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Pnas 2114271119
Pnas 2114271119
GENETICS
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Edited by Dalton Conley, Princeton University, Princeton, NJ; received August 3, 2021; accepted January 25, 2022
Twin studies document leadership role occupancy (e.g., whether one holds formal
supervisory or management positions) as a heritable trait. However, previous studies Significance
have been underpowered in identifying specific genes associated with this trait, which
has limited our understanding of the genetic correlations between leadership and one’s Our study presents the largest
well-being. We conducted a genome-wide association study (GWAS) on individuals’ whole-genome investigation of
leadership phenotypes that were derived from supervisory/managerial positions and leadership phenotypes to date.
demands among 248,640 individuals of European ancestry from the UK Biobank data. We identified genome-wide
Among the nine genome-wide significant loci, the identified top regions are pinpointed significant loci for leadership
to previously reported GWAS loci for bipolar disorder (miR-2113/POUSF2 and phenotypes, which are overlapped
LINC01239) and schizophrenia loci (ZSWIM6). We found positive genetic correlations with top hits for bipolar disorder,
between leadership position and several positive well-being and health indicators, schizophrenia, and intelligence.
including high levels of subjective well-being, and low levels of anxiety and depression
Our study demonstrated the
(jrgj > 0.2). Intriguingly, we observed positive genetic correlations between leadership
polygenetic nature of leadership,
position and some negative well-being indicators, including high levels of bipolar disor-
der and alcohol intake frequency. We also observed positive genetic correlations the positive genetic correlations
between leadership position and shortened longevity, cardiovascular diseases, and body between leadership traits and a
mass index after partialing out the genetic variance attributed to either educational broad range of well-being
attainment or income. The positive genetic correlation between leadership and bipolar indicators, and the unique
disorder seems potentially more pronounced for those holding senior leadership posi- association of leadership with
tions (rg: 0.10 to 0.24), partially due to shared genetic variants with educational attain- well-being after accounting for
ment. Our findings provide insights into the polygenic nature of leadership and shared genetic influences related to other
genetic underpinnings between the leadership position and one’s health and well-being. socioeconomic status measures.
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We caution against simplistic interpretations of our findings as advocating genetic Our findings offer insights into the
determinism.
biological underpinnings of
GWAS j leadership j well-being j genetics j management leadership.
leadership positions (12, 15). Adding another layer of complexity, some recent reports Published March 14, 2022.
2 of 11 https://doi.org/10.1073/pnas.2114271119 pnas.org
A
8
ZNF618;RGS3
6
-log10(p)
4
2
0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1819 20 21
B MIR2113;POU3F2
12
MST1R;MON1A
10
LINC01239;
ZDBF2; ZSWIM6 ELAVL2 KLF5 LINC01029
KLHL29ADAM23
8
-log10(p)
6
4
2
0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1819 20 21
Chromosome
Fig. 1. Manhattan plot of GWAS analysis for leadership traits in the UKB discovery sample. Results are shown for (A) leadership position (n ¼ 42,998/
205,642) and (B) leadership managing demands (n ¼ 219,474). The y-axis represents log10(P value) for association test with each phenotype, and the x-axis
represents genomic position based on human genome build 37. The cross in red represents independent genome-wide significant association signals
labeled by names of the genes or nearest genes. The horizontal red line indicates the significance level of P < 5.0 108. The horizontal blue dashed line
indicates the suggestive significance level of P < 1.0 105.
was largely due to the presence of polygenic inheritance (26); one signal for managing demands at gene NPAS2 on chromo-
thus, we did not perform a correction for λGC. some 2 in females remained significant across the discovery and
Initially, we identified nine potential signals (P < 5 108) replication samples. The nine independent SNPs showing
for the whole sample in the UKB discovery phase for the genome-wide significance across all the datasets were reported
single-trait analysis (Fig. 1, Manhattan plots S4 and regional in Table 2.
plots S5). The most significant signals were at miR2113/ For the top SNPs for managing demands, we tested whether
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POU3F2 on chromosome 6 for managing demands. We fur- they showed associations with leadership position in the discov-
ther assessed these signals in the independent replication sam- ery and replication samples. For the lead SNPs at eight loci,
ples. Three of the loci replicated at a nominal P value in the the alleles associated with the increased levels of managing
replication datasets (Wald test P ¼ 0.0389 for rs4665237 at demands were all positively associated with the leadership posi-
KLHL29, P ¼ 0.0175 for rs1487441 at miR2113/POU3F2, tion (SI Appendix, Table S8). Three loci, miR2113/POU3F2,
and P ¼ 0.0186 for rs76915478 at KLF5; SI Appendix, Table LINC01029, and NPAS2, exhibited significant pleiotropic
S7), despite the much smaller sample size (total sample size ¼ associations for leadership position after Bonferroni correction
33,915 individuals). All top single-nucleotide polymorphisms (P-pleio < 6.25 103; Table 2).
(SNPs) except one retained genome-wide significance in the We also conducted multitrait analyses on leadership position
meta-analysis combining all datasets, with the effect sizes and and managing demands using the multitrait analysis of GWAS
directions largely concordant (heterogeneity P value >0.172). (MTAG) method (27) with leadership position as the primary
For sex-specific analyses, we identified three loci, among which trait. Overall λGC was 1.05, consistent with a polygenic
Table 2. Summary of top loci for leadership traits identified from UKB data
SNP CHR BP A1/A2 Function Locus MAF β (SE) P-discovery P-meta P-het P-pleio
Leadership position
rs7035099 9 116568694 T/C Intergenic ZNF618;RGS3 0.42 0.018 (0.008) 2.20 108 6.14 109 0.391 N.A.
