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<article article-type="research-article" xml:lang="en" dtd-version="1.4"><?da-xref-anchor-style superscripted?><front><journal-meta><journal-id journal-id-type="nlm-ta">Nat Commun</journal-id><journal-id journal-id-type="iso-abbrev">Nat Commun</journal-id><journal-id journal-id-type="pmc-domain-id">2873</journal-id><journal-id journal-id-type="pmc-domain">ncomms</journal-id><journal-id journal-id-type="nlm-id">101528555</journal-id><journal-title-group><journal-title>Nature Communications</journal-title></journal-title-group><issn pub-type="epub">2041-1723</issn><?publisher_abbrev naturepg?><publisher><publisher-name>Nature Publishing Group</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmcid">PMC7955039</article-id><article-id pub-id-type="pmcid-ver">PMC7955039.1</article-id><article-id pub-id-type="pmcaid">7955039</article-id><article-id pub-id-type="pmcaiid">7955039</article-id><article-id pub-id-type="pmid">33712590</article-id><article-id pub-id-type="doi">10.1038/s41467-021-21854-5</article-id><article-id pub-id-type="publisher-id">21854</article-id><article-version article-version-type="pmc-version">1</article-version><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Global discovery of lupus genetic risk variant allelic enhancer activity</article-title></title-group><contrib-group><contrib contrib-type="author" equal-contrib="yes"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-0830-2826</contrib-id><name name-style="western"><surname>Lu</surname><given-names initials="X">Xiaoming</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" equal-contrib="yes"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-3782-3962</contrib-id><name name-style="western"><surname>Chen</surname><given-names initials="X">Xiaoting</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Forney</surname><given-names initials="C">Carmy</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Donmez</surname><given-names initials="O">Omer</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Miller</surname><given-names initials="D">Daniel</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Parameswaran</surname><given-names initials="S">Sreeja</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Hong</surname><given-names initials="T">Ted</given-names></name><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref><xref ref-type="aff" rid="Aff10">10</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Huang</surname><given-names initials="Y">Yongbo</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Pujato</surname><given-names initials="M">Mario</given-names></name><xref ref-type="aff" rid="Aff3">3</xref><xref ref-type="aff" rid="Aff11">11</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Cazares</surname><given-names initials="T">Tareian</given-names></name><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-0232-3116</contrib-id><name name-style="western"><surname>Miraldi</surname><given-names initials="ER">Emily R.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref><xref ref-type="aff" rid="Aff4">4</xref><xref ref-type="aff" rid="Aff5">5</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-7294-4260</contrib-id><name name-style="western"><surname>Ray</surname><given-names initials="JP">John P.</given-names></name><xref ref-type="aff" rid="Aff6">6</xref><xref ref-type="aff" rid="Aff12">12</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-8935-5921</contrib-id><name name-style="western"><surname>de Boer</surname><given-names initials="CG">Carl G.</given-names></name><xref ref-type="aff" rid="Aff6">6</xref><xref ref-type="aff" rid="Aff13">13</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Harley</surname><given-names initials="JB">John B.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff4">4</xref><xref ref-type="aff" rid="Aff5">5</xref><xref ref-type="aff" rid="Aff7">7</xref><xref ref-type="aff" rid="Aff8">8</xref></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-7977-9122</contrib-id><name name-style="western"><surname>Weirauch</surname><given-names initials="MT">Matthew T.</given-names></name><address><email>Matthew.Weirauch@cchmc.org</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff3">3</xref><xref ref-type="aff" rid="Aff5">5</xref><xref ref-type="aff" rid="Aff8">8</xref><xref ref-type="aff" rid="Aff9">9</xref></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-3979-2220</contrib-id><name name-style="western"><surname>Kottyan</surname><given-names initials="LC">Leah C.</given-names></name><address><email>Leah.Kottyan@cchmc.org</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff4">4</xref><xref ref-type="aff" rid="Aff5">5</xref><xref ref-type="aff" rid="Aff9">9</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="GRID">grid.239573.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 9025 8099</institution-id><institution>Center for Autoimmune Genomics and Etiology, Cincinnati Children’s Hospital Medical Center, </institution></institution-wrap>Cincinnati, OH USA </aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="GRID">grid.24827.3b</institution-id><institution-id institution-id-type="ISNI">0000 0001 2179 9593</institution-id><institution>Department of Pharmacology and Systems Physiology, </institution><institution>University of Cincinnati, College of Medicine, </institution></institution-wrap>Cincinnati, OH USA </aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="GRID">grid.239573.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 9025 8099</institution-id><institution>Division of Biomedical Informatics, </institution><institution>Cincinnati Children’s Hospital Medical Center, </institution></institution-wrap>Cincinnati, OH USA </aff><aff id="Aff4"><label>4</label><institution-wrap><institution-id institution-id-type="GRID">grid.239573.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 9025 8099</institution-id><institution>Division of Immunobiology, </institution><institution>Cincinnati Children’s Hospital Medical Center, </institution></institution-wrap>Cincinnati, OH USA </aff><aff id="Aff5"><label>5</label><institution-wrap><institution-id institution-id-type="GRID">grid.24827.3b</institution-id><institution-id institution-id-type="ISNI">0000 0001 2179 9593</institution-id><institution>Department of Pediatrics, </institution><institution>University of Cincinnati College of Medicine, </institution></institution-wrap>Cincinnati, OH USA </aff><aff id="Aff6"><label>6</label><institution-wrap><institution-id institution-id-type="GRID">grid.66859.34</institution-id><institution>Broad Institute of Massachusetts Institute of Technology (MIT) and Harvard University, </institution></institution-wrap>Cambridge, MA USA </aff><aff id="Aff7"><label>7</label><institution-wrap><institution-id institution-id-type="GRID">grid.413848.2</institution-id><institution-id institution-id-type="ISNI">0000 0004 0420 2128</institution-id><institution>US Department of Veterans Affairs Medical Center, </institution></institution-wrap>Cincinnati, OH USA </aff><aff id="Aff8"><label>8</label><institution-wrap><institution-id institution-id-type="GRID">grid.239573.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 9025 8099</institution-id><institution>Division of Developmental Biology, </institution><institution>Cincinnati Children’s Hospital Medical Center, </institution></institution-wrap>Cincinnati, OH USA </aff><aff id="Aff9"><label>9</label><institution-wrap><institution-id institution-id-type="GRID">grid.239573.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 9025 8099</institution-id><institution>Division of Allergy and Immunology, </institution><institution>Cincinnati Children’s Hospital Medical Center, </institution></institution-wrap>Cincinnati, OH USA </aff><aff id="Aff10"><label>10</label><institution-wrap><institution-id institution-id-type="GRID">grid.418152.b</institution-id><institution>Present Address: Translational Medicine, </institution><institution>R&amp;D Oncology, AstraZeneca, </institution></institution-wrap>Boston, MD USA </aff><aff id="Aff11"><label>11</label><institution-wrap><institution-id institution-id-type="GRID">grid.418152.b</institution-id><institution>Present Address: Production Informatics, Oncology, AstraZeneca, </institution></institution-wrap>Gaithersburg, MD USA </aff><aff id="Aff12"><label>12</label><institution-wrap><institution-id institution-id-type="GRID">grid.263306.2</institution-id><institution-id institution-id-type="ISNI">0000 0000 9949 9403</institution-id><institution>Present Address: Systems Immunology, </institution><institution>Benaroya Research Institute at Virginia Mason, Seattle, </institution></institution-wrap>Washington, USA </aff><aff id="Aff13"><label>13</label><institution-wrap><institution-id institution-id-type="GRID">grid.17091.3e</institution-id><institution-id institution-id-type="ISNI">0000 0001 2288 9830</institution-id><institution>Present Address: School of Biomedical Engineering, </institution><institution>University of British Columbia, </institution></institution-wrap>Vancouver, BC Canada </aff></contrib-group><pub-date pub-type="epub"><day>12</day><month>3</month><year>2021</year></pub-date><pub-date pub-type="collection"><year>2021</year></pub-date><volume>12</volume><issue-id pub-id-type="pmc-issue-id">372028</issue-id><elocation-id>1611</elocation-id><history><date date-type="received"><day>18</day><month>1</month><year>2020</year></date><date date-type="accepted"><day>16</day><month>2</month><year>2021</year></date></history><pub-history><event event-type="pmc-release"><date><day>12</day><month>03</month><year>2021</year></date></event><event event-type="pmc-live"><date><day>28</day><month>03</month><year>2021</year></date></event><event event-type="pmc-last-change"><date iso-8601-date="2026-04-04 20:25:13.073"><day>04</day><month>04</month><year>2026</year></date></event></pub-history><permissions><copyright-statement>© The Author(s) 2021</copyright-statement><license license-type="OpenAccess"><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/" specific-use="textmining" content-type="ccbylicense">https://creativecommons.org/licenses/by/4.0/</ali:license_ref><license-p><bold>Open Access</bold> This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>.</license-p></license></permissions><self-uri xmlns:xlink="http://www.w3.org/1999/xlink" content-type="pmc-pdf" xlink:href="41467_2021_Article_21854.pdf"><?pdf-name 41467_2021_Article_21854.pdf?><?pdf-size 1530475?><?pdf-md5 a8eb0ffe8aa9bbf437484ec73d8579b5?><?pdf-image-server-status NEVER_LOAD?><?pdf-cloudpmc-urn urn:app:38ce/7955039/a8eb0ffe8aa9/41467_2021_Article_21854.pdf?></self-uri><abstract id="Abs1"><p id="Par1">Genome-wide association studies of Systemic Lupus Erythematosus (SLE) nominate 3073 genetic variants at 91 risk loci. To systematically screen these variants for allelic transcriptional enhancer activity, we construct a massively parallel reporter assay (MPRA) library comprising 12,396 DNA oligonucleotides containing the genomic context around every allele of each SLE variant. Transfection into the Epstein-Barr virus-transformed B cell line GM12878 reveals 482 variants with enhancer activity, with 51 variants showing genotype-dependent (allelic) enhancer activity at 27 risk loci. Comparison of MPRA results in GM12878 and Jurkat T cell lines highlights shared and unique allelic transcriptional regulatory mechanisms at SLE risk loci. In-depth analysis of allelic transcription factor (TF) binding at and around allelic variants identifies one class of TFs whose DNA-binding motif tends to be directly altered by the risk variant and a second class of TFs that bind allelically without direct alteration of their motif by the variant. Collectively, our approach provides a blueprint for the discovery of allelic gene regulation at risk loci for any disease and offers insight into the transcriptional regulatory mechanisms underlying SLE.</p></abstract><abstract id="Abs2" abstract-type="web-summary"><p id="Par2">Thousands of genetic variants have been associated with lupus, but causal variants and mechanisms are unknown. Here, the authors combine a massively parallel reporter assay with genome-wide ChIP experiments to identify risk variants with allelic enhancer activity mediated through transcription factor binding.