“…Likewise, loss-of-function enhancer variants often result in loss of enhancer activity in one cell type, while in other cell types, its activity is unaffected (Bengani et al, 2021; Bhatia et al, 2015, 2021; Shin et al, 2023; Spieler et al, 2014). These cell-type-specific effects of enhancer variants are difficult to capture with high-throughput methods such as massively-parallel reporter assays (MPRAs) and CRISPR inhibitor/activator screens, both of which are primarily performed in vitro (Findlay, 2021; Inoue & Ahituv, 2015; Maricque et al, 2018) or in one tissue (Brown et al, 2022; Capauto et al, 2023; Deng et al, 2023; Lagunas et al, 2023; Patwardhan et al, 2012; White et al, 2013). Transgenic enhancer-reporter assays in mice enable visualization of enhancer activity in the whole animal and are a gold-standard for functionally testing when and where a human enhancer is active in vivo (Kothary et al, 1989; Pennacchio et al, 2006; Visel et al, 2006).…”