Managing demands
8 9
rs4665237 2 23900526 T/G Intronic KLHL29 0.47 0.015 (0.003) 4.60 10 5.22 10 0.683 0.066
rs9848497 3 49951316 T/C Intergenic MST1R;MON1A 0.48 0.017 (0.003) 8.90 1010 2.21 109 0.330 0.058
rs7719676 5 60736949 A/G Intronic ZSWIM6 0.33 0.017 (0.003) 1.80 108 6.53 109 0.827 0.136
rs1487441 6 98553894 A/G Intergenic MIR2113;POU3F2 0.48 0.019 (0.003) 8.50 1012 5.17 1013 0.908 3.76 104
rs4977839 9 23355310 A/G Intergenic LINC01239:ELAVL2 0.42 0.016 (0.003) 1.20 108 1.20 108 0.664 0.167
rs76915478 13 73639505 A/G Intronic KLF5 0.08 0.029 (0.005) 1.90 108 1.10 109 0.301 7.77 103
rs61532083 18 75891789 A/G Intergenic LINC01029 0.27 0.017 (0.003) 3.10 108 3.09 108 0.383 5.21 103
rs11541353* 2 101594191 T/C Missense NPAS2 0.18 0.027 (0.005) 2.80 108 3.15 108 0.312 6.10 103
Lead variants shown were P-meta < 5 108 for leadership position and managing demands in individuals of European ancestry from the discovery UKB dataset, UKB follow-up
cohorts, and the Add Health dataset. P-discovery is the P value from the discovery UKB dataset. For leadership position, the sample size for the UKB discovery: N ¼ 42,998/205,642; All:
n ¼ 282,555. For managing demands, the sample size for the UKB discovery: N ¼ 219,474; All: n ¼ 250,423. The replication studies include the UKB follow-up cohort, Add Health study,
and WLS. For the variant associated with managing demands, we assessed their pleiotropic association with the leadership across all datasets, reflected by the P-pleio. All significant
variants from the UKB discovery samples were presented in SI Appendix, Table S7. CHR, chromosome; A1, effect allele; A2, reference allele; β, beta effect based on the effect allele A1.
P-het, heterogeneity P value across discovery and replication samples.
*rs11541353 is the genome-wide significant variant for managing demands in female participants and remained significant in both discovery and replication samples.
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Fig. 2. Genetic correlations of leadership position phenotypes with health indicators and health behaviors. (A) MTAG-leadership and leadership position.
(B) MTAG-leadership before and after partialing out genetic variance related to educational attainment. (C) MTAG-leadership before and after partialing out
genetic variance related to income. P values for the genetic correlations are reported above each dot. Horizontal bars represent 95% CIs. Yellow asterisks
denote the genetic correlations at FDR < 0.05. WHR, waist–hip ratio; TG, triglycerides.
leadership, including intelligence, Big-Five personality traits, Genetic Correlations between Leadership and Well-Being. In
risk tolerance, height, educational attainment, and income, the UKB data, we found positive genetic correlations of leader-
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using summary statistics from previous GWAS (Materials and ship position and MTAG-leadership with positive physical and
Methods and SI Appendix, Table S14). The significance level mental health and well-being variables at large. For MTAG-
was set at a false discovery rate (FDR) <0.05 to account for leadership, there were positive genetic correlations with subjective
multiple testing (37). Intelligence is one of the most well- well-being (rg ¼ 0.26, 95% CI, 0.14 to 0.39; Fig. 2A and SI
studied psychological traits predictive of work and life achieve- Appendix, Table S16), overall health rating (rg ¼ 0.32, 95% CI,
ments (2, 3), with leadership position as one of them (4, 38, 0.25 to 0.40), HDL (rg ¼ 0.09, 95% CI, 0.02 to 0.16), physical
39). The Big-Five personality traits have been used as the over- exercise (rg ¼ 0.28, 95% CI, 0.19 to 0.37), and negative correla-
arching taxonomy to organize personality traits in leadership tions with depression symptoms (rg ¼ 0.30, 95% CI, 0.42 to
studies (40). Previous studies also demonstrated that, phenotyp- 0.18), anxiety (rg ¼ 0.42, 95% CI, 0.72 to 0.11), atten-
ically, risk-taking (41, 42) and height were positively and tion deficit hyperactivity disorder (ADHD) (rg ¼ 0.19, 95%
significantly associated with leadership (43–45). CI, 0.28 to 0.09), number of noncancer illness (rg ¼ 0.16,
We found that the leadership position variable had significant 95% CI, 0.23 to 0.08), LDL(rg ¼ 0.11, 95% CI, 0.19
genetic correlations with risk tolerance (rg ¼ 0.40, 95% CI, 0.31 to 0.03), and triglycerides (TG) (rg ¼ 0.11, 95% CI, 0.18
to 0.49), neuroticism (rg ¼ 0.19, 95% CI, 0.26 to 0.11), to 0.04). Moreover, we also observed that leadership was posi-
intelligence (rg ¼ 0.20, 95% CI, 0.11 to 0.30), and height (rg ¼ tively and genetically correlated to bipolar disorder (rg ¼ 0.14,
0.11, 95% CI, 0.05 to 0.17; SI Appendix, Table S15). Leadership 95% CI, 0.04 to 0.24) and alcohol intake frequency (rg ¼ 0.11,
position was genetically correlated with extraversion at nominal 95% CI, 0.03 to 0.19), both being indicators of low levels of
significance (rg ¼ 0.51, 95% CI, 0.01 to 1.01). For MTAG- health and well-being. In general, the genetic correlation esti-
leadership, integrating information from the managing demands mates with the variable leadership position alone were similar to,
phenotype, the genetic correlation with intelligence substantially and sometimes lower than, those with MTAG-leadership. How-
increased compared to analyses with leadership position variable ever, leadership position was significantly correlated with BMI (rg
alone (rg ¼ 0.48, 95% CI, 0.40 to 0.56). The genetic correlation ¼ 0.11, 95% CI, 0.04 to 0.18) and cardiovascular disease
remained significant for other variables: risk tolerance (rg ¼ 0.32, (CAD) (rg ¼ 0.11, 95% CI, 0.01 to 0.20), while these two indi-
95% CI, 0.25 to 0.40), neuroticism (rg ¼ 0.25, 95% CI, 0. ces were not significant correlated with MTAG-leadership (rg ¼
32 to 0.18), height (rg ¼ 0.17, 95% CI, 0.12 to 0.22), and 0.01 and 0.04 for BMI and CAD, respectively).
extraversion (rg ¼ 0.49, 95% CI, 0.07 to 0.91). The genetic cor- Leadership position, as an indicator of SES pertaining to
relation for leadership position was higher with income than edu- one’s occupational achievement, is associated with other SES
cational attainment (educational attainment: rg ¼ 0.18, 95% CI, measures such as educational attainment and income, each of
0.11 to 0.24; income: rg ¼ 0.53, 95% CI, 0.44 to 0.62); substan- which has shown genetic correlations with positive health indi-
tially stronger correlations were observed for MTAG-leadership cators in most instances (45). Occupying leadership positions
in a similar pattern (educational attainment: rg ¼ 0.58, 95% CI, at work can be considered as a career achievement that may
0.52 to 0.63; income: rg ¼ 0.83, 95% CI, 0.75 to 0.90). share similar advantages as other SES conditions on well-being.
