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Limited overlap of eQTLs and GWAS hits due to systematic differences in discovery

Hakhamanesh MostafaviiD, Jeffrey P. SpenceiD, Sahin NaqviiD, Jonathan K. PritchardiD

Abstract

Most signals in genome-wide association studies (GWAS) of complex traits point to noncoding genetic variants with putative gene regulatory effects. However, currently identified expression quantitative trait loci (eQTLs) explain only a small fraction of GWAS signals. By analyzing GWAS hits for complex traits in the UK Biobank, and cis-eQTLs from the GTEx consortium, we show that these assays systematically discover different types of genes and variants: eQTLs cluster strongly near transcription start sites, while GWAS hits do not. Genes near GWAS hits are enriched in numerous functional annotations, are under strong selective constraint and have a complex regulatory landscape across different tissue/cell types, while genes near eQTLs are depleted of most functional annotations, show relaxed constraint, and have simpler regulatory landscapes. We describe a model to understand these observations, including how natural selection on complex traits hinders discovery of functionally-relevant eQTLs. Our results imply that GWAS and eQTL studies are systematically biased toward different types of variants, and support the use of complementary functional approaches alongside the next generation of eQTL studies.

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Claude Opus 5.5 · xhigh effort · 8 Nov 2026 · from the full text of version 1 (8 May 2022) · CC BY 4.0

GWAS hits (44 UK Biobank traits) and GTEx v8 cis-eQTLs (38 tissues) differ systematically: eQTLs cluster near transcription start sites of weakly constrained genes; GWAS hits favour constrained, multifunctional genes.

Most GWAS signals are noncoding and presumed to act through gene regulation, yet in GTEx only 43% of GWAS hits (median 21% per trait) colocalized with expression quantitative trait loci (eQTLs). Earlier explanations invoked unsampled contexts, limited power, splicing or trans effects; this work instead shows that the two assays systematically find different genes and variants, and it models how selection on constrained genes blocks eQTL discovery.

Key results

  1. ShownGenes nearest GWAS hits are enriched for loss-of-function-intolerant (high-pLI) genes, while genes nearest eQTLs are depleted of them. The depletion appears in every tissue and is strongest for the most significant eQTLs.

    pLI > 0.9 genes: 26% of GWAS genes vs 21% for controls matched on MAF, LD score and gene density; 12% of eQTL genes vs 18% for matched controls. Depletion grows among top-ranked eQTLs (bins of 1000 by p-value) and persists when true eGenes are used. eGenes from fetal brain, iPSC-derived neuronal and single-cell blood studies are also depleted (Figure S6; no values in text). · Selectively constrained genes are enriched in…; Analyses of eQTLs by rank; Analysis of non-GTEx eGenes; Figure legends

  2. ShowneQTLs sit close to transcription start sites (TSSs), while GWAS hits are only modestly enriched there. The authors suggest that a promoter-versus-enhancer split does not fully explain this, since eQTL enrichment in both promoters and enhancers rises as target-gene constraint relaxes.

    Within 10Kb of the nearest TSS: 43% of eQTLs vs 23% of matched SNPs; 22% of GWAS hits vs 17% of matched SNPs. Median distance to the nearest TSS is 36Kb for GWAS hits vs 13Kb for eQTLs. Promoter-over-enhancer enrichment (FANTOM5, ENCODE cCREs) is much stronger for eQTLs; in the least constrained LOEUF quintile, eQTL enrichment exceeds GWAS enrichment. · GWAS hits are further from transcription start…; SNP annotations

  3. ShownGenes near GWAS hits have more complex regulatory landscapes than genes near eQTLs: more alternative TSSs, longer enhancer domains and more co-expression partners. eQTLs become progressively rarer at highly connected genes.

    Mean FANTOM CAGE TSS count is 6.4 for GWAS genes vs 4.4 for eQTL genes. In a covariate-adjusted logistic regression on Roadmap enhancer-gene links (111 tissue/cell types), GWAS genes have longer enhancer length per active tissue and eQTL genes shorter; this replicates with ABC links. Co-expression connectedness (9,422 genes, 16 GTEx v6p tissues) shows the same split. · GWAS genes have more complex regulatory…; Gene annotations; Joint analysis of features

  4. ShownTranscription factors (TFs) and genes annotated to many Gene Ontology (GO) biological processes are over-represented near GWAS hits and under-represented near eQTLs. Depletion near eQTLs is strongest in high-pLI categories.

    TFs: 15% of GWAS genes vs 10% for matched SNPs; 7% of eQTL genes vs 9% for matched SNPs. Of 577 GO terms (41 broadly unrelated ones shown), many are enriched near GWAS hits across traits and depleted near eQTLs in all tissues; DNA repair is an exception, enriched for eQTL genes. Membership in more GO categories goes with stronger GWAS enrichment and mild eQTL depletion. · Many Gene Ontology annotations are enriched…; Selection of broadly unrelated GO annotations

  5. SuggestedIn a model where variants affect traits only through cis-expression (expression effect β, gene-to-trait effect γ), the two assays overlap incompletely: eQTL discovery needs a large β, GWAS needs a large βγ, and selection mainly blocks eQTL discovery at phenotypically important genes.

