Mapping the proteo-genomic convergence of human diseases
Open accessAbstract
Detangling gene-disease connections: Many diseases are at least partially due to genetic causes that are not always understood or targetable with specific treatments. To provide insight into the biology of various human diseases as well as potential leads for therapeutic development, Pietzner et al . undertook detailed, genome-wide proteogenomic mapping. The authors analyzed thousands of connections between potential disease-associated mutations, specific proteins, and medical conditions, thereby providing a detailed map for use by future researchers. They also supplied some examples in which they applied their approach to medical contexts as varied as connective tissue disorders, gallstones, and COVID-19 infections, sometimes even identifying single genes that play roles in multiple clinical scenarios. —YN
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Integrating human genomics and proteomics can help elucidate disease mechanisms, identify clinical biomarkers and discover drug targets.
“Integrating human genomics and proteomics can help elucidate disease mechanisms, identify clinical biomarkers and discover drug targets1–4.”
From Rare variant associations with plasma protein levels in the UK Biobank (2023) · cites this paper as [3]
The paper’s Discussion describes the integration of proteomic and genomic data as providing mechanistic understanding and identifying potential causal disease genes. Its introductory passage also links the approach to drug-target discovery. The passages found do not say that this integration identifies clinical biomarkers; the Results mention biomarkers measured in biobanks, but not their discovery through this approach. (LLM, conf=0.86)
Experimental — accuracy not yet measuredMost pQTLs to date have been discovered via genome-wide association studies, which predominantly focus on common variants.
“To date, most pQTLs have been discovered via genome-wide association studies (GWASs), which predominantly focus on common variants3,5–8.”
From Rare variant associations with plasma protein levels in the UK Biobank (2023) · cites this paper as [3]
The paper describes its own genome–proteome-wide association study as identifying pQTLs (Abstract) and says it concentrated on common genetic variation (Discussion; page unavailable). It does not establish the broader claim that most pQTLs discovered to date came from GWASs. (LLM, conf=0.84)
Experimental — accuracy not yet measuredPAVs may result in pQTL associations that reflect differential probe binding to alternate isoforms rather than differential protein abundances.
“Nevertheless, interpreting cis- and trans-pQTL remains complicated, as PAVs may result in pQTL associations that reflect differential probe binding to alternate isoforms12,17–19 rather than differential protein abundances.”
From Cross-ancestry comparison of aptamer and antibody protein measures (2026) · cites this paper as [19]
The Results section on cis and trans genetic architecture says PAVs can affect a protein’s binding epitope and that conformation, rather than plasma abundance, may explain some genetic effects. A separate Results section on gene expression and splicing suggests that alternative protein isoforms can have different affinities for the assay reagent. The paper does not link PAVs specifically to differential binding to alternate isoforms. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPlatform-concordant cis-pQTL signals were most likely to contain a GTEx v8 eQTL lead variant for the protein-encoding gene in the credible set, compared to platform-specific or platform-discordant signals.
“Consistent with prior reports17,19, we found that platform-concordant cis-pQTL signals were most likely to contain a GTEx v8 eQTL lead variant for the protein-encoding gene in the credible set, compared to platform-specific or platform-discordant signals.”
From Cross-ancestry comparison of aptamer and antibody protein measures (2026) · cites this paper as [19]
The Abstract reports that 64% of pQTLs were consistent across the SomaScan and Olink platforms, and the Results section ‘Shared genetic architecture with gene expression and splicing’ reports GTEx v8 eQTL colocalization for cis-pQTLs (page numbers unavailable). Neither passage compares platform-concordant, platform-specific, and platform-discordant signals for the likelihood that a credible set contains the protein-encoding gene’s eQTL lead variant. The cited paper supports the broader context, but not the specific comparison attributed to it. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe pleiotropic loci included well-established, previously identified pleiotropic loci such as MHC, ABO, ZFPM2, ARHGEF3, GCKR, SERPINA1, SH2B3 and ASGR1.
“These included well-established, previously identified [17][18][19][20] pleiotropic loci such as MHC, ABO, ZFPM2, ARHGEF3, GCKR, SERPINA1, SH2B3 and ASGR1”
From Plasma proteomic associations with genetics and health in the UK Biobank (2023) · cites this paper as [20]
The Results section (‘Genetic associations for protein targets’; page unavailable) identifies ARF4-ARHGEF3, ABO and GCKR as substantially pleiotropic regions. The ‘A map of proteo-genomic connections across the phenome’ section also calls GCKR a known pleiotropic locus. Our copy does not establish the remaining named loci as previously identified pleiotropic loci, so it does not support the full list. (LLM, conf=0.87)
Experimental — accuracy not yet measured
Pietzner et al. recently detected a significant colocalisation of 50.1% of the cis-pQTLs with corresponding gene eQTLs using GTEx.
“Similar to our findings, Pietzner et al.7 recently detected a significant colocalisation of 50.1% of the cis-pQTLs with corresponding gene eQTLs using GTEx.”
