- Research article
- Open Access
- Open Peer Review
Overlap of expression Quantitative Trait Loci (eQTL) in human brain and blood
© Mckenzie et al.; licensee BioMed Central Ltd. 2014
- Received: 3 September 2013
- Accepted: 20 May 2014
- Published: 3 June 2014
Expression quantitative trait loci (eQTL) are genomic regions regulating RNA transcript expression levels. Genome-wide Association Studies (GWAS) have identified many variants, often in non-coding regions, with unknown functions and eQTL provide a possible mechanism by which these variants may influence observable phenotypes. Limited access and availability of tissues such as brain has led to the use of blood as a substitute for eQTL analyses.
Here, we evaluate the overlap of eQTL reported in published studies conducted in blood and brain tissues to assess the utility of blood as an alternative to brain tissue in the study of neurological and psychiatric conditions. Expression QTL results from eight published brain studies were compared to blood eQTL identified in from a meta-analysis involving 5,311 individuals. We accounted for differences in SNP platforms and study design by using SNP proxies in high linkage disequilibrium with reported eQTL. The degree of overlap between studies was calculated by ascertaining if an eQTL identified in one study was also identified in the other study.
The percentage of eQTL overlapping for brain and blood expression after adjusting for differences in sample size ranged from 13 - 23% (mean 19.2%). Amongst pairs of brain studies eQTL overlap ranged from 0 - 35%, with higher degrees of overlap found for studies using expression data collected from the same brain region.
Our results suggest that whenever possible tissue specific to the pathophysiology of the disease being studied should be used for transcription analysis.
- Progressive Supranuclear Palsy
- Brain Study
- Cerebellar Tissue
- Expression Quantitative Trait Locus
- eQTL Analysis
The combination of expression profiling and genotyping from microarrays has led to estimation of correlations between genetic variants such as Single Nucleotide Polymorphisms (SNPs) and RNA transcript expression levels [1–3]. Expression quantitative trait loci (eQTL) are the genomic loci that influence RNA transcript expression levels. The contribution of eQTL to underlying variation in complex traits such as disease susceptibility has been studied extensively since expression levels were first described as quantitative traits with a genetic basis. Gene expression is the primary detectable phenotype in the development of complex traits; therefore expression levels act as an intermediate phenotype between genetic architecture and observable multifactorial traits such as common diseases. It has been shown that SNPs associated with common diseases identified by genome-wide association studies (GWAS) are enriched for expression-affecting SNPs (eSNPs) [4, 5]. Furthermore, most associated variants are not located in protein coding regions and are instead highly enriched for regulatory regions of the genome , suggesting that for many variants, the functional mechanism by which they affect disease susceptibility is through gene regulation. The majority of eQTL that have currently been identified are located within the cis-region (typically +/− 1 MB) of the transcription start site (TSS). Expression-QTL located outside of the cis-region are termed trans-eQTL and likely reflect an indirect relationship of the SNP on gene expression. Cis-eQTL tend to have larger effect sizes , are more often replicated across multiple studies  and more likely to reflect a direct functional relationship between the SNP and the measured expression levels.
The pathophysiology of most common diseases is restricted to a limited number of tissue types or organ systems. Therefore, to understand the mechanisms of disease susceptibility and develop preventative and targeted therapies, we ultimately require knowledge of genetic control of regulatory variation in many different tissues. A common limitation in disease genomics studies is availability of pathologically relevant tissue on which to measure expression. Most studies instead rely on inferences drawn from readily available (‘proxy’) tissues, typically whole blood. However, the genetic control of RNA transcription is known to vary between tissues [5, 8–11], and the phenotypic correlations and co-expression can be low . Expression-SNPs that are also associated with disease susceptibility are more likely to affect expression levels in a tissue-specific manner compared to eSNPs with no known disease association . Due to mainly study-design limitations most eQTL analyses focus on gene expression measured in a single tissue type [9, 13–18], posing limitations when attempting to study more inaccessible tissues, such as the brain.
