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Updated: May 19, 2026

Using Human Differentially Expressed Gene Lists to Perform Downstream Pathway Enrichment Analysis and Target Prioritization
Published on: October 3, 2025
Functionally informed cis and trans proteome-wide association studies prioritize disease-critical genes
Kangcheng Hou1,2,3, Ali Pazokitoroudi1,2, Benjamin Strober4,5
1Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Proteome-wide association studies (PWAS) can now link protein levels to disease using both cis- and trans-predicted effects. This new method, PolyPWAS, improves disease gene discovery by integrating functional data and analyzing trans-associations, which explain more heritability than cis-associations alone.
Area of Science:
- Genetics
- Systems Biology
- Computational Biology
Background:
- Proteome-wide association studies (PWAS) traditionally use cis-pQTLs, limited by low heritability and gene tagging.
- Trans-pQTLs offer complementary insights into polygenic effects but require large sample sizes.
- Integrating cis- and trans-regulatory effects is crucial for a comprehensive understanding of protein-mediated disease biology.
Purpose of the Study:
- To develop a novel framework, PolyPWAS, for associating both cis- and trans-predicted protein levels with disease using summary statistics.
- To enhance protein prediction accuracy by integrating functional annotations and proteome-wide pleiotropy.
- To assess the contribution of trans-predicted protein levels to disease heritability and identify novel protein-disease associations.
Main Methods:
- Developed PolyPWAS, a summary statistics-based framework integrating 96 functional annotations and proteome-wide pleiotropy.
- Applied PolyPWAS to UK Biobank-நிறைவுற்ற புரதவியல் திட்டம் (UKB-PPP) plasma proteomic data (2.8K proteins) and GWAS summary statistics for 88 diseases/traits (N=336K).
- Corrected for principal components of predicted protein levels to mitigate tagging effects and improve prediction accuracy.
Main Results:
- Trans-predicted protein levels explained 21% of disease heritability, compared to 9.6% for cis-predicted levels.
- Functional priors improved trans-prediction accuracy by 24%, leading to more significant and conditionally significant trans-PWAS associations.
- Combining cis and trans associations improved disease gene prioritization by 11% and 7.0% over cis-only methods.
Conclusions:
- PolyPWAS effectively integrates cis- and trans-predicted protein levels for robust disease association analysis.
- Trans-regulatory effects play a significant role in disease heritability and offer a complementary view to cis-regulatory effects.
- Integrating both cis- and trans-regulatory effects is essential for a complete mapping of protein-mediated disease biology and improved gene prioritization.
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