VIDEO EXCERPT!
Date of the recording: 2 March 2022
Webinar organized with the support of and in collaboration with the European Society for Medical Oncology (ESMO).
INTRODUCTION BY
Dr James McKay
Deputy Head, Genomic Epidemiology BranchInternational Agency for Research on Cancer, Lyon, France
SPEAKERS
POLYGENIC SCORES FOR STRATIFIED CANCER PREVENTION
Dr Nilanjan Chatterjee
Bloomberg Distinguished Professor of Biostatistics and Genetic EpidemiologyJohns Hopkins University, Baltimore, USA
Genome-wide association studies of increasing sample size and diverse ancestry are now leading to polygenic scores with significant potential for risk stratification across cancers. This presentation will provide a brief overview of emerging opportunities and discuss some limitations of the use of polygenic scores for developing risk-stratified approaches to cancer prevention. Dr Chatterjee will describe results from a recent study on the validation of a breast cancer risk prediction model that integrates polygenic scores with other established risk factors and will provide an assessment of the potential clinical utility of the model for breast cancer prevention.
GENETIC DETERMINANTS FOR PROSTATE-SPECIFIC ANTIGEN LEVELS IMPROVE CANCER SCREENING UTILITY
Dr Linda Kachuri
Postdoctoral Scholar | incoming Assistant Professor in the Department of Epidemiology and Population HealthUniversity of California San Francisco | Stanford University, USA
Prostate-specific antigen (PSA) screening for prostate cancer is widely used, but it remains controversial because of issues with sensitivity and specificity. PSA level is highly heritable, and therefore one avenue for improving its diagnostic accuracy is to account for variation in PSA level that is due to genetics and does not reflect prostate cancer. Dr Kachuri will present findings from the largest genome-wide association study of PSA levels and will demonstrate how using a polygenic score to correct PSA values can improve the clinical utility by reducing overdiagnosis and unnecessary testing and increasing detection of aggressive disease.
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