NIH Record - National Institutes of Health

All of Us Data Identifies 275 Million New Genetic Variants

headshot of white man with mustache, beard, and glasses, wearing suit and tie
Dr. Josh Denny

Researchers have discovered more than 275 million previously unreported genetic variants, identified from data shared by nearly 250,000 participants of NIH’s All of Us Research Program. 

Half of the genomic data are from participants of non-European genetic ancestry. The unexplored cache of variants provides researchers new pathways to better understand the genetic influences on health and disease, especially in communities who have been left out of research in the past. The findings are detailed in Nature.

Nearly 4 million of the newly identified variants are in areas that may be tied to disease risk. The genomic data detailed in the study are available to registered researchers in the Researcher Workbench, the program’s platform for data analysis.

“As a physician, I’ve seen the impact the lack of diversity in genomic research has had in deepening health disparities and limiting care for patients,” said Dr. Josh Denny, All of Us chief executive officer and an author of the study. “The All of Us dataset has already led researchers to findings that expand what we know about health—many that may not have been possible without our participants’ contributions of DNA and other health information. Their participation is setting a course for a future where scientific discovery is more inclusive, with broader benefits for all.”

headshot of black man, bald, clean-shaven, wearing suit and bowtie
Dr. Karriem Watson

To date, more than 90% of participants in large genomics studies have been of European genetic ancestry. NIH institute and center directors noted in an accompanying commentary article in Nature Medicine that this has led to a narrow understanding of the biology of diseases and impeded the development of new treatments and prevention strategies for all populations. Now, many researchers are using the All of Us dataset to advance precision medicine for all. 

For example, in a companion study published in Communications Biology, a research team led by Baylor College of Medicine, Houston, reviewed the frequency of genes and variants across different genetic ancestry groups in the All of Us dataset. Authors found significant variability in the frequency of variants associated with disease risk between different genetic ancestry groups and compared with other large genomic datasets. 

While more research is needed before these findings can be used to tailor genetic testing recommendations for specific populations, researchers believe the difference in the number of these variants may be influenced by past studies’ limited diversity and their disease-focused approach to participant enrollment, rather than a difference in the prevalence of the variants.

All of Us values intentional community engagement to ensure that populations historically underrepresented in biomedical research can also benefit from future scientific discoveries,” said Dr. Karriem Watson, All of Us chief engagement officer. “This starts with building awareness and improving access to medical research so that everyone has the opportunity to participate.” 

More than 750,000 people have enrolled in All of Us to date. Ultimately, the program plans to engage at least one million people who reflect the diversity of the U.S. and contribute data from DNA, electronic health records, wearable devices, surveys and more over time.

The program regularly expands and refreshes the dataset as more participants share information.  

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