Using expression levels measured from brain tissue for eQTL analysis poses several unique problems. First, the brain is a collection of numerous cell types meaning that gene expression levels are not consistent throughout the entire structure [7, 19]. This introduces cell type specificity within the brain itself. Secondly, collection of tissue samples in post-mortem requires consideration of several novel factors not relevant when examining other tissue types – such as cause of death, post-mortem RNA integrity and post-mortem interval . This has led to the search for alternate methods for evaluation of eQTL within the brain.
One approach is to use expression levels measured from more accessible tissues, such as blood, as a substitute to gain insight into gene regulation underlying brain-related traits such as psychiatric and neurological disorders [21–25]. When such approaches are used an important question is: To what degree is the genetic control for expression the same in brain and blood tissues? Difficulties in the collection of expression data from both blood and brain tissue for the same individuals mean methods are required to assess the overlap of genetic control. Using results from published studies represents a practical solution. Here we report a comprehensive evaluation of the degree of eQTL overlap between blood and brain and aim to determine the validity of using blood as a surrogate for brain tissue. We have sought to account for differences in expression and genotype platform arrays as well as to correct for differences in sample size and thus differences in statistical power between studies.
Summary of each study included in the comparison
Number of genes with an eQTL
Percentage of probes with an eQTL
Total number of probes
Westra et al. [ 32]
Colantuoni et al. 
Gibbs et al. 
Heinzen et al. 
Kim et al. 
Cerebellum, Frontal Cortex, Thalamus, Temporal Cortex
Hippocampus, Frontal Cortex
Liu et al. 
Myers et al. 
Cortex (Pooled data from 20% frontal, 70% temporal and 1% parietal)
Webster et al. 
Cortex (Pooled from 21% frontal, 73% temporal, 2% parietal and 3% cerebellar)
Cortex (Pooled from 18% frontal, 60% temporal, 10% parietal and 13% cerebellar)
Zou et al. 
All brain tissue samples were collected post-mortem. Some studies reported eQTL for expression collected in multiple brain regions or from samples with different neuropathologies. Where possible, eQTL overlap was evaluated for separate tissues and neuropathologies, however, most studies pooled results from different tissues or from individuals with different neurological/psychiatric conditions. Therefore, separate analysis was not always possible. For example, two of the studies included samples from individuals diagnosed with schizophrenia, bipolar disorder, or major depressive disorder [27, 28], whilst others pooled samples with pathologies such as Alzheimer’s disease and progressive supranuclear palsy [29, 30]. Only four studies used expression data collected from a single region of the brain [10, 26, 28, 30], whilst the remainder, with the exception of Gibbs et al. , combined data acquired from several brain regions.
The eQTL results from the eight brain studies were compared to results from a large meta-analysis of eQTL in for expression levels measured in whole blood . The Westra et al. analysis is the largest eQTL study published to date and comprises of a meta-analysis of 5,311 individuals in a discovery phase and 2,775 individuals in a replication phase. All expression levels were measured in peripheral blood and corrected for batch effects and cell counts. SNP effects were estimated using a weighted Z-score of the beta values calculated using a linear regression model in each study cohort. Significance was determined using permutations and a study-wide threshold of false discovery rate (FDR) of 0.05. Cis-eQTL were identified for a total of 4,909 genes (33% of all tested) and trans-eQTL for 430 genes (3%).
This study used previously published data. The research was approved by the University of Queensland Human Ethics Review Board and the QIMR Berghofer Medical Research Institute Institutional Review Board for Research on Human Subjects.
The eQTL studies included in this analysis used a variety of high-throughput expression arrays (Additional file 1: Table S1). We sought to overcome the degree of probe overlap between by comparing eQTL for probes that tag the same gene exon. We evaluated the overlap of eQTL identified in blood  and each of the brain studies as well as between each pair of brain studies. The latter allows us to draw conclusions on eQTL overlap for different brain regions or tissues as well as potential impact of psychiatric or neurological disorders. The following procedures were followed to ascertain the overlap of eQTL between peripheral blood and each brain study and between each pair-wise comparison of brain studies.
