The interplay of sex and genotype in disease associations: a comprehensive network analysis in the UK Biobank

Abstract Background Disease comorbidities and longer-term complications, arising from biologically related associations across phenotypes, can lead to increased risk of severe health outcomes. Given that many diseases exhibit sex-specific differences in their genetics, our objective was to determine...

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Main Authors: Vivek Sriram, Jakob Woerner, Yong-Yeol Ahn, Dokyoon Kim
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Human Genomics
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Online Access:https://doi.org/10.1186/s40246-024-00710-9
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author Vivek Sriram
Jakob Woerner
Yong-Yeol Ahn
Dokyoon Kim
author_facet Vivek Sriram
Jakob Woerner
Yong-Yeol Ahn
Dokyoon Kim
author_sort Vivek Sriram
collection DOAJ
description Abstract Background Disease comorbidities and longer-term complications, arising from biologically related associations across phenotypes, can lead to increased risk of severe health outcomes. Given that many diseases exhibit sex-specific differences in their genetics, our objective was to determine whether genotype-by-sex (GxS) interactions similarly influence cross-phenotype associations. Through comparison of sex-stratified disease-disease networks (DDNs)—where nodes represent diseases and edges represent their relationships—we investigate sex differences in patterns of polygenicity and pleiotropy between diseases. Results Using UK Biobank summary statistics, we built male- and female-specific DDNs for 103 diseases. This revealed that male and female diseasomes have similar topology and central diseases (e.g., hypertensive, chronic respiratory, and thyroid-based disorders), yet some phenotypes exhibit sex-specific influence in cross-phenotype associations. Multiple sclerosis and osteoarthritis are central only in the female DDN, while cardiometabolic diseases and skin cancer are more prominent in the male DDN. Edge comparison indicated similar shared genetics between the two graphs relative to a random model of disease association, though notable discrepancies in embedding distances and clustering patterns imply a more expansive genetic influence on multimorbidity risk for females than males. Analysis of pleiotropic contributions of two sexually-dimorphic single-nucleotide polymorphisms related to thyroid disorders further validated a distinct genetic architecture across sexes that influences associations, confirmed through examination of corresponding gene expression profiles from the GTEx Portal. Conclusions Our analysis affirms the presence of GxS interactions in cross-phenotype associations, emphasizing the need to investigate the role of sex in disease onset and its importance in biomedical discovery and precision medicine research.
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spelling doaj-art-5b262b71ec634c99b453f6c193b8d5d12025-01-19T12:32:25ZengBMCHuman Genomics1479-73642025-01-0119111410.1186/s40246-024-00710-9The interplay of sex and genotype in disease associations: a comprehensive network analysis in the UK BiobankVivek Sriram0Jakob Woerner1Yong-Yeol Ahn2Dokyoon Kim3Genomics and Computational Biology Graduate Group, Perelman School of Medicine, University of PennsylvaniaGenomics and Computational Biology Graduate Group, Perelman School of Medicine, University of PennsylvaniaCenter for Complex Networks and Systems Research, Luddy School of Informatics, Computing, and Engineering, Indiana University BloomingtonDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of PennsylvaniaAbstract Background Disease comorbidities and longer-term complications, arising from biologically related associations across phenotypes, can lead to increased risk of severe health outcomes. Given that many diseases exhibit sex-specific differences in their genetics, our objective was to determine whether genotype-by-sex (GxS) interactions similarly influence cross-phenotype associations. Through comparison of sex-stratified disease-disease networks (DDNs)—where nodes represent diseases and edges represent their relationships—we investigate sex differences in patterns of polygenicity and pleiotropy between diseases. Results Using UK Biobank summary statistics, we built male- and female-specific DDNs for 103 diseases. This revealed that male and female diseasomes have similar topology and central diseases (e.g., hypertensive, chronic respiratory, and thyroid-based disorders), yet some phenotypes exhibit sex-specific influence in cross-phenotype associations. Multiple sclerosis and osteoarthritis are central only in the female DDN, while cardiometabolic diseases and skin cancer are more prominent in the male DDN. Edge comparison indicated similar shared genetics between the two graphs relative to a random model of disease association, though notable discrepancies in embedding distances and clustering patterns imply a more expansive genetic influence on multimorbidity risk for females than males. Analysis of pleiotropic contributions of two sexually-dimorphic single-nucleotide polymorphisms related to thyroid disorders further validated a distinct genetic architecture across sexes that influences associations, confirmed through examination of corresponding gene expression profiles from the GTEx Portal. Conclusions Our analysis affirms the presence of GxS interactions in cross-phenotype associations, emphasizing the need to investigate the role of sex in disease onset and its importance in biomedical discovery and precision medicine research.https://doi.org/10.1186/s40246-024-00710-9Phenome-wide association studyComplex diseaseNetwork scienceGenotype-by-sex effectsPleiotropy
spellingShingle Vivek Sriram
Jakob Woerner
Yong-Yeol Ahn
Dokyoon Kim
The interplay of sex and genotype in disease associations: a comprehensive network analysis in the UK Biobank
Human Genomics
Phenome-wide association study
Complex disease
Network science
Genotype-by-sex effects
Pleiotropy
title The interplay of sex and genotype in disease associations: a comprehensive network analysis in the UK Biobank
title_full The interplay of sex and genotype in disease associations: a comprehensive network analysis in the UK Biobank
title_fullStr The interplay of sex and genotype in disease associations: a comprehensive network analysis in the UK Biobank
title_full_unstemmed The interplay of sex and genotype in disease associations: a comprehensive network analysis in the UK Biobank
title_short The interplay of sex and genotype in disease associations: a comprehensive network analysis in the UK Biobank
title_sort interplay of sex and genotype in disease associations a comprehensive network analysis in the uk biobank
topic Phenome-wide association study
Complex disease
Network science
Genotype-by-sex effects
Pleiotropy
url https://doi.org/10.1186/s40246-024-00710-9
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