The genetic correlations between leadership position and an also related to personal traits such as intelligence, risk tolerance,
increased risk of bipolar disorder and alcohol intake frequency, and extraversion. PGS combining common variants had small
as well as physical exercise, were further assessed for those hold- but significant predictive value for the leadership traits. Second,
ing senior leadership positions. Senior leaders had a larger we demonstrated, on the one hand, a consistent pattern of posi-
genetic risk for bipolar disorder (rg ¼ 0.24, 95% CI, 0.08 to tive genetic correlations between leadership position and positive
0.40; Fig. 3), about 2.5-fold of the correlation for the leader- well-being indicators. On the other hand, leadership position had
ship position variable (rg ¼ 0.09, 95% CI, 0.02 to 0.20) and a positive genetic correlation with poor well-being indicators,
1.7-fold of MTAG-leadership (rg ¼ 0.14, 95% CI, 0.04 to including bipolar disorder and alcohol intake frequency. After
0.24). The 95% CIs were wide for senior leadership likely due partialing out the genetic variance in common with other SES
to the small sample size, whereas the trend suggested that the measures, positive genetic correlations between leadership with
shared genetic factors predisposing to bipolar disorder could be the low health status (shortened longevity, CAD, and BMI), as
potentially more pronounced for senior leaders. A strengthened well as the low levels of physical exercise, emerged. Our study
demonstrated the polygenetic nature of leadership, the shared
genetic basis between leadership traits and a broad range of well-
being indicators, and the unique associations with well-being after
accounting for genetic influences related to other SES measures.
Leadership has been an essential and classic topic in genetic
research perhaps dating back to the early 19th century, when
modern human genetics as a scientific area was first established
(46). Modern genetics research on leadership appeared much
later using the classic twin approach (6, 7). Our study advanced
this line of inquiry by providing results from a whole-genome
exploration of leadership and unraveling genetic correlations
between leadership and various well-being variables. Our find-
ings corroborated with previous twin and candidate gene stud-
ies on significant heredity of leadership and pinpointed some
associated genes. Our research has revealed intriguing results.
For example, the lead SNP rs1487441-A allele at loci miR-
Fig. 3. Genetic correlations of leadership traits with bipolar disorder, 2113/POUSF2 and the rs4977839-A allele at LINC01239/
physical exercise, and alcohol use. Genetic correlation for the four leader- ELAVL2 associated with leadership position and a high level of
ship traits: MTAG-leadership, leadership position, managing demands, and
senior leadership position. Vertical bars represent 95% CIs. Asterisks managing demands were also found to be associated with an
denote the genetic correlations at FDR < 0.05. increased risk for bipolar disorder (19, 29). The findings
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corroborated with the positive genetic correlation between We observed positive genetic correlations between leadership
bipolar disorder and leadership traits found using the whole- position and bipolar disorder before partitioning out genetic
genome data. Our GWAS results suggest that the leadership influences related to income or education achievement, and such
phenotypes are significantly heritable traits but are highly poly- genetic correlations appeared particularly more pronounced in
genic. Similar to most personality traits (i.e., risk tolerance, senior leaders. Furthermore, our research pinpointed two top
extraversion, and conscientiousness) (29, 34, 47), the heredity loci—miR-2113/POUSF2 and LINC01239 ELAVL2—that were
estimates from our GWAS accounted for a small but compara- associated with increased bipolar-disorder risk and higher intelli-
ble fraction of genetic variance (<10%). We speculated that gence, suggesting a common underlying biological mechanism of
thousands of variants with small effects spreading across the these traits. Such findings may explain the attenuated genetic cor-
whole genome contribute to individual differences in predispo- relation for bipolar disorder after partitioning out genetic influen-
sition to leadership. Such phenomena may pose tremendous ces related to educational attainment but not income. Income is
challenges to precisely estimate the true effect sizes of variants a more distal phenotype from DNA than education; thus, it is
in the discovery dataset. Despite the limitation of using linear likely a more proximal predictor of health and well-being. Pheno-
additive effects of common SNPs in heritability and PGS calcu- typic research has portrayed bipolar disorder as a mixed blessing
lation, our results suggest the polygenity and complexity of for leadership. Researchers reported a positive association between
genetic structure underlying leadership phenotypes. bipolar disorder and superior leadership qualities in a Swedish
We tested the genetic correlations between leadership posi- population study (16). Bipolar disorder has also been found to be
tion and a set of personal traits that are predictive of leadership. positively associated with childhood intelligence quotient (IQ)
At the phenotypic level, leadership has been reported to be pos- (51), creativity (52), and entrepreneurship (53). Research also
itively related to intelligence, extraversion, risk tolerance, educa- reported positive genetic associations between bipolar disorder,
tion, income, and height and negatively related to neuroticism intelligence, (54) and education (55). The elevated behavioral
(38, 40, 41, 43). Consistent with phenotypical studies, intelli- activation system sensitivity may be an explanation for genetic
gence, extraversion, risk tolerance, neuroticism, and height had associations between bipolar disorder with these traits and
significant genetic associations with leadership in our research. achievements (56). Yet prior research has also reported that bipo-
The signs (positive or negative) of the phenotypic and genetic lar disorder is dysfunctional in terms of affecting one’s job perfor-
correlations between leadership position and such personal mance (57). Future research should examine causal associations
traits were consistent, which points to the possibility that among these traits more comprehensively.