</p></abstract><kwd-group kwd-group-type="npg-subject"><title>Subject terms</title><kwd>Functional genomics</kwd><kwd>Gene regulation</kwd><kwd>Systemic lupus erythematosus</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>pmc-status-qastatus</meta-name><meta-value>0</meta-value></custom-meta><custom-meta><meta-name>pmc-status-live</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-status-embargo</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-status-released</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-open-access</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-olf</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-manuscript</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-legally-suppressed</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-has-pdf</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-has-supplement</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-pdf-only</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-suppress-copyright</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-is-real-version</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-is-scanned-article</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-preprint</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-in-epmc</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-license-ref</meta-name><meta-value>CC BY</meta-value></custom-meta><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2021</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec id="Sec1" sec-type="introduction"><title>Introduction</title><p id="Par3">Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect multiple organs, leading to debilitating inflammation and mortality<sup><xref ref-type="bibr" rid="CR1">1</xref></sup>. Up to 150 cases are found per 100,000 individuals, and the limited treatment options contribute to considerable economic and social burden<sup><xref ref-type="bibr" rid="CR1">1</xref>,<xref ref-type="bibr" rid="CR2">2</xref></sup>. Epidemiological studies have established a role for both genetic and environmental factors in the development of SLE<sup><xref ref-type="bibr" rid="CR2">2</xref></sup>. SLE has a relatively high heritability<sup><xref ref-type="bibr" rid="CR3">3</xref></sup>. The vast majority of patients do not have a single disease-causing mutation (such as mutations in complement protein 1q); instead, genetic risk is accumulated additively through many genetic risk loci with modest effect sizes<sup><xref ref-type="bibr" rid="CR4">4</xref></sup>.</p><p id="Par4">Genome-wide association studies (GWASs) have identified 91 genetic risk loci that increase disease risk of SLE in a largely additive fashion<sup><xref ref-type="bibr" rid="CR4">4</xref></sup>. Each SLE-risk locus is a segment of the genome containing a polymorphic “tag” variant (i.e., the variant with the most significant GWAS <italic toggle="yes">p</italic>-value) and the genetic variants in linkage disequilibrium with the tag variant. The majority (68%) of the established SLE-risk loci do not contain a disease-associated coding variant that changes amino acid usage<sup><xref ref-type="bibr" rid="CR5">5</xref></sup>. Instead, variants at these loci are found in non-coding regions of the genome such as introns, promoters, enhancers, and other intergenic areas. Enrichment of these variants in enhancers and at transcription factor (TF) binding sites<sup><xref ref-type="bibr" rid="CR6">6</xref>,<xref ref-type="bibr" rid="CR7">7</xref></sup> implies that transcriptional perturbation may be a key to the development of SLE<sup><xref ref-type="bibr" rid="CR8">8</xref></sup>. However, given the large number of candidate variants identified by GWASs, identification of the particular causal variant(s) remains challenging.</p><p id="Par5">SLE is a complex disease that involves multiple cell types<sup><xref ref-type="bibr" rid="CR2">2</xref></sup>. Previous systematic studies demonstrate that SLE-risk loci are enriched for B cell-specific genes<sup><xref ref-type="bibr" rid="CR9">9</xref></sup> and regulatory regions<sup><xref ref-type="bibr" rid="CR10">10</xref></sup>. Established biological mechanisms further highlight a key role for B cells in SLE—as the autoantibody-secreting cell type, B cells are critical to the pathoetiology of SLE, a disease characterized by autoantibody production<sup><xref ref-type="bibr" rid="CR11">11</xref></sup>. B cells also present self-antigens to T cells in the development of an autoantigen-focused (i.e., “self”) inflammatory response<sup><xref ref-type="bibr" rid="CR12">12</xref></sup>. Meanwhile, Epstein–Barr virus (EBV)-infected B cells have been implicated in SLE, with patients having a greater number of EBV-infected B cells and a higher viral load than people without SLE<sup><xref ref-type="bibr" rid="CR13">13</xref>,<xref ref-type="bibr" rid="CR14">14</xref></sup>. In addition, EBV infection is significantly more prevalent in SLE cases than controls<sup><xref ref-type="bibr" rid="CR15">15</xref>,<xref ref-type="bibr" rid="CR16">16</xref></sup>, and EBV-encoded EBNA2 interactions with the human genome are concentrated at SLE-risk loci in EBV-transformed B cell lines<sup><xref ref-type="bibr" rid="CR10">10</xref></sup>. In vitro, EBV infection can transform B cells into a lymphoblastoid cell line (LCL)<sup><xref ref-type="bibr" rid="CR17">17</xref></sup>. We have recently shown that histone mark and human and viral protein chromatin immunoprecipitation followed by sequencing (ChIP-seq) datasets from EBV-transformed B cell lines are highly and specifically enriched at SLE-risk loci relative to non-EBV-transformed B cell lines<sup><xref ref-type="bibr" rid="CR9">9</xref>,<xref ref-type="bibr" rid="CR10">10</xref></sup>. Given the above evidence, we chose the EBV-transformed B cell line GM12878 to study the effects of SLE-risk variants at SLE-risk loci.</p><p id="Par6">In this work, we design and apply a massively parallel reporter assay (MPRA)<sup><xref ref-type="bibr" rid="CR18">18</xref>–<xref ref-type="bibr" rid="CR27">27</xref></sup> to systematically identify the SLE genetic risk variants that contribute to transcriptional dysregulation in the EBV-transformed B cell line GM12878 (Fig. <xref rid="Fig1" ref-type="fig">1</xref> and Supplementary Fig. <xref rid="MOESM1" ref-type="media">1</xref>). MPRA extends standard reporter assays, replacing low-throughput luciferase with high-throughput mRNA expression detection. We use MPRA to simultaneously screen the full set of genome-wide significant SLE-associated genetic variants for effects on gene regulation. Using this experimental approach, we nominate 51 putative causal variants that result in genotype-dependent (allelic) transcriptional regulation. Comparison of MPRA results between GM12878 and the Jurkat T cell line reveals shared and cell-type-specific allelic behavior. Integration of these data with TF binding site predictions and functional genomics data reveals two distinct mechanisms whereby TFs bind risk variants in an allelic manner—directly impacted by a given variant (i.e., the variant directly alters the TF’s DNA-binding site) or indirectly impacted by the variant (i.e., the variant alters the DNA binding of the TF’s physical interaction partner or modulates chromatin accessibility). Collectively, these results provide an important resource for understanding SLE disease risk mechanisms and reveal an important role for groups of TFs in the mediation of allelic enhancer activity at plausibly causal SLE-risk variants in EBV-transformed B cells.<fig id="Fig1" position="float" orientation="portrait"><label>Fig. 1</label><caption><title>Massively parallel reporter assay workflow.</title><p>Schematic of study design. Representative Manhattan plot of SLE-associated risk loci reproduced from ref. <sup><xref ref-type="bibr" rid="CR78">78</xref></sup>.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d32e645" position="float" orientation="portrait" xlink:href="41467_2021_21854_Fig1_HTML.jpg"><?image-name 41467_2021_21854_Fig1_HTML.jpg?><?image-size 71161?><?image-md5 234ad7d70b200823a9521b10588d0d74?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 915?><?image-original-width 2000?><?image-scaled-height 366?><?image-scaled-width 800?><?image-cloudpmc-urn urn:cdn:blobs/38ce/7955039/234ad7d70b20/41467_2021_21854_Fig1_HTML.jpg?><?thumb-name 41467_2021_21854_Fig1_HTML.gif?><?thumb-size 5193?><?thumb-md5 748dbf07c058c7228e41025f2a34ec08?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 80?><?thumb-scaled-width 174?><?thumb-cloudpmc-urn urn:cdn:blobs/38ce/7955039/748dbf07c058/41467_2021_21854_Fig1_HTML.gif?></graphic></fig></p></sec><sec id="Sec2" sec-type="results"><title>Results</title><sec id="Sec3"><title>MPRA library design and quality control</title><p id="Par7">We first collected all SLE-associated risk loci reaching genome-wide association significance (<italic toggle="yes">p</italic> &lt; 5 × 10<sup>−8</sup>) published through March 2018 (Supplementary Data <xref rid="MOESM3" ref-type="media">1</xref>). Studies of all ancestral groups were included, and independent risk loci were defined as loci with lead (tag) variants at <italic toggle="yes">r</italic><sup>2</sup> &lt; 0.2. For each of these 91 risk loci, we performed linkage disequilibrium (LD) expansion (<italic toggle="yes">r</italic><sup>2</sup> &gt; 0.8) in each ancestry of the initial genetic association(s), to include all possible disease-relevant variants (Supplementary Data <xref rid="MOESM4" ref-type="media">2</xref>). In total, this procedure identified 3073 genetic variants. All established alleles of these variants were included, with 36 variants having three or more alleles. We also included 20 additional genetic variants from a previously published study<sup><xref ref-type="bibr" rid="CR19">19</xref></sup> as positive and negative controls to assess the library’s performance (Supplementary Data <xref rid="MOESM5" ref-type="media">3</xref>).</p><p id="Par8">For each variant, we generated a pair of 170 base pair (bp) DNA oligonucleotides (subsequently referred to as “oligos”) for each allele, with the variant located in the center and identical flanking genomic sequence across the alleles (Supplementary Data <xref rid="MOESM6" ref-type="media">4</xref>). A total of 12,478 oligos (3093 variants with 6239 alleles) were synthesized. For barcoding, a random 20mers were added to each oligo through PCR. Each unique barcode was matched with perfectly synthesized oligos. The number of unique barcodes per oligo had an approximately normal distribution with a median of 729 barcodes per oligo (Supplementary Fig. <xref rid="MOESM1" ref-type="media">2a</xref> and Supplementary Data <xref rid="MOESM7" ref-type="media">5</xref>). Only oligos with at least 30 unique barcodes were used for downstream analyses. A fragment containing a minimal promoter and an <italic toggle="yes">eGFP</italic> gene was inserted between the oligo and barcode to generate the MPRA transfection library. We note that the use of a minimal promoter allows us to effectively measure the ability of alleles to enhance, but not reduce, transcriptional activity. Three aliquots of the library were independently transfected into the EBV-transformed B cell line GM12878. We then used nucleic acid capture to enrich for <italic toggle="yes">eGFP</italic> mRNA and sequenced the barcode region. The normalized barcode ratio between the <italic toggle="yes">eGFP</italic> mRNA and the plasmid DNA was used to quantify the amount of enhancer activity driven by each oligo (Supplementary Note <xref rid="MOESM1" ref-type="media">1</xref> and Supplementary Fig. <xref rid="MOESM1" ref-type="media">5f, g</xref>). This mRNA to DNA ratio measures the enhancing effect of an allele on <italic toggle="yes">eGFP</italic> expression under the control of a minimal promoter (Fig. <xref rid="Fig1" ref-type="fig">1</xref> and Supplementary Fig. <xref rid="MOESM1" ref-type="media">1</xref>). We observed strong correlation of enhancer activity between experimental replicates (mean pairwise Pearson correlation of 0.99) (Supplementary Fig. <xref rid="MOESM1" ref-type="media">2b-d</xref>). Likewise, calibration variants showed high accuracy, with 17 of the 20 variants matching the results of a previous study<sup><xref ref-type="bibr" rid="CR19">19</xref></sup> (87.5% sensitivity and 75% specificity), collectively demonstrating a robust experimental system (Supplementary Data <xref rid="MOESM5" ref-type="media">3</xref>).</p></sec><sec id="Sec4"><title>Hundreds of SLE-risk variants are located in genomic regions with enhancer activity in EBV-transformed B cells</title><p id="Par9">Using the SLE MPRA library, we next identified genetic variants capable of driving enhancer activity in the EBV-transformed B cell line GM12878. An SLE-risk variant was considered a candidate for enhancer activity if an oligo corresponding to any allele had significantly increased transcriptional regulatory activity compared to controls (see “Methods”). Not all statistically significant changes in transcriptional activity are necessarily biologically relevant—a highly consistent, but slight change in expression levels is statistically, but not biologically, meaningful. We therefore considered an oligo to have enhancer activity only when (1) the oligo had statistically significant enhancer activity (<italic toggle="yes">p</italic><sub>adj</sub> &lt; 0.05) and (2) we observed at least a 50% increase in transcriptional activity compared to the corresponding barcode counts in the plasmid control. Based on these criteria, 16% of SLE-risk variants (482 variants, 853 alleles) demonstrated enhancer activity, henceforth referred to as “enhancer variants” (enVars) and “enhancer alleles” (enAlleles), respectively (Fig. <xref rid="Fig2" ref-type="fig">2a</xref> and Supplementary Data <xref rid="MOESM8" ref-type="media">6</xref>).