Genome-wide enhancer maps link risk variants to disease genes
Open accessAbstract
Genome-wide association studies (GWAS) have identified thousands of noncoding loci that are associated with human diseases and complex traits, each of which could reveal insights into the mechanisms of disease 1. Many of the underlying causal variants may affect enhancers 2,3, but we lack accurate maps of enhancers and their target genes to interpret such variants. We recently developed the activity-by-contact (ABC) model to predict which enhancers regulate which genes and validated the model using CRISPR perturbations in several cell types 4. Here we apply this ABC model to create enhancer-gene maps in 131 human cell types and tissues, and use these maps to interpret the functions of GWAS variants. Across 72 diseases and complex traits, ABC links 5,036 GWAS signals to 2,249 unique genes, including a class of 577 genes that appear to influence multiple phenotypes through variants in enhancers that act in different cell types. In inflammatory bowel disease (IBD), causal variants are enriched in predicted enhancers by more than 20-fold in particular cell types such as dendritic cells, and ABC achieves higher precision than other regulatory methods at connecting noncoding variants to target genes. These variant-to-function maps reveal an enhancer that contains an IBD risk variant and that regulates the expression of PPIF to alter the membrane potential of mitochondria in macrophages. Our study reveals principles of genome regulation, identifies genes that affect IBD and provides a resource and generalizable strategy to connect risk variants of common diseases to their molecular and cellular functions.
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Among the prioritized CpGs, 8 CpGs were located in enhancer regions.
“Among them, 8 CpGs were located in enhancer regions [53].”
From Distinct sex-specific DNA methylation differences in Alzheimer’s disease (2022) · cites this paper as [53]
The section “ABC enhancer-gene maps in 131 biosamples” describes genome-wide enhancer maps that could be used to identify enhancer regions. It does not report the citing authors’ prioritized CpGs or establish that eight of them fall in those regions; the citation supports the enhancer annotation, not the count. (LLM, conf=0.86)
Experimental — accuracy not yet measuredA total of 10 CpGs (all in females) overlapped with enhancer regions.
“A total of 10 CpGs (all of them in females) overlapped with enhancer regions [53]”
From Distinct sex-specific DNA methylation differences in Alzheimer’s disease (2022) · cites this paper as [53]
The ‘ABC enhancer-gene maps in 131 biosamples’ section describes the paper’s enhancer regions, so it supports citing this work as a source for enhancer maps. Neither that section nor the searched passages reports 10 overlapping CpGs or a female-only finding; the ‘10 variants’ in Methods refers instead to IBD variants with allelic effects on H3K27ac. (LLM, conf=0.85)
Experimental — accuracy not yet measuredGWAS-detected genetic variants associated with complex traits and diseases are typically non-coding, non-promoter associated and highly enriched in enhancers.
“The importance of enhancer variation in human pathology has been further highlighted by genome-wide association studies (GWAS), since GWAS-detected genetic variants associated with complex traits and diseases are typically non-coding, non-promoter associated and highly enriched in enhancers [184, 208, 209].”
From Transcriptional enhancers and their communication with gene promoters (2021) · cites this paper as [184]
The Abstract says most causal variants do not alter protein-coding sequences, and ‘Enrichment of GWAS variants in enhancers’ reports strong enhancer enrichment among fine-mapped variants for 72 traits. The copy does not establish that GWAS-detected variants are typically non-promoter-associated; the enrichment analysis also focuses on credible sets without coding or splice-site variants. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThe ABC model showed good performance in predicting transcriptional effects of CRISPRi-mediated enhancer perturbations in dozens of loci in human cell lines, particularly for more proximal enhancers.
“The ABC model showed a good performance in predicting the transcriptional effects of CRISPRi-mediated enhancer perturbations (one-by-one) in dozens of loci in human cell lines, particularly for the more proximal enhancers [183, 184].”
From Transcriptional enhancers and their communication with gene promoters (2021) · cites this paper as [184]
In “ABC enhancer-gene maps in 131 biosamples” (page unavailable), the paper reports that ABC performed well at classifying regulatory connections against 5,755 CRISPR-tested element–gene pairs across 11 cell types and states. It does not establish that performance was particularly good for proximal enhancers: Extended Data Fig. 4 reports different positive rates by distance and cautions against comparing precision–recall curves across distance groups. The reported evaluation classifies regulatory effects rather than predicting their magnitude. (LLM, conf=0.84)
Experimental — accuracy not yet measuredWhen comparing Borzoi, Enformer and a distance-to-TSS baseline on classifying measured positive from negative enhancer-gene interactions, Borzoi has superior AUPRC and AUROC at all distances.
“When comparing Borzoi, Enformer and a distance-to-TSS baseline on their ability to classify measured positive from negative enhancer–gene interactions in data from previous works60–65, we find that Borzoi has superior average precision (AUPRC) and area under the receiver operating characteristic curve (AUROC) at all distances (Fig. 4c and Extended Data Fig. 5a).”
From Predicting RNA-seq coverage from DNA sequence as a unifying model of gene regulation (2025) · cites this paper as [65]
Even in interphase nuclei, genomic distance continues to be a reasonable predictor of functional enhancer-promoter contacts, particularly in the short to medium range (<100 kb).