shared genetic architecture may underpin the corresponding We also observed mixed relationships between leadership
phenotypical relationships. Genetic influences on leadership position and health behaviors. Leadership position had a posi-
may be carried through such personal traits (4, 38, 39). tive genetic correlation with physical exercise, which is benefi-
Previous research has provided contrasting views and mixed cial to health and well-being. Partialing out genetic influences
evidence on whether holding a leadership role is beneficial or related to income, the positive genetic relationship between
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detrimental to one’s well-being. Some argued that leaders may leadership position and physical exercise turned negative. This
shoulder high job demands, which may erode their health and might have to do with heightened psychological demands for
well-being, while others reason that leaders’ experiencing a strong those holding leadership positions, which might be partially
sense of control over their work may bring health benefits to genetic and uniquely related to leadership. High psychological
them. These two offsetting mechanisms may lead to varied direc- demands may increase leaders’ stress levels and reduce their
tion and strength in the relationship between leadership and well- time to engage in physical exercise. Leadership position was
being, depending on the context and types of well-being outcome genetically correlated with a high level of alcohol intake fre-
(15). In the current study, most genetic correlations between lead- quency—an unhealthy behavior. Alcohol intake frequency was
ership and positive well-being indicators were positive, similar to reported to be genetically positively correlated with other SES
findings for intelligence (47), education achievement (48), job indices, including education, income, and the reversed Town-
attainment (49), and income (18). send deprivation index (58). Our results corroborated these
After partitioning out the genetic effects related to education findings and suggest shared genetic mechanisms for leadership
or income, a lot of those significant genetic correlations became position and other SES indices in their relationships with alco-
less significant, suggesting that leadership position has substan- hol intake frequency. These results may also partially explain
tial genetic overlap with education and income in their positive the mixed findings for the phenotypic relationship between
relationships with well-being. However, there were instances of leadership and health outcomes.
divergence indicating unique genetic associations between well- The study has several limitations. First, the nature of leader-
being and leadership position. This means that genetic influen- ship is complex and multifaceted. Our measures of leadership
ces associated with leadership position may be detrimental to position and managing demands were extracted from occupa-
well-being, the results of which are different from those for tional databases and only included executive, managerial, and
educational attainment and income. Such evidence at the geno- supervisory roles and tasks in work settings. Although consis-
mic level provides support for findings on contrasting mecha- tent with the literature on leadership (6, 7), our measures are
nisms for the phenotypic relationship between leadership and not able to capture the whole spectrum of leadership, such as
well-being (15). Particularly, after partitioning out effects of leadership effectiveness (40), leadership styles (59), and leader-
educational attainment or income, holding leadership positions ship roles in other social settings. Future genomic studies
was genetically and positively associated with higher BMI, should examine other different leadership measures. Second, to
increased risk for CAD, and further reduced longevity. The build up a fuller biological foundation of leadership beyond
high psychological demands embedded in holding leadership genetics, we still need other important physiological mecha-
positions—a form of chronic stressors—might play a role nisms and to consider environmental influences. Hormones,
because they tend to stimulate psychobiological stress responses, such as testosterone, oxytocin, and serotonin, may be related to
including changes in fat metabolism and cardiovascular func- leadership (60, 61). Some preliminary evidence suggests that
tion, which are detrimental to health in the long run (50). certain brain structures and functions are relevant to leadership
Replication samples included participants from the UKB follow-up cohort item generated similar results to those of managing demands. As this item was
(n ¼ 22,875), the Add Health Wave IV cohort (66) (n ¼ 5,141), and the WLS largely overlapping with managing demands, we thus dropped it from further
cohort (67) (n ¼ 5,899; SI Appendix, Fig. S10–S12 and Table S5). The details of analyses.
replication cohorts were presented in SI Appendix, Supplementary Notes.
Genotyping and Imputation. We used imputation genotypes released by
Phenotype Definitions and Measures. The phenotypes of interest are lead- UKB (bgen files; imputed data version 3, released March 2018), which includes
ership position and managing demands (SI Appendix, Table S1). Leadership the full set of genotypes imputed on the Haplotype Reference Consortium (HRC)
position refers to whether one person holds a supervisory position (21), which is data, UK10K, and 1000 Genomes phase-3 reference panels. The QC and imputa-
a widely used indicator of leadership (38, 40). Previous leadership research has tion were done by UKB and have been described elsewhere (62). A European
assessed leadership position according to whether participants occupy supervi- subset was identified by projecting the UKB participants onto the 1000
sory roles (6, 15, 68). Accordingly, in the UKB sample, we measured the leader- Genomes Project principal components coordination. We excluded genetic
ship position based on whether the occupations require managing subordinates. variants with MAF <1% and poorly imputed markers (IMPUTE info < 0.3),
The measure of leadership position was derived from participants’ occupational resulting in 9,804,641 autosomal variants imputed or genotyped on 408,344
codes according to the UK SOC version 2000 system. In this classification system, individuals of European ancestry. Among them, 248,640 individuals with the
there are three different skill levels for managerial occupations: senior leaders leadership-position phenotype were included in the analyses; 219,474 individu-
(e.g., directors and chief executives of major organizations), other corporate man- als were included for GWAS on managing demands. For the UKB follow-up data-
agers (e.g., marketing and sales managers), and managers and proprietors in set, the genotyping, imputation, and filtering procedure was similar to the
agriculture and services (e.g., service managers). We coded participants with one described for the UKB discovery, resulting in 22,875 individuals of European
these occupations that required managing subordinates as leaders (1) and ancestry.
others as nonleaders (0). In the sensitivity analyses, we also performed GWAS for For the Add Health cohort, the genotypes were imputed on the HRC, with
senior leaders (coded as 1) and nonleaders (0). QCs detailed in ref. 71. A total of 7,508,602 genetic variants were included with
Leadership is also reflected in significant and unique job demands—manag- MAF>1% and IMPUTE Info $0.3. Analyses were limited to 5,141 individuals of
ing other people, tasks, and resources (23, 69). The UK SOC version 2000 occu- European ancestry, and cryptically related individuals were dropped from analy-
pation codes from the UKB data were linked through a crosswalk to the US SOC ses. For the WLS cohort, the genotypes were imputed using the 1000 Genomes
version 2000 to extract further occupational characteristic information from the Phase-3 dataset. Replication analyses included 5,899 individuals of unrelated
US O*NET database (70). Among 502,538 participants, we were able to match European participants. The QC and imputation for datasets used in this study
job titles for 274,223 individuals, while 192,010 did not provide SOC codes and were described in SI Appendix, Supplementary Notes.
