Polygenic risk scores perform poorly across populations

Abstract | The vast majority of genome-wide association studies (GWAS) are performed in cohorts of European ancestry. Systematic differences in polygenic risk scores (PRS) between European and non-European ancestry populations are believed to be largely spurious. However, it is not clear whether they are completely inaccurate nor how much individual-level predictive power is lost by applying PRS based on European-ancestry GWAS to non-European ancestry populations. Finally, a quantitative understanding of the biological or statistical basis for the poor performance of PRS in non-European-ancestry populations is lacking.