<fig id="Fig2" position="float" orientation="portrait"><label>Fig. 2</label><caption><title>Regulatory activity of enhancer variants (enVars).</title><p><bold>a</bold> Distribution of MPRA regulatory activity. The normalized fold change of MPRA activity relative to plasmid control (<italic toggle="yes">X</italic>-axis) was calculated using DESeq2 (<italic toggle="yes">n</italic> = 3 biological replicates). Enhancer alleles (enAlleles) (blue) were identified as those alleles with significant activity relative to control (<italic toggle="yes">p</italic><sub>adj</sub> &lt; 0.05) and at least a 50% increase in activity (see “Methods”). The <italic toggle="yes">p</italic>-values were generated by two-sided Wald tests with Benjamini–Hochberg multiple testing correction. Full results are provided in Supplementary Data <xref rid="MOESM8" ref-type="media">6</xref>. <bold>b</bold> Enrichment of histone marks in GM12878 cells at enVars compared to non-enVars. <italic toggle="yes">p</italic>-values were estimated by one-sided z-test with Bonferroni multiple testing correction using RELI (see “Methods”). Full results are provided in Supplementary Data <xref rid="MOESM11" ref-type="media">9</xref>. <bold>c</bold> Enrichment of regulatory protein and transcription factor (TF) binding at enVars compared to non-enVars. <italic toggle="yes">p</italic>-values were estimated by one-sided z-test with Bonferroni multiple testing correction using RELI (see “Methods”). The top 15 TFs (based on RELI <italic toggle="yes">p</italic>-values) that overlap at least 10% of enVars are shown. Full results are provided in Supplementary Data 9. <bold>d</bold> TF binding site motif enrichment for enVars compared to non-enVars. <italic toggle="yes">p</italic>-values were estimated by one-sided hypergeometric test with Benjamini–Hochberg multiple testing correction by HOMER using the full oligo sequences of enVars and non-enVars (see “Methods”). The top 15 enriched TF motif families are shown. Full results are provided in Supplementary Data <xref rid="MOESM12" ref-type="media">10</xref>.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d32e805" position="float" orientation="portrait" xlink:href="41467_2021_21854_Fig2_HTML.jpg"><?image-name 41467_2021_21854_Fig2_HTML.jpg?><?image-size 65336?><?image-md5 338c4cf95d87dafaf955a44afc03c859?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1200?><?image-original-width 1749?><?image-scaled-height 480?><?image-scaled-width 699?><?image-cloudpmc-urn urn:cdn:blobs/38ce/7955039/338c4cf95d87/41467_2021_21854_Fig2_HTML.jpg?><?thumb-name 41467_2021_21854_Fig2_HTML.gif?><?thumb-size 3019?><?thumb-md5 58b0756263d7d173bbe7d18eeb11e3b4?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 80?><?thumb-scaled-width 116?><?thumb-cloudpmc-urn urn:cdn:blobs/38ce/7955039/58b0756263d7/41467_2021_21854_Fig2_HTML.gif?></graphic></fig></p><p id="Par10">We next explored the potential effects of enVars on gene expression. We connected each enVar to one or more genes using an approach that takes into account chromatin looping interactions, expression quantitative trait loci (eQTLs), and gene proximity (Supplementary Data <xref rid="MOESM4" ref-type="media">2</xref> and <xref rid="MOESM9" ref-type="media">7</xref>) (see “Methods”). This approach identified 1006 genes in total, which are enriched for expected SLE-related processes such as the interferon pathway, the antigen processing and presentation pathway, and cytokine-related pathways (Supplementary Fig. <xref rid="MOESM1" ref-type="media">3</xref> and Supplementary Data <xref rid="MOESM10" ref-type="media">8</xref>), providing functional support for the enVars we identified.</p><p id="Par11">Next, we searched for functional genomic features enriched within enVars relative to non-enVars using the RELI algorithm<sup><xref ref-type="bibr" rid="CR10">10</xref></sup>. In brief, RELI estimates the significance of the intersection between an input set of genomic regions (e.g., enVars) and each member of a collection of functional genomics datasets (e.g., ChIP-seq for a particular histone mark or TF). For this analysis, we identified, curated, and systematically processed the 576 GM12878 ChIP-seq datasets available in the NCBI Gene Expression Omnibus (GEO) database (see “Methods”). Using RELI, we observed significant enrichment for overlap between enVars and multiple histone modification marks, including H3K4me3 (5.8-fold, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−21</sup>) and H3K27ac (2.0-fold, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−13</sup>) (Fig. <xref rid="Fig2" ref-type="fig">2b</xref> and Supplementary Data <xref rid="MOESM11" ref-type="media">9</xref>). As expected, we did not identify enrichment for repressive marks such as H3K9me3 or H3K27me3<sup><xref ref-type="bibr" rid="CR28">28</xref></sup> (Fig. <xref rid="Fig2" ref-type="fig">2b</xref> and Supplementary Data <xref rid="MOESM11" ref-type="media">9</xref>). Altogether, the genomic features present within enVars confirm that many SLE genetic risk loci likely alter transcriptional regulation in EBV-transformed B cells.</p><p id="Par12">We next asked if the genomic binding sites of particular TFs were enriched within our enVars using RELI and the TF ChIP-seq datasets from GM12878. As expected, the enVars are highly enriched for ChIP-seq signal of TFs involved in regulation of the immune response, relative to variants lacking enhancer activity (Fig. <xref rid="Fig2" ref-type="fig">2c</xref> and Supplementary Data <xref rid="MOESM11" ref-type="media">9</xref>). In particular, we found significant enrichment for all members of the NFκB TF family: REL/C-Rel (6.4-fold, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−26</sup>), NFKB1/p50 (3.0-fold, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−18</sup>), RELA/p65 (3.1-fold, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−16</sup>), RELB (2.7-fold, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−10</sup>), and NFKB2/p52 (2.2-fold, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−7</sup>). These results are consistent with our previous findings that altered binding of NFκB TFs is likely an important mechanism conferring SLE risk<sup><xref ref-type="bibr" rid="CR10">10</xref></sup>. We also found significant enrichment for other TFs that have been previously implicated in SLE pathogenesis, such as PAX5<sup><xref ref-type="bibr" rid="CR29">29</xref></sup>, MED1<sup><xref ref-type="bibr" rid="CR30">30</xref></sup>, IKZF1<sup><xref ref-type="bibr" rid="CR31">31</xref></sup>, ELF1<sup><xref ref-type="bibr" rid="CR32">32</xref></sup>, and the EBV-encoded EBNA2 transactivator<sup><xref ref-type="bibr" rid="CR10">10</xref></sup> (Fig. <xref rid="Fig2" ref-type="fig">2c</xref> and Supplementary Data <xref rid="MOESM11" ref-type="media">9</xref>). As a complementary approach, we next assessed enrichment for TF binding site motifs in the enAllele DNA sequences using HOMER<sup><xref ref-type="bibr" rid="CR33">33</xref></sup> and motifs contained in the Cis-BP database<sup><xref ref-type="bibr" rid="CR34">34</xref></sup> (see “Methods”). This analysis also revealed enrichment of multiple TF families with known roles in SLE, including ETS, NFκB, and IRF<sup><xref ref-type="bibr" rid="CR3">3</xref></sup> (Fig. <xref rid="Fig2" ref-type="fig">2d</xref> and Supplementary Data <xref rid="MOESM12" ref-type="media">10</xref>). Many of these same TFs also have enriched ChIP-seq peaks at SLE-risk loci<sup><xref ref-type="bibr" rid="CR10">10</xref></sup>. Collectively, these results indicate that particular TFs tend to not only concentrate at SLE-risk loci<sup><xref ref-type="bibr" rid="CR10">10</xref></sup>, but also concentrate at alleles capable of driving gene expression in EBV-transformed B cells.</p></sec><sec id="Sec5"><title>MPRA identifies 51 SLE-risk variants with allelic enhancer activity in EBV-transformed B cells</title><p id="Par13">We next used our MPRA library to identify SLE genetic risk variants that drive allele-dependent (allelic) enhancer activity. Allelic activity was assessed for each enVar by comparing enhancer activity between each pairs of alleles. We considered a SLE variant allelic if (1) at least one of its alleles is an enAllele; (2) we observed significant genotype-dependent activity using Student’s <italic toggle="yes">t</italic>-test<sup><xref ref-type="bibr" rid="CR19">19</xref>,<xref ref-type="bibr" rid="CR35">35</xref></sup> (Supplementary Note <xref rid="MOESM1" ref-type="media">2</xref> and Supplementary Fig. <xref rid="MOESM1" ref-type="media">6</xref>); and (3) the oligos had more than a 25% change between any pair of alleles. Using these criteria, we identified 51 SLE-risk variants (11% of enVars, 1.7% of all SLE-risk variants) as allelic enVars in GM12878 (Fig. <xref rid="Fig3" ref-type="fig">3a</xref> and Supplementary Data <xref rid="MOESM13" ref-type="media">11</xref>). For 31 of these 51 allelic enVars, the risk allele decreased enhancer activity relative to the non-risk allele, which is statistically indistinguishable from the 20 variants with increased risk allele activity (<italic toggle="yes">p</italic> = 0.1). Three of the allelic enVars can also alter the amino acid sequence of proteins—rs1059702 (IRAK1), rs1804182 (PLAT), and rs3027878 (HCFC1), consistent with previous studies identifying dual-use codons in the human genome<sup><xref ref-type="bibr" rid="CR36">36</xref></sup>. Collectively, these 51 variants represent causal variant candidates for 27 SLE-risk loci (30% of all tested loci) (Supplementary Data <xref rid="MOESM14" ref-type="media">12</xref>). For these 27 risk loci, our approach reduced the number of potential causal variants with allelic activity in GM12878 from an average of 84 variants to an average of two variants per risk locus (Fig. <xref rid="Fig3" ref-type="fig">3b</xref>). For example, at 17q12 (marked by rs8079075), we reduce the candidate causal variant set from 249 to one, with the rs112569955 “G” risk allele showing a 36% increase in enhancer activity compared to the “A” non-risk allele.<fig id="Fig3" position="float" orientation="portrait"><label>Fig. 3</label><caption><title>Regulatory activity of allelic enhancer variants (allelic enVars).</title><p><bold>a</bold> Identification of allelic enVars. Genotype dependence (<italic toggle="yes">Y</italic>-axis) is defined as the normalized fold change of MPRA activity between the non-reference and reference alleles (<italic toggle="yes">n</italic> = 3 biological replicates, see “Methods”). MPRA activity (<italic toggle="yes">X</italic>-axis) is presented as the maximum normalized fold change of MPRA activity for any allele of the variant. Allelic enVars (red) were defined as variants with a significant difference in MPRA activity (<italic toggle="yes">p</italic><sub>adj</sub> &lt; 0.05) between any pair of alleles and at least a 25% change in activity difference (see “Methods”). The <italic toggle="yes">p</italic>-values were generated by two-sided Student’s <italic toggle="yes">t</italic>-test with Benjamini–Hochberg multiple testing correction. Full results are provided in Supplementary Data <xref rid="MOESM13" ref-type="media">11</xref>. <bold>b</bold> MPRA enhancer activity at the 27 risk loci with at least one allelic enVar. Bar plots indicate the total number of variants at each locus. Variants with allelic enhancer activity (allelic enVars) are shown in red. Variants lacking allelic enhancer activity are shown in gray.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d32e1048" position="float" orientation="portrait" xlink:href="41467_2021_21854_Fig3_HTML.jpg"><?image-name 41467_2021_21854_Fig3_HTML.jpg?><?image-size 55441?><?image-md5 33758a194fb8d841863d60b7c4ecf14f?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 835?><?image-original-width 1750?><?image-scaled-height 334?><?image-scaled-width 700?><?image-cloudpmc-urn urn:cdn:blobs/38ce/7955039/33758a194fb8/41467_2021_21854_Fig3_HTML.jpg?><?thumb-name 41467_2021_21854_Fig3_HTML.gif?><?thumb-size 4668?><?thumb-md5 525bafec159ba9bcbf85bd644777874e?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 80?><?thumb-scaled-width 167?><?thumb-cloudpmc-urn urn:cdn:blobs/38ce/7955039/525bafec159b/41467_2021_21854_Fig3_HTML.gif?