Publications by authors named "Nuzulul Kurniansyah"

Strong sex differences exist in sleep phenotypes and also cardiovascular diseases (CVDs). However, sex-specific causal effects of sleep phenotypes on CVD-related outcomes have not been thoroughly examined. Mendelian randomization (MR) analysis is a useful approach for estimating the causal effect of a risk factor on an outcome of interest when interventional studies are not available.

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Study Objectives: Excessive daytime sleepiness (EDS), influenced by environmental and social-behavioral factors, is reported by a subset of patients with sleep apnea - a group that may be at elevated cardiovascular risk. However, it is unclear whether sleep apnea with and without EDS have distinct genetic underpinnings. In this study, we perform gene-by-EDS interaction analyses for apnea hypopnea index (AHI), a diagnostic marker of sleep apnea severity, to understand EDS's influence on its underlying genetic risk.

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Alzheimer disease (AD) polygenic risk scores (ADPRS) built from cell-type (ct) specific genetic variants can be used to infer cell-type contributions to AD. We derived two ct-ADPRSs using variants near single-nuclei RNA-seq (snRNA) derived cell-type specific genes or on single-nuclei ATAC-seq (snATAC) derived cell-type specific accessible chromatin regions. We generated a multi-omic ct-ADPRS for eight neuron subtypes using both single-nuclei datasets.

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Background: Obstructive sleep apnoea (OSA) is a common chronic condition, with obesity its strongest risk factor. Polygenic scores (PGSs) summarise the genetic liability to phenotype and can provide insights into relationships between phenotypes. Recently, large datasets that include genetic data and OSA status became available, providing an opportunity to utilise PGS approaches to study the genetic relationship between OSA and other phenotypes, while differentiating OSA-specific from obesity-specific genetic factors.

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Strong sex differences exist in sleep phenotypes and also cardiovascular diseases (CVDs). However, sex-specific causal effects of sleep phenotypes on CVD-related outcomes have not been thoroughly examined. Mendelian randomization (MR) analysis is a useful approach for estimating the causal effect of a risk factor on an outcome of interest when interventional studies are not available.

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Polygenic risk scores (PRSs) depend on genetic ancestry due to differences in allele frequencies between ancestral populations. This leads to implementation challenges in diverse populations. We propose a framework to calibrate PRS based on ancestral makeup.

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Article Synopsis
  • * This study is the first large-scale analysis examining the relationship between EDS and genetic variations related to OSA severity, using data from over 11,500 samples across diverse populations.
  • * Researchers identified 16 genetic targets linked to EDS and OSA, with eight being new discoveries, and discussed potential therapeutic implications involving insulin resistance and nutritional factors for patients with OSA and EDS.
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We construct non-linear machine learning (ML) prediction models for systolic and diastolic blood pressure (SBP, DBP) using demographic and clinical variables and polygenic risk scores (PRSs). We developed a two-model ensemble, consisting of a baseline model, where prediction is based on demographic and clinical variables only, and a genetic model, where we also include PRSs. We evaluate the use of a linear versus a non-linear model at both the baseline and the genetic model levels and assess the improvement in performance when incorporating multiple PRSs.

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We construct non-linear machine learning (ML) prediction models for systolic and diastolic blood pressure (SBP, DBP) using demographic and clinical variables and polygenic risk scores (PRSs). We developed a two-model ensemble, consisting of a baseline model, where prediction is based on demographic and clinical variables only, and a genetic model, where we also include PRSs. We evaluate the use of a linear versus a non-linear model at both the baseline and the genetic model levels and assess the improvement in performance when incorporating multiple PRSs.

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Introduction: Polygenic Risk Scores (PRSs) are summaries of genetic risk alleles for an outcome.

Methods: We used summary statistics from five GWASs of AD to construct PRSs in 4,189 diverse Hispanics/Latinos (mean age 63 years) from the Study of Latinos-Investigation of Neurocognitive Aging (SOL-INCA). We assessed the PRS associations with MCI in the combined set of people and in diverse subgroups, and when including and excluding the APOE gene region.

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Article Synopsis
  • This study explores how genetic variation and environmental factors influence metabolic pathways and disease risks in Hispanic/Latino individuals, particularly focusing on their distinct ancestries.
  • Researchers analyzed 640 metabolites in a large cohort, identifying significant associations between specific metabolites and ancestry-derived genomic regions using advanced mass spectrometry techniques.
  • Key discoveries include finding that Native American and African ancestry regions are linked to the quantity of certain metabolites, which could have implications for understanding common diseases affecting these populations.
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Article Synopsis
  • The study evaluates the effectiveness and shortcomings of polygenic risk scores (PRSs) in predicting various blood pressure (BP) phenotypes among different population groups, focusing on methods like "clumping-and-thresholding" (PRSice2) and LD-based (LDPred2).
  • It utilizes datasets from several biobanks, including MGB Biobank and UK Biobank, to train and validate PRSs based on self-reported race/ethnic backgrounds such as Asian, Black, Hispanic/Latino, and White.
  • Findings indicate that the PRS-CSx method, which combines weighted PRSs from multiple GWAS, provides the most accurate predictions across all racial/ethnic groups, with better effectiveness in females
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Background: Genome-wide association studies (GWAS) for obstructive sleep apnoea (OSA) are limited due to the underdiagnosis of OSA, leading to misclassification of OSA, which consequently reduces statistical power. We performed a GWAS of OSA in the Million Veteran Program (MVP) of the U.S.

