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        <orcid>0000-0003-2557-4716</orcid>
        <affiliation>University College London</affiliation>
        <contact>FALSE</contact>
      </item>
      <item>
        <name>
          <family>Cecil</family>
          <given>Charlotte A.M.</given>
        </name>
        <orcid>0000-0002-2389-5922</orcid>
        <affiliation>Erasmus University Medical Center</affiliation>
        <contact>FALSE</contact>
      </item>
      <item>
        <name>
          <family>Choudhary</family>
          <given>Priyanka</given>
        </name>
        <orcid>0000-0002-2420-4118</orcid>
        <affiliation>University of Oulu</affiliation>
        <contact>FALSE</contact>
      </item>
      <item>
        <name>
          <family>Järvelin</family>
          <given>Marjo-Riitta</given>
        </name>
        <orcid>0000-0002-2149-0630</orcid>
        <affiliation>Imperial College London</affiliation>
        <contact>FALSE</contact>
      </item>
      <item>
        <name>
          <family>Penninx</family>
          <given>Brenda W.J.H.</given>
        </name>
        <orcid>0000-0001-7779-9672</orcid>
        <affiliation>Vrije Universiteit Amsterdam</affiliation>
        <contact>FALSE</contact>
      </item>
      <item>
        <name>
          <family>Felix</family>
          <given>Janine F.</given>
        </name>
        <orcid>0000-0002-9801-5774</orcid>
        <affiliation>Erasmus University Medical Center</affiliation>
        <contact>FALSE</contact>
      </item>
      <item>
        <name>
          <family>Sebert</family>
          <given>Sylvain</given>
        </name>
        <orcid>0000-0001-6681-6983</orcid>
        <affiliation>University of Oulu</affiliation>
        <contact>FALSE</contact>
      </item>
      <item>
        <name>
          <family>Milaneschi</family>
          <given>Yuri</given>
        </name>
        <orcid>0000-0002-3697-6617</orcid>
        <affiliation>Vrije Universiteit Amsterdam</affiliation>
        <contact>FALSE</contact>
      </item>
      <item>
        <name>
          <family>Walton</family>
          <given>Esther</given>
        </name>
        <id>E.Walton@bath.ac.uk</id>
        <orcid>0000-0002-0935-2200</orcid>
        <affiliation>University of Bath</affiliation>
        <contact>FALSE</contact>
      </item>
    </creators>
    <title>Dataset for a Multivariate Genome-Wide Association Study of Psycho-Cardiometabolic Multimorbidity</title>
    <subjects>
      <item>JN0010</item>
    </subjects>
    <divisions>
      <item>dept_psy</item>
    </divisions>
    <keywords>Multimorbidity, Coronary artery disease, Type 2 diabetes, Depression, GWAS, Summary statistics, Psycho-cardiometabolic, EarlyCause</keywords>
    <note>For a detailed description of both sets of statistics, please see the associated publication. Summary statistics include:

- SNP = single nucleotide polymorphism (SNP);
- CHR = chromosome;
- BP = position;
- MAF = minor allele frequency;
- A1 = effect allele;
- A2 = non-effect allele;
- BETA = effect of the SNP on the common factor;
- SE = standard error;
- Z_Estimate = ratio of effect/SE;
- P = p-value of Z_Estimate;
- chisq = chi-square statistic, providing the heterogeneity estimate for that SNP (equivalent to the Q SNP index);
- chisq_df = chi-square degrees of freedom;
- chisq_pval = chi-square p-value;
- concordant = indicates whether effect estimates from three input genome-wide association studies were directionally concordant (TRUE = all three estimates were concordant; FALSE = at least one estimate was not concordant)</note>
    <abstract>This dataset contains summary statistics from a multivariate genome-wide association study of major depression, coronary artery disease, and type 2 diabetes (i.e., psycho-cardiometabolic multimorbidity). 

There are two sets of summary statistics: version with UK Biobank (effective sample size = 562,507) and version without UK Biobank (effective sample size = 156,717). Summary statistics for non-heterogeneous variants are also provided (obtained by removing variants with Q SNP P &lt; 5e-8 and directionally discordant univariate effect estimates).