></graphic></fig></p></sec><sec id="Sec6"><title>Particular TFs have altered binding at SLE loci with allelic enhancer activity</title><p id="Par14">To identify candidate regulatory proteins that might participate in allelic SLE mechanisms, we next used RELI to identify GM12878 ChIP-seq datasets that significantly overlap allelic enVars (Supplementary Data <xref rid="MOESM15" ref-type="media">13</xref>). Many of the top results are consistent with our previous study<sup><xref ref-type="bibr" rid="CR10">10</xref></sup>, including the enriched presence of general enhancer features such as the H3K27ac histone mark (17 of 51 allelic enVars, 13.6-fold enriched, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−38</sup>), mediator complex subunit MED1 (17 of 51 allelic enVars, 13.0-fold enriched, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−34</sup>), and the histone acetyltransferase p300 (16 of 51 allelic enVars, 12.4-fold enriched, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−32</sup>), along with particular regulatory proteins that participate in “EBV super enhancers”<sup><xref ref-type="bibr" rid="CR37">37</xref></sup> and play key roles in B cells such as ATF7 (15 of 51 allelic enVars, 11.3-fold enriched, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−26</sup>), Ikaros/IKZF1 (19 of 51 allelic enVars, 9.7-fold enriched, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−25</sup>), and the NFκB subunit RELA (13 of 51 allelic enVars, 12.4-fold enriched, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−24</sup>). Also consistent with our previous study<sup><xref ref-type="bibr" rid="CR10">10</xref></sup>, we observe strong enrichment for the EBV-encoded EBNA2 protein (7 of 51 allelic enVars, 17.7-fold enriched, <italic toggle="yes">p</italic><sub>corrected</sub> &lt; 10<sup>−19</sup>). Collectively, these data reveal particular regulatory proteins that might participate in the mechanisms contributing to SLE at multiple risk loci by driving allelic enhancer activity.</p><p id="Par15">We next used the MARIO pipeline<sup><xref ref-type="bibr" rid="CR10">10</xref></sup> to search for allelic binding events (i.e., allelic imbalance between sequencing read counts) at SLE variants within 1058 LCL ChIP-seq datasets (576 from GM12878). By necessity, this approach is limited to the 47 allelic enVars that are heterozygous in at least one of these cell lines. In total, this procedure identified 11 variants with strong allelic imbalance (MARIO ARS value &gt;0.4) in at least one ChIP-seq dataset (Supplementary Data <xref rid="MOESM16" ref-type="media">14</xref>), revealing groups of TFs and transcriptional regulators that allelically bind SLE-risk variants with genotype-dependent MPRA enhancer activity. For example, the rs3101018 variant, which is associated with SLE<sup><xref ref-type="bibr" rid="CR38">38</xref></sup> and rheumatoid arthritis<sup><xref ref-type="bibr" rid="CR39">39</xref></sup> in Europeans, shows 1.7-fold stronger enhancer activity for the reference/non-risk ‘C’ allele compared to the non-reference/risk ‘T’ allele (Fig. <xref rid="Fig4" ref-type="fig">4a</xref>). These results are consistent with a previously established eQTL obtained from GTEx<sup><xref ref-type="bibr" rid="CR40">40</xref></sup>, which demonstrates higher Complement C4A (<italic toggle="yes">C4A</italic>) expression in EBV-transformed B cell lines for the rs3101018 ‘C’ allele than the ‘T’ allele (Fig. <xref rid="Fig4" ref-type="fig">4b</xref>). Our MARIO allelic ChIP-seq analysis reveals 15 regulatory proteins that prefer the ‘C’ allele and 2 that prefer the ‘T’ allele (Fig. <xref rid="Fig4" ref-type="fig">4c</xref> and Supplementary Fig. <xref rid="MOESM1" ref-type="media">4a</xref>). Among these, particularly robust signal is obtained for ATF7, with one experimental replicate in GM12878 displaying 77 vs. 18 reads (‘C’ vs. ‘T’) and another showing 66 vs. 23 reads (‘C’ vs. ‘T’) (Supplementary Data <xref rid="MOESM16" ref-type="media">14</xref>). Moreover, CREB1 and CREM strongly favor the ‘C’ allele as well (Supplementary Data <xref rid="MOESM16" ref-type="media">14</xref>). In agreement with these data, computational analysis of the DNA sequences surrounding this variant predicts that ATF7, CREB1, and CREM will all bind more strongly to the ‘C’ than the ‘T’ allele (Fig. <xref rid="Fig4" ref-type="fig">4d</xref>). Intriguingly, ten additional proteins (FOXK2, PKNOX1, ARID3A, ZBTB40, ZNF217, ARNT, ELF1, IKZF2, MEF2B, and FOXM1) also bind allelically and have known DNA-binding motifs<sup><xref ref-type="bibr" rid="CR41">41</xref></sup>, but none of them have binding sites altered by the variant. Further, we do not observe allelic chromatin accessibility in an available GM12878 ATAC-seq dataset (9 vs. 7 unique reads). Together, these results reveal a potentially causative SLE regulatory mechanism involving weaker direct binding of ATF7/CREB1/CREM to the ‘T’ risk allele, altering the recruitment of additional proteins to the locus and lowering the expression of <italic toggle="yes">C4A</italic>.<fig id="Fig4" position="float" orientation="portrait"><label>Fig. 4</label><caption><title>Lupus risk allele-dependent gene regulatory mechanisms at the <italic toggle="yes">C4A</italic> and <italic toggle="yes">SYNGR1</italic> genomic loci.</title><p><bold>a</bold>, <bold>e</bold> Normalized MPRA enhancer activity of each experimental replicate for rs3101018 and rs26069235. <bold>b</bold>, <bold>f</bold> Expression trait quantitative loci (eQTLs) revealing genotype-dependent expression of <italic toggle="yes">C4A</italic> and <italic toggle="yes">SNYGR1</italic> for rs3101018 (CC, <italic toggle="yes">n</italic> = 127 biologically independent samples; CT, <italic toggle="yes">n</italic> = 17; TT, <italic toggle="yes">n</italic> = 3) and rs26069235 (GG, <italic toggle="yes">n</italic> = 72 biologically independent samples; GA, <italic toggle="yes">n</italic> = 66; AA, <italic toggle="yes">n</italic> = 9) in EBV-transformed B cell lines (GTEx). <bold>c</bold>, <bold>g</bold> Genotype-dependent activity of transcription factors, transcriptional regulators, and histone marks in EBV-transformed B cell lines for rs3101018 and rs26069235. Results with MARIO ARS value &gt;0.4 and consistent allelic imbalance across ChIP-seq datasets are included (see “Methods”). The <italic toggle="yes">X</italic>-axis indicates the preferred allele, along with a value indicating the strength of the allelic behavior, calculated as one minus the ratio of the weak to strong read counts (e.g., 0.5 indicates the strong allele has twice the reads of the weak allele). The median value is plotted when data from multiple cell lines are available, with full results provided in Supplementary Fig. <xref rid="MOESM1" ref-type="media">4</xref>. The numbers in parentheses represent the number of ChIP-seq datasets with significant allelic activity (i.e., MARIO ARS value &gt;0.4) out of the number of datasets where the given variant is inside a ChIP-seq peak and is also heterozygous in the given cell line. Variant overlapping TFs are indicated in black. Variant adjacent TFs are shown in green (see definition in Fig. <xref rid="Fig5" ref-type="fig">5a</xref>). <bold>d</bold>, <bold>h</bold> DNA-binding motif logos are shown for the ATF/CREB/CREM family, and ELF1 in the context of the DNA sequence surrounding rs3101018 and rs2069235, respectively. Tall nucleotides above the <italic toggle="yes">X</italic>-axis indicate preferred DNA bases. Bases below the <italic toggle="yes">X</italic>-axis are disfavored. In (<bold>b</bold>) and (<bold>f</bold>), data are represented as a violin plot where the middle line is the median, the lower and upper hinges correspond to the first and third quartiles, with the rotated kernel density plot shown on each side. The data used for the analyses were obtained from the Genotype-Tissue Expression (GTEx) Portal on 11/12/2020. The GTEx Project was supported by the Common Fund of the Office of the Director of the National Institutes of Health, and by NCI, NHGRI, NHLBI, NIDA, NIMH, and NINDS.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d32e1269" position="float" orientation="portrait" xlink:href="41467_2021_21854_Fig4_HTML.jpg"><?image-name 41467_2021_21854_Fig4_HTML.jpg?><?image-size 113907?><?image-md5 0bc72bcc56fa6834180c18dbebe4ec43?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1336?><?image-original-width 1985?><?image-scaled-height 534?><?image-scaled-width 794?><?image-cloudpmc-urn urn:cdn:blobs/38ce/7955039/0bc72bcc56fa/41467_2021_21854_Fig4_HTML.jpg?><?thumb-name 41467_2021_21854_Fig4_HTML.gif?><?thumb-size 4744?><?thumb-md5 f182082198e3901f2741396dde7f395a?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 79?><?thumb-scaled-width 118?><?thumb-cloudpmc-urn urn:cdn:blobs/38ce/7955039/f182082198e3/41467_2021_21854_Fig4_HTML.gif?></graphic></fig></p><p id="Par16">We observe a similar phenomenon for the rs2069235 variant, which is associated with SLE in Asian ancestries<sup><xref ref-type="bibr" rid="CR42">42</xref></sup> and rheumatoid arthritis in Europeans<sup><xref ref-type="bibr" rid="CR43">43</xref></sup>. rs2069235 displays much stronger enhancer activity for the ‘A’ (non-reference/risk) allele compared to the ‘G’ (reference/non-risk) allele (Fig. <xref rid="Fig4" ref-type="fig">4e</xref>), consistent with the established synaptogyrin 1 (<italic toggle="yes">SYNGR1)</italic> eQTL in EBV-transformed B cell lines<sup><xref ref-type="bibr" rid="CR40">40</xref></sup> (Fig. <xref rid="Fig4" ref-type="fig">4f</xref>). Inspection of our allelic ChIP-seq data reveals 14 proteins preferentially binding the ‘A’ allele, with none preferring the ‘G’ allele (Fig. <xref rid="Fig4" ref-type="fig">4g</xref> and Supplementary Fig. <xref rid="MOESM1" ref-type="media">4b</xref>). Among these 14 proteins, only ELF1 has its binding site directly altered by the variant (Fig. <xref rid="Fig4" ref-type="fig">4h</xref>). Strikingly, 55 of the 78 available H3K27ac datasets are allelic at this variant, with all 55 preferring the ‘A’ allele. Likewise, 24 of 46 H3K4me1 datasets are allelic, with all of them also preferring the ‘A’ allele. Both of these histone marks are indicative of active chromatin<sup><xref ref-type="bibr" rid="CR28">28</xref></sup>. Only a single histone mark dataset prefers the ‘G’ allele—the H3K27me3 mark, which is indicative of silenced chromatin<sup><xref ref-type="bibr" rid="CR28">28</xref></sup> (Fig. <xref rid="Fig4" ref-type="fig">4g</xref> and Supplementary Fig. <xref rid="MOESM1" ref-type="media">4b</xref>). Together, these data are consistent with a potentially causative SLE molecular mechanism involving an allele-dependent enhancer consisting of stronger direct binding of ELF1 to the ‘A’ risk allele, along with indirectly altered binding of multiple additional TFs to this locus.</p></sec><sec id="Sec7"><title>Genotype-dependent binding to SLE variants with allelic enhancer activity by variant overlapping and variant adjacent TFs</title><p id="Par17">As illustrated by the above examples, a particular TF can be involved in allelic mechanisms that are either directly impacted by a given variant (i.e., the variant directly alters the TF’s DNA-binding site) or indirectly impacted by the variant (i.e., the variant alters the DNA binding of the TF’s physical interaction partner, modulates chromatin accessibility, or affects another mechanism). At a given locus, we designate such TFs as variant overlapping and variant adjacent TFs, respectively (Fig. <xref rid="Fig5" ref-type="fig">5a</xref>). We next sought to discover such TFs at the 51 allelic enVars. At each allelic enVar locus, we identified variant overlapping TFs as those TFs predicted to have strong binding to one allele and weak binding to the other allele. Likewise, we identified variant adjacent TFs as those TFs with proximal strong predicted binding sites that do not directly overlap the variant (see “Methods”). We then searched for particular TFs that tend to act as variant overlapping TFs or as variant adjacent TFs at the 51 allelic eVars using a proportion test (see “Methods”) and confirmed that their binding site locations are distributed relative to the variant as expected (Fig. <xref rid="Fig5" ref-type="fig">5b</xref>). Consistent with our results at the <italic toggle="yes">C4A</italic> and <italic toggle="yes">SYNGR1</italic> loci, variant overlapping TFs include members of the ETS (e.g., ELF1) and ATF-like (e.g., ATF7) families, along with other TFs whose genetic loci are associated with SLE, including IRF5<sup><xref ref-type="bibr" rid="CR44">44</xref></sup> (Fig. <xref rid="Fig5" ref-type="fig">5c</xref> and Supplementary Data <xref rid="MOESM17" ref-type="media">15</xref>). Variant adjacent TFs represent a distinct class, but also include several TFs with SLE genetic associations, including NFκB<sup><xref ref-type="bibr" rid="CR45">45</xref></sup>, the Ikaros (IKZF) family<sup><xref ref-type="bibr" rid="CR46">46</xref></sup>, and HMGA family members<sup><xref ref-type="bibr" rid="CR47">47</xref></sup> (Fig. <xref rid="Fig5" ref-type="fig">5d</xref> and Supplementary Data <xref rid="MOESM17" ref-type="media">15</xref>). Collectively, these analyses reveal two distinct classes of TFs at a given SLE-associated locus that both likely play key roles in SLE mechanisms, along with particular TFs that tend to participate in one class or the other.<fig id="Fig5" position="float" orientation="portrait"><label>Fig. 5</label><caption><title>Identification of variant overlapping and variant adjacent TFs.