Étude de cohorte | EPFL Graph Search

Une étude de cohorte est une étude statistique de type longitudinal. Elle peut être ou interventionnelle, ou . Ce type d'étude scientifique est notamment utilisé en médecine et en épidémiologie (pour ces deux domaines, les bases de données collectées sont dédiées aux études de cohortes épidémiologiques), en sciences humaines et sociales, en science actuarielle et en écologie. Histoire L'une des premières études de cohorte connues fut menée par Janet Lane-Claypon en 1912 dans son étude intitulée Report to the Local Government Board upon the Available Data in Regard to the Value of Boiled Milk as a Food for Infants and Young Animals. Principe en épidémiologie Une étude de cohorte regroupe des sujets partageant ensemble un certain nombre de caractéristiques, suivis dans le temps (longitudinalement), à l’échelle individuelle (par exemple les exposés fument et les non-exposés ne fument pas). Ce type d'étude repose sur la collecte d’informations concernant des c

Large-scale variational inference for Bayesian joint regression modelling of high-dimensional genetic data

Hélène Ruffieux

Genetic association studies have become increasingly important in understanding the molecular bases of complex human traits. The specific analysis of intermediate molecular traits, via quantitative trait locus (QTL) studies, has recently received much attention, prompted by the advance of high-throughput technologies for quantifying gene, protein and metabolite levels. Of great interest is the detection of weak trans-regulatory effects between a genetic variant and a distal gene product. In particular, hotspot genetic variants, which remotely control the levels of many molecular outcomes, may initiate decisive functional mechanisms underlying disease endpoints. This thesis proposes a Bayesian hierarchical approach for joint analysis of QTL data on a genome-wide scale. We consider a series of parallel sparse regressions combined in a hierarchical manner to flexibly accommodate high-dimensional responses (molecular levels) and predictors (genetic variants), and we present new methods for large-scale inference. Existing approaches have limitations. Conventional marginal screening does not account for local dependencies and association patterns common to multiple outcomes and genetic variants, whereas joint modelling approaches are restricted to relatively small datasets by computational constraints. Our novel framework allows information-sharing across outcomes and variants, thereby enhancing the detection of weak trans and hotspot effects, and implements tailored variational inference procedures that allow simultaneous analysis of data for an entire QTL study, comprising hundreds of thousands of predictors, and thousands of responses and samples. The present work also describes extensions to leverage spatial and functional information on the genetic variants, for example, using predictor-level covariates such as epigenomic marks. Moreover, we augment variational inference with simulated annealing and parallel expectation-maximisation schemes in order to enhance exploration of highly multimodal spaces and allow efficient empirical Bayes estimation. Our methods, publicly available as packages implemented in R and C++, are extensively assessed in realistic simulations. Their advantages are illustrated in several QTL applications, including a large-scale proteomic QTL study on two clinical cohorts that highlights novel candidate biomarkers for metabolic disorders.

EPFL2019

The trail making test as a screening instrument for driving performance in older drivers; a translational research

Isabel Cardoso, Daniela Herzig, Michael Herzog, Paul Vaucher

Background: In many countries, primary care physicians determine whether or not older drivers are fit to drive. Little, however, is known regarding the effects of cognitive decline on driving performance and the means to detect it. This study explores to what extent the trail making test (TMT) can provide indications to clinicians about their older patients' on-road driving performance in the context of cognitive decline. Methods: This translational study was nested within a cohort study and an exploratory psychophysics study. The target population of interest was constituted of older drivers in the absence of important cognitive or physical disorders. We therefore recruited and tested 404 home-dwelling drivers, aged 70 years or more and in possession of valid drivers' licenses, who volunteered to participate in a driving refresher course. Forty-five drivers also agreed to undergo further testing at our lab. On-road driving performance was evaluated by instructors during a 45 minute validated open-road circuit. Drivers were classified as either being excellent, good, moderate, or poor depending on their score on a standardized evaluation of on-road driving performance. Results: The area under the receiver operator curve for detecting poorly performing drivers was 0.668 (CI95% 0.558 to 0.778) for the TMT-A, and 0.662 (CI95% 0.542 to 0.783) for the TMT-B. TMT was related to contrast sensitivity, motion direction, orientation discrimination, working memory, verbal fluency, and literacy. Older patients with a TMT-A = 54 seconds or a TMT-B = 150 seconds have a threefold (CI95% 1.3 to 7.0) increased risk of performing poorly during the on-road evaluation. TMT had a sensitivity of 63.6%, a specificity of 64.9%, a positive predictive value of 9.5%, and a negative predictive value of 96.9%. Conclusion: In screening settings, the TMT would have clinicians uselessly consider driving cessation in nine drivers out of ten. Given the important negative impact this could have on older drivers, this study confirms the TMT not to be specific enough for clinicians to justify driving cessation without complementary investigations on driving behaviors.

BioMed Central2014

A fully joint Bayesian quantitative trait locus mapping of human protein abundance in plasma

Anthony Christopher Davison, Jörg Hager, Radu Popescu, Hélène Ruffieux

Molecular quantitative trait locus (QTL) analyses are increasingly popular to explore the genetic architecture of complex traits, but existing studies do not leverage shared regulatory patterns and suffer from a large multiplicity burden, which hampers the detection of weak signals such as trans associations. Here, we present a fully multivariate proteomic QTL (pQTL) analysis performed with our recently proposed Bayesian method LOCUS on data from two clinical cohorts, with plasma protein levels quantified by mass-spectrometry and aptamer-based assays. Our two-stage study identifies 136 pQTL associations in the first cohort, of which >80% replicate in the second independent cohort and have significant enrichment with functional genomic elements and disease risk loci. Moreover, 78% of the pQTLs whose protein abundance was quantified by both proteomic techniques are confirmed across assays. Our thorough comparisons with standard univariate QTL mapping on (1) these data and (2) synthetic data emulating the real data show how LOCUS borrows strength across correlated protein levels and markers on a genome-wide scale to effectively increase statistical power. Notably, 15% of the pQTLs uncovered by LOCUS would be missed by the univariate approach, including several trans and pleiotropic hits with successful independent validation. Finally, the analysis of extensive clinical data from the two cohorts indicates that the genetically-driven proteins identified by LOCUS are enriched in associations with low-grade inflammation, insulin resistance and dyslipidemia and might therefore act as endophenotypes for metabolic diseases. While considerations on the clinical role of the pQTLs are beyond the scope of our work, these findings generate useful hypotheses to be explored in future research; all results are accessible online from our searchable database. Thanks to its efficient variational Bayes implementation, LOCUS can analyze jointly thousands of traits and millions of markers. Its applicability goes beyond pQTL studies, opening new perspectives for large-scale genome-wide association and QTL analyses.

PUBLIC LIBRARY SCIENCE2020