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1 Supplementary Figures Supplementary Figure 1 Principal components analysis (PCA) of all samples analyzed in the discovery phase. Colors represent the phenotype of study populations. a) The first sample (GWAS1) was the previously published GWAS dataset of leprosy, consisting of 706 leprosy cases, 1,223 healthy controls, all of northern Chinese Han decent; b-d) The second one (GWAS2) was a newly published dataset of 840 leprosy cases and 924 controls from northern (Chinese Han, b) and southern China (Chinese Han c and ethnic minorities, d); e-f) The third sample was a new GWAS dataset (GWAS3) of 1197 leprosy cases and 1426 controls from northern (Chinese Han, e) and southern China (Chinese Han, f)
2 Supplementary Figure 2 Quantile-quantile plot of the associations Left panel, before removal of SNPs located within known leprosy loci; Right panel, after removal of SNPs located within the known leprosy loci. Dotted vertical line in right panel shows the point where the statistics lift-off from the expected null distribution (between log10(p) of 2 to 3).
3 TSS Repressed DGF SuperEnhancer H3K27ac Promoter 3-PrimeUTR H3K4me3 5-PrimeUTR Enhancer H3K9ac Coding Conserved DHS TFBS PromoterFlanking Transcribed Intron FetalDHS CTCF H3K4me1 WeakEnhancer Immune GI Connective_Bone Adrenal_Pancreas Kidney Cardiovascular SkeletalMuscle CNS Liver Supplementary Figure 3 Overall genetic architecture of leprosy across functional categories and tissues. Enrichment estimates for the main annotations and tissues of LDSC. Error bars represent 95% confidence intervals around the estimate. Categories are sorted by P value, with boxes indicating annotations or tissues that pass the multiple testing significance threshold. CNS, central nervous system;; DHS, DNase hypersenstivity; GI, gastrointestinal; TFBS, transcription factor binding site; Tss, transcription start site; UTR, untranslated region. 24" 22" 20" 18" 16" 14" 12" 10" 8" 6" 4" 2" 0"
4 Supplementary Tables Supplementary Table 1 Baseline characteristics of cases and controls Male/ Mean Mean age N Female age at onset CASES CONTROLS Ethnicity North Sichuan Yunnan Guizhou South N Han Han Han Han Minority Male/ Female Mean North Sichuan age Han Han Ethnicity Yunnan Guizhou Han Han Discovery Study / / Discovery Study / / Discovery Study / / Replication Phase / / Replication Phase / / Total/Mean / / *The location of North Han, Sichuan, Yunan, Guizhou were showed in supplementary figure 3 South Minority
5 Supplementary Table 2 Association results of 127 replicated SNPs in Stage 2 CHR SNP BP A1 A2 F_A F_U OR L95 U95 P 1 rs T C E-01 1 rs A G E-01 1 rs T C E-02 1 rs C T E-01 1 rs A G E-01 1 rs A G E-02 1 rs C T E-01 1 rs A G E-02 1 rs G C E-01 2 rs G T E-01 2 rs G A E-01 2 rs G C E-01 2 rs A G E-01 2 rs G A E-01 2 rs A G E-01 2 rs T C E-01 2 rs A G E-01 2 rs T C E-01 2 rs C T E-01 2 rs G A E-01 2 rs C T E-01 2 rs G C E-01 3 rs G A E-01 3 rs C T E-03 3 rs T C E-06 3 rs A T E-01 3 rs A C E-01 3 rs G A E-01 3 rs C T E-02 3 rs T A inf 9.97E-01 4 rs A G E-04 4 rs A G E-01 4 rs C T E-01 4 rs T C E-02 4 rs T C E-03 4 rs A G E-02 5 rs C A E-01
6 5 rs C G E-03 5 rs G C E-01 5 rs C G E-01 5 rs G A E-01 5 rs T C E-01 5 rs G C inf 9.99E-01 5 rs C T E-01 5 rs A G E-01 5 rs C T E-01 6 rs T C E-01 6 rs G A E-01 6 rs T G E-01 6 rs T C E-03 6 rs C T E-09 6 rs C T E-03 6 rs T C E-01 7 rs T C E-02 7 rs T A E-01 7 rs C T E-01 7 rs T C E-04 7 rs A G E-02 7 rs G A E-02 7 rs C A E-01 7 rs T C E-01 7 rs G A E-01 7 rs T C E-01 7 rs A G E-02 8 rs C A E-01 8 rs A T E-01 8 rs C A E-03 8 rs C T E-01 8 rs G T E-01 8 rs A G E-01 8 rs C T E-02 8 rs A G E-01 8 rs A G E-02 8 rs G C E-01 8 rs T C E-02 9 rs T C E-03 9 rs C T E-02
7 9 rs T C E-02 9 rs G A E-01 9 rs G A E-02 9 rs A C E-02 9 rs G A E-01 9 rs G T E rs T C E rs T C E rs G T E rs T G E rs T C E rs T C E rs T C E rs A G E rs G C E rs C A E rs G A E rs C T E rs A G E rs G A E rs A C E rs G A E rs C T E rs T C E rs G A E rs A G E rs C T E rs C T E rs C T E rs G A E rs G A E rs T C E rs A G E rs G T E rs G A E rs T C E rs T G E rs T C E rs G A E rs T C E-01
8 18 rs A G E rs A G E rs A C E rs A G E rs T C E rs T C E rs C T E rs T C E rs T C E rs A G E-01 A1 is the minor allele, while F_A represents allele frequency in cases and F_U represents allele frequency in controls.
