Complex nature of SNP genotype effects on gene expression in primary human leucocytes

Background Genome wide association studies have been hugely successful in identifying disease risk variants, yet most variants do not lead to coding changes and how variants influence biological function is usually unknown. Methods We correlated gene expression and genetic variation in untouched primary leucocytes (n = 110) from individuals with celiac disease – a common condition with multiple risk variants identified. We compared our observations with an EBV-transformed HapMap B cell line dataset (n = 90), and performed a meta-analysis to increase power to detect non-tissue specific effects. Results In celiac peripheral blood, 2,315 SNP variants influenced gene expression at 765 different transcripts (< 250 kb from SNP, at FDR = 0.05, cis expression quantitative trait loci, eQTLs). 135 of the detected SNP-probe effects (reflecting 51 unique probes) were also detected in a HapMap B cell line published dataset, all with effects in the same allelic direction. Overall gene expression differences within the two datasets predominantly explain the limited overlap in observed cis-eQTLs. Celiac associated risk variants from two regions, containing genes IL18RAP and CCR3, showed significant cis genotype-expression correlations in the peripheral blood but not in the B cell line datasets. We identified 14 genes where a SNP affected the expression of different probes within the same gene, but in opposite allelic directions. By incorporating genetic variation in co-expression analyses, functional relationships between genes can be more significantly detected. Conclusion In conclusion, the complex nature of genotypic effects in human populations makes the use of a relevant tissue, large datasets, and analysis of different exons essential to enable the identification of the function for many genetic risk variants in common diseases.


Background
Human gene expression levels have a strong heritable component [1][2][3][4]. At some genes, the variance in gene expression levels is an order of magnitude greater between unrelated individuals, than between identical twins [5]. Quantitative mRNA levels are key regulators of phenotype and represent a link between genetic variation and phenotypic alterations. A term first introduced by Jansen & Nap [6], genetical genomics aims to identify the genetic variants that affect gene expression. By treating gene expression as a quantitative trait it is possible to correlate gene transcript expression levels with genomic locations such that expression quantitative trait loci (eQTLs) can be identified [7]. In the human genome, cis associations, where a genetic variant affects a transcript that maps to the same locus, have been predominantly reported [3,8]. Trans effects, where the genetic variant is distant to the transcript loci, are much harder to convincingly identify due to inherent multiple testing problems. Analysis of trans effects involves several magnitudes more statistical tests than for cis effects. Although individual studies have reported human trans associations, no effects have been convincingly replicated in multiple studies identified for the same transcript and variant [1,9,10].
Quantitative transcript expression and genotype relationships can be investigated via linkage or association based methodologies. Linkage studies use a genome wide series of markers in recombinant in-bred lines or families, to follow the heritability of a trait, whilst association studies usually compare large number of single nucleotide polymorphisms (SNPs) to transcript levels from unrelated individuals. Despite its extensive use in plant [11,12], mouse [13,14] and rat [15] models, transcript expression and genotype correlation studies have only recently been performed in humans [3,5,8].
Human association studies have centered on RNA obtained from leukocytes, predominantly Epstein-Barr virus (EBV) transformed B cell lines from HapMap individuals [3] or unrelated trios [1]. A large scale genetical genomics linkage study has recently identified more than 1000 cis regulatory loci across the genome, in primary cryopreserved human leukocytes [2], although these are broad genomic regions rather than variants in more precisely defined LD blocks. However, the former studies are limited by their ability to assess transcripts that are significantly expressed at the point of RNA isolation. Cell extraction methods, cryopreservation and EBV transformation all affect individual mRNA expression levels. These variations in RNA analysis make the choice of analysis tissue of paramount importance.
Here we present an association based genetical genomics study using primary cell RNA from peripheral blood sampled from patients in remission from an immune-mediated disease. Immediate RNA preservation during blood sampling (using the PAXgene system) represents nearly in vivo human physiological gene expression. Celiac disease is a common (1% prevalence), inflammatory condition of the small intestine induced by intake of gluten in wheat, rye and barley. A strong genetic component has been established for disease with a monozygotic concordance of 75% [16] and 90% of cases possessing the HLA haplotype HLA-DQ2.5 [17] and the remainder mostly have HLA-DQ8 [18]. Despite the role of the HLA, the risk of disease is still greater in HLA matched monozygotic twins compared to HLA matched dizygotic twins [19]. We recently performed a genome wide association and replication study using single nucleotide polymorphisms (SNPs) and identified an additional eight susceptibility loci that predispose to celiac disease [20,21]. A surprising finding from this study was that seven of the eight regions contained promising candidate genes expressed in leucocytes of the immune system. This suggested the feasibility of genetical genomics approaches using peripheral blood to assess the biological function of the celiac disease associated risk variants. One goal of genetical genomics is to uncover previously unknown biological pathways. If genetic variation affects the expression of a gene in trans, this suggests a biological relationship exists between the two loci. To assess this, considerable amounts of effort have been devoted to the development and application of statistical frameworks that are capable of detecting these trans-eQTLs. However, detection of trans-eQTLs in human populations has proven less successful than in mouse, rat and plant recombinant inbred lines [13,22]. It has been suggested that the extensive genetic and environmental diversity between human individuals masks many of the existing trans-effects.
We show that numerous cis-eQTLs can be identified through an expression analysis of peripheral blood RNA. We also show many of these are only detectable in peripheral blood RNA, and not in EBV-transformed B cell lines. Through a meta-analysis of these two datasets we identified numerous additional cis-eQTLs. We show that for some cis-eQTLs genetic variation does not lead to overall gene expression changes, but rather leads to shifts in the types of different splice isoforms that are produced. The complex nature of genotypic effects on gene expression limits our ability to fully elucidate the effect on RNA expression level or sequence and combined with the significant multiple testing problems prevented the accurate identification of trans effects.