</title><p><bold>a</bold> Model of variant overlapping and variant adjacent transcription factors (TFs). Variant overlapping TFs (blue) allelically bind on top of variants, while variant adjacent TFs (orange) allelically bind near variants. <bold>b</bold> TF binding site location distribution for variant overlapping (blue) and variant adjacent (orange) TFs, relative to allelic enVars. <bold>c</bold> TF motif families enriched for participating as variant overlapping TFs at allelic enVars. Motif disruption <italic toggle="yes">p</italic>-values were estimated by a two-sided proportions test by comparing the fraction of motif disruption events at allelic enVars to the fraction observed at non-allelic enVars (see “Methods”). <bold>d</bold> TF motif families enriched for participating as variant adjacent TFs at allelic enVars. Motif enrichment <italic toggle="yes">p</italic>-values were estimated by a two-sided proportions test by comparing the fraction of predicted TF binding sites in allelic enVars to random expectation (see “Methods”). For both the variant overlapping and variant adjacent analyses, motif families are shown with <italic toggle="yes">p</italic><sub>adj</sub> &lt; 0.0001 and three or more allelic events at allelic enVar loci, or five or more predicted binding sites at allelic enVar loci, respectively.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d32e1398" position="float" orientation="portrait" xlink:href="41467_2021_21854_Fig5_HTML.jpg"><?image-name 41467_2021_21854_Fig5_HTML.jpg?><?image-size 77276?><?image-md5 978f9b65889532e0f4b5aa624d034782?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1296?><?image-original-width 1750?><?image-scaled-height 518?><?image-scaled-width 700?><?image-cloudpmc-urn urn:cdn:blobs/38ce/7955039/978f9b658895/41467_2021_21854_Fig5_HTML.jpg?><?thumb-name 41467_2021_21854_Fig5_HTML.gif?><?thumb-size 3143?><?thumb-md5 a2e73a8fd2888c2694597bcb713aad74?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 80?><?thumb-scaled-width 108?><?thumb-cloudpmc-urn urn:cdn:blobs/38ce/7955039/a2e73a8fd288/41467_2021_21854_Fig5_HTML.gif?></graphic></fig></p></sec><sec id="Sec8"><title>Allelic transcription regulatory mechanisms shared and unique across cell types</title><p id="Par18">To explore the cell-type specificity of allelic enhancer activity, we transfected our SLE MPRA library into Jurkat cells, a T cell line, as T cells are another important cell type in SLE<sup><xref ref-type="bibr" rid="CR2">2</xref></sup>. We identified 92 SLE-risk variants as allelic enVars in Jurkat cells, 25% of which were also found in GM12878 (Supplementary Fig. <xref rid="MOESM1" ref-type="media">5a, b</xref> and Supplementary Data <xref rid="MOESM13" ref-type="media">11</xref>). We then repeated the experiment in Jurkat cells stimulated with the inflammatory cytokine TNFα, a key cytokine in SLE development<sup><xref ref-type="bibr" rid="CR48">48</xref></sup>, to identify stimulation-dependent allelic enVars. This resulted in the identification of 102 allelic enVars, 28 of which were specific to the stimulated Jurkat cells (Supplementary Fig. <xref rid="MOESM1" ref-type="media">5c, d</xref> and Supplementary Data <xref rid="MOESM13" ref-type="media">11</xref>). Altogether, our study identified a total of 145 allelic enVars across 50 independent SLE-risk loci (Supplementary Fig. <xref rid="MOESM1" ref-type="media">5e</xref>). These results highlight allelic transcriptional regulatory mechanisms that are both cell-type and inflammatory signaling-dependent.</p><p id="Par19">In summary, through the application of an allelic MPRA library to the EBV-transformed B cell line GM12878, we identified global transcriptional enhancer activity at 16% of SLE-associated genetic variants (enVars), with particular transcriptional regulatory proteins concentrated at these genomic locations. We further identified 51 SLE-risk variants with allelic enhancer activity (allelic enVars) that we now nominate as plausibly causal by acting through genotype-dependent changes to enhancer activity in GM12878. Upon comparison to allelic enhancer activity in the Jurkat T cell line, we identified shared and unique allelic transcriptional regulatory mechanisms at SLE-risk loci. Using experimental TF ChIP-seq data and TF binding site motif scanning, we propose a model where the collective action of the genotype-dependent binding of particular variant overlapping and variant adjacent TFs leads to genotype-dependent transcriptional activity at SLE-risk loci.</p></sec></sec><sec id="Sec9" sec-type="discussion"><title>Discussion</title><p id="Par20">Genome-wide association studies identify genetic loci with statistical disease associations. However, each risk locus often contains many plausibly causal variants due to linkage disequilibrium. This study is the first direct genome-wide measurement of enhancer activity at the ~3000 known SLE genetic risk variants in any context. Unbiased experimental approaches such as MPRA are vital for resolving causal variants and their molecular mechanisms of action.</p><p id="Par21">Our results indicate that 16% of the SLE-risk variants examined in this study have enhancer activity in the EBV-transformed B cell line GM12878. Furthermore, 51 of these enhancer variants at 27 loci have allelic enhancer activity. These findings are consistent with the theory that a large proportion of the genetic risk of SLE is mediated through transcriptional perturbation of critical B cell genes. Importantly, SLE-risk loci exhibit cell-type and inflammatory signaling-dependent allelic enhancer activity, with only 25% of allelic enVars shared between GM12878 and Jurkat cells. These results highlight both shared and unique allelic transcriptional regulatory mechanisms for SLE risk, which underlines the importance of the cell-type and cell-state in which the MPRA is performed.</p><p id="Par22">In this study, we used the EBV-transformed B cell line GM12878 as a model for exploring the effects of SLE-risk variants. Previous studies have shown that B cells play a critical role in SLE development as immune cells that secrete autoantibodies driving etiology<sup><xref ref-type="bibr" rid="CR11">11</xref></sup>. The relationship between EBV and SLE is widely appreciated. For example, EBV-infected B cells are more prevalent in SLE patients than in healthy people<sup><xref ref-type="bibr" rid="CR13">13</xref>,<xref ref-type="bibr" rid="CR14">14</xref></sup> and patients with SLE have a higher EBV viral load and infection rate relative to controls<sup><xref ref-type="bibr" rid="CR15">15</xref>,<xref ref-type="bibr" rid="CR16">16</xref></sup>. In addition, the EBV transcriptional regulator EBNA2 occupies SLE-risk loci in a genotype-dependent manner<sup><xref ref-type="bibr" rid="CR10">10</xref></sup>. In vivo, EBV infection can convert primary B cells to activated lymphoblasts<sup><xref ref-type="bibr" rid="CR49">49</xref>,<xref ref-type="bibr" rid="CR50">50</xref></sup>. EBV will eventually enter latency in resting memory B cells and establish lifelong infection<sup><xref ref-type="bibr" rid="CR51">51</xref></sup>. In vitro, EBV infection transforms B cells into immortalized lymphoblastoid cell lines (LCLs)<sup><xref ref-type="bibr" rid="CR17">17</xref></sup>. While we chose the EBV-transformed B cell line GM12878 as the primary disease model for our study, there are limitations to the use of EBV-transformed B cell lines. For example, GM12878 is an immortalized cell line with differences in DNA methylation and gene expression levels from resting and activated B cells<sup><xref ref-type="bibr" rid="CR52">52</xref>,<xref ref-type="bibr" rid="CR53">53</xref></sup>. A recent study also suggests that EBV infection causes B cells to undergo a germinal center-like differentiation into cells partially resembling plasmablasts and early plasma cells<sup><xref ref-type="bibr" rid="CR54">54</xref></sup>, which is only a transient stage in vivo. Altogether, these limitations need to be considered when interpreting allelic transcriptional regulation of SLE-risk variants in EBV-transformed B cell lines.</p><p id="Par23">A critical finding of this study is that SLE-risk variants with allelic enhancer activity likely alter the binding of many TFs. Although variants can directly affect the binding of variant overlapping TFs via disruption of a DNA-binding site, they can also simultaneously alter the binding of other variant adjacent TFs, presumably via genomic mechanisms such as altered chromatin accessibility, altered histone marks, indirect TF recruitment through physical interactions, changes in DNA shape, or changes to protein interaction partner DNA binding. This finding corroborates the previously proposed genetic variation-mediation model of motif-dependent and motif-independent TF binding<sup><xref ref-type="bibr" rid="CR55">55</xref>–<xref ref-type="bibr" rid="CR57">57</xref></sup>. In general, a given TF can be variant overlapping at one locus and variant adjacent at another, as exemplified by ATF7 (Fig. <xref rid="Fig4" ref-type="fig">4c</xref>, g). Nonetheless, particular TF families tend to act as variant overlapping TFs at SLE loci (such as Ets, E-box, and ATF), whereas others tend to act as variant adjacent TFs (such as HMGA, Hox, and NFκB). Notably, many of these variant overlapping and variant adjacent TFs are themselves encoded by genetic risk loci associated with SLE (e.g., IRF5<sup><xref ref-type="bibr" rid="CR44">44</xref></sup>, NFκB<sup><xref ref-type="bibr" rid="CR45">45</xref></sup>, and ETS1<sup><xref ref-type="bibr" rid="CR58">58</xref></sup>), suggesting that there are multiple means through which a particular TF can contribute to disease-based genetic mechanisms. For example, IRF5 targets might be mis-regulated in an SLE patient due to genetic associations in the promoter of <italic toggle="yes">IRF5</italic> that result in altered IRF5 protein levels<sup><xref ref-type="bibr" rid="CR44">44</xref></sup>, or by genetic variants located within or adjacent to IRF5 binding sites at other genomic loci. It is currently unknown if these TF attributes are shared with other human diseases.</p><p id="Par24">This study reveals possible causal genetic mechanisms involving altered binding of particular TFs at two important SLE-risk loci. <italic toggle="yes">C4A</italic> is a component of the inflammatory complement pathway that is critical for the appropriate clearance of apoptotic cells<sup><xref ref-type="bibr" rid="CR59">59</xref></sup>. People without <italic toggle="yes">C4A</italic> due to rare, protein-changing mutations are at a greatly increased risk for autoimmune diseases, including type I diabetes and SLE<sup><xref ref-type="bibr" rid="CR60">60</xref></sup>. Further, the risk of developing SLE is 2.62 times higher in subjects with low total <italic toggle="yes">C4A</italic><sup><xref ref-type="bibr" rid="CR59">59</xref></sup>. Consistent with this observation, the SLE-risk allele of rs3101018 at this genetic locus identified in our MPRA is associated with lower <italic toggle="yes">C4A</italic> expression (Fig. <xref rid="Fig4" ref-type="fig">4a</xref>). Moreover, this variant is an eQTL for <italic toggle="yes">C4A</italic> in EBV-transformed B cell lines and whole blood cells, with the risk allele displaying lower <italic toggle="yes">C4A</italic> expression<sup><xref ref-type="bibr" rid="CR61">61</xref></sup> (Fig. <xref rid="Fig4" ref-type="fig">4b</xref> and Supplementary Data <xref rid="MOESM9" ref-type="media">7</xref>). rs3101018 is located in the Human Leukocyte Antigen (HLA) region of the genome. While many genetic variants at this locus alter amino acid usage in major histocompatibility complex molecules and affect antigen presentation, non-coding genetic variants across the HLA region have also been demonstrated to affect gene expression independently of HLA-type<sup><xref ref-type="bibr" rid="CR62">62</xref>–<xref ref-type="bibr" rid="CR64">64</xref></sup>. In addition, the SLE-risk locus encoding <italic toggle="yes">SYNGR1</italic> was recently identified in a high-density genotyping study of subjects with Asian ancestry<sup><xref ref-type="bibr" rid="CR42">42</xref></sup> and also increases disease risk for schizophrenia<sup><xref ref-type="bibr" rid="CR65">65</xref></sup>, primary biliary cirrhosis<sup><xref ref-type="bibr" rid="CR66">66</xref></sup>, and rheumatoid arthritis<sup><xref ref-type="bibr" rid="CR67">67</xref></sup>. <italic toggle="yes">SYNGR1</italic> is an integral membrane protein that is most robustly expressed in neurons of the central nervous system; however, there is measurable transcription and translation of <italic toggle="yes">SYNGR1</italic> in other tissues, including developing B cells<sup><xref ref-type="bibr" rid="CR68">68</xref></sup>. eQTL data from EBV-transformed B cell lines and whole blood cells<sup><xref ref-type="bibr" rid="CR61">61</xref></sup> (Fig. <xref rid="Fig4" ref-type="fig">4f</xref> and Supplementary Data <xref rid="MOESM9" ref-type="media">7</xref>) further support our MPRA-based findings of SLE-risk genotype-dependent enhancer activity and gene expression at this locus. Altogether, the results of our MPRA study provide mechanistic insight into these variants through the identification of allelic enVars that facilitate SLE-risk genotype-dependent gene expression.