For a given single nucleotide polymorphism (SNP), the summary statistics include the chromosome; position; minor allele frequency; effect allele; non-effect allele; effect of the SNP on the common factor; standard error; ratio of effect/SE; p-value of Z_Estimate; chi-square statistic, providing the heterogeneity estimate for that SNP (equivalent to the Q SNP index); chi-square degrees of freedom; chi-square p-value; whether effect estimates from three input genome-wide association studies were directionally concordant.</abstract>
    <date>2023-06-30</date>
    <publisher>University of Bath</publisher>
    <full_text_status>restricted</full_text_status>
    <dataurl>
      <item>
        <link>https://github.com/VilteBaltra/Psycho-cardiometabolic-multimorbidity</link>
        <description>GitHub repository containing the R scripts used</description>
      </item>
    </dataurl>
    <corp_contributors>
      <item>
        <type>RightsHolder</type>
        <corpname>23andMe</corpname>
      </item>
      <item>
        <type>RightsHolder</type>
        <corpname>University of Bath</corpname>
      </item>
    </corp_contributors>
    <funding>
      <item>
        <funder_name>Horizon 2020 Framework Programme</funder_name>
        <funder_id>https://doi.org/10.13039/100010661</funder_id>
        <grant_id>848158</grant_id>
        <project_name>EarlyCause</project_name>
      </item>
    </funding>
    <collection_method>This dataset was created using genomic structural equation modeling (Genomic SEM) package in R. First, a common factor model was specified to capture the shared variance between major depression, coronary artery disease, and type 2 diabetes. The shared variance reflected the latent psycho-cardiometabolic multimorbidity factor. Subsequently, summary statistics for psycho-cardiometabolic multimorbidity were generated by regressing the latent factor on each SNP, resulting in 6,820,149 SNPs. Full details of the methodology may be found in the Methods section of the associated paper.</collection_method>
    <techinfo>When using multimorbidity-associated variants as genetic instruments in Mendelian randomization analysis we recommend to only use non-heterogeneous SNPs. At the minimum, we recommend removing variants with QSNP P &lt; 5e-8 and directionally discordant univariate effect estimates (option 1 below), as done in the non-heterogenous summary statistics versions (PCM_multimorbidity_summary_stats_noUKBB_non-het.txt.gz and 
PCM_multimorbidity_summary_stats_withUKBB_non-het.txt.gz). To ensure your analysis captures multimorbidity between coronary artery disease, type 2 diabetes and major depression, you may also apply a more stringent threshold for removing heterogeneous variants (e.g., QSNP P &lt; 5e-6; option 2 below). A sample code for implementing this in R is included below: 

```
# load tidyverse package 
library(tidyverse)
# read in summary statistics
sumstats &lt;- read.delim(&quot;PCM_multimorbidity_summary_stats_withUKBB_non-het.txt.gz&quot;)

# Option 1: remove discordant variants with QSNP P &lt; 5e-8
data_not_concordant &lt;- sumstats %&gt;% filter(concordant == &quot;FALSE&quot;)
mm_snp_remove &lt;- sumstats %&gt;% filter(SNP %in% data_not_concordant$SNP) %&gt;% filter(chisq_pval &lt; 0.00000005) 
sumstas_nonhet &lt;- sumstas %&gt;% filter(!SNP %in% mm_snp_remove$SNP)
# save file
write.table(sumstas_nonhet, file = “newfile.txt&quot;, quote =F, sep = &quot;\t&quot;, row.names = F)

# Option 2: remove variants with QSNP P &lt; 5e-6
sumstas_nonhet &lt;- sumstas %&gt;% filter(chisq_pval &lt; 0.000005) 
# save file
write.table(sumstas_nonhet, file = “newfile.txt&quot;, quote =F, sep = &quot;\t&quot;, row.names = F)
```</techinfo>
    <methodurl>
      <item>https://github.com/GenomicSEM/GenomicSEM/wiki/4.-Common-Factor-GWAS</item>
      <item>https://doi.org/10.1371/journal.pgen.1010508</item>
    </methodurl>
    <language>en</language>
    <version>1</version>
    <doi>10.15125/BATH-01179</doi>
    <related_resources>
      <item>
        <link>https://doi.org/10.1371/journal.pgen.1010508</link>
        <type>pub</type>
      </item>
    </related_resources>
    <access_types>
      <item>open</item>
      <item>request</item>
    </access_types>
    <access_arrangements>Due to licensing restrictions, only a subset of data is openly available from this repository. To access summary statistics for all SNPs associated with multimorbidity, a data transfer agreement is required with 23andMe (dataset-request@23andMe.com) before making a request from this repository.</access_arrangements>
  </eprint>
</eprints>