Study population
115 UK celiac disease individuals were recruited from Barts and the London NHS Trust and the Oxford Radcliffe Hospitals NHS Trust after informed consent and with ethical approval. Individuals all had a small bowel endoscopic biopsy diagnosis of celiac disease, median age of 51 (23-88), a median age at diagnosis of 42 (1-75), a male to female sex ratio of 1:3, and a median length of treatment on a gluten free diet of 9.4 years (1-47). Celiac individuals responding to a gluten free diet typically show no detectable inflammation (which we confirmed at the mRNA level in peripheral blood). We also enrolled 22 healthy unrelated UK controls, with a male to female sex ratio of 1:1.2, but of unknown age.
PAXgene RNA Extraction 2.5 ml of peripheral blood was collected into a PAXgene tube (Becton Dickinson, UK, 762165). PAXgene vials were chosen to prevent density gradient centrifugation, immortalization or in vitro cell culture artifacts changing mRNA profiles.
PAXgene tubes were mixed gently and incubated at room temperature for two hours. After collection, tubes were frozen at -20°C for at least 24 hours followed by storage at -80°C. RNA was isolated using the PAXgene Blood RNA isolation kit (Qiagen, UK, 762174). RNA was quantified using the Nanodrop (Nanodrop Technologies, USA). Total RNA integrity was analyzed using an Agilent Bioanalyzer (Agilent Technologies, USA).

Anti-sense RNA synthesis, amplification, purification and hybridization to Illumina expression chips
Anti-sense RNA was synthesized, amplified and purified using the Ambion Illumina TotalPrep Amplification Kit (Ambion, USA) following the manufacturers' protocol. Complementary RNA was hybridized to Illumina HumanRef-8 v2 Whole Genome BeadChips and scanned on the Illumina BeadArray Reader. Data was handled through the Illumina BeadStudio Gene Expression module v3.2. All gene expression (MIAME compliant) and genotype data has been made freely available by submission to GEO under GSE11501.

Quality control
Five celiac disease samples were excluded from subsequent analysis due to poor median probe intensity correlation with all other samples or incorrect sex assignment, based on an analysis of all the probes that mapped to the non-pseudoautosomal region of chromosome Y. A dataset of 110 celiac disease patients and 22 controls was then used for analysis.

