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This vignette is heavily inspired by and re-uses code from the “LTFGRS Workflow: Prepare Genetic Liability for Prediction” vignette.. All data is simulated and is purely for demonstration purposes - This includes the CIP.

This is going to be a vignette similar to “LTFGRS Workflow: Prepare Genetic Liability for Prediction”, but this one focuses on preparing a genetic liability score for use as a refined outcome for a genome-wide association study (GWAS). If your intended use case is prediction, the please follow the steps outlined in that vignette instead, since some additional steps may be required.

In this vignette, we will

  • simulate mock data
  • calculate genetic liability in increasing degree of complexity, non-personalised thresholds, personalised based on stratified CIPs, mixture model. For each:
    • derive thresholds (and K_i and K_pop if needed)
    • attach information to pop_graph when constructing it
    • get family graphs of n’th degree

First, we load the required packages.

Simulate mock trio, phenotype, and CIP data

We will set some population parameters for the simulation. The parameters are as follows:

# population parameters and seed
set.seed(555)
h2 = .5 # heritability
K = .3 # population prevalence

Cumulative incidence proportions (CIP)

One of the key required input variables of LTFGRS is the population representative stratified cumulative incidence proportions (CIP) data. LTFGRS is able to utilise the population representative stratified CIPs to personalise thresholds for the liability-based predictors. The CIPs are typically obtained from large population registers or other sources that allow for population representative estimates. Here, we simulate a format similar to how stratified CIPs may be stored. We assume the CIPs have been stratified by sex and birth year. The population representative stratified CIPs has the interpretation of being the proportion of individuals born in a given year and sex that has been diagnosed with the outcome of interest by age xx.

# assuming we have been provided a CIP object of the following style:
CIP = expand.grid(list(age = 1:100,
                       birth_year = 1900:2024,
                       sex = 0:1)) %>%
  group_by(sex, birth_year) %>%
  mutate(cip = (1:n() - 1)/n() * K) %>%
  ungroup() %>% 
  print(n = 10)
#> # A tibble: 25,000 × 4
#>      age birth_year   sex   cip
#>    <int>      <int> <int> <dbl>
#>  1     1       1900     0 0    
#>  2     2       1900     0 0.003
#>  3     3       1900     0 0.006
#>  4     4       1900     0 0.009
#>  5     5       1900     0 0.012
#>  6     6       1900     0 0.015
#>  7     7       1900     0 0.018
#>  8     8       1900     0 0.021
#>  9     9       1900     0 0.024
#> 10    10       1900     0 0.027
#> # ℹ 24,990 more rows

Trio information

The trio information presented here is a manually constructed to resemble a typical way the trio data may be stored. The names are chosen such that they resemble the relationship to the proband. This means there are simple names such as “dad”, “mom”, or “sib”. There are also more complex names such as “pgf” for paternal grand father, “muncle” for maternal uncle, “hsmcousin” for half-sibiling maternal cousin, etc. The suffixes “H” and “W” mean husband and wife, respectively.

# hand curated trio information, taken from LTFHPlus vignette:
# https://emilmip.github.io/LTFHPlus/articles/FromTrioToFamilies.html
family = tribble(
  ~id, ~momcol, ~dadcol,
  "pid", "mom", "dad",
  "sib", "mom", "dad",
  "mhs", "mom", "dad2",
  "phs", "mom2", "dad",
  "mom", "mgm", "mgf",
  "dad", "pgm", "pgf",
  "dad2", "pgm2", "pgf2",
  "paunt", "pgm", "pgf",
  "pacousin", "paunt", "pauntH",
  "hspaunt", "pgm", "newpgf",
  "hspacousin", "hspaunt", "hspauntH",
  "puncle", "pgm", "pgf",
  "pucousin", "puncleW", "puncle",
  "maunt", "mgm", "mgf",
  "macousin", "maunt", "mauntH",
  "hsmuncle", "newmgm", "mgf",
  "hsmucousin", "hsmuncleW", "hsmuncle"
)

Phenotype data

We will simulate a liability based on the family structure defined above to assign a case-control outcome to each individual. Then other covariates such as sex and age are randomly assigned. To get the case-control status, we first generate a (population) graph, calculate a kinship matrix based on the heritability and kinship coefficient, and finally, draw liabilities from a multivariate normal with the calculated kinship matrix as covariance matrix.

