Transcriptomics

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Single cell variant to enhancer to gene map in coronary artery disease


ABSTRACT: Although coronary artery disease (CAD) genome-wide association studies (GWAS) have identified hundreds of loci, most GWAS variants lie in non-coding regions of the genome, obscuring the causal gene programs and cell types driving disease. Here, we performed single nuclei multi-omic profiling of gene expression and chromatin accessibility in human coronary arteries from 44 individuals to construct a genome-wide single cell variant-to-enhancer-to-gene (scV2E2G) map. We identified 11,269 chromatin accessibility quantitative trait loci (caQTLs), finding that smooth muscle cells (SMCs) were the predominant cell type enriched for CAD risk. Applying dynamic single-cell caQTL modeling for the first time in human cardiovascular tissue, we show that variant effects on chromatin can be modified by SMC cell state. For example, the suppression of FGGY-DT expression by rs658956 through the disruption of an AP-1 motif is amplified as SMCs transition toward a fibromyocyte fate. Next, we performed genome-wide Hi-C in 15 human coronary arteries to connect disease-associated variants and enhancers with target genes. Using this approach, we show that rs4887091 within the ADAMTS7 CAD GWAS locus has allele-dependent effects on both CTCF occupancy and loop strength. Integrating Hi-C with HiChIP-seq and CRISPRi nominated AMOTL2, a Hippo pathway scaffold, as a distal SMC-specific CAD gene whose loss promotes proliferation and suppresses contractile identity. Finally, arrayed Perturb-seq of GWAS-nominated enhancers converged on extracellular matrix remodeling as a core SMC disease program. Together, these findings provide a comprehensive framework for mapping non-coding GWAS variants to causal cell types, chromatin states, and gene programs in human CAD.

ORGANISM(S): Homo sapiens

PROVIDER: GSE328800 | GEO | 2026/09/13

REPOSITORIES: GEO

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