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Genetic ancestry and population structure in the All of Us Research Program cohort

Shivam Sharma, Shashwat Deepali Nagar, Priscilla Pemu, Stephan Züchner, Priscilla Pemu, Robert Meller, Alexander Quarshie, Kelley Carroll, Lawrence L. Sanders, Howard Mosby, Elizabeth I. Olorundare, Atuarra McCaslin, Chadrick Anderson, Andrea Pearson, Kelechi C. Igwe, Karunamuni Silva, Gwen Daugett, Jason McCray, Michael Prude, Cheryl Franklin, Stephan Züchner, Olveen Carrasquillo, Rosario Isasi, Jacob L. McCauley, Jose G. Melo, Ana K. Riccio, Patrice Whitehead, Patricia Guzman, Christina Gladfelter, Rebecca Velez, Mario Saporta, Brandon Apagüeño, Lisa Abreu, Betsy Shenkman, William R. Hogan, Eileen Handberg, Jamie Hensley, Sonya White, Brittney Roth-Manning, Tona Mendoza, Alex Loiacono, Donny Weinbrenner, Mahmoud Enani, Ali Nouina, Michael E. Zwick, Tracie C. Rosser, Arshed A. Quyyumi, Theodore M. Johnson, Greg S. Martin, Alvaro Alonso, Tina-Ann Kerr Thompson, Nita Deshpande, H. Richard Johnston, Hina Ahmed, Letheshia Husbands, Leonardo Mariño‐Ramírez, Robert Meller, I. King Jordan

2025Nature Communications14 citationsDOIOpen Access PDF

Abstract

We analyzed participant genomic variant data to characterize population structure and genetic ancestry for the All of Us cohort (n = 297,549). There is substantial population structure in the cohort, with clusters of closely related participants interspersed among less related individuals. Participants show diverse genetic ancestry, with major contributions from European (66.4%), African (19.5%), Asian (7.6%), and American (6.3%) continental ancestry components. Participant genetic similarity clusters show group-specific ancestry, with distinct patterns of continental and subcontinental ancestry among groups. African and American ancestry are enriched in the southeast and southwest regions of the country, respectively, whereas European ancestry is more evenly distributed across the US. The diversity of All of Us participants’ genetic ancestry is negatively correlated with age; younger participants show higher levels of genetic admixture compared to older participants. Our results underscore the ancestral genetic diversity of the All of Us cohort, a crucial prerequisite for genomic health equity. Most genomics research cohorts are made up of participants of European ancestry, which limits the reach of precision medicine. Here, the authors describe the genetic diversity in the All of Us research program, which is enriched in underrepresented ancestries.

Topics & Concepts

PopulationCohortPopulation geneticsGenetic structureGeneticsBiologyEvolutionary biologyGenetic variationMedicineEnvironmental healthInternal medicineRace, Genetics, and SocietyNutrition, Genetics, and DiseaseGenetic Associations and Epidemiology