36,305 participants had SOC 2000 codes but without sufficient information that
could be used in matching to the O*NET system (SI Appendix, Fig. S1). Manag- Genome-Wide Association Analyses. We assumed an additive genetic model
ing demands were measured with nine items on typical managerial and supervi- in which the dosage of each SNP was a continuous variable ranging from 0 to 2
sory tasks (24). These items were selected from the section of generalized work for the effect allele. For UKB GWAS, a linear mixed model accounting for genetic
activities from the O*NET questionnaires. A sample item is “What level of guid- relatedness was conducted to determine its association with the phenotype. The
ing, directing, and motivating subordinates is needed to perform your current analyses were conducted with the software BOLT-LMM version 2.3.2 (https://
job?” All the items used a seven-point scale indicating the levels of the demands. alkesgroup.broadinstitute.org/BOLT-LMM/downloads) (72). The association analyses
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were adjusted for age, sex, genotyping array, and top 20 principal components For MTAG-leadership, we used the same percentage as for the leadership posi-
(PCs). The GWASs were also done separately by sex. tion. For the senior leadership position testing statistics from the meta-analysis
Independent significant variants and their surrounding genomic loci were across UKB and the Add Health cohorts, the prevalence is the weighted average
identified using LD clumping in PLINK version 1.07 (https://zzz.bwh.harvard. percentage in UKB and the Add Health dataset (2.30% for senior leadership
edu/plink/download.shtml). The LD structure was estimated from the European position).
panels in the 1000 Genomes Project of phase 3 as the reference population. The
index lead SNP was identified (P < 5 108), independent from other variants Genetic Correlations of Leadership Traits with Well-Being and Other
Traits. We first computed the genetic correlation between leadership position
at each locus (r2 < 0.01). A locus was defined by an index SNP with the region
and managing demands, for the overall sample and subsamples by sex, using
flanking 500 kb on both sides. The coordinates and variant identifiers were
the GWAS summary statistics from the UKB discovery sample. We adopted the
reported on the National Center for Biotechnology Information B37 (hg19)
bivariate LDSC method by regressing the product of testing statistics (z-statistics)
genome build. The functional annotation and gene mapping were performed
from each phenotype against the LD scores (75).
using ANNOVAR (version 2018Apr16), including types of intronic, exonic, inter-
We assessed the genetic correlations with 32 personal traits and well-being
genic, 50 -UTR, 30 -UTR, etc. (73). Regional plots of each identified locus were
variables using summary statistics from GWASs of European ancestry, with the
made by LocusZoom (http://locuszoom.org/), and the 1000 Genomes data of the
detailed information of sample sizes, phenotypes, and GWAS summary data
European population was used to estimate LD information.
resources presented in SI Appendix, Table S14. We used summary statistics from
Replication Analyses. Genome-wide significant SNPs were evaluated in the the previously published large-scale GWAS or GWAS results from UKB data, for
UKB follow-up dataset, the Add Health dataset, and the WLS cohort. The detailed instance, subjective well-being (76), overall health rating (77), job satisfaction
information for association analyses in the replication datasets is presented in SI (UKB data field 4537), depressive symptoms (76), neuroticism (78), longevity
Appendix, Supplementary Notes. We meta-analyzed results from both discovery (79), number of cancer illnesses (UKB data field 34), number of noncancer
and replication samples using the inverse-variance weighted fixed-effects model illnesses (UKB data field 135), smoking initiation (80), BMI (5), height (5), intelli-
with METAL software (https://genome.sph.umich.edu/wiki/METAL). For the binary gence (29), etc. The bivariate LD-score regression was applied for genetic correla-
trait of leadership position, the coefficients obtained from the linear mixed model tion analyses (75). Note that for the illustration purpose, in our results, we
in the UKB discovery samples were on the standardized scale. Therefore, we trans- recoded job satisfaction and overall health rating so that higher scores indicate
formed these coefficients to make them comparable with the observations in all higher job satisfaction and overall health by flipping the sign of beta effects
the samples. We rescaled the beta coefficients with the following formula: βs ¼ from original GWAS results.
β/k*(1β), where k is the prevalence of leaders in the UKB; the ORs were calcu- We used two sets of summary statistics for leadership traits: 1) single-trait
lated accordingly using the scaled beta coefficient βs. GWAS on the leadership position and 2) MTAG-leadership by combining the
association statistics for the leadership position and managing demands using
MTAG. To combine the GWAS summary statistics for the two leadership varia- the MTAG method. We excluded variants (INFO < 0.8 and MAF < 0.01) and
bles, we applied the MTAG approach (27). MTAG is a method for joint analyses merged SNPs to the HapMap3 European panel; the MHC region on chromo-
of summary statistics from GWASs of correlated traits, whereas the effect esti- some 6 was removed. Bivariate LDSC regression was applied for genetic correla-
mates for each trait can be improved by appropriately incorporating information tions between each pair of leadership and other traits (75). As we estimated
contained in the GWAS estimates for the other traits. Here, we treated the phe- genetic correlations with a series of traits, we applied Benjamini–Hochberg FDR
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notype, leadership position, as our primary trait; thus, MTAG returned association correlation for statistical significance when the FDR was less than 5% (37). In the
meta-analyses results for leadership position enriched by the results from the sensitivity analysis, we also performed genetic correlation analyses using GWAS
other leadership phenotype, managing demands. We labeled it as MTAG- results of senior leadership and managing demands for bipolar disorder, alcohol
leadership in this paper. use, and physical exercise.
To estimate the genetic correlations after partialing out the genetic variance
Common SNP Heritability. We used the software LDSC version 1.0.1 (https://
of other socioeconomic variables (educational attainment and income), we used
github.com/bulik/ldsc) with GWAS summary statistics to estimate common SNP-
the Genomic SEM (81). For each pair of leadership and well-being phenotypes,
h2 for three phenotypes: leadership position, managing demands, and MTAG-
we fitted the Genomic structure equation modeling (SEM) model including three
leadership for the whole sample and subsamples by sex in the UKB discovery traits: leadership position trait (X), well-being phenotype (Y), and education or
data (26). We used LD-score regression to estimate the proportion of variance in income (Z). In the path diagram, there was a bidirectional arrow between two
liability to leadership traits that could be explained by the aggregated effect of traits of X and Y and directional arrows from Z to X and Z to Y. The genetic effect
the SNPs. Of 9,804,641 variants from GWAS summary-level data, we included of Z was regressed out from the variance of X and Y, affecting the genetic correla-
SNPs presented in the European panels in the 1000 Genomes Project, with the tion. The genetic covariance matrix of X, Y, and Z was produced by the LDSC
exclusion of the major histocompatibility complex (MHC) region on chromosome method implemented in Genomic SEM. The process was repeated for each well-
