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λ l , according the following equations:

3.3 Validation with eQTL data

3.3.2 Classifying lead variants

The PRF score can be treated as a binary classifier, with variants above some threshold score predicted as causal (“positive class”), and those below this score predicted as non- causal (“negative class”). Ideally, to define true positive cases we would use an external set of known expression-altering variants. However, there is no gold-standard set of genetic variants known to causally influence gene expression in specific cell types. In its absence, we must settle for a positive set that is enriched for causal variants. We therefore use lead

eQTL variants as a proxy for causal variants, and ask how well PRF scores discriminate lead variants from other variants. Many lead variants will not in fact be causal, and as a result we will likely underestimate PRF score prediction performance. In taking lead variants as causal, we also implicitly assume that there is a single causal variant per gene. Stepwise conditional regression has revealed that at current sample sizes, a significant minority of human genes are detectably regulated by multiple variants (Lappalainen et al. 2013). In such a case, even if the lead variant is causal, the presence of additional causal variants not in the positive ground truth set will lead to underestimation of prediction performance.

We compared genePRF and maxPRF scores with CADD and GWAVA using receiver- operating characteristic (ROC) curves; here, an area under the curve (AUC) above 0.5 indicates prediction performance better than chance. GWAVA defined scores for three classifiers, namely, GWAVA.TSS for a model that matched SNPs based on TSS distance, GWAVA.U which did not match on TSS distance, and GWAVA.R which matched on TSS distance and genomic region. For each of the scores we considered performance in identifying lead variants for GTEx subcutaneous adipose eGenes (with p < 1x10-12) from among all variants within 1 Mb (Figure 17a). GenePRF scores (AUC=0.951) far

outperformed other scores in prioritising lead variants (AUC 0.565 - 0.765). Achieving an AUC above 0.9 indicates very good classification performance, which may be surprising given that we expect only a modest fraction of lead variants to be causal. There is a simple explanation -- because PRF scores were trained using eQTLs, they heavily upweight variants near the TSS of genes, and lead eGene variants also cluster near the genes they regulate. Therefore, the problem of distinguishing lead variants is made easier because most distal variants can be discounted. Consistent with this, GWAVA.U scores, which weight TSS distance more heavily, performed better than the other GWAVA scores (Figure 17a).

An alternative performance measure considers precision (the fraction of cases predicted positive which are true positives) as a function of recall (the fraction of all true positives identified as such, also known as the true positive rate). Even with a high ROC AUC, the precision-recall curve for genePRF scores showed a precision of only 1% at a PRF score threshold where 25% of lead variants are identified (Figure 17b). The other scores similarly had very poor precision in their predictions. We are thus a long way from being able to precisely pinpoint causal variants from annotation data alone when considering a large number of candidate SNPs in a window around a gene.

Figure 17: (a) ROC curves, and (b) precision-recall curves for identifying lead variants (with p < 10-12) for eGenes in GTEx subcutaneous adipose tissue from among all variants within 1 Mb.

Rather than considering all variants in a large window, a more relevant measure of

performance may be how well PRF scores discriminate lead variants from among candidate causal variants for the association. To assess this, we considered eGenes with a “confident causal” variant, defined as a single variant with PPA > 0.5 when using fgwas with no

annotations. We plotted ROC and precision-recall curves for distinguishing the lead variant from the top 20 variants by statistical association for each eGene (Figure 18). Note that although we could use a threshold on PPA rather than fixing the number of variants at 20, we avoid this because the performance would be harder to interpret: some genes have dozens of variants with PPA > 0.01, whereas others have a single variant.

In this “fine-mapping” scenario, the ROC AUC for PRF scores (0.678) was dramatically worse than when all variants within 1 Mb are considered. The drop in performance is unsurprising, since TSS distance is less likely to distinguish among variants at a single association peak. Still, both gene-aware and gene-agnostic PRF scores performed slightly better than competing methods CADD and GWAVA. Interestingly, in this scenario PRF score precision improved to 17% when 25% of the lead variants were identified. This is because the positive and negative classes were less imbalanced in this scenario -- 1 in 20 variants was positive, compared with 1 in ~5000 when all variants in the 1 Mb cis-window of a gene were considered.

Figure 18: (a) ROC curves, and (b) precision-recall curves for identifying lead variants in GTEx

subcutaneous adipose tissue for “confident eGenes” where the lead variant has a statistical PPA > 0.5. To represent a fine-mapping scenario, only the top 20 variants by statistical association are considered for each eGene.

A final metric that we considered was lift, which indicates how enriched the variants at a given prediction threshold are for true positives, relative to the same number of randomly chosen variants. When considering all cis-window variants for GTEx subcutaneous adipose eGenes, those in the top 1% of genePRF scores were 42-fold more likely than chance to be lead variants, while variants in the top 10% were 9-fold more likely (Figure 19a). Both

genePRF and maxPRF scores considerably outperformed CADD (top 1% having lift 1.9) and GWAVA (top 1% having lift 10.4 for the best GWAVA score). When only the top 20 variants per gene were considered, those in the top 1% and 10% of genePRF scores were 7.3-fold and 3.1-fold more likely than chance to be lead variants (Figure 19b). In this scenario, maxPRF scores performed nearly as well as genePRF scores, since TSS distance was less informative as a predictor. GWAVA.U also performed well (top 1% and 10% of scores having lift of 5.0 and 2.7), but CADD performed poorly (top 1% and 10% of scores having lift of 2.5 and 2.0).

Figure 19: Lift curves for identifying lead eQTL variants in GTEx subcutaneous adipose from among

(a) all variants in the 1 Mb cis-window or (b) the top 20 statistically associated variants. In panel (a) the lift values are plotted on a logged axis because they vary over orders of magnitude.

Figure 20: (a) ROC curves, and (b) precision-recall curves for genePRF scores in identifying lead

variants in GTEx tissues from among all variants within 1 Mb. PRF scores were computed for each GTEx tissue using the most relevant epigenome. Performance on different GTEx tissues is indicated by color.

Although we used GTEx subcutaneous adipose tissue for these comparisons, the pattern was very similar for four other GTEx tissues which we investigated (Figure 20). These investigations show that PRF scores provide a genome-wide summary of regulatory information in specific cell types, which can be useful in predicting the locations of gene regulatory variants.