Normalization
Expression probes were mapped to the cDNA sequence from Ensembl v45_36g [23] and the NCBI build 36 genome assembly if necessary. Probes that had less than 96% sequence homology or that mapped to multiple loci were removed. Subsequent analyses were confined to autosomal probes, in order to prevent sex specific effects on gene expression. After removal of probes that map to sex chromosomes, data was quantile-quantile normalized [24].
Peripheral blood eQTL association analysis and false discovery rate control 257,013 autosomal SNPs were tested for association with expression levels in the 110 celiac disease samples that met analysis criteria of minor allele frequency (MAF) > 0.1, exact Hardy-Weinberg equilibrium P-Value > 0.0001 and call-rate > 0.95. Analyses were confined to those probe-SNP pairs for which the distance from probe genomic midpoint to SNP genomic location was less than 250 kb or 500 kb, depending on the analysis performed. To prevent spurious associations due to outliers, a nonparametric Spearman's rank correlation analysis was performed. In order to correct for multiple testing we controlled the false discovery rate (FDR) [25]. The distribution of all the observed p-values was used to calculate the FDR, by comparing this distribution to a null-distribution, obtained from an identical analysis where the expression phenotypes, relative to the genotypes had been permuted. Through 1,000 permutations the Spearman's rank correlation P-value threshold could be determined that corresponded to an FDR of 0.01 or 0.05.

Validation panel: HapMap CEU samples
We compared the identified cis-eQTLs in the celiac peripheral blood dataset to a published human genetical genomics dataset [3]. We reanalyzed expression data from EBVtransformed B cell lines (further described as HapMap B cell line dataset) for 90 CEU HapMap samples [3]. Analyses were performed as described for the celiac disease samples. To enable a comparison between the celiac peripheral blood dataset and the HapMap B cell line dataset, only SNPs were tested that had been successfully called within HapMap and that were present on the Illumina HumanHap300 platform (257,013 SNPs). Although this is only a subset of all the SNPs that have been called for these HapMap samples, this subset of SNPs is known to capture most genetic Caucasian variation well [26].

Analysis of over-and underrepresented biological processes and function
We investigated over-or underrepresentation of certain biological processes or functions through an analysis of all significant cis-eQTL genes using the Panther Classification System [27] (Binomial P-Value, Bonferroni corrected).

Co-expression analysis
Many cis-eQTLs have been detected in human datasets, but only a few trans-eQTLs have been found [1,3,8,10]. These trans-eQTLs imply a biological relationship between the trans-locus and the trans-gene and as such can provide valuable biological insight. If several of these were to be identified, they would allow for the reconstruction of gene networks.
A different, regularly used approach for reconstructing gene networks is by systematically assessing co-expression between pairs of genes. We performed such a co-expression analysis for each probe that comprised a cis-eQTL and contrasted this to an analysis where the genetic component of the cis-eQTL on the probe intensity level had been removed.
We first investigated whether the identified probe that comprised a cis-eQTLs (probe distance of 250 kb, FDR of 0.05) showed co-expression with all other probes that mapped to different chromosomes for both the celiac peripheral blood dataset and the HapMap B cell line dataset. We correlated the measured intensity levels with all other probes that mapped on different chromosomes, through a Spearman's rank correlation analysis. By applying Bonferroni correction to account for multiple testing, sets of significantly correlated transcript-pairs could be identified.
Subsequently we used partial-correlations, enabling us to redo this co-expression analysis while effectively removing the genotypic effect on the probe intensity level for the probes that constitute the significant cis-eQTLs. Again, by applying Bonferroni correction, sets of significantly correlated transcript-pairs could be identified.

Results
Celiac disease is an immune mediated disease, dominated by T H 1 cytokine response. Given the importance of tissue specific RNA profiles, we felt that peripheral blood was an appropriate medium to study to investigate celiac disease associated genetic variants. Given the known genetic contribution to disease, we enrolled treated celiac disease individuals rather than healthy controls, leading to an enrichment for celiac disease associated genetic variants and underlying causal variants [20,28]. For 110 celiac disease samples that passed quality control, both expression at 19,867 transcripts and genotype data for 257,013 SNPs, were analyzed.