The list of significant (study-wide α = 0.05 eQTL for studies i and j were first assessed for probes containing an eQTL in both studies. For each eQTL present in studies i and j, overlapping eQTL were determined using two approaches. Firstly, SNPs with the smallest p-value (eSNPs) from eQTL were compared based on their recorded presence in both studies. This provides a basic comparison of all overlapping eQTL that can be identified from standard reported results. However, the mean overlap between i and j is expected to be biased downwards due to differences in SNP array platforms and inconsistencies in linkage disequilibrium (LD) between study populations. We accounted for this by applying a second approach that used known SNP proxies  from the 1000 Genomes study (CEU panel). SNP proxies were defined as SNPs in high LD (r 2 > 0.8) and within 100 kb of the original genotyped eSNPs. A list of SNP proxies for each eSNP was generated for all studies. The SNP proxies for eQTL in studies i and j were then compared to find overlapping proxy eQTL (hereon termed eQTLproxy). This approach provides a realistic estimate of the true eQTL overlap that would be expected if all studies had used the same genotyping platform.
From the Westra et al. list of eQTL we sampled two mutually exclusive and independent datasets (i 1 and i 2 ), with the sample size of both i 1 and i 2 equal to that of study j.
EQTL were identified in datasets i 1 and i 2 , assuming significance threshold of study-wide FDR of 0.05.
power j_raw was calculated as the proportion of eQTL identified in i 1 that are also significant in i 2 .
was calculated (equations 1 and 2) between each brain study and the Westra et al. blood eQTL study.
Functional characterization of overlapping eQTL
A KEGG pathway enrichment analysis was used to assess shared biological functionality amongst genes with either overlapping or independent eQTL. From each pairwise comparison of blood and brain eQTL, genes listed as having either overlapping or non-overlapping eQTL were analyzed for shared functionality using DAVID . Significance of pathway enrichment was determined from a modified Fisher’s test, which represents the probability that a set of genes of related terms are presented at a given percentage in the list. Multiple testing was accounted for using a Benjamini-Hochberg FDR of 0.05 .
Blood and brain eQTL overlap
Summary of blood eQTL overlap with each brain eQTL study
Number of overlapping eQTL
Percentage of genes in blood with overlapping eQTL in brain study
Percentage of genes in brain study with overlapping eQTL in blood
Mean number of overlapping SNPs per gene
Mean R2(brain study)1
Mean distance (kb) of overlapping SNP from probe1
Colantuoni et al. 
Gibbs et al. 
Heinzen et al. 
Kim et al. 
Liu et al. 
Myers et al. 
Webster et al. 
Zou et al. 
CIS AND TRANS
Gibbs et al. 
Kim et al. 
Liu et al. 
Myers et al. 
Webster et al. 
Estimation of the expected degree of overlap between blood eQTL and each of the brain studies should the sample sizes be equal
To investigate if both overlapping and non-overlapping eQTL have a shared functionality we performed a pathway analysis using DAVID . The lists of overlapping and non-overlapping eQTL genes are given in Additional file 3: Table S4. For both sets of genes with overlapping and non-overlapping eQTL no statistically significant enrichment was found for functional annotation or Gene Ontology (GO) terms. This suggests that the genes with overlapping eQTL have similar functional roles in brain and blood cell types and tissues. Amongst the eight comparisons, 268 independent genes were found to have overlapping cis-eQTL with blood. Of these 55 (21%) had an eQTL observed in more than two brain studies. The genes that most consistently reported an overlapping eQTL were NSFL1C and PEX6 (reported in six of the brain eQTL studies), and CDK5RAP2, CDS2, CHURC1, CRIPT, HMBOX1, MRPL43, NAPRT1, NSUN2, RABEP1, ZNF266, ABHD12, and PILRB (reported in five of the brain eQTL studies) (Additional file 4: Table S3).
