Integrating whole genome and transcriptome sequencing to characterize the genetic architecture of isoform variation
We present a whole-blood isoform ratio QTL (irQTL) resource by analyzing genome-wide isoform-to-gene expression ratios using sequencing data. In Framingham Heart Study (FHS, n = 2622) discovery, we identify over 1.1 million cis-irQTLs (minor allele frequency [MAF] ≥ 0.01, ±1 Mb of 10,883 isoform transcripts, P < 5 × 10<sup>-8</sup>) across 4,971 genes. Among 11,425 sentinel cis-irQTLs, 72% replicate (P < 1 × 10<sup>-4</sup>) in the Women's Health Initiative (WHI; n = 2005). Notably, 20% of cis-irQTLs have no significant association with overall gene expression, indicating isoform-specific regulation. These variants are enriched at splice donor/acceptor sites and genome-wide association study loci (P < 1 × 10<sup>-10</sup>). We also identify 1870 sentinel trans-irQTLs (MAF ≥ 0.01, P < 1.5 × 10<sup>-13</sup>) for 1,084 isoforms across 590 genes, and 2327 rare cis-irQTLs (0.003 < MAF < 0.01) for 2467 isoforms of 1428 genes in FHS, with external replication rates of 61% and 41% in WHI, respectively. We highlight rs12898397 in ULK3, which alters splice site usage and reduces expression of a full-length isoform. Mendelian randomization supports a causal role between this isoform shift and reduced diastolic blood pressure. These findings highlight the power of irQTL mapping to uncover transcript-specific regulatory mechanisms underlying complex traits.
Authors
- Charles Kooperberg (ORCID: https://orcid.org/0000-0002-7986-8560)
- Daniel L. Levy (ORCID: https://orcid.org/0000-0002-7853-3275)
- Nora Franceschini (ORCID: https://orcid.org/0009-0001-8346-3662)
- Tianxiao Huan (ORCID: https://orcid.org/0000-0001-5840-9413)
- Peter J. Munson (ORCID: https://orcid.org/0000-0003-0824-7887)
- Jiantao Ma (ORCID: https://orcid.org/0000-0001-7478-7203)
- Jia Wen (ORCID: https://orcid.org/0000-0003-3273-7704)
- Joanne M. Murabito (ORCID: https://orcid.org/0000-0002-0192-7516)
- Laura M. Raffield (ORCID: https://orcid.org/0000-0002-7892-193X)
- Jiuyong Xie (ORCID: https://orcid.org/0000-0003-2909-1033)
- Peter Orchard (ORCID: https://orcid.org/0000-0001-6097-1106)
- Roby Joehanes (ORCID: https://orcid.org/0000-0001-5549-9054)
- Quan Sun (ORCID: https://orcid.org/0000-0001-8324-2803)
- Nancy L. Heard‐Costa (ORCID: https://orcid.org/0000-0001-9730-0306)
- George T. O’Connor (ORCID: https://orcid.org/0000-0002-6476-3926)
- Paul Livermore Auer (ORCID: https://orcid.org/0000-0003-1735-8044)
- Jian Yang (ORCID: https://orcid.org/0009-0009-7801-2021)
- Alex P. Reiner (ORCID: https://orcid.org/0000-0002-1427-4470)
- April P. Carson (ORCID: https://orcid.org/0000-0002-7970-6756)
- Chunyu Liu (ORCID: https://orcid.org/0000-0002-9160-0153)
- Yun Li (ORCID: https://orcid.org/0000-0002-9275-4189)
- Shih‐Jen Hwang (ORCID: https://orcid.org/0000-0002-2129-5704)
- Jeffrey Haessler
- Cumhur Yusuf Demirkale
- Mengyao Wang (ORCID: https://orcid.org/0009-0005-5135-0224)
Institutions
- Boston University (US)
- University of North Carolina at Chapel Hill (US)
- Tufts University (US)
- Boston Medical Center (US)
- National Institutes of Health (US)
- Children's Hospital of Philadelphia (US)
- University of Washington (US)
- Medical College of Wisconsin (US)
- University of Michigan (US)
- Jackson Memorial Hospital (US)
- University of Mississippi Medical Center (US)
- Fred Hutch Cancer Center (US)
- National Heart, Lung, and Blood Institute (US)
- Framingham Heart Study (US)
- Boston Public Schools (US)
- National Institutes of Health Clinical Center (US)
- University of Manitoba (CA)
- University of Pennsylvania (US)
Publication Details
- Journal
- Nature Communications
- Published
- 2025-11-22
- DOI
- https://doi.org/10.1038/s41467-025-64336-8
- Citations
- 1
- Primary Topic
- Genetic Associations and Epidemiology
- Type
- article
- Field-Weighted Citation Impact
- 1.82
Funders
- Jackson State University
- Broad Institute
- Mississippi State Department of Health
- National Institutes of Health
- National Heart, Lung, and Blood Institute
- National Institute on Minority Health and Health Disparities
- NHLBI Division of Intramural Research