# creating a graph for the family
graph = prepare_graph(.tbl = family, icol = "id", mcol = "momcol", fcol = "dadcol")
# calculating the kinship matrix based on the graph
cov_mat = get_covmat(fam_graph = graph, h2 = h2, index_id = "pid")
# creating a phenotype for the family
liabs = MASS::mvrnorm(n = 1, mu = rep(0, nrow(cov_mat)), Sigma = cov_mat)

Next, we will create the mock phenotype data:

# these values are simulated only for illustrative purposes and not to make sense(!)
pheno = tibble(
  id = names(liabs),
  status = liabs > qnorm(K, lower.tail = F),
  # no consideration for generation etc in sex, fdato or birth_year:
  fdato = dmy(paste0(sample(1:28, length(liabs), replace = TRUE), "/", sample(1:12, length(liabs), replace = T), "/", sample(1940:2000, length(liabs), replace = TRUE))),
  birth_year = year(fdato),
  # age of onset only after fdato
  adhd = purrr::map2_chr(.x = status, .y = birth_year,
      ~ if(.x) paste0(sample(1:28, 1), "/", sample(1:12, 1), "/", sample((.y + 1):2010, 1)) else NA),
  # end of follow up assigned here
  indiv_eof = dmy("31/12/2010")) %>% # blanket time stop, meant to simulate end of registers
 mutate(
    # Assigning sex to each individual
    sex = case_when(
    id %in% family$momcol ~ 1,
    id %in% family$dadcol ~ 0,
    TRUE ~ sample(0:1, n(), replace = TRUE)),
    # converting to date format
    adhd = dmy(adhd),
    # eof either blanket time stop or event date
    indiv_eof = pmin(indiv_eof, adhd, na.rm = TRUE),
    # calculating age at the end of follow up
    age = as.numeric(difftime(indiv_eof, fdato, units = "days")) / 365.25) %>% 
  filter(id != "pid_g") # remove the genetic liability of the proband
paged_table(pheno)

The mock phenotype data is intended to resemble a format that can typically be derived from most register or biobank phenotypes where the age of diagnosis is available. Columns of interest are:

  • fdato: the birth date of the individual
  • birth_year: the birth year of the individual
  • adhd: the outcome of interest,
  • indiv_eof: the personalised end of follow up for a given individual. it may be different for each individual due to any number of censoring or competing events.

Preparing for estimate_liability()

In a real world scenario, we will not have access to all of the information used above. We will assume that the objects CIP, family, and pheno are the only information available to the user. These objects hold information that can often be extracted from population registers or bio banks.

  • CIP: The CIP object carry information about the prevalence of the outcome of interest in the population and therefore also on how each participant fits into the population distribution.
  • family: The family object holds the trio information, i.e. information about the family structure and how each individual is related to each other. In a real world scenario this object may contains millions of unique individuals.
  • pheno: The pheno object holds phenotypic information on each individual present in the trio information.

Preparing thresholds and cumulative incidence proportions

Due to data privacy, it is possible to encounter CIPs values that are only provided at set values, e.g. a CIP value for each whole year by birth year and sex, such as what is shown in the CIP object. However, the observed ages (or age of diagnosis) are typically not integer values. This means we may need to approximate the CIP values between the provided values. We offer an XGboost based approach to interpolate the CIPs between the provided values.

thresholds = prepare_thresholds(
  .tbl = pheno,
  CIP = CIP,
  age_col = "age" ,
  status_col = "status",
  lower_equal_upper = FALSE,
  personal_thr = TRUE, 
  interpolation = "xgboost"
)

The resulting thresholds object holds the lower and upper thresholds for each individual, as well as the individual prevalence, K_i, and the population prevalence, K_pop, based on the provided CIP data. The thresholds are personalised for each individual based on their age, sex, and birth year. Notably, if there is a high degree of confidence in the accuracy of the population representative CIPs stratified by birth year and sex (and if possible, other defining features), then the upper and lower thresholds may be fixed at the same value. This is done by setting lower_equal_upper = TRUE. The thresholds object can be inspected below:

paged_table(thresholds)

Population graph

With the family object, which holds the trio information, we can construct a population graph. The population graph holds all familial connects identified in the trio information and will form the basis of how families are identified. In real-world applications, the population graph may contain millions of individuals. Here, we construct the population graph with all required information already attaches, namely lower, upper, K_i, and K_pop.

graph = prepare_graph(.tbl = family, 
                      icol = "id",
                      mcol = "momcol", 
                      fcol = "dadcol",
                      node_attributes = select(thresholds, id, lower, upper, K_i, K_pop))

Automatic identification of n-degree relatives

When we want to calculate a family genetic risk score, we need to create a pedigree based on the proband and relations should be relative to the proband. We are interested in identifying all family members up to some degree of relatedness, nn, without having to manually find all of these family members. Manually identifying family members up to degree 44 is both time consuming and error prone. We have implemented an automatic detection of family members that utilise a graph based on all individuals in the trio information (ideally population registers) and neighbourhood graphs. In short, we create a pedigree (directed graph) with every individual in the trio data and copy sections around a proband with all individuals that are nn steps away from the proband in the graph (This is a neighbourhood graphs of degree n, here called a family graph).