6. SNPs with INFO <0.8 were further removed, resulting in 1,174,163 SNPs for being outcome.
the LDSC regression analyses. We also applied the variance components analysis
(BOLT-REML) method to estimate the genetic variance component of leadership PGS Analyses. A PGS estimates the cumulative effects of thousands of genetic
traits (leadership position and managing demands) using individual-level auto- variants identified from GWAS, including many with small effects. Using the
somal genotype data of the UKB discovery sample. The analysis included GWAS results from MTAG-leadership, we generated PGSs in the UKB follow-up
220,624 unrelated European samples in the UKB discovery phase using the soft- sample. The PGSs were constructed in PRSice (https://www.prsice.info/quick_
ware BOLT-LMM version 2.3.2 (https://alkesgroup.broadinstitute.org/BOLT-LMM/ start/), a method shown to have decent prediction accuracy involving LD pruning
downloads). In the sensitivity analyses, we calculated SNP-h2 estimation of senior followed by P-value thresholding (82). Variants were selected as meeting a series
leadership phenotype using GWAS data in the UKB discovery sample with LDSC of increasingly stringent P-value thresholds: P < 1, P < 0.05, P < 1 103,
and BOLT-LMM approaches. We did not estimate SNP-h2 by sex due to the small P < 1 105, and P < 1 107). Independent lead variants associated with
sample size. To increase effective sample size, we also estimated heritability for the phenotype were identified by the “clumping and thresholding” approach,
senior leadership using meta-analysis results combining the results with the Add removing those within 250 kb and in linkage disequilibrium r2 $ 0.1 with the
Health sample (SI Appendix, Supplementary Notes). lead variant in the region. An individual’s PGS is a weighted sum of the
For the binary trait of leadership position, the estimated heritability should genotypes across all independent variants. The weighting factor is the estimated
be transformed to the liability scale using the transformation derived by Lee et al. additive effect size, beta coefficient, at each variant from the MTAG-leadership
(74). As the exact prevalence is unknown, we assumed the percentage of leader- summary statistics. Prediction accuracy was based on an ordinary least squares
ship position in the UKB sample under current analysis is equal to the popula- regression of the leadership position on the PGS and a set of standard covariates,
tion prevalence (leadership position: 17.29%; male participants: 22.63%; female including age, sex, and the top genetic PCs. The McFadden pseudo-R2 for PGS
participants: 12.35%; senior leader: 1.59%), similar to calculating SNP-h2 on the was calculated as the incremental variance for leadership variables (i.e., the R2 of
liability scale for UKB dichotomous traits (http://www.nealelab.is/uk-biobank). the model including PGSs and covariates minus the R2 of the model including
1. T. Carlyle, On Heroes, Hero-Worship, and the Heroic in History (Project Gutenberg, 2012). 31. J. Bryois et al., Evaluation of chromatin accessibility in prefrontal cortex of individuals with
2. R. M. Stogdill, Personal factors associated with leadership; A survey of the literature. J. Psychol. 25, schizophrenia. Nat. Commun. 9, 3121 (2018).
35–71 (1948). 32. M. Lam, T. Lencz, C. G. Consortium, Identification of key SNPs and pathways underlying differential
3. R. D. Mann, A review of the relationships between personality and performance in small groups. genetic correlations between education and cognition on schizophrenia. Eur.
Psychol. Bull. 56, 241–270 (1959). Neuropsychopharmacol. 29, S943–S944 (2019).
4. R. Ilies, M. W. Gerhardt, H. Le, Individual differences in leadership emergence: Integrating 33. D. J. Tischfield et al., Loss of the neurodevelopmental gene Zswim6 alters striatal morphology and
meta-analytic findings and behavioral genetics estimates. Int. J. Sel. Assess. 12, 207–219 motor regulation. Neurobiol. Dis. 103, 174–183 (2017).
(2004). 34. R. Karlsson Linner et al.; 23and Me Research Team; eQTLgen Consortium; International Cannabis
5. L. Yengo et al.; GIANT Consortium, Meta-analysis of genome-wide association studies for height Consortium; Social Science Genetic Association Consortium, Genome-wide association analyses of
and body mass index in 700000 individuals of European ancestry. Hum. Mol. Genet. 27, risk tolerance and risky behaviors in over 1 million individuals identify hundreds of loci and shared
3641–3649 (2018). genetic influences. Nat. Genet. 51, 245–257 (2019).
6. R. D. Arvey, Z. Zhang, B. J. Avolio, R. F. Krueger, Developmental and genetic determinants of 35. S. M. van den Berg et al.; Generation Scotland, Meta-analysis of genome-wide association studies
leadership role occupancy among women. J. Appl. Psychol. 92, 693–706 (2007). for extraversion: Findings from the genetics of personality consortium. Behav. Genet. 46, 170–182
7. R. D. Arvey, M. Rotundo, W. Johnson, Z. Zhang, M. McGue, The determinants of leadership role (2016).
occupancy: Genetic and personality factors. Leadersh. Q. 17, 1–20 (2006). 36. B. Nicholas et al., Association of Per1 and Npas2 with autistic disorder: Support for the clock genes/
8. J.-E. De Neve, S. Mikhaylov, C. T. Dawes, N. A. Christakis, J. H. Fowler, Born to lead? A twin design social timing hypothesis. Mol. Psychiatry 12, 581–592 (2007).
and genetic association study of leadership role occupancy. Leadersh. Q. 24, 45–60 (2013). 37. Y. Benjamini, Y. Hochberg, Controlling the false discovery rate: A practical and powerful approach
9. W.-D. Li et al., A mixed blessing? Dual mediating mechanisms in the relationship between to multiple testing. J. R. Stat. Soc. B 57, 289–300 (1995).
dopamine transporter gene DAT1 and leadership role occupancy. Leadersh. Q. 26, 671–686 38. T. A. Judge, A. E. Colbert, R. Ilies, Intelligence and leadership: A quantitative review and test of
(2015). theoretical propositions. J. Appl. Psychol. 89, 542–552 (2004).
Downloaded from https://www.pnas.org by 178.134.63.53 on March 14, 2023 from IP address 178.134.63.53.