“even in interphase nuclei, genomic distance continues to be a reasonable predictor of functional enhancer–promoter contacts, particularly in the short to medium range (< 100 kb), as evidenced by high-throughput enhancer perturbation data [183, 184].”
From Transcriptional enhancers and their communication with gene promoters (2021) · cites this paper as [184]
In the ABC model, each enhancer is considered separately and the dose of activation it contributes to a promoter depends on its individual activity in cis and the frequency of the respective enhancer-promoter contact.
“In ABC, each enhancer is considered separately and the “dose” of activation it contributes to a promoter depends on its individual activity in cis and the frequency of the respective enhancer–promoter contact [183, 184].”
From Transcriptional enhancers and their communication with gene promoters (2021) · cites this paper as [184]
The activity-by-contact model predicts that rs6024870 also contacts multiple other genes within the same TAD, including CASS4, CSTF1, AURKA, FAM210B, and TFAP2C in THP1 cells.
“the activity-by-contact model predicts that this SNP also contacts multiple other genes within the same TAD, including CASS4, CSTF1, AURKA, FAM210B, and TFAP2C in THP1 cells (an immortalized human monocyte cell line derived from an acute monocytic leukemia patient)72,73.”
From Variant-to-function mapping of late-onset Alzheimer’s disease GWAS signals in human microglial cell models implicates <i>RTFDC1</i> at the <i>CASS4</i> locus (2024) · cites this paper as [72]
The Methods section, “Activity-by-Contact model predictions” (page unavailable), describes how the model predicts enhancer–gene connections, and the Extended Data discuss its use in THP1 cells. Neither passage reports a prediction for rs6024870 or its contacts with the five named genes within a TAD. Searches for the SNP, the gene names, and the claimed TAD contacts found no supporting passage in our copy. (LLM, conf=0.73)
Experimental — accuracy not yet measured
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- Authors
- Nasser, J., Bergman, D. T., Fulco, C. P., Guckelberger, P., Doughty, B. R., Patwardhan, T. A., Jones, T. R., Nguyen, T. H., Ulirsch, J. C., Lekschas, F., Mualim, K., Natri, H. M., Weeks, E. M., Munson, G., Kane, M., Kang, H. Y., Cui, A., Ray, J. P., Eisenhaure, T. M., Collins, R. L., Dey, K., Pfister, H., Price, A. L., Epstein, C. B., Kundaje, A., Xavier, R. J., Daly, M. J., Huang, H., Finucane, H. K., Hacohen, N., Lander, E. S., & Engreitz, J. M.
- Affiliations
- Broad Institute (US)
- Harvard University (US)
- Stanford Medicine (US)
- Lucile Packard Children's Hospital (US)
- Corresponding author
- Lander, Eric S.
- Engreitz, Jesse M.
- ORCID
- Nasser, Joseph
- Bergman, Drew T.
- Fulco, Charles P.
- Guckelberger, Philine
- Doughty, Benjamin R.
- Patwardhan, Tejal A.
- Jones, Thouis R.
- Nguyen, Tung H.
- Ulirsch, Jacob C.
- Lekschas, Fritz
- Mualim, Kristy
- Natri, Heini M.
- Weeks, Elle M.
- Kang, Helen Y.
- Cui, Ang
- Ray, John P.
- Eisenhaure, Thomas M.
- Collins, Ryan L.
- Dey, Kushal
- Pfister, Hanspeter
- Price, Alkes L.
- Epstein, Charles B.
- Kundaje, Anshul
- Xavier, Ramnik J.
- Daly, Mark J.
- Huang, Hailiang
- Finucane, Hilary K.
- Hacohen, Nir
- Lander, Eric S.
- Engreitz, Jesse M.
- Venue
- Nature
- Published
- 2021-04-07
- Volume
- 593
- Issue
- 7858
- Pages
- 238-243
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC9153265
- OpenAlex
- W3151678771
- Cited by
- 669
- References
- 13
- Citations by year
- 2026: 98 · 2025: 125 · 2024: 162 · 2023: 136 · 2022: 108 · 2021: 36 · 2020: 2 · 2012: 1
- FWCI
- 38.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Työväentutkimus Vuosikirja (submittedVersion, other-oa)
- Funders
- National Institute of Mental Health (R37MH107649, R01MH101244)
- National Human Genome Research Institute (K99HG009917, R35HG011324, P50HG006193, R00HG009917, U01HG009379, U24HG009446)
- National Cancer Institute (U01CA200059)
- National Institute of Allergy and Infectious Diseases (K22AI153648)
- National Institute of Diabetes and Digestive and Kidney Diseases (K01DK114379, P30DK043351)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics and Chromatin Dynamics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bioinformatics and Genomic Networks
- Keywords
- inflammatory bowel disease, cyclophilin D, mitochondrial membrane potential, macrophages, dendritic cells, complex traits
- MeSH terms
- Peptidyl-Prolyl Isomerase D, Cell Line, Chromosomes, Human, Pair 10, Dendritic Cells, Enhancer Elements, Genetic, Female, Humans, Macrophages, Male, Mitochondria, Organ Specificity, Phenotype, Genetic Variation, Inflammatory Bowel Diseases, Genome, Human, Genetic Predisposition to Disease, Cyclophilins, Genome-Wide Association Study
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