Brain region eQTL overlap
Overlap of eQTL from each of the pairwise comparisons of brain studies
Of the 765 genes found to have a cis-eQTL in one of the two studies involving cerebellar tissue [7, 30], 137 (18%) were also reported to have a cis-eQTL in blood. This proportion increased considerably when evaluating eQTL reported by both cerebellar studies – 25 of the 68 (37%) genes reported in both cerebellar studies also displayed a significant cis-eQTL association in blood.
Effect of diagnosis
Number of overlapping eQTL
Percentage of genes in blood with overlapping eQTL in Webster et al.
Percentage of genes in Webster et al. with overlapping eQTL in blood
Mean number of overlapping SNPs per gene
Mean R 2 (blood)1
Mean R 2 (Webster et al.)1
Mean distance (kb) of overlapping eSNP from TSS1
We have quantified the overlap in eQTL identified from eight brain studies with those found in blood. A key motivation of this work was to provide information on the utility of using blood as a surrogate for brain tissue when trying to understand the role of gene expression in neurological and psychiatric conditions. Previous work had shown that the transcriptome organization is poorly preserved between brain and blood, although the conservation was stronger for certain hub genes .
If we solely consider the overlap amongst the eight brain studies, there is relatively low, but highly significant, levels of replication (p = 1.4e−8). The greatest degree of overlap (35%) of cis-eQTL is between two studies that focused on cortex regions [28, 30]. If trans-eQTL are included in our analysis then the percentage overlap falls to 15%. The low level of overlap is likely due to a number of contributing factors. Firstly, we are comparing individuals from different population demographics whose expression levels have been measured using different laboratory procedures and protocols. Difference in expression profiles as a result of these variables is well documented [26, 37, 38]. Secondly, individuals from different disease cohorts were included together in the analyses. The effect of disease status on eQTL is still unclear; Liu et al.  found that psychiatric disease status had minimal effects on eQTL mapping, whilst Webster et al.  showed that most of the Alzheimer’s disease associated eQTL effects were not found in healthy controls. Thirdly, the studies sampled and often combined data from different regions of the brain. Yet it has been shown that expression profiles generated from different brain regions are distinct [7, 19]. Additional and larger studies are needed to clarify and quantify the true overlap.
Where possible we used approaches to account for differences in microarray and genotype platforms that could contribute to a low concordance in eQTL overlap between studies. EQTL and eSNP were matched for expression probes located within the same exon and SNP proxies were generated and analyzed for all eSNPs. The proxy SNPs included all known common SNPs within 100 kb region that are linked to the eQTL by LD. Therefore, if the eQTL was present in each study, it should be detected using this method.
Brain eQTL studies, with smaller sample sizes, lack statistical power compared to the blood meta-analysis . To address this, we employed an approach  which re-estimates the expected degree of eQTL overlap, should the sample size of the brain study match that of Westra et al. Although it has been estimated that a sample size of 100 individuals is sufficient for 80% power in eQTL studies , the power to detect an effect across multiple studies is reduced when an eSNP has a small effect size or when multiple loci are controlling transcript expression levels.
The highest proportion of cis-eQTL overlap between blood and any brain study was 14.2% . Under a null hypothesis of no eQTL overlap, these observed values are much greater than would be expected by chance (p = 2.7e−11). We can calculate the expected amount of overlap under the null hypothesis that there is no true overlap using the proportion of probes with identified eQTL in each study. For example, the amount of overlap expected between Westra et al.  and Gibbs et al.  based on chance would be equal to the percentage of probes analyzed in Westra et al. that were found to have an eQTL (33%), multiplied by the percentage of probes examined in Gibbs et al.  that were found to have an eQTL (5%), which is 1.6%.