10. J. Barling, A. Cloutier, Leaders’ mental health at work: Empirical, methodological, and policy 39. R. G. Lord, C. L. De Vader, G. M. Alliger, A meta-analysis of the relation between personality traits
directions. J. Occup. Health Psychol. 22, 394–406 (2017). and leadership perceptions: An application of validity generalization procedures. J. Appl. Psychol.
11. C. L. Cooper, J. Marshall, Understanding Executive Stress (Springer, London, 1978). 71, 402–410 (1986).
12. G. D. Sherman et al., Leadership is associated with lower levels of stress. Proc. Natl. Acad. Sci. U.S.A. 40. T. A. Judge, J. E. Bono, R. Ilies, M. W. Gerhardt, Personality and leadership: A qualitative and
109, 17903–17907 (2012). quantitative review. J. Appl. Psychol. 87, 765–780 (2002).
13. J. Armilla, Anxiety in taking the role of the leader. J. Abnorm. Psychol. 68, 550–552 (1964). 41. S. Ertac, M. Y. Gurdal, Deciding to decide: Gender, leadership and risk-taking in groups. J. Econ.
14. H. Levinson, When executives burn out. Harv. Bus. Rev. 59, 73–81 (1981). Behav. Organ. 83, 24–30 (2012).
15. W. D. Li, J. M. Schaubroeck, J. L. Xie, A. C. Keller, Is being a leader a mixed blessing? A dual-pathway 42. G. A. van Kleef et al., No guts, no glory? How risk-taking shapes dominance, prestige, and
model linking leadership role occupancy to well-being. J. Organ. Behav. 39, 971–989 (2018). leadership endorsement. J. Appl. Psychol. 106, 1673–1694 (2021).
16. S. Kyaga, P. Lichtenstein, M. Boman, M. Landen, Bipolar disorder and leadership–A total 43. F. Bittmann, The relationship between height and leadership: Evidence from across Europe. Econ.
population study. Acta Psychiatr. Scand. 131, 111–119 (2015). Hum. Biol. 36, 100829 (2020).
17. M. G. Marmot et al., Health inequalities among British civil servants: The Whitehall II study. Lancet 44. N. M. Blaker et al., The height leadership advantage in men and women: Testing evolutionary
337, 1387–1393 (1991). psychology predictions about the perceptions of tall leaders. Group Process. Intergroup Relat. 16,
18. W. D. Hill et al., Genome-wide analysis identifies molecular systems and 149 genetic loci 17–27 (2013).
associated with income. Nat. Commun. 10, 5741 (2019). 45. E. Lindqvist, Height and leadership. Rev. Econ. Stat. 94, 1191–1196 (2012).
19. J. J. Lee et al.; 23andMe Research Team; COGENT (Cognitive Genomics Consortium); Social 46. F. Galton, Hereditary Genius: An Inquiry into Its Laws and Consequences (Macmillan and Co.,
Science Genetic Association Consortium, Gene discovery and polygenic prediction from a genome- Longdon, 1869).
wide association study of educational attainment in 1.1 million individuals. Nat. Genet. 50, 47. I. J. Deary, S. E. Harris, W. D. Hill, What genome-wide association studies reveal about the
1112–1121 (2018). association between intelligence and physical health, illness, and mortality. Curr. Opin. Psychol.
20. W.-D. Li, R. D. Arvey, Z. Zhang, Z. Song, Do leadership role occupancy and transformational leadership 27, 6–12 (2019).
share the same genetic and environmental influences? Leadersh. Q. 23, 233–243 (2012). 48. A. Okbay et al.; LifeLines Cohort Study, Genome-wide association study identifies 74 loci associated
21. B. M. Bass, R. M. Stogdill, Bass & Stogdill’s Handbook of Leadership: Theory, Research, and with educational attainment. Nature 533, 539–542 (2016).
Managerial Applications (Simon and Schuster, 1990). 49. W. D. Li, Z. Zhang, Z. Song, R. D. Arvey, It is also in our nature: Genetic influences on work
22. Oxford Online Dictionary, “Leadership.” https://www.lexico.com/definition/leadership. Accessed characteristics and in explaining their relationships with well-being. J. Organ. Behav. 37, 868–888
8 June 2021. (2016).
23. G. Yukl, Effective leadership behaviors: What we know and what questions need more attention? 50. M. Marmot, R. Wilkinson, Social Determinants of Health (OUP Oxford, 2005).
Acad. Manage. Perspect. 26, 66–85 (2012). 51. D. J. Smith et al., Childhood IQ and risk of bipolar disorder in adulthood: Prospective birth cohort
24. T. M. Glomb, J. D. Kammeyer-Mueller, M. Rotundo, Emotional labor demands and compensating study. BJPsych Open 1, 74–80 (2015).
wage differentials. J. Appl. Psychol. 89, 700–714 (2004). 52. S. L. Johnson et al., Creativity and bipolar disorder: Touched by fire or burning with questions?
25. S. K. Parker, F. P. Morgeson, G. Johns, One hundred years of work design research: Looking back Clin. Psychol. Rev. 32, 1–12 (2012).
and looking forward. J. Appl. Psychol. 102, 403–420 (2017). 53. S. L. Johnson, J. W. Madole, M. A. Freeman, Mania risk and entrepreneurship: Overlapping
26. B. K. Bulik-Sullivan et al.; Schizophrenia Working Group of the Psychiatric Genomics Consortium, personality traits. Acad. Manage. Perspect. 32, 207–227 (2018).
LD Score regression distinguishes confounding from polygenicity in genome-wide association 54. O. B. Smeland et al., Genome-wide analysis reveals extensive genetic overlap between
studies. Nat. Genet. 47, 291–295 (2015). schizophrenia, bipolar disorder, and intelligence. Mol. Psychiatry 25, 844–853 (2019).
27. P. Turley et al.; 23andMe Research Team; Social Science Genetic Association Consortium, Multi- 55. W. D. Hill, S. E. Harris, I. J. Deary, What genome-wide association studies reveal about the
trait analysis of genome-wide association summary statistics using MTAG. Nat. Genet. 50, 229–237 association between intelligence and mental health. Curr. Opin. Psychol. 27, 25–30 (2019).
(2018). 56. S. L. Johnson, M. D. Edge, M. K. Holmes, C. S. Carver, The behavioral activation system and mania.