Gene expression in celiac disease versus healthy control samples
To obtain the most accurate reflection of mRNA levels in peripheral blood leukocytes, whole blood RNA was immediately fixed during venepuncture in PAXgene vials, giving a reflection of in vivo RNA expression from whole blood. One hundred and fifteen treated celiac patients, all of whom were successfully treated and compliant with a gluten free diet for at least six months, were enrolled. Seventy percent of celiac disease patients were female, (66.6% of adult cases diagnosed with celiac disease in the population are female [29]). In addition, 22 random healthy control samples were enrolled to obtain a background RNA expression profile, enabling us to determine whether the patients indeed did not show ongoing inflammation. In a sex matched comparison no known inflammatory disease associated cytokines, including IFNG [30] and IL2 [31] showed significantly increased expression (sex matched Wilcoxon Signed-Ranks Test P value < 0.05) in celiac versus control samples, as was expected since these patients had been treated with a gluten free diet.

Cis-associations of gene expression with SNPs
Gene expression levels for 19,867 transcripts were analyzed for significant genotypic effects at 257,013 autosomal SNPs, mapping within 500 kb of the centre of the transcript probes, resulting in 1,850,599 tests. By using a Spearman's rank correlation coefficient statistic and an FDR of 0.01 or 0.05, 1,360 and 2,178 different SNP-probe effects were detected, respectively. These reflect 394 and 658 unique probes, and 1,273 and 2,035 unique SNPs, respectively (see Table 1).
An identical analysis was performed on publicly available EBV-transformed B cell line expression and genotype data for 90 CEU HapMap individuals [3]. Using this dataset and a SNP-probe distance of 500 kb and FDR of 0.01 or 0.05, 1,799 and 2,839 different SNP-probe effects were detected, respectively. These reflect 536 and 821 unique probes, and 1,601 and 2,464 unique SNPs, respectively (see Table 1). Details of all detected individual cis-eQTLs are available in Additional file 1.

Distance between SNPs and probes that constitute the cis-eQTLs
Our analysis was initially confined to probes that had a midpoint distance to the tested SNPs less than 500 kb. Analysis of the significant cis-eQTLs SNP-probe distances ( Figure 1) suggests few cis-eQTLs have been missed by imposing this threshold, as in both datasets for 95% of the cis-eQTLs, the SNPs map within 250 kb of the probes. As such it is expected that an increase in statistical power can be achieved by reducing the distance to 250 kb as less tests will be performed. Indeed in the celiac peripheral blood dataset more cis-eQTLs were identified (in total 2,487 different SNP-probe effects were observed, compared to 2,178 in the 500 kb analysis, based on an FDR of 0.05), reflecting 765 unique probes and 2,315 unique SNPs. For the HapMap B cell line dataset 3,226 different SNP-probe effects were identified (compared to 2,839 in the 500 kb analysis, based on an FDR of 0.05), reflecting 994 unique probes and 2,826 unique SNPs (see Table 1). Subsequent analyses were confined to cis-eQTLs that had been detected using this 250 kb window analysis. In all cases, the combined meta-P-Value for each of these shared cis-eQTLs was more significant due to the larger sample size, indicating allelic effects in the same direction. A comparison between cis-eQTLs that had been detected in a large scale linkage based genetical genomics study using RNA obtained from peripheral blood mononuclear cells [2], and the cis-eQTLs we detected, indicates that 57.3% (distance 250 kb, 0.05FDR) of probes, displaying a genotypic effect in the celiac peripheral blood dataset, also show a linkage cis-eQTL signal. Of note is that CCR3 and IL18RAP are both identified as cis-eQTLs in both these datasets.