9 Supplementary Table 3 Association results of 21 replicated SNPs in Stage 3 SNP info meta of stage3 meta all CHR BP SNP A1 A2 P OR Q I P OR Q I rs T C 1.56E E rs A G 3.04E E rs A G 8.22E E rs C T 2.84E E rs C T 3.46E E rs T C 6.37E E rs A G 9.08E E rs C G 4.42E E rs T C 6.69E E rs C T 1.09E E rs T C 1.03E E rs C A 2.26E E rs C T 3.09E E rs A G 9.27E E rs T C 2.15E E rs T G 1.96E E rs A G 8.23E E rs G A 8.53E E rs A G 2.12E E rs G A 8.05E E *Rs , rs942793, rs were not reported in the manuscript due to either failed of HWE test or significant Q value.
10 Supplementary Table 4 eqtl analysis of four novel associations Lead SNP rs rs rs rs rs rs rs rs rs Study ID Westra 2013 Westra 2013 Westra 2013 Westra 2013 GTEx20 15_v6 Westra 2013 GTEx20 15_v6 GTEx20 15_v6 Westra 2013 Paper_title Systematic identification of trans eqtls as putative drivers of known disease associations Systematic identification of trans eqtls as putative drivers of known disease associations Systematic identification of trans eqtls as putative drivers of known disease associations Systematic identification of trans eqtls as putative drivers of known disease associations The Genotype-Tissue Expression (GTEx) pilot analysis: Multitissue gene regulation in humans Systematic identification of trans eqtls as putative drivers of known disease associations The Genotype-Tissue Expression (GTEx) pilot analysis: Multitissue gene regulation in humans The Genotype-Tissue Expression (GTEx) pilot analysis: Multitissue gene regulation in humans Systematic identification of trans eqtls as putative drivers of known disease associations Tissue Correlated -gene p-value eqtl SNP r2 with lead SNP D' with lead SNP Whole_Blood SYN2 1.74E-04 rs Whole_Blood SYN2 7.69E-05 rs Whole_Blood SYN2 1.80E-04 rs Whole_Blood SYN2 1.83E-04 rs Thyroid BBS9 2.81E-07 rs Whole_Blood BBS9 3.18E-04 rs Cells_Transfor med_fibroblas ts CTSB 7.48E-18 rs Whole_Blood CTSB 1.35E-09 rs Whole_Blood MED E-05 rs *Lead SNP represents the current reported associations within the genomic region. eqtl SNP represents those SNPs reported in the publications with listed paper title, which were in high LD (r2>0.9 &D >0.9) with lead SNPs
11 Supplementary Table 5 Association results of HLA imputation Classical HLA allele P OR Q P_con OR_con HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E
12 HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_A_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E
13 HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E
14 HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E HLA_B_ E E
15 HLA_B_ E E HLA_B_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E
16 HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_C_ E E HLA_DPA1_ E E HLA_DPA1_ E E HLA_DPA1_ E E HLA_DPA1_ E E HLA_DPA1_ E E HLA_DPA1_ E E HLA_DPA1_ E E HLA_DPA1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E
17 HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E #N/A #N/A HLA_DPB1_ E #N/A #N/A HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DPB1_ E E HLA_DQA1_ E E HLA_DQA1_ E E HLA_DQA1_ E E HLA_DQA1_ E E HLA_DQA1_ E E HLA_DQA1_ E E HLA_DQA1_ E E HLA_DQA1_ E E HLA_DQA1_ E E HLA_DQA1_ E E
18 HLA_DQA1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DQB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E
19 HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E
20 HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E HLA_DRB1_ E E P_con represents the P value after conditioning on HLA-DRB1*15:01 OR_con represents the odds ratio after conditioning on HLA-DRB1*15:01 Supplementary Table 6 Heritability estimates for genome-wide SNPs in leprosy on assumed disease risk. Category Heritability All SNPs SE known region (LD) explained ratio liability scale h2 (prevalence = ) %
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