</p><p id="Par25">GWAS provides important discernment of the genetic origins of disease. In conjunction with other genome-scale assays such as ATAC-seq, ChIP-seq, and HiChIP-seq, MPRA reveals likely causal variants and genes, and enables the assembly of causal mechanisms affecting gene expression. In this study, we used MPRA to uncover specific genetic variants within the risk haplotypes of a complex disease in specific cell types. Our integrative analyses reveal specific molecular mechanisms underlying genotype-dependent transcriptional regulation and SLE disease risk. We conclude that the MPRA is a robust tool for the nomination of causal genetic risk variants for any phenotype or disease with risk loci that act through genotype-dependent gene regulatory mechanisms, with this study providing a blueprint for dissecting the genetic etiology of many complex human diseases.</p></sec><sec id="Sec10"><title>Methods</title><sec id="Sec11"><title>Variant selection and DNA sequence generation</title><p id="Par26">All SLE-associated genetic risk loci reaching genome-wide significance published through March 2018 were included in this study<sup><xref ref-type="bibr" rid="CR31">31</xref>,<xref ref-type="bibr" rid="CR38">38</xref>,<xref ref-type="bibr" rid="CR44">44</xref>,<xref ref-type="bibr" rid="CR58">58</xref>,<xref ref-type="bibr" rid="CR69">69</xref>–<xref ref-type="bibr" rid="CR78">78</xref></sup>. A total of 91 genetic risk loci were used for linkage disequilibrium (LD) expansion (<italic toggle="yes">r</italic><sup>2</sup> &gt; 0.8) based on 1000 Genomes Data<sup><xref ref-type="bibr" rid="CR79">79</xref></sup> in the ancestry(ies) of the initial genetic association using PLINK(v1.90b)<sup><xref ref-type="bibr" rid="CR80">80</xref></sup> (Supplementary Data <xref rid="MOESM3" ref-type="media">1</xref>). All expanded variants were updated to the dbSNP 151 table<sup><xref ref-type="bibr" rid="CR81">81</xref></sup> from the UCSC table browser<sup><xref ref-type="bibr" rid="CR82">82</xref></sup> based on either variant name or genomic location. Unmappable variants were discarded. We also included 20 genetic variants from the Tewhey et al.<sup><xref ref-type="bibr" rid="CR19">19</xref></sup> study as positive and negative controls.</p><p id="Par27">For single nucleotide polymorphisms, we pulled 170 base pairs (bps) of hg19-flanking DNA sequences for every allele, with the variant located in the center (84 bps upstream and 85 bps downstream of the variant). For the other types of variants (indels), we designed the flanking sequences to ensure that the longest allele has 170 bps. Adapters (15 bps) were added to each sequence at either end (5′-ACTGGCCGCTTGACG - [170 bp oligo] - CACTGCGGCTCCTGC-3′) to make a 200 bp DNA sequence (Supplementary Data <xref rid="MOESM6" ref-type="media">4</xref>). For all resulting sequences, we created a forward and reverse complement sequence to compensate for possible DNA synthesis errors. A total of 12,478 oligos (3093 variants, 6239 alleles) were obtained from Twist Bioscience.</p></sec><sec id="Sec12"><title>Library assembly</title><p id="Par28">For assembly of the MPRA library, we followed the procedure described by Tewhey et al.<sup><xref ref-type="bibr" rid="CR19">19</xref></sup> with minor modifications. In brief, we first created the empty vector pGL4.23∆xba∆luc from pGL4.23[luc2/minP] using primer Q5_deletion_rev and Q5_deletion_fwd following the manufacturer’s instruction of the Q5 Site-Directed Mutagenesis Kit. Then, 20 bps barcodes were added to the synthesized oligos through 24X PCR with 50 μL system, each containing 1.86 ng oligo, 25 μL NEBNext® Ultra™ II Q5® Master Mix, 1 μM MPRA_v3_F, and MPRA_v3_201_R. PCR was performed under the following conditions: 98 °C for 2 min, 12 cycles of (98 °C for 10 s, 60 °C for 15 s, 72 °C for 45 s), 72 °C for 5 min. Amplified product was purified and cloned into SfiI digested pGL4.23∆xba∆luc by Gibson assembly at 50 °C for 1 h. The assembled backbone library was purified and then transformed into <italic toggle="yes">Escherichia coli</italic> (<italic toggle="yes">E. coli</italic>) through electroporation (2 kV, 200 ohm, 25 μF). Electroporated <italic toggle="yes">E. coli</italic> was expanded in 200 mL of LB Broth buffer supplemented with 100 μg/mL of carbenicillin at 37 °C for 12 to 16 h. Plasmid was then extracted using the QIAGEN Plasmid Maxi Kit.</p><p id="Par29">We next created the pGL4.23[eGFP/miniP] plasmid. An <italic toggle="yes">eGFP</italic> fragment was amplified from MS2-P65-HSF1_GFP (Addgene #61423) through PCR with a 50 μl system containing 1 ng plasmid, 25 μL NEBNext® Ultra™ II Q5® Master Mix, 0.5 μM GFP_seq_MS2-P65-HSF1_GFP_FWD, and GFP_seq_MS2-P65-HSF1_GFP_REV. PCR was performed under the following conditions: 98 °C for 2 min, 20 cycles of (98 °C for 10 s, 60 °C for 15 s, 72 °C for 30 s), 72 °C for 5 min. The amplified fragment was purified and then inserted into XbaI and NcoI digested pGL4.23[luc2/minP] through Gibson assembly at 50 °C for 1 h. The assembled plasmid was purified and then transformed into <italic toggle="yes">E. coli</italic> through chemical transformation. Transformed <italic toggle="yes">E. coli</italic> was expanded in 100 mL of LB Broth buffer supplemented with 100 μg/mL of carbenicillin at 37 °C for 12–16 h. Plasmid was then extracted using the QIAGEN Plasmid Maxi Kit.</p><p id="Par30">A miniP + <italic toggle="yes">eGFP</italic> fragment was amplified from pGL4.23[eGFP/miniP] through 8X PCR with 50 μL system, each containing 1 ng plasmid, 25 μL NEBNext® Ultra™ II Q5® Master Mix, 0.5 μM 200-MPRA_v3_GFP_Fusion_v2_F, and 201-MPRA_v3_GFP_Fusion_v2_R. PCR was performed under the following conditions: 98 °C for 2 min, 20 cycles of (98 °C for 10 s, 60 °C for 15 s, 72 °C for 45 s), 72 °C for 5 min. The amplified product was purified and then inserted into AsiSI digested backbone library through Gibson assembly at 50 °C for 1.5 h to create the transfection library. The resulting library was re-digested by RecBCD and AsiSI, purified, and then transformed into <italic toggle="yes">E. coli</italic> through electroporation (2 kV, 200 ohm, 25 μF). Transformed <italic toggle="yes">E. coli</italic> was cultured in 5 L of LB Broth buffer supplemented with 100 μg/mL of carbenicillin at 37 °C for 12–16 h. The plasmid was then extracted using the QIAGEN Endo-free Plasmid Giga Kit.</p></sec><sec id="Sec13"><title>Sequencing library for oligo and barcode association</title><p id="Par31">The oligo and barcode regions were amplified from the backbone library through 4X PCR with a 100 μL system containing 200 ng plasmid, 50 μL NEBNext® Ultra™ II Q5® Master Mix, 0.5 μM TruSeq_Universal_Adapter_P5, and MPRA_v3_TruSeq_Amp2Sa_F_P7. PCR was performed under the following conditions: 95 °C for 20 s, 6 cycles of (95 °C for 20 s, 62 °C for 15 s, 72 °C for 30 s), 72 °C for 2 min. The product was then purified, and indices were added through a 100 μl system containing all purified product, 50 μl NEBNext® Ultra™ II Q5® Master Mix, 0.5 μM TruSeq_Universal_Adapter_P5, and index primer. PCR was performed as above, except for only five cycles. Samples were purified, molar pooled, and sequenced using 2 × 125 bp on Illumina NextSeq 500.</p></sec><sec id="Sec14"><title>Transfection</title><p id="Par32">The GM12878 cell line was grown in RPMI medium supplemented with 10% FBS, 100 units/mL of penicillin, and 100 µg/mL of streptomycin. Cells were seeded at a density of 5 × 10<sup>5</sup> cells/mL the day before transfection. For triplicate transfections, we collected a total of 5 × 10<sup>7</sup> cells per replicate. Cells were then suspended with 50 μg transfection library plasmid in 400 μL Buffer R. Electroporation was performed with the Neon transfection system in 100 μl tips with 3 pulses of 1200 V, 20 ms each. After transfection, cells were recovered in 50 mL pre-warmed RPMI medium supplemented only with 10% FBS for 24 h. Cells were then collected for preparation of the sequencing library for barcode counting.</p><p id="Par33">The Jurkat cell line was grown in RPMI medium supplemented with 10% FBS, 100 units/mL of penicillin, and 100 µg/mL of streptomycin. Cells were seeded at a density of 5 × 10<sup>5</sup> cells/mL the day before transfection. For each experimental group, we collected a total of 5 × 10<sup>7</sup> cells per replicate for 5 replicates. Cells were then resuspended with 50 μg transfection library plasmid in 400 μL Buffer R. Electroporation was performed with the Neon transfection system in 100 μl tips with 3 pulses of 1350 V, 10 ms each. After transfection, cells were recovered in 50 mL pre-warmed RPMI medium supplemented only with 10% FBS for 24 h. After recovery, cells were supplemented with or without 100 ng/ml TNFα for 24 h. Cells were then collected for preparation of the sequencing library for barcode counting.</p></sec><sec id="Sec15"><title>Sequencing library for barcode counting</title><p id="Par34">For samples from GM12878 cells, total RNA of transfected cells was extracted by the RNeasy Midi Kit following the manufacturer’s instruction. Extracted RNA was subjected to DNase treatment in a 375 μL system with 2.5 μL Turbo DNase and 37.5 μL Turbo DNase Buffer at 37 °C for 1 h. 3.75 μL 10% SDS and 37.5 μL 0.5 M EDTA were added to stop DNase with 5 min of incubation at 75 °C. The whole volume was used for eGFP probe hybridization in an 1800 μL system, with 450 μl 20X SSC buffer, 900 μL Formamide and 1 μL of each 100 μM Biotin-labeled GFP probe One to Three. The probe hybridization was performed through incubation at 65 °C for 2.5 h. 200 μL Dynabeads™ MyOne™ Streptavidin C1 was prepared according to the manufacturer’s instruction. The beads were suspended in 250 μL 20X SSC Buffer and incubated with the above probe hybridization reaction at room temperature for 15 min. Beads were then collected on a magnet and washed with 1X SSC Buffer once, and 0.1X SSC Buffer twice. <italic toggle="yes">eGFP</italic> mRNA was eluted first through adding 12.5 μL ddH<sub>2</sub>O, heating at 70 °C for 2 min and collecting on a magnet, then adding another 12.5 μL ddH<sub>2</sub>O, heating at 80 °C for 2 min and collecting on a magnet. All collected elution was performed with another DNase treatment in a 30 μL system containing 0.5 μL Turbo DNase and 3 μL Turbo DNase Buffer at 37 °C for 1 h. 0.5 μL 10% SDS was added to halt DNase reaction. Eluted mRNA was purified through RNA Clean SPRI Beads. mRNA was reverse transcribed to cDNA using SuperScript™ IV First-Strand Synthesis System with gene specific primer MPRA_v3_Amp2Sc_R, following the manufacturer’s instruction. cDNA and plasmid control were then used for building sequencing libraries following the Tag-seq Library Construction section in the paper of Tewhey et al.<sup><xref ref-type="bibr" rid="CR19">19</xref></sup>. In brief, 1 μL of cDNA and plasmid control samples were used to estimate the relative concentration of <italic toggle="yes">eGFP</italic> in the 10 μL system containing 5 μL NEBNext® Ultra™ II Q5® Master Mix, 0.6 μL SYBR green I diluted 1:1000 (Life Technologies, S7563), and 0.5 μM TruSeq_Universal_Adapter_P5 and MPRA_V3_Illumina_GFP_F. PCR was performed under the following conditions: 95 °C for 20 s, 40 cycles of (95 °C for 20 s, 65 °C for 20 s, 72 °C for 30 s), 72 °C for 2 min. According to the cycle threshold, all cDNA and plasmid control samples were diluted to match the sample with the lowest concentration. A total of two PCRs were needed for building the sequencing library. The first PCR was performed with 10 μL of normalized samples in the 50 μL system containing 25 μL NEBNext® Ultra™ II Q5® Master Mix, 0.5 μM TruSeq_Universal_Adapter_P5, and MPRA_V3_Illumina_GFP_F. PCR was performed under the following conditions: 95 °C for 20 s, corresponding cycles of (95 °C for 20 s, 65 °C for 20 s, 72 °C for 30 s), 72 °C for 2 min. The product was then purified, and indices were added through a 100 μl system containing all purified product, 50 μl NEBNext® Ultra™ II Q5® Master Mix, 0.5 μM TruSeq_Universal_Adapter_P5, and index primer. PCR was performed as above, except for only 6 cycles. Samples were purified, molar pooled, and sequenced using 1 × 75 bp on Illumina NextSeq 500.</p><p id="Par35">For samples from Jurkat cells, total DNA and RNA of transfected cells were extracted by the Qiagen ALLPrep DNA/RNA Mini Kit following the manufacturer’s instruction<sup><xref ref-type="bibr" rid="CR23">23</xref></sup>. Extracted RNA was processed the same as above to obtain cDNA. cDNA, extracted DNA, and plasmid control were then used for building sequencing libraries with the same protocol described above. Samples were purified, molar pooled, and sequenced using 1 × 100 bp on Illumina NovaSeq 6000.</p><p id="Par36">All primers used in this study are provided in Supplementary Table <xref rid="MOESM1" ref-type="media">1</xref>.</p></sec><sec id="Sec16"><title>Oligo and barcode association</title><p id="Par37">Paired-end, 125 bp reads were first quality filtered using Trimmomatic (v0.38)<sup><xref ref-type="bibr" rid="CR83">83</xref></sup> (flags: PE -phred33, LEADING:25, TRAILING:25, MINLEN:80). Read 1 was then separated into the 20 bp barcode region and the oligo-matching region. The trimmed oligo-matching regions of Read 1 and Read 2 were mapped back to the synthesized oligo sequences using Bowtie2 (v2.3.4.1)<sup><xref ref-type="bibr" rid="CR84">84</xref></sup> (flags: -X 250, -very-sensitive, -p 16). Barcodes were then associated with the oligo sequences using the read ID. Only uniquely mapped barcodes were used for downstream analysis.