Primer Polymorphisms
While it can be assumed that for most of the detected cis-eQTLs indeed the probe expression is affected by genetic variation, it can also be that SNPs, mapping to regions to which the probe hybridizes, may affect hybridization efficacies and result in cis-eQTLs [32] that are not due to expression differences. For the celiac peripheral blood dataset, 10.0% of all Illumina HumanRef-8 v2 probes map to regions that contain known dbSNP polymorphisms. For the HapMap B cell line dataset, 20.5% of all Illumina HumanRef-6 v1 probes map to known SNPs. For the probes that make up the identified cis-eQTLs (distance 250 kb, FDR = 0.05) this percentage is significantly higher for both the celiac peripheral blood analysis (12,5%, Fisher's Exact test P = 0.02) and even more pronounced for the HapMap B cell line dataset (29.1%, P = 7.76 × 10 -11 ). Numbers within brackets in table 1 denote the number of cis-eQTLs, probes or genes that are potentially due to these primer polymorphisms. If these primer polymorphisms are responsible for different hybridization efficacies, these SNPs should be in LD with the SNPs that Numbers within brackets denote the number of cis-eQTLs, probes or genes that are potentially due to SNPs that map within the probe and affect the hybridization efficacies of these probes. make up the cis-eQTLs. We could assess this for those cis-eQTLs where genotype data was available within HapMap Phase II for both the SNP that makes up the eQTL and for the SNPs that map within the probe that constitutes this particular eQTL. We compared the resulting distribution of r 2 values to a null distribution, generated by calculating the LD between the SNP that makes up an eQTL and the SNP that mapped immediately adjacent to the primer polymorphism SNP. While the mean LD (mean r 2 = 0.27) in the celiac peripheral blood was not significantly higher than the mean LD in the null distribution (mean r 2 = 0.25, Wilcoxon Mann-Whitney P-Value = 0.86), this was observed for the HapMap B cell line dataset (mean r 2 = 0.46, mean r 2 of null distribution = 0.30, Wilcoxon Mann-Whitney P-Value = 6.3 × 10 -8 ).

Differential gene expression between tissue sample types influences cis-eQTL detection
To enable a comparison of gene expression levels between the HapMap B cell line samples and the celiac peripheral blood samples, we limited our analysis to 12,401 tran-scripts that map to identical exons. The expression levels for these transcripts were quantile normalized. cis-eQTLs that have only been significantly detected in the celiac peripheral blood dataset, reflect probes that on average show higher expression in the celiac peripheral blood samples compared to HapMap B cell line samples (Wilcoxon Signed-Ranks test, P = 7.6 × 10 -7 ) (see Figure 3). Conversely, probes that comprised HapMap B cell line specific cis-eQTLs were higher expressed than within the celiac peripheral blood dataset (P = 2.0 × 10 -4 ). As expected, probes that comprised cis-eQTLs that were common to both data sets did not show differences in expression (P = 0.30). Noteworthy is that IL18RAP and CCR3, both recently identified as being genetically associated with celiac disease [21], exhibited significant cis-regulation in the celiac peripheral blood dataset but not in the HapMap B cell line dataset. Cis-effects for these two genes could be detected as these two genes showed markedly upregulated expression in the celiac peripheral blood dataset (expression rank order 12,072 vs. 6,431 and 11,104 vs. 3,602, respectively). These results indicate that Cumulative genomic distance distribution between SNP and probe midpoint for significant cis-eQTLs (FDR = 0.01, SNP-probe midpoint distance < 500 kb) in celiac peripheral blood samples Figure 1 Cumulative genomic distance distribution between SNP and probe midpoint for significant cis-eQTLs (FDR = 0.01, SNP-probe midpoint distance < 500 kb) in celiac peripheral blood samples.
the analysis of different cell types is valuable to gain insight in the potential functional consequences of disease associated genetic variants.

Overrepresented biological pathways
The genes, comprising the significant cis-eQTLs (distance 250 kb, FDR = 0.05), showed an overrepresentation of hydrolase and transferase functions for both datasets, but 'immunity and defense' cis-eQTLs genes were more predominantly detected in the celiac disease peripheral blood dataset than in the HapMap B cell line dataset (see Additional file 2), as might be expected from the differential RNA profiles of the cells under investigation in each dataset.

Significant opposite allelic directions for probes, mapping within the same genes
The observed concordance in allelic direction for the 135 significant SNP-probe effects, detected in both the 110 celiac peripheral blood and the 90 HapMap B cell line samples was perfect when probe sequences were identical. We also assessed whether the allelic directions for cis-eQTLs probes was the same when multiple significant cis-eQTL probes mapped within the same genes. We identified 14 genes (see Table 2) where this was not the case: significant cis-eQTL probes with different oligonucleotide sequences mapped to the same genes but showed opposite allelic directions. For three of the genes, MRPL43, OAS1 and TIPRL, we re-sequenced the probe regions in four, four and three individuals with different genotypes, respectively, and did not discover any polymorphisms, confirming that these cis-eQTLs do not result from artificial hybridization differences.