# Identify family members of degree n
family_graphs = get_family_graphs(pop_graph = graph,
                                  ndegree = 1,
                                  proband_vec = pheno$id,
                                  fid = "fid",
                                  fam_graph_col = "fam_graph")
family_graphs %>% print(n = 4)
#> # A tibble: 31 × 2
#>   fid   fam_graph
#>   <chr> <list>   
#> 1 dad   <igraph> 
#> 2 mom   <igraph> 
#> 3 dad2  <igraph> 
#> 4 mom2  <igraph> 
#> # ℹ 27 more rows

The function get_family_graphs() will return a formatted tibble. The output will have two columns specified with the arguments, fid and fam_graph_col. fid is the ids of the provided probands, who are also the individuals the neighbourhood (family) graphs are centred on. Note: In the example above, we have only one family graph for a given proband, however, an individual may still appear in several family graphs as a relative. E.g., a parent with two children may appearing in the family graph of both of their children. fam_graph_col holds the family graphs and are in the format of igraph. Operations on this level will not be required for the average user. An igraph object is shown here for context:

family_graphs$fam_graph[[1]]
#> IGRAPH b551b4f DN-- 8 17 -- 
#> + attr: name (v/c), lower (v/n), upper (v/n), K_i (v/n), K_pop (v/n)
#> + edges from b551b4f (vertex names):
#>  [1] pgm   ->paunt  pgm   ->puncle pgm   ->dad    paunt ->puncle paunt ->dad   
#>  [6] sib   ->pid    puncle->paunt  puncle->dad    pid   ->sib    pgf   ->paunt 
#> [11] pgf   ->puncle pgf   ->dad    dad   ->paunt  dad   ->sib    dad   ->puncle
#> [16] dad   ->pid    dad   ->phs

Estimating genetic liabilities with estimate_liability()

The function estimate_liability() is used to estimate the genetic liability. The function accepts two types of input, here we will only focus on the graph-based input generated above. The graph-based input offer the best flexibility and scalability. The function has two arguments that are worth pointing out.

The first is method, which specifies the method used to estimate the genetic liability. Currently, two methods are supported. The first is a Gibbs sampler that samples from a truncated multivariate normal distribution, method = "Gibbs". The second is an iterative Pearson-Aitken approach, method = "PA". Generally speaking, the Pearson-Aitken approach is faster.

The second argument is useMixture, which specifies whether to use the mixture model or not. The mixture model is currently only supported with method = "PA". The mixture model considers the genetic liability of controls as a mixture of the truncated normal for cases and controls, rather than just the distribution of controls. This accounts for the possibility that some controls are undiagnosed cases and accounts for it in the genetic liability estimate.

FGRS with personalised threshold and PA

ltfgrs_pa = estimate_liability(family_graphs = family_graphs,
                               h2 = h2, 
                               fid = "fid",
                               pid = "pid",
                               family_graphs_col = "fam_graph",
                               method = "PA", # <- METHOD
                               useMixture = F)
#> The number of workers is 1
paged_table(ltfgrs_pa)

When using method = "PA", an iterative conditioning is performed, which means the resulting estimate and uncertainty of the estimate is the expected mean value and variance of the last iteration, which is the proband’s genetic liability. This is highlighted by the use of var in the output.

FGRS with personalised threshold and Gibbs

ltfgrs_gibbs = estimate_liability(family_graphs = family_graphs, 
                                  h2 = h2,
                                  fid = "fid",
                                  pid = "pid",
                                  family_graphs_col = "fam_graph",
                                  method = "Gibbs", # <- METHOD
                                  useMixture = F)
#> The number of workers is 1
paged_table(ltfgrs_gibbs)

FGRS with mixture model

Finally, it is also possible to use the PA estimation method to estimate the genetic liability using the mixture model. This is done by setting useMixture = TRUE. It requires that each individual has the upper and lower thresholds, as well as K_i and K_pop attached as node attributes in the family graphs.

ltfgrs_mixture = estimate_liability(family_graphs = family_graphs,
                                    h2 = h2, 
                                    fid = "fid",
                                    pid = "pid",
                                    family_graphs_col = "fam_graph",
                                    method = "PA", # <- METHOD
                                    useMixture = TRUE) # <- useMixture model 
#> The number of workers is 1
paged_table(ltfgrs_mixture)

Parallelisation

The function estimate_liability() is able to use the future package to parallelise the estimation of the genetic liability. This is done by setting a suitable plan with the future backend. A plan suitable for most needs is plan(multisession, workers = NCORES), which means that the function will run in parallel on the local PC utilising NCORES-cores. Other parallelisation options exist, but they are all handled by the future suit of packages.