From Genetic determinants of plasma protein levels in the Estonian population (2024) · cites this paper as [7]
The Results section (‘Shared genetic architecture with gene expression and splicing’) reports GTEx v8 colocalization and a shared gene-expression signal for 50.1% of 1,584 protein targets with at least one cis-pQTL. The cited percentage is therefore for protein targets, not explicitly for individual cis-pQTLs as the claim states. (LLM, conf=0.84)
Experimental — accuracy not yet measuredLarge plasma pQTL atlases have identified tens of thousands of associations.
“Large plasma pQTL atlases have identified tens of thousands of associations (9–11)”
From Low overlap of plasma and CSF protein quantitative trait loci affects protein discovery for neurological disease (2026) · cites this paper as [9]
The Abstract identifies this as a large plasma-protein association study and reports 10,674 variant–protein associations. That supports the claim that a large plasma pQTL atlas identified many associations, but this paper alone does not establish the stated magnitude of “tens of thousands.” (LLM, conf=0.85)
Experimental — accuracy not yet measuredThis pQTL was also CSF specific using Olink, independent of a subthreshold EGFR pQTL in plasma (rs56380922; R2=0.017), and not significant in plasma studies with 10 times our CSF sample size, implying a highly specific association in neurological contexts.
“This pQTL was also CSF specific using Olink (table S5), independent of a subthreshold EGFR pQTL in plasma (rs56380922; R2 = 0.017), and not significant in plasma studies with 10 times our CSF sample size (9–11), implying a highly specific association in neurological contexts.”
From Low overlap of plasma and CSF protein quantitative trait loci affects protein discovery for neurological disease (2026) · cites this paper as [9]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredOf the pQTLs from Pietzner et al. that were nominally significant and accessible for comparison, 147 (52.88%) were nominally significant, all 147 remained significant after Benjamini-Hochberg FDR < 0.05, and 91.84% (135/147) were directionally concordant with the current study.
“From the Pietzner et al. study7, 147 pQTLs (52.88%) were nominally significant (P < 0.05) and accessible for comparisons. After correcting for multiple testing, 147 pQTLs remained significant (Benjamini–Hochberg FDR < 0.05) and 91.84% (135/147) of pQTLs were directionally concordant with the current study (Supplementary Table S2).”
From Genetic determinants of plasma protein levels in the Estonian population (2024) · cites this paper as [7]
We extended and validated these differences in larger plasma pQTL datasets [Fenland and deCODE Genetics] and brain pQTL resources.
“We extended and validated these differences in larger plasma pQTL datasets [Fenland (9) and deCODE Genetics (10)] and brain pQTL resources (15, 16).”
From Low overlap of plasma and CSF protein quantitative trait loci affects protein discovery for neurological disease (2026) · cites this paper as [9]
Although both TMEM132C and DOC2B were analyzed in larger plasma resources, neither had matching plasma pQTLs.
“Although both TMEM132C and DOC2B were analyzed in larger plasma resources, neither had matching plasma pQTLs (9–11).”
From Low overlap of plasma and CSF protein quantitative trait loci affects protein discovery for neurological disease (2026) · cites this paper as [9]
The Results and Materials and Methods describe a large plasma-protein pQTL study, but do not identify TMEM132C or DOC2B as measured targets or state whether either had a matching pQTL. Searches of our copy for both gene names found no relevant passage; the claim therefore cannot be verified from this source. (LLM, conf=0.75)
Experimental — accuracy not yet measuredThe CSF variant was not significant in any plasma pQTL dataset or in brain/blood eQTL analyses.
“The CSF variant was not significant in any plasma pQTL dataset (9–11) or in brain/blood eQTL analyses (3–5).”
From Low overlap of plasma and CSF protein quantitative trait loci affects protein discovery for neurological disease (2026) · cites this paper as [9]
The citation to this paper is attached to the plasma pQTL dataset claim, not the brain/blood eQTL claim. The Results section, “Genetic associations for protein targets” (page unavailable), describes a plasma pQTL study but does not identify the CSF variant or report whether it was significant. Searches for “CSF,” “cerebrospinal fluid,” and the claimed non-significance found no passage that resolves this variant-specific claim. (LLM, conf=0.72)
Experimental — accuracy not yet measured
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Cites
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Zheng, J., Wheeler, E., Pietzner, M., Andlauer, T. F. M., Yau, M. S., Hartley, A. E., Brumpton, B. M., Rasheed, H., Kemp, J. P., Frysz, M., et al. (2023) · Arthritis & Rheumatology · doi:10.1002/art.42538 · Cited by 44 · see citing works
Self-citationIdentifying therapeutic targets for cancer among 2074 circulating proteins and risk of nine cancers
Smith-Byrne, K., Hedman, Å., Dimitriou, M., Desai, T., Sokolov, A. V., Schioth, H. B., Koprulu, M., Pietzner, M., Langenberg, C., Atkins, J., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-46834-3 · Cited by 33 · see citing works
“An alternative cost-effective approach, that also limits bias by confounding and reverse causation, is to use robust genetic proxies of blood biomarkers to evaluate their aetiological relevance along the lines of Mendelian randomisation (MR) 14,15 .”