Identification of trans effects and conditioned coexpression analysis
We used the celiac disease dataset to assess whether significant trans-eQTLs could be identified (Spearman's rank correlation test P-Value < 1 × 10 -12 , FDR = 0.05). Two trans-eQTLs were detected: rs2318331 (mapping within COL22A1) with GI_48093066 (NBPF3) and rs12634559 (mapping downstream of IL1RAP) with GI_16306505 (CASP8AP2). However, these trans-eQTLs were not detected in the HapMap B cell line dataset, even after relaxing the nominal Spearman rank correlation P-value to 0.05.
As trans-eQTLs implicate (direct or indirect) biological relationships, it is somewhat disappointing that none were clearly identified. An alternative way to identify biological relationships is by using co-expression analysis (although such an analysis does not have the aim to identify or explain trans-eQTLs). We conducted such a coexpression analysis and compared it to a co-expression analysis that also takes the genetic variation into account. First, co-expression was assessed between each of the probes that constitute cis-eQTLs (SNP-probe midpoint distance < 250 kb, FDR = 0.05) and all other probes (Figure 4a)  Subsequently, we redid this co-expression analysis after having removed the genotypic effect on the probe intensity level for the probes that constitute the significant cis-eQTLs (Figure 4b). We observed a considerably increased number of significantly correlated transcript-pairs: 54,773 (an increase of 7.8%) and 258,874 (an increase of 53.8%), respectively.
To validate whether this increase in co-expressed transcripts reflects known biology, we assessed a collection of 80,350 known biological interactions (derived on 17 April 2007 from KEGG [33], BioGrid [34], Reactome [35], BIND [36], HPRD [37] and IntAct [38]). For the celiac peripheral blood dataset 91 of the 50,821 (0.179%) significantly correlated transcript-pairs that had been identified in the unconditioned co-expression analysis are known to interact. In the conditioned coexpression analysis 106 of the 54,773 (0.194%) transcript pairs were known to interact, indicating an 8.0% increase in the proportion of known biological interactions that was identified. Comparable results were obtained for the HapMap B cell line dataset: For the unconditioned co-expression analysis 334 of the 168,292 (0.195%) significant transcript-pairs are known to interact. In the conditioned co-expression analysis 634 of the 258.874 (0.245%) significant transcript-pairs are known to biologically interact, representing an increase of 23.4% in the proportion of known interactions among the most significantly co-expressed transcript-pairs. Differential Gene Expression between tissue types results in differential cis-eQTL detection Differential gene expression between the celiac dataset and the HapMap dataset is represented as a histogram of log fold change

