Abstract
BackgroundDrugs targeting genes supported by human genetic evidence are more likely to succeed in clinical trials. While previous approaches have benchmarked individual methods such as genome-wide association studies (GWAS), rare variant burden testing, and quantitative trait locus (QTL)-informed Mendelian randomization, it remains unclear how best to integrate these signals for drug target discovery.MethodsWe compared gene-prioritization strategies across 30 complex traits, evaluating their ability to recover approved drug targets compiled into lenient and moderate gold-standard sets from six curated databases. Gene-level association scores from GWAS, expression QTL, protein QTL, and exome-based analyses were integrated using five unsupervised approaches. Predictive performance was assessed with area under the receiver operating characteristic curve (AUROC) and enrichment-based statistics.ResultsAcross traits, GWAS alone ranked known drug targets on average $$\sim $$652 ranks (3.42%) above random expectation, and the minimum-rank-based integration strategy further improved performance by approximately $$\sim $$558 positions (2.93%), achieving the best AUROC in 23 of 30 traits. Genetic correlation and drug target overlap across trait pairs showed a significant positive association ($$r = 0.193;\ p = 5.46e{-}5$$). Cross-trait analyses further revealed that prioritization scores derived from related diseases could at times equal or even surpass a trait's own performance. For instance, coronary artery disease data improved the prediction of stroke targets ($$p = 0.004$$), while inflammatory bowel disease data enhanced the prioritization of chronic kidney disease targets ($$p = 0.014$$).ConclusionsThese results demonstrate that using the strongest signal from complementary genetic prioritization methods, combined with information from genetically related traits, systematically strengthens drug target identification across complex diseases.</p>