BackgroundSelf-citationCross-ancestry comparison of aptamer and antibody protein measures
Nicholas, J. C., Katz, D. H., Tahir, U. A., Debban, C. L., Aguet, F., Blackwell, T., Bowler, R. P., Broadaway, K. A., Chen, J., Clish, C. B., et al. (2026) · Nature Communications · doi:10.1038/s41467-025-67814-1 · Cited by 13 · see citing works
Genetic determinants of plasma protein levels in the Estonian population
Kalnapenkis, A., Jõeloo, M., Lepik, K., Kukuškina, V., Kals, M., Alasoo, K., Estonian Biobank Research Team, Metspalu, A., Milani, L., Nelis, M., et al. (2024) · Scientific Reports · doi:10.1038/s41598-024-57966-3 · Cited by 11 · see citing works
Wu, C., Pu, Q., Zou, Y., Jin, J., Lei, Y., Hu, Y., Chen, Z., & Yu, L. (2025) · Scientific Reports · doi:10.1038/s41598-025-15525-4 · Cited by 3 · see citing works
“…lipids using genetic instruments obtained from three plasma proteomics studies (deCODE database with 4719 proteins measured in 35,559 individuals 25 , Fenland database with 4979 proteins measured in 10,708 individuals 26 and UKB-PPP database with 2923 proteins measured in 54,219 individuals 27 .”
Western, D., Yang, C., Timsina, J., Liu, M., Wang, C., Campbell, M. C., Kotzbauer, P., Perlmutter, J. S., Schindler, S. E., Morris, J. C., et al. (2026) · Science Translational Medicine · doi:10.1126/scitranslmed.adz2016 · Cited by 1 · see citing works
Wang, Z., Wang, Z., Ji, X., Zhao, L., Zheng, K., Yu, W., Zhang, H., Chang, H., & Liu, F. (2026) · Journal of Translational Medicine · doi:10.1186/s12967-026-08301-z
- Authors
- Pietzner, M., Wheeler, E., Carrasco-Zanini, J., Cortes, A., Koprulu, M., Wörheide, M. A., Oerton, E., Cook, J., Stewart, I. D., Kerrison, N. D., Luan, J., Raffler, J., Arnold, M., Arlt, W., O’Rahilly, S., Kastenmüller, G., Gamazon, E. R., Hingorani, A. D., Scott, R. A., Wareham, N. J., & Langenberg, C.
- Affiliations
- University of Cambridge (GB)
- GlaxoSmithKline, Stevenage SG1 2NY, UK.
- Helmholtz Munich (DE)
- University Hospital Augsburg (DE)
- Duke University (US)
- University of Birmingham (GB)
- British Heart Foundation (GB)
- GlaxoSmithKline (United Kingdom) (GB)
- Corresponding author
- Pietzner, Maik
- Wheeler, Eleanor
- Langenberg, Claudia
- ORCID
- Pietzner, Maik
- Wheeler, Eleanor
- Carrasco-Zanini, Julia
- Cortes, Adrian
- Koprulu, Mine
- Wörheide, Maria A.
- Oerton, Erin
- Cook, James
- Kerrison, Nicola D.
- Luan, Jian’an
- Raffler, Johannes
- Arnold, Matthias
- Arlt, Wiebke
- O’Rahilly, Stephen
- Kastenmüller, Gabi
- Gamazon, Eric R.
- Hingorani, Aroon D.
- Scott, Robert A.
- Wareham, Nicholas J.
- Langenberg, Claudia
- Venue
- Science
- Published
- 2021-11-12
- Volume
- 374
- Issue
- 6569
- Pages
- eabj1541-eabj1541
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- PMC
- PMC9904207
- OpenAlex
- W3201934315
- Cited by
- 657
- References
- 10
- Citations by year
- 2026: 162 · 2025: 192 · 2024: 156 · 2023: 97 · 2022: 48 · 2021: 2
- FWCI
- 43.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- Queen Mary Research Online (Queen Mary University of London) (publishedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion, other-oa)
- PuSH - Publication Server of Helmholtz Zentrum München (submittedVersion)
- OPUS (Augsburg University) (submittedVersion)
- Apollo (University of Cambridge) (submittedVersion)
- Apollo
- Funders
- Wellcome Trust (214274/Z/18/Z)
- National Institute for Health and Care Research (NIHR202383)
- Medical Research Council (MC_UU_12015/1, MC_PC_13046)
- National Institute on Aging (R56AG068026, RF1AG059093, RF1AG057452, U01AG061359)
- National Human Genome Research Institute (R35HG010718, R01HG011138)
- National Institute of General Medical Sciences (R01GM140287)
- Topics
- 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
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Mapping and Diversity in Plants and Animals
- Keywords
- plasma proteins, genetic association, etiology, genome-wide association study loci
- MeSH terms
- Drug Development, COVID-19, Aging, Blood Proteins, Connective Tissue Diseases, Disease, Female, Humans, Male, Phenotype, Proteins, Sex Characteristics, Genetic Variation, Genome, Human, Alternative Splicing, Internet, Proteome, Genomics, Quantitative Trait Loci, Gallstones, Genome-Wide Association Study, Genetic Association Studies
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