</p></sec><sec id="Sec17"><title>Barcode counting</title><p id="Par38">Single-end 75/100 bp reads were first quality filtered using Trimmomatic (v0.38)<sup><xref ref-type="bibr" rid="CR83">83</xref></sup> (flags: PE -phred33, LEADING:3, TRAILING:3, MINLEN:70). Each read was then separated into the 20 bp barcode region and the constant region. The trimmed constant regions of the reads were mapped back to the constant region within the <italic toggle="yes">eGFP</italic> 3′ UTR using Bowtie2 (v2.3.4.1)<sup><xref ref-type="bibr" rid="CR84">84</xref></sup> (flags: -very-sensitive, -p 16). Only reads with Levenshtein distance of 4 or less within the constant region and perfect matches to the two bases directly adjacent to the barcode were kept. Barcodes were then associated with the retained reads using the read ID. Only barcodes that met our quality threshold requirements described above in the Methods section “Oligo and barcode association<italic toggle="yes">”</italic> were used for downstream analysis.</p></sec><sec id="Sec18"><title>Enhancer variant (EnVar) identification</title><p id="Par39">We followed the procedures described in the “Identification of Regulatory Oligos” section of Tewhey et al.<sup><xref ref-type="bibr" rid="CR19">19</xref></sup> with minor modifications. In brief, oligos (alleles) with 30 or more unique barcodes from the plasmid control were included for analysis. All barcodes were summarized at the oligo level. Barcode count totals for each oligo, including all SLE variants and the 20 control variants, were passed into DESeq2 (v1.28.1)<sup><xref ref-type="bibr" rid="CR85">85</xref></sup> in R (v3.5.3) to estimate the fold change and significance between plasmid controls (Supplementary Note 1 and Supplementary Fig. <xref rid="MOESM1" ref-type="media">5f, g</xref>) and the experimental replicates. A Benjamini–Hochberg FDR adjusted <italic toggle="yes">p</italic>-value of &lt;0.05 was required for significance. Only significant alleles with greater than or equal to a 1.5x fold change were identified as enhancer alleles (enAlleles). A variant was identified as an enhancer variant (enVar) if any allele of this variant was an enAllele. Results for the 20 control variants were compared to data from Tewhey et al.<sup><xref ref-type="bibr" rid="CR19">19</xref></sup> to estimate accuracy, sensitivity, and specificity.</p></sec><sec id="Sec19"><title>Allelic enVar identification</title><p id="Par40">Only enVars were considered for allelic analysis. The barcode counts from every allele of each enVar were used for calculating <italic toggle="yes">p</italic>-values by comparing the log2 ratios of the non-reference allele vs the reference allele, normalized by plasmid controls, using Student’s <italic toggle="yes">t</italic>-test<sup><xref ref-type="bibr" rid="CR19">19</xref>,<xref ref-type="bibr" rid="CR35">35</xref></sup>. <italic toggle="yes">p</italic>-values were adjusted with the Benjamini–Hochberg FDR-based procedure. A corrected <italic toggle="yes">p</italic>-value of &lt;0.05 was required for significance. Only significant alleles with 25%-fold changes or greater were identified as allelic enVars (Supplementary Note <xref rid="MOESM1" ref-type="media">2</xref> and Supplementary Fig. <xref rid="MOESM1" ref-type="media">6</xref>). We have created an R package (mpraprofiler) for performing this analysis, which is available on the Weirauch lab GitHub page (<ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="https://github.com/WeirauchLab/mpraprofiler">https://github.com/WeirauchLab/mpraprofiler</ext-link>).</p></sec><sec id="Sec20"><title>Gene annotation</title><p id="Par41">We annotated each SLE genetic variant with its nearest gene using the NCBI RefSeq table<sup><xref ref-type="bibr" rid="CR86">86</xref></sup> downloaded from the UCSC table browser<sup><xref ref-type="bibr" rid="CR82">82</xref></sup>. enVars were annotated using a combination of DNA looping interactions (GM12878 Capture Hi-C data<sup><xref ref-type="bibr" rid="CR87">87</xref>,<xref ref-type="bibr" rid="CR88">88</xref></sup>) and eQTL data obtained from the eQTL Catalog, a resource that contains quality-controlled, uniformly re-computed eQTLs from 19 eQTL publications<sup><xref ref-type="bibr" rid="CR61">61</xref>,<xref ref-type="bibr" rid="CR89">89</xref>–<xref ref-type="bibr" rid="CR108">108</xref></sup>, EBV-transformed B cell lines (GTEx Analysis V7 (dbGaP Accession phs000424.v7.p2))<sup><xref ref-type="bibr" rid="CR40">40</xref></sup> and other individual studies<sup><xref ref-type="bibr" rid="CR109">109</xref>–<xref ref-type="bibr" rid="CR112">112</xref></sup>. For all variants, the target genes were annotated (Supplementary Data <xref rid="MOESM4" ref-type="media">2</xref>) using the union of promoter interacting genes and eQTL genes from B cells with and without EBV transformation, when available. Otherwise, target genes were annotated as the nearest gene. Allelic enVar gene targets were classified into four tiers: a Tier (1) variant is both an eQTL and also loops to the promoter of the same gene; a Tier (2) variant has an eQTL for at least one gene; a Tier (3) variant only loops to the promoter of at least one gene; a Tier (4) variant is neither an eQTL nor loops to the promoter of any gene (Supplementary Data <xref rid="MOESM14" ref-type="media">12</xref>).</p></sec><sec id="Sec21"><title>TF binding site motif enrichment analysis</title><p id="Par42">To identify specific TFs whose binding might contribute to the enhancer activity observed in our MPRA experiments, we performed HOMER (v4.9)<sup><xref ref-type="bibr" rid="CR33">33</xref></sup> TF binding site motif enrichment analysis. Specifically, we used HOMER to calculate the enrichment of each motif in the sequence of enAlleles compared to the sequences of non-enAlleles. HOMER was modified to use the large library of human position weight matrix (PWM) binding site models contained in build 2.0 of the Cis-BP database<sup><xref ref-type="bibr" rid="CR34">34</xref></sup> and a log base 2 likelihood scoring system.</p></sec><sec id="Sec22"><title>GO enrichment analysis</title><p id="Par43">Enrichr<sup><xref ref-type="bibr" rid="CR113">113</xref>,<xref ref-type="bibr" rid="CR114">114</xref></sup> was used for GO enrichment analysis. In short, the target genes of enVars were passed to Enrichr for analysis. Results from the GO biological process (2018) category were used (Supplementary Data <xref rid="MOESM10" ref-type="media">8</xref>, Supplementary Fig. <xref rid="MOESM1" ref-type="media">3</xref>).</p></sec><sec id="Sec23"><title>Identification and processing of publicly available LCL ChIP-seq data</title><p id="Par44">1058 ChIP-seq datasets were obtained from the Gene Expression Omnibus (GEO)<sup><xref ref-type="bibr" rid="CR115">115</xref></sup> using custom scripts that searched for ChIP-seq experiments performed in EBV-transformed lymphoblastoid cell lines (LCLs). The annotations for every dataset (assay type, cell line, assayed molecule) were manually checked by two authors (MTW and LCK) to ensure accuracy. The Sequence Read Archive (SRA) files obtained from GEO were analyzed using an automated pipeline. Briefly, the pipeline first runs QC on the FastQ files containing the sequencing reads using FastQC (v0.11.2). If FastQC detects adapter sequences, the pipeline runs the FastQ files through Trim Galore (v0.4.2)<sup><xref ref-type="bibr" rid="CR116">116</xref></sup>, a wrapper script that runs cutadapt (v1.9.1)<sup><xref ref-type="bibr" rid="CR117">117</xref></sup> to remove the detected adapter sequence from the reads. The quality-controlled reads are then aligned to the reference human genome (hg19/GRCh37) using bowtie2 (v2.3.4.1)<sup><xref ref-type="bibr" rid="CR84">84</xref></sup>. The aligned reads (in .BAM format) are then sorted using samtools (v1.8.0)<sup><xref ref-type="bibr" rid="CR118">118</xref></sup> and duplicate reads are removed using picard (v1.89)<sup><xref ref-type="bibr" rid="CR119">119</xref></sup>. Finally, peaks are called using MACS2 (v2.1.2) (flags: callpeak -g hs -q 0.01 -f BAM)<sup><xref ref-type="bibr" rid="CR44">44</xref></sup>. ENCODE blacklist regions<sup><xref ref-type="bibr" rid="CR120">120</xref></sup> were removed from the peak sets using the hg19-blacklist.bed.gz file available at <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="https://github.com/Boyle-Lab/Blacklist/tree/master/lists/Blacklist_v1">https://github.com/Boyle-Lab/Blacklist/tree/master/lists/Blacklist_v1</ext-link>. ChIP-seq datasets <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-geo" xlink:href="GSM1666207">GSM1666207</ext-link>, <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-geo" xlink:href="GSM2748907">GSM2748907</ext-link>, and <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:entrez-geo" xlink:href="GSM1599157">GSM1599157</ext-link> were removed due to the low number of cells used in the experiments.</p></sec><sec id="Sec24"><title>Functional genomics dataset enrichment analysis with RELI</title><p id="Par45">We used the RELI(v0.9)<sup><xref ref-type="bibr" rid="CR10">10</xref></sup> algorithm to identify genomic features (TF binding events, histone marks, etc.) that coincide with enVars. As input, RELI takes the genomic coordinates of enVars. RELI then systematically intersects these coordinates with one of the GM12878 ChIP-seq datasets, and the number of input regions overlapping the peaks of this dataset (by at least one base) is counted. Next, a <italic toggle="yes">p</italic>-value describing the significance of this overlap is estimated using a simulation-based procedure. To this end, a ‘negative set’ is created for comparison to the input set, which in this study contains the set of non-enVars (i.e., variants with no allele having an adjusted <italic toggle="yes">p</italic>-value of &lt;0.05 and more than 10%-fold change in the DESeq2 result). A distribution of expected overlap values is then created from 2000 iterations of randomly sampling from the negative set, each time choosing a set of negative examples that match the input set in terms of the total number of genomic loci. The distribution of the expected overlap values from the randomized data resembles a normal distribution and can thus be used to generate a Z-score and corresponding <italic toggle="yes">p</italic>-value estimating the significance of the observed number of input regions that overlap each ChIP-seq dataset.</p><p id="Par46">We performed similar RELI analysis for allelic enVars. As input, we used the allelic enVar sites. For the ‘negative set’, we used the set of common SNPs taken from the dbSNP142 database downloaded from the UCSC table browser<sup><xref ref-type="bibr" rid="CR82">82</xref></sup>.</p></sec><sec id="Sec25"><title>Identification of allelic ChIP-seq reads using MARIO</title><p id="Par47">To identify possible mechanisms underlying our allelic enVars, we applied our MARIO(v3.93)<sup><xref ref-type="bibr" rid="CR10">10</xref></sup> method to the LCL ChIP-seq dataset collection described above. In brief, MARIO identifies common genetic variants that are (1) heterozygous in the assayed cell line and (2) located within a peak in a given ChIP-seq dataset. It then examines the sequencing reads that map to each heterozygote in each peak for imbalance between the two alleles. Results are combined across experimental replicates to produce a robust Allelic Reproducibility Score (ARS). Results with MARIO ARS value &gt;0.4 that also pass the following three post-processing filters were considered allelic. (1) The variant must be significantly allelic for a given protein/histone mark (ARS &gt; 0.4) in at least 50% of the datasets in which that variant was heterozygous; (2) The same allele must be significantly preferred (ARS &gt; 0.4) in at least 75% of the datasets where that variant shows significant allelic behavior; and (3) The replicates of a given experiment must all prefer the same strong allele. These post-processing filters were applied to remove results with inconsistent allelic imbalance, extending the procedures of our previous study<sup><xref ref-type="bibr" rid="CR10">10</xref></sup>.