Discussion
We have demonstrated the use of peripheral blood RNA samples for the detection of cis-eQTLs and have shown that there is strong allelic concordance with cis-eQTLs that also had been detected in a HapMap B cell line dataset.
These results indicate that a meta-analysis with larger sample size and hence statistical power results in a considerable increase in the detected cis-eQTL even though the arrays that had been used were different. Some cis-eQTLs can be observed across multiple tissue types, in all cases in the same allelic direction, suggesting a major conserved function. However most of the detected cis-eQTLs in these datasets were only detected in one of the two tissues, suggesting that more insight can be gained in the functional consequences of genetic variation by performing genetical genomics studies using different types of cells and tissues. This point is particularly relevant for identifying the function of risk variants for common diseases: for example study immune tissues for immune-mediated diseases, adipose tissue for obesity traits [8], brain tissue for neurological traits [10]. Genetical genomics experiments performed in outbred human populations are additionally complex and in addition to tissue specific RNA profiles, care should be taken to investigate alternative RNA sequence events, primer polymorphisms that generate false eQTLs and strong cis-eQTLs that obscure weaker trans effects.
It is attractive to assume most of the observed cis-eQTLs reflect overall gene expression level alterations. However, we did observe 14 genes (Table 2) where different probes showed significant opposite allelic effects. For at least five out of the 14 genes (POFUT2, PTER, MYOM2, ADI1 and HLA-DRB5) polymorphisms within the probe are known to exist in dbSNP. For each of these genes, it may be that one cis-eQTL for instance reflects a real expression difference, whereas the other reflects a hybridization effect due to the presence of these SNPs within the probe. However, recently Kwan et al [39] provided another potential explanation, as they showed for three of the 14 genes (IRF5, MRPL43 and PTER), using Affymetrix GeneChip Human Exon 1.0 ST Arrays, that different genetic variants can result in premature 3' termination events. The SNPs that make up these cis-eQTLs are all in strong linkage disequilibrium with the SNPs Kwan et al described (IRF5: rs7808907 and rs6969930: D' = 1, R 2 = 0.74 rs2863095, MRPL43: rs2863095 and rs12241232: D' = 0.89, R 2 = 0.75, PTER: rs7909832 and rs1055340: D' = 1, R 2 = 1), supporting our observations. Kwan et al examined different exonic effects through an independent validation using quantitative RT-PCR (out of a total of 25 validated genes) and estimated that only 39% of the detected cis-eQTLs influence overall gene expression levels. For the remaining cis-eQTLs genetic variation results in preliminary terminated transcripts (18%), not initiated transcripts (11%), transcripts that are spliced differentially (26%) or a combination of these (6%). We acknowledge that our use of oligonucleotide arrays, predominantly targeting the 3' end of genes, gives a more limited picture of splicing since only 3' termination events can be seen. However, the data presented above and alluded to by Kwan et al [39] suggest that SNP genotypes can have a significant effect on alternatively spliced transcript isoforms. This additional layer of complexity should be examined in future genetical genomics experiments to fully elucidate the genotypic effects on RNA.
Although the two trans-effects identified (IL1RAP and CASP8AP2) are interestingly both involved in an apoptosis pathway, these trans-eQTLs were not detected in the HapMap B cell line dataset. These trans-eQTL results are in strong contrast to the number of cis-eQTLs we detected within the two data sets. This results primarily from the limited statistical power to detect trans-eQTLs, due to the number of statistical tests that need to be performed. Additionally, in order to cause a trans-effect, more intermediate biological steps are required that introduces additional biological noise, lessening the correlation between genotype and trans-gene expression. Cis-eQTLs can have a significant impact on the co-expression of genes; this genotypic variation may hinder the identification of significant trans effects. This adds an additional layer of complexity to the analysis of genotypic effects on gene expression in outbred populations.
As it has been one of the goals of genetical genomics to identify biological relationships we suggest that the conditioned co-expression analysis we carried out here, might Cis-effects obscure detection of co-expression with other genes a) Co-expression for significant cis-eQTLs was determined; resulting in the identification of co-expression pairs with generally low absolute correlation coefficients b) Through removal of the genotypic effect on the cis-eQTL probe, for some cis-eQTLs strong co-expression can be more easily detected Figure 4 Cis-effects obscure detection of co-expression with other genes a) Co-expression for significant cis-eQTLs was determined; resulting in the identification of co-expression pairs with generally low absolute correlation coefficients b) Through removal of the genotypic effect on the cis-eQTL probe, for some cis-eQTLs strong coexpression can be more easily detected. c) An example for UBA52 indicates that a conditioned co-expression analysis can help to identify meaningful biological relationships: Within the conditioned co-expression distribution (indicated in dark blue) there are more strongly co-expressed genes, opposed to an unconditioned analysis (indicated in red). This is supported by an analysis of 156 known interacting genes for UBA52: In the conditioned co-expression analysis (indicated in light blue) coexpression is generally much stronger than in the unconditioned analysis (indicated in yellow).
help to uncover these: We have shown that more known biological relationships can be identified when using genetical genomics to perform co-expression analyses that have been conditioned on genotype. An explanation for this observation is that cis-eQTLs sometimes convolute co-expression, as is exemplified for UBA52, where primer polymorphisms probably affect hybridization characteristics.

Conclusion
This study shows that PAXgene isolated peripheral blood RNA is a powerful resource for investigating functional consequences of genetic variation. We have shown that for some of the cis-eQTLs the functional consequences are more complex than previously assumed. Additionally, these findings imply that biological relationships can be extracted in outbred populations, although in a somewhat different manner than what is commonly used to detect biological relationships through trans-eQTLs in inbred model organisms.
As this study has only combined genetics with genomics, we envision more extensive integrative approaches, incorporating e.g. epigenetics and proteomics, will help to improve the detection of previously unknown biological pathways.