28. L. Hou et al., Genome-wide association study of 40,000 individuals identifies two novel loci Annu. Rev. Clin. Psychol. 8, 243–267 (2012).
associated with bipolar disorder. Hum. Mol. Genet. 25, 3383–3394 (2016). 57. M. F. Green, Cognitive impairment and functional outcome in schizophrenia and bipolar disorder.
29. J. E. Savage et al., Genome-wide association meta-analysis in 269,867 individuals identifies new J. Clin. Psychiatry 67, e12 (2006).
genetic and functional links to intelligence. Nat. Genet. 50, 912–919 (2018). 58. A. T. Marees et al., Genetic correlates of socio-economic status influence the pattern of shared
30. S. Q. Shen, J. S. Kim-Han, L. Cheng, D. Xu, J. C. Corbo, A candidate causal variant underlying both heritability across mental health traits. Nat. Hum. Behav. 5, 1065–1073 (2021).
higher intelligence and increased risk of bipolar disorder. bioRxiv [Preprint] (2019). https://www. 59. A. M. Johnson et al., Nature vs nurture: Are leaders born or made? A behavior genetic
biorxiv.org/content/10.1101/580258v2.full. Accessed 1 March 2022. investigation of leadership style. Twin Res. 1, 216–223 (1998).
10 of 11 https://doi.org/10.1073/pnas.2114271119 pnas.org
60. A. Gray, D. N. Jackson, J. B. McKinlay, The relation between dominance, anger, and hormones in 73. K. Wang, M. Li, H. Hakonarson, ANNOVAR: Functional annotation of genetic variants from high-
normally aging men: Results from the Massachusetts male aging study. Psychosom. Med. 53, throughput sequencing data. Nucleic Acids Res. 38, e164 (2010).
375–385 (1991). 74. S. H. Lee, N. R. Wray, M. E. Goddard, P. M. Visscher, Estimating missing heritability for disease
61. J. G. Sellers, M. R. Mehl, R. A. Josephs, Hormones and personality: Testosterone as a marker of from genome-wide association studies. Am. J. Hum. Genet. 88, 294–305 (2011).
individual differences. J. Res. Pers. 41, 126–138 (2007). 75. B. Bulik-Sullivan et al.; ReproGen Consortium; Psychiatric Genomics Consortium; Genetic
62. C. Bycroft et al., The UK Biobank resource with deep phenotyping and genomic data. Nature 562, Consortium for Anorexia Nervosa of the Wellcome Trust Case Control Consortium 3, An atlas of
203–209 (2018). genetic correlations across human diseases and traits. Nat. Genet. 47, 1236–1241 (2015).
63. C. Sudlow et al., UK Biobank: An open access resource for identifying the causes of a wide range of 76. A. Okbay et al.; LifeLines Cohort Study, Genetic variants associated with subjective well-being,
complex diseases of middle and old age. PLoS Med. 12, e1001779 (2015). depressive symptoms, and neuroticism identified through genome-wide analyses. Nat. Genet. 48,
64. M. Mutambudzi et al., Occupation and risk of severe COVID-19: prospective cohort study of 624–633 (2016).
120,075 UK Biobank participants. Occup. Environ. Med. 78, 307–314 (2021). 77. S. E. Harris et al.; METASTROKE Consortium, International Consortium for Blood Pressure
65. S. De Matteis et al., Occupations associated with COPD risk in the large population-based UK Genome-Wide Association Studies; International Consortium for Blood Pressure Genome-Wide
Biobank cohort study. Occup. Environ. Med. 73, 378–384 (2016). Association Studies; CHARGE Consortium Aging and Longevity Group; CHARGE Consortium
66. K. M. Harris et al., Cohort profile: The national longitudinal study of adolescent to adult health Cognitive Group, Molecular genetic contributions to self-rated health. Int. J. Epidemiol. 46,
(Add Health). Int. J. Epidemiol. 48, 1415–1415k (2019). 994–1009 (2017).
67. P. Herd, D. Carr, C. Roan, Cohort profile: Wisconsin longitudinal study (WLS). Int. J. Epidemiol. 43, 78. M. Nagel et al.; 23andMe Research Team, Meta-analysis of genome-wide association studies for
34–41 (2014). neuroticism in 449,484 individuals identifies novel genetic loci and pathways. Nat. Genet. 50,
68. W.-D. Li et al., Can becoming a leader change your personality? An investigation with 920–927 (2018).
two longitudinal studies from a role-based perspective. J. Appl. Psychol. 106, 882–901 79. J. Deelen et al., A meta-analysis of genome-wide association studies identifies multiple longevity
(2020). genes. Nat. Commun. 10, 3669 (2019).
69. E. A. Fleishman et al., Taxonomic efforts in the description of leader behavior: A synthesis and 80. A. M. Erzurumluoglu et al.; Understanding Society Scientific Group, EPIC-CVD, GSCAN, Consortium
functional interpretation. Leadersh. Q. 2, 245–287 (1991). for Genetics of Smoking Behaviour, CHD Exomeþ consortium, Meta-analysis of up to 622,409
70. N. G. Peterson, M. D. Mumford, W. C. Borman, P. Jeanneret, E. A. Fleishman, An Occupational individuals identifies 40 novel smoking behaviour associated genetic loci. Mol. Psychiatry 25,
Information System for the 21st Century: The Development of O* NET (American Psychological 2392–2409 (2020).
Association, 1999). 81. A. D. Grotzinger et al., Genomic structural equation modelling provides insights into the
71. H. M. Highland, C. L. Avery, Q. Duan, Y. Li, K. M. Harris, Quality Control Analysis of Add Health multivariate genetic architecture of complex traits. Nat. Hum. Behav. 3, 513–525 (2019).
GWAS Data (Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, 82. J. Euesden, C. M. Lewis, P. F. O’Reilly, PRSice: Polygenic risk score software. Bioinformatics 31,
NC, 2018). 1466–1468 (2015).
72. P.-R. Loh et al., Efficient Bayesian mixed-model analysis increases association power in large 83. T. S. H. Mak, R. M. Porsch, S. W. Choi, X. Zhou, P. C. Sham, Polygenic scores via penalized
cohorts. Nat. Genet. 47, 284–290 (2015). regression on summary statistics. Genet. Epidemiol. 41, 469–480 (2017).
Downloaded from https://www.pnas.org by 178.134.63.53 on March 14, 2023 from IP address 178.134.63.53.