36The gene targets of enhancer activity in pancreatic islets are largely unknown, impeding 37 discovery of islet regulatory networks involved in type 2 diabetes (T2D) risk. We 38 mapped chromatin state, accessibility and conformation using ChIP-seq, ATAC-seq and 39 Hi-C in human pancreatic islets, which we integrated with T2D genetic fine-mapping and 40 islet expression QTL data. Active islet regulatory elements preferentially interacted with 41 other active elements, often at distances over 1MB, and we identified target genes for 42 thousands of distal islet enhancers. A third of T2D risk signals mapped in islet 43 enhancers, and target genes regulated by these signals were specifically involved in 44 processes related to protein transport and secretion. Among implicated target genes of 45 T2D islet enhancer signals with no prior known role in islet function, we demonstrated 46 that reduced IGF2BP2 activity in mouse islets leads to impaired glucose-stimulated 47 insulin secretion. These results link distal islet enhancer regulation of protein secretion 48 and transport to genetic risk of T2D, and highlight the utility of high-throughput chromatin 49 conformation maps to uncover the gene regulatory networks of complex disease. 50 51 Introduction 52 53 Genetic risk of type 2 diabetes (T2D) is largely mediated through variants affecting 54 transcriptional regulatory activity in pancreatic islets 1-7 . Genetic fine-mapping combined 55 with epigenomic annotation data can identify causal variants at T2D risk loci mapping in 56 islet regulatory elements 1,2 . The gene targets of islet regulatory elements, however, are 57 largely unknown, impeding discovery of disease-relevant gene networks perturbed by 58 risk variants and novel therapeutic avenues. The spatial organization of chromatin plays 59 a critical role in tissue-specific gene regulation, and recently developed high-throughput 60 techniques such as Hi-C identify physical relationships between genomic regions in 61 human tissues genome-wide 8-10 . Tissue-specific maps of chromatin organization can 62 identify candidate target genes of distal regulatory elements and inform the molecular 63 mechanisms of disease risk variants 9 .
65Here, we defined the spatial organization of transcriptional regulatory elements in 66 primary pancreatic islets, through which we mapped genetic effects on islet gene 67 expression and T2D risk. Islet active regulatory elements preferentially interacted with 68 other active elements, in many cases over 1MB, and we identified putative distal target 69 genes for thousands of islet enhancers. A third of known T2D risk signals had likely 70 causal variants in islet enhancers, and target genes of these signals were strongly 71 enriched for processes related to protein secretion and transport. Among target genes 72 with no previously known role in islet function, we demonstrated that reduced activity of 73 IGF2BP2 in mouse islets leads to impaired glucose-stimulated insulin secretion.
74Together our results define distal regulatory programs ...