Key result
CAD polygenic risk score shows ~8-point lower AUC for predicting high CAC in HIV.
Why the study?
Does a polygenic score for coronary artery disease accurately predict coronary artery calcium levels in men living with HIV compared to men living without HIV?
Cohort (n=1,071)
Yes
Does a polygenic score for coronary artery disease accurately predict coronary artery calcium levels in men living with HIV compared to men living without HIV?
A polygenic risk score for coronary artery disease showed diminished predictive ability for coronary artery calcium in men living with HIV compared to those without HIV, demonstrating the current limitations of PRS clinical utility across diverse and high-risk populations.
May warrant caution applying CAD polygenic scores in men with HIV; leaves open need for HIV-specific validation and refined models.
BACKGROUND: on coronary artery calcium (CAC), a measure of subclinical atherosclerosis, by HIV serostatus. METHODS: for log-transformed CAC and area under the curve (AUC) for binary outcomes (absence/presence of CAC, absence of CAC [AS=0] versus low CAC [AS=1-100] or high CAC [AS >100]). CONCLUSIONS: to CAC showed lower performance for PLWH than PWOH men. Further research is needed to develop accurate risk prediction models with clinical utility in all patients.
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Wojcik et al. (2025) conducted a cohort in HIV and subclinical atherosclerosis (n=1,071). Polygenic risk score for CAD (PRS CAD) vs. People living without HIV (PWOH) was evaluated on AUC for predicting high coronary artery calcium (Agatston score >100) vs absence of CAC (p=0.025). The polygenic risk score for CAD showed significantly lower predictive performance for high coronary artery calcium in men living with HIV (AUC 0.785) compared to men without HIV (AUC 0.865, p=0.025).
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