Consistent with findings from other tissues, the genetic regulation of transcript expression levels within the brain and blood appears to be largely tissue specific [8, 10]. Our results presented here use data collected among different individuals and thus will underestimate the true overlap because of inconsistencies in study design, environmental effects and allele frequencies of SNPs. Studies such as GTEX , which is collecting samples from multiple tissues in the same individuals, can be used to provide a more complete understanding of identifiable eQTL overlap between these tissues. Importantly, it would also allow an accurate quantification of the direction of allelic effects between tissues. Here, due to unavailability of beta estimates, we have assumed the direction of eQTL effects between tissues is the same. As is expected, the overlap between brain and blood was consistently lower than the amount of overlap among brain eQTL studies. This provides support for the methods used for eQTL comparison in this study. The high level of overlap identified between studies using samples with disparate medical history provides support for the hypothesis that neurological conditions have little impact on eQTL effect estimates .
Table 2 provides information on the genes with an eQTL in both brain and blood, presented as a proportion of eQTL identified in the studies. The proportion of eQTL overlap was on average greater when the brain eQTL study was used as the ‘discovery’ cohort. This is likely due to the larger sample size of the blood eQTL study.
The mean genomic distance of overlapping blood–brain cis-eSNP from the probe TSS was 38.5 kb (not including proxy SNPs) – substantially less than the 121 kb average distance for brain eQTL reported by Gibbs et al. . This is in agreement with previous findings, which show that eQTL found in multiple tissues tended to localize closer to the TSS than tissue-specific eQTL . It is also known that eQTL found in multiple tissues have larger effect sizes than average, which could lead to a upwards bias in the reported percentage of overlapping eQTL between brain and blood .
The pathophysiology of many neurological and psychiatric conditions is often localized to specific brain regions. For example, prefrontal and temporal cortex abnormalities have been repeatedly associated with schizophrenia [41–43] while affective disorders such as bipolar disorder and major depressive disorder have been linked with dysfunction in several brain regions – cingulate cortex, amygdala, thalamus, hippocampus and the frontal lobe [44–48]. Similarly, neurological disorders tend to act within particular brain structures – degeneration in the substantia nigra is a hallmark of Parkinson’s disease  and one of the primary characteristics of Alzheimer’s disease is the prevalence of neurofibrillary tangles and amyloid plaques, particularly in medial temporal lobe structures [50, 51]. Thus, analysis of regions specifically affected by the disorder of interest is likely to be more relevant when attempting to understand the contribution of eQTL to disease susceptibility. Evaluating brain-region specific overlap among the brain studies demonstrated highly variable results. Amongst the brain study comparisons there was a higher concordance of eQTL overlap when comparing results from expression levels measured in the same brain region, notably cerebellar tissue.
To consider the effects of neuropathologies on eQTL overlap between brain and blood, individuals with several neurological and psychiatric conditions were included in our comparisons. As most studies pooled data from healthy and diseased individuals, a separate analysis of blood eQTL overlap was not always possible. The exception is Webster et al. , who reported eQTL with a significant effect only amongst individuals with Alzheimer’s disease diagnosis. The overlap of blood eQTL with Alzheimer’s disease associated eQTL was lower than eQTL that showed no disease specific effects, suggesting the possibility of increased tissue specificity of genetic regulation of expression levels in individuals with Alzheimer’s disease.
There are several recognizable limitations in this study such as demographic differences, disease status, brain cell heterogeneity, sample size and potential differences in protocols and array platforms. Where possible we have used methods to address these limitations, leading to a picture of eQTL overlap that represents the best-case scenario should studies have used the same array platforms and equal sample sizes. Ideally, measuring expression levels for multiple brain regions and blood in the same individuals would provide the best approach to more fully evaluate the overlap. In summary, although the genetic regulation of expression levels appears to act in a primarily tissue-dependent manner, overlap is still observed although there appears to be no functional differences in the genes with overlapping eQTL. Our results suggest that whenever possible tissue specific to the pathophysiology of the disease being studies should be used for transcription analysis. However, given the availability of blood, and the likely increases in sample size, analysis should not be deemed worthless for informing on brain eQTL associated with neurological and psychiatric conditions.
This research was directly supported by the Australian Research Council (ARC) (FT0991360, DE130100691) and the Australian National Health and Medical Research Council (1050218, 496667). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We thank Jake Gratten for providing critical comment on the manuscript.
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