</p></sec><sec id="Sec26"><title>Identification of variant overlapping and variant adjacent TFs</title><p id="Par48">Variant overlapping TFs were identified using an algorithm that compares predicted TF binding motif scores between the different alleles of each allelic enVar. First, we padded each allele of a given allelic enVar with 25 bps of upstream and downstream DNA sequence (a sufficient length to account for any known human TF binding sites<sup><xref ref-type="bibr" rid="CR121">121</xref></sup>). The algorithm consists of two major components: (1) individually scoring the two alleles of a given variant with a given TF model; and (2) quantifying the difference in the binding intensity between these two alleles. DNA sequences are scored using the large collection of human TF position  weight matrix (PWM) models contained in the Cis-BP database<sup><xref ref-type="bibr" rid="CR34">34</xref></sup> and the log-likelihood PWM scoring system<sup><xref ref-type="bibr" rid="CR122">122</xref></sup>. Since log-likelihood score distributions vary substantially (depending on the information content of a given motif), we employ a simple scaled scoring system that maps a given log-likelihood score to the percentage of the maximum achievable log-likelihood score of the given motif—we refer to this value as the “relative PWM score”. We identify binding site altering events (i.e., “creating” or “breaking” a predicted binding site for a given TF motif) as cases where one allele has a relative PWM score of 70% or higher, and the other allele has a score of &lt;40%. For a given variant, any TF with allelic ChIP-seq sequencing reads (see above) and a binding site altering event for any of its motifs was deemed a variant overlapping TF. Any TF with allelic ChIP-seq sequencing reads and a lack of a binding site altering event for any of its motifs was deemed a variant adjacent TF.</p><p id="Par49">We next sought to identify particular TFs that tend to be variant overlapping TFs at SLE allelic enVars. To this end, we calculated the fraction of times each TF motif has a binding site altering event (as defined above) at SLE allelic enVars. As background, we calculated the fraction of times each TF motif has a binding site altering event at non-allelic enVars. The significance of the difference between these two fractions was then calculated using a proportions test. Results are provided in Supplementary Data <xref rid="MOESM17" ref-type="media">15</xref>.</p><p id="Par50">We used a similar procedure to identify particular TFs that tend to be variant adjacent TFs at SLE allelic enVars. We performed HOMER(v4.9) motif enrichment analysis using the full 170 bp allelic enVar DNA sequences as input. The dinucleotide scrambled version of input sequences were used as background. The fractions of motif “hits” obtained in the foreground vs. background set were then compared, and significance was again calculated using a proportions test. Results are provided in Supplementary Data <xref rid="MOESM17" ref-type="media">15</xref>.</p></sec><sec id="Sec27"><title>Reporting summary</title><p id="Par51">Further information on research design is available in the <xref rid="MOESM18" ref-type="media">Nature Research Reporting Summary</xref> linked to this article.</p></sec></sec><sec sec-type="supplementary-material"><title>Supplementary information</title><sec id="Sec28"><supplementary-material content-type="local-data" id="MOESM1" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM1_ESM.pdf" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM1_ESM.pdf?><?suppdata-size 22434267?><?suppdata-md5 5eb8ffe09a026f49aa5817da7cd1040a?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type pdf?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/5eb8ffe09a02/41467_2021_21854_MOESM1_ESM.pdf?><caption><p>Supplementary Information</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM2" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM2_ESM.pdf" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM2_ESM.pdf?><?suppdata-size 420345?><?suppdata-md5 9e743979e656adaf214e616d7b3f518a?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type pdf?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/9e743979e656/41467_2021_21854_MOESM2_ESM.pdf?><caption><p>Description of Additional Supplementary Files</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM3" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM3_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM3_ESM.xlsx?><?suppdata-size 23153?><?suppdata-md5 c8b9339a2d131758e61e183b5fe9f223?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/c8b9339a2d13/41467_2021_21854_MOESM3_ESM.xlsx?><caption><p>Supplementary Data 1</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM4" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM4_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM4_ESM.xlsx?><?suppdata-size 431495?><?suppdata-md5 5d05ca74e96f0421cc850e607d856113?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/5d05ca74e96f/41467_2021_21854_MOESM4_ESM.xlsx?><caption><p>Supplementary Data 2</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM5" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM5_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM5_ESM.xlsx?><?suppdata-size 26402?><?suppdata-md5 b7c8e478807c78c731addde11ddd1a3f?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/b7c8e478807c/41467_2021_21854_MOESM5_ESM.xlsx?><caption><p>Supplementary Data 3</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM6" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM6_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM6_ESM.xlsx?><?suppdata-size 983823?><?suppdata-md5 179ddb31d41d4f8202b082a009661e14?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/179ddb31d41d/41467_2021_21854_MOESM6_ESM.xlsx?><caption><p>Supplementary Data 4</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM7" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM7_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM7_ESM.xlsx?><?suppdata-size 1391936?><?suppdata-md5 b5390de60e5376d06b2cbed91c60f1f6?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/b5390de60e53/41467_2021_21854_MOESM7_ESM.xlsx?><caption><p>Supplementary Data 5</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM8" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM8_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM8_ESM.xlsx?><?suppdata-size 2194611?><?suppdata-md5 2f3af590ad2f4964d24403ab28638193?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/2f3af590ad2f/41467_2021_21854_MOESM8_ESM.xlsx?><caption><p>Supplementary Data 6</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM9" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM9_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM9_ESM.xlsx?><?suppdata-size 2867002?><?suppdata-md5 8a35825b3e6deb5be7114ec21052cfa9?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/8a35825b3e6d/41467_2021_21854_MOESM9_ESM.xlsx?><caption><p>Supplementary Data 7</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM10" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM10_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM10_ESM.xlsx?><?suppdata-size 221273?><?suppdata-md5 26df20d27d7dfe26519d7fdf7a973427?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/26df20d27d7d/41467_2021_21854_MOESM10_ESM.xlsx?><caption><p>Supplementary Data 8</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM11" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM11_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM11_ESM.xlsx?><?suppdata-size 83571?><?suppdata-md5 630d694bb1d4c25cd1e8411e04d29400?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/630d694bb1d4/41467_2021_21854_MOESM11_ESM.xlsx?><caption><p>Supplementary Data 9</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM12" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM12_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM12_ESM.xlsx?><?suppdata-size 652879?><?suppdata-md5 89562d9e2c15d2d0147c25c4d08ce5d4?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/89562d9e2c15/41467_2021_21854_MOESM12_ESM.xlsx?><caption><p>Supplementary Data 10</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM13" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM13_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM13_ESM.xlsx?><?suppdata-size 424114?><?suppdata-md5 3b9bb578b06821a9a7ae645a2a7bf9f9?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/3b9bb578b068/41467_2021_21854_MOESM13_ESM.xlsx?><caption><p>Supplementary Data 11</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM14" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM14_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM14_ESM.xlsx?><?suppdata-size 31616?><?suppdata-md5 71e8efae1a08281ab6fb1455c0cc0239?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/71e8efae1a08/41467_2021_21854_MOESM14_ESM.xlsx?><caption><p>Supplementary Data 12</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM15" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM15_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM15_ESM.xlsx?><?suppdata-size 75366?><?suppdata-md5 c0e26fe6d1d9b342d10e04b5cd5f27b9?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/c0e26fe6d1d9/41467_2021_21854_MOESM15_ESM.xlsx?><caption><p>Supplementary Data 13</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM16" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM16_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM16_ESM.xlsx?><?suppdata-size 48715?><?suppdata-md5 d644cb5c4bcccf23fcd5bcc1108c72ca?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/d644cb5c4bcc/41467_2021_21854_MOESM16_ESM.xlsx?><caption><p>Supplementary Data 14</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM17" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM17_ESM.xlsx" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM17_ESM.xlsx?><?suppdata-size 789094?><?suppdata-md5 4c3d2faab027b58f7688d8491da08fe1?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type vnd.openxmlformats-officedocument.spreadsheetml.sheet?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/4c3d2faab027/41467_2021_21854_MOESM17_ESM.xlsx?><caption><p>Supplementary Data 15</p></caption></media></supplementary-material><supplementary-material content-type="local-data" id="MOESM18" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41467_2021_21854_MOESM18_ESM.pdf" position="float" orientation="portrait"><?suppdata-name 41467_2021_21854_MOESM18_ESM.pdf?><?suppdata-size 1272531?><?suppdata-md5 7bf945a60bc3ca29a29d896691fe3dfb?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type pdf?><?suppdata-cloudpmc-urn urn:app:38ce/7955039/7bf945a60bc3/41467_2021_21854_MOESM18_ESM.pdf?><caption><p>Reporting Summary</p></caption></media></supplementary-material></sec></sec></body><back><fn-group><fn><p><bold>Peer review information</bold>
<italic toggle="yes">Nature Communications</italic> thanks James Lee, Kim Simpfendorfer and the other, anonymous, reviewers for their contribution to the peer review of this work.</p></fn><fn><p><bold>Publisher’s note</bold> Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</p></fn><fn><p>These authors contributed equally: Xiaoming Lu, Xiaoting Chen.</p></fn><fn><p>These authors jointly supervised this work: Matthew T. Weirauch, Leah C. Kottyan.</p></fn></fn-group><sec><title>Supplementary information</title><p>The online version contains supplementary material available at 10.1038/s41467-021-21854-5.</p></sec><ack><title>Acknowledgements</title><p>We thank Roger Pique-Regi and Francesca Luca for their consultation and guidance in the development of our MPRA libraries and approach. We thank Kevin Ernst for computational support. We greatly appreciate Aaron Zorn, Raphael Kopan, Marc Rothenberg, and Stephen Waggoner for constructive feedback and guidance. This work was funded by the National Institutes of Health (F32 AI129249, 1K22AI153648-01, K99-HG009920, P30 AR070549, P30 DK078392, R01 AI024717, R01 AI148276, R01 AR073228, R01 DK107502, R01 GM055479, R01 HG010730, R01 NS099068, U01 AI130830, U01 HG008666, U01 AI150748), Cincinnati Children’s Hospital Research Foundation (Academic and Research Committee award, Center for Pediatric Genomics pilot funding, Endowed Scholar award), the Veterans Administration (I01 BX001834), the Ohio Supercomputing Center, and the State of Ohio.</p></ack><notes notes-type="author-contribution"><title>Author contributions</title><p>This manuscript was written by X.L., X.C., M.T.W., and L.C.K. with critical input from C.F., O.D., D.M., S.P., T.H., Y.H., M.P., T.C., E.R.M., J.P.R., C.G.dB., and J.B.H. Experiments were designed by X.L., J.P.R., C.G.dB., M.T.W., and L.C.K. with computational design by X.L., X.C., S.P., J.P.R., C.G.dB., M.T.W., and L.C.K. Experiments were performed by X.L., C.F., O.D., D.M., and Y.H. Analysis was performed by X.L., X.C., and S.P. Data were provided by T.H., M.P., T.C., E.R.M., and M.T.W. Funding was provided by J.P.R., C.G.dB., J.B.H., M.T.W., and L.C.K.</p></notes><notes notes-type="data-availability"><title>Data availability</title><p>All sequencing data that support the findings of this study are available in the Gene Expression Omnibus (GEO) database under accession number <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE143792">GSE143792</ext-link>. Full datasets and processed results are provided in the Supplementary Data. All other relevant data are available from the corresponding author upon request.</p></notes><notes notes-type="data-availability"><title>Code availability</title><p>Source code, with full documentation and examples, are freely available under the GNU General Public License on the WeirauchLab GitHub page: <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="https://github.com/WeirauchLab/mpraprofiler">https://github.com/WeirauchLab/mpraprofiler</ext-link>. 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