Mondal AK, Sharma NK, Elbein SC, Das SK. Allelic expression imbalance screening of genes in chromosome 1q21-24 region to identify functional variants for Type 2 diabetes susceptibility. Physiol Genomics 45: 509 -520, 2013. First published May 14, 2013 doi:10.1152/physiolgenomics.00048.2013.-Type 2 diabetes (T2D)-associated SNPs are more likely to be expression quantitative trait loci (eQTLs). The allelic expression imbalance (AEI) analysis is the measure of relative expression between two allelic transcripts and is the most sensitive measurement to detect cis-regulatory effects. We performed AEI screening to detect cis-regulators for genes expressed in transformed lymphocytes of 190 Caucasian (CA) and African American (AA) subjects to identify functional variants for T2D susceptibility in the chromosome 1q21-24 region of linkage. Among transcribed SNPs studied in 115 genes, significant AEI (P Ͻ 0.001) occurred in 28 and 30 genes in CA and AA subjects, respectively. Analysis of the effect of selected AEI-SNPs (Ն10% mean AEI) on total gene expression further established the cis-eQTLs in thioesterase superfamily member-4 (THEM4) (rs13320, P ϭ 0.027), and IGSF8 (rs1131891, P ϭ 0.02). Examination of published genome-wide association data identified significant associations (P Ͻ 0.01) of three AEI-SNPs with T2D in the DIAGRAM-v3 dataset. Six AEI single nucleotide polymorphisms, including rs13320 (P ϭ 1.35E-04) in THEM4, were associated with glucose homeostasis traits in the MAGIC dataset. Evaluation of AEI-SNPs for association with glucose homeostasis traits in 611 nondiabetic subjects showed lower AIRG (P ϭ 0.005) in those with TT/TC genotype for rs13320. THEM4 expression in adipose was higher (P ϭ 0.005) in subjects carrying the T allele; in vitro analysis with luciferase construct confirmed the higher expression of the T allele. Resequencing of THEM4 exons in 192 CA subjects revealed four coding nonsynonymous variants, but did not explain transmission of T2D in 718 subjects from 67 Caucasian pedigrees. Our study indicates the role of a cis-regulatory SNP in THEM4 that may influence T2D predisposition by modulating glucose homeostasis. type 2 diabetes; eQTL; allelic expression imbalance; SNP TYPE 2 DIABETES [T2D (MIM 125853)] is a complex metabolic disease for which a genetic contribution is well recognized (2). Since 2007, global efforts to map T2D genetic susceptibility factors have mostly focused on genome-wide association strategies (33). Despite the significant success of these genomewide association studies (GWAS), based on most recent analyses, the 63 T2D-associated loci discovered so far in Caucasian populations together account only for 5.7% of the liabilityscale variance in disease susceptibility, and sibling relative risk ( s ) attributed jointly by these variants is 1.104 (19). Thus, targeted analysis of previously identified genomic intervals representing well-replicated genome-wide significant linkage signals for T2D can be considered as an alternative strategy. Chromosome 1q21-24 is one such region o...