    Qualitative only. Discovery regions come from 10 million sampled (β, γ) pairs with power matched at 15% in both assays. Selection is mimicked by an exponential form with κ = 2.986 (~10% reduction in E[Vp]); conclusions hold across functional forms and magnitudes (Figure S8). GWAS hits explain ~10^3-fold less variance than cis-eQTLs, offset by ~10^3-fold larger samples. · Single cell-type model; Selection further shrinks the region of overlap; Effect of selection; Estimation of discovery regions

Methods, data and reproducibility

The same QC, LD clumping and nearest-gene assignment were applied to UK Biobank GWAS hits and GTEx v8 European-ancestry cis-eQTLs, excluding coding-linked and MHC SNPs. Features were compared with 1000 controls per lead SNP, matched on minor allele frequency (MAF), LD score and gene density. A β-γ model of variant discovery, with and without selection, interprets the patterns.

  • UK Biobank GWAS summary statistics (Neale lab); traits with SNP-heritability lower CI > 0.05, at least 50 hits, pairwise genetic correlation < 0.5 · human · n = 44 traits; 22,119 GWAS hits
  • GTEx v8 cis-eQTLs (European-ancestry subset) linked to protein-coding genes · human (GTEx) · n = 38 tissues; 118,996 eQTLs; 18,332 protein-coding genes
  • UK Biobank unrelated White British genotypes used for MAF and as LD reference panel · human · n = 337,123 individuals (MAF); 10,000 (LD reference)
  • Enhancer-gene links from Roadmap Epigenomics (Liu et al.) and the activity-by-contact model (Nasser et al.) · n = 111 tissue/cell types (Roadmap)
  • FANTOM5 CAGE peaks (TSS counts, promoters, permissive enhancers) and ENCODE Registry V2 cCREs
  • Co-expression networks from Saha et al. built on GTEx v6p · human (GTEx) · n = 16 tissues; 9,422 genes with at least one connection
  • Gene annotations: gnomAD v2.1 pLI/LOEUF, GO biological process terms, Lambert et al. TF list, InWeb PPI · human (TF list described as human) · n = 577 GO terms; 1639 TFs
  • External eQTL sets: fetal brain (Aygün et al.), iPSC-to-neuron differentiation (Jerber et al.), single-cell blood cell types (Yazar et al.)
Methods & tools
plink 1.90b6.12, ldsc, LiftOver, Variant Effect Predictor (VEP), igraph (R), topGO 2.44, biomaRt (Bioconductor 3.13), glmnet (cv.glmnet), Genoppi (InWeb PPI), GENCODE Basic release 39, gnomAD v2.1 pLI/LOEUF, activity-by-contact (ABC) model
Reagents & environment
Versions stated: plink 1.90b6.12, topGO 2.44, Bioconductor 3.13 (biomaRt), Ensembl 105, GENCODE Basic release 39, gnomAD v2.1, GTEx v8. No container or requirements file is mentioned.
Reproducibility gaps
No code repository is given for the analysis pipeline or the discovery-region model. Supplementary Tables S1 to S6 and the Supplementary Note are referenced but are not part of the text.
Limitations (6)
  • Selection is not modelled quantitatively. It is mimicked with a simple exponential link between expected allele-frequency variance and phenotypic effect (κ = 2.986), so the model's conclusions are qualitative. · stated by the authors
  • Causal genes for GWAS hits are usually unknown, so both GWAS hits and eQTLs (with true eGenes masked) are assigned to the nearest protein-coding gene TSS as a proxy. · stated by the authors
  • The authors note that pLI is not an accurate quantitative measure of selection on a gene; high-pLI genes serve only as candidates for strong constraint. · stated by the authors
  • For simplicity, the model assumes that all genetic effects on traits act through cis effects on expression; the authors note that splicing and context-specific effects also add to the colocalization gap. · stated by the authors
  • All genotype and eQTL data are European-ancestry (UK Biobank White British for MAF and LD, GTEx EUR subset), and the main eQTLs come from GTEx tissues. Non-GTEx contexts are examined in one supplementary analysis, and only for pLI depletion. · noted in this summary
  • The model's discovery thresholds are set by matching power at 15% for visibility, not fitted to the observed GWAS or eQTL data, so the model is never tested quantitatively against the empirical patterns. · noted in this summary

Who should read:Read this if you use eQTL colocalization to interpret noncoding GWAS hits and want to know which kinds of genes and variants eQTL catalogs tend to miss, and why.

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