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  • Previous research indicates a link between lower mitochondrial DNA (mtDNA) copy number and neurodegenerative diseases, prompting investigation into the relationship between mtDNA CN in blood and Alzheimer disease endophenotypes.
  • The study involved dementia-free individuals from various community cohorts, measuring mtDNA CN and analyzing its association with cognitive function and brain MRI markers over specified timeframes.
  • Findings showed that higher mtDNA CN correlates with better cognitive performance, independent of several confounding factors, with consistent results observed in both cross-sectional and prospective analyses, although the latter showed a weaker association.
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Sleep Disordered Breathing (SDB) is a common disease associated with increased risk for cardiometabolic, cardiovascular, and cognitive diseases. How SDB affects the molecular environment is still poorly understood. We study the association of three SDB measures with gene expression measured using RNA-seq in multiple blood tissues from the Multi-Ethnic Study of Atherosclerosis.

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Background: Obstructive Sleep Apnoea (OSA) often co-occurs with cardiometabolic and pulmonary diseases. This study is to apply genetic analysis methods to explain the associations between OSA and related phenotypes.

Methods: In the Hispanic Community Healthy Study/Study of Latinos, we estimated genetic correlations ρ between the respiratory event index (REI) and 54 anthropometric, glycemic, cardiometabolic, and pulmonary phenotypes.

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Polygenic risk scores (PRS) are commonly used to quantify the inherited susceptibility for a trait, yet they fail to account for non-linear and interaction effects between single nucleotide polymorphisms (SNPs). We address this via a machine learning approach, validated in nine complex phenotypes in a multi-ancestry population. We use an ensemble method of SNP selection followed by gradient boosted trees (XGBoost) to allow for non-linearities and interaction effects.

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Obstructive sleep apnea (OSA) is a common disorder associated with increased risk for cardiovascular disease, diabetes, and premature mortality. There is strong clinical and epidemiologic evidence supporting the importance of genetic factors influencing OSA but limited data implicating specific genes. To search for rare variants contributing to OSA severity.

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In a multi-stage analysis of 52,436 individuals aged 17-90 across diverse cohorts and biobanks, we train, test, and evaluate a polygenic risk score (PRS) for hypertension risk and progression. The PRS is trained using genome-wide association studies (GWAS) for systolic, diastolic blood pressure, and hypertension, respectively. For each trait, PRS is selected by optimizing the coefficient of variation (CV) across estimated effect sizes from multiple potential PRS using the same GWAS, after which the 3 trait-specific PRSs are combined via an unweighted sum called "PRSsum", forming the HTN-PRS.

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Obstructive sleep apnea (OSA) is a common disorder associated with increased risk of cardiovascular disease and mortality. Iron and heme metabolism, implicated in ventilatory control and OSA comorbidities, was associated with OSA phenotypes in recent admixture mapping and gene enrichment analyses. However, its causal contribution was unclear.

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Article Synopsis
  • Mitochondrial DNA (mtDNA) copy number (CN) was studied in a large sample of over 408,000 people to see how it relates to various cardiometabolic diseases.
  • Results showed that younger individuals (<65 years) had higher mtDNA CN levels as they aged, while older individuals (≥65 years) experienced a decline in mtDNA CN levels.
  • Lower mtDNA CN levels were linked to increased risks of obesity, hypertension, diabetes, and hyperlipidemia, suggesting that mtDNA CN decline may play a role in age-related health issues.
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Whole-genome sequencing (WGS) and whole-exome sequencing studies have become increasingly available and are being used to identify rare genetic variants associated with health and disease outcomes. Investigators routinely use mixed models to account for genetic relatedness or other clustering variables (e.g.

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Large datasets of hundreds to thousands of individuals measuring RNA-seq in observational studies are becoming available. Many popular software packages for analysis of RNA-seq data were constructed to study differences in expression signatures in an experimental design with well-defined conditions (exposures). In contrast, observational studies may have varying levels of confounding transcript-exposure associations; further, exposure measures may vary from discrete (exposed, yes/no) to continuous (levels of exposure), with non-normal distributions of exposure.

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Introduction: Apolipoprotein E (APOE) alleles are associated with cognitive decline, mild cognitive impairment (MCI), and Alzheimer's disease in Whites, but have weaker and inconsistent effects reported in Latinos. We hypothesized that this heterogeneity is due to ancestry-specific genetic effects.

Methods: We investigated the associations of the APOE alleles with significant cognitive decline and MCI in 4183 Latinos, stratified by six Latino backgrounds, and explored whether the proportion of continental genetic ancestry (European, African, and Amerindian) modifies these associations.

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Article Synopsis
  • Sleep Disordered Breathing (SDB) can lead to various health issues due to low oxygen levels (hypoxemia) during sleep, prompting research on gene expression related to SDB.* -
  • In two studies with hundreds of participants, researchers identified 22 genes linked to SDB traits and found that lower levels of specific genes (CD1D and RAB20) correlated with reduced oxygen saturation during sleep.* -
  • CPAP treatment improved gene expression levels and altered immune and inflammatory pathways, indicating that low oxygen saturation affects genetic transcription, which can be partially corrected through treatment.*
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