Lin, C.; Shen, J.; Sun, J.; Xie, Y.; Xu, L.; Lin, Y.; Hu, J.; Zhao, H.

Genetic regulation of immune cell composition plays a crucial role in the etiology of complex diseases, yet remains poorly understood. We propose a unified analytical framework that integrates genome-wide association studies (GWAS) of cell type proportions with cell-type-wide association studies (cWAS) to systematically characterize both the genetic regulation of immune cell composition and its downstream effects on disease risk. Using single-cell RNA sequencing data from the OneK1K cohort, we conducted a GWAS of immune cell-type proportions with a depth-weighted quasi-binomial model designed for bounded, overdispersed traits. We identified 47 genome-wide significant loci influencing eight fine-labeled immune cell subtypes. Leveraging these identified genetic effects, we further imputed genetically regulated proportions (GRPs) using polygenic risk score (PRS)-based imputation and assessed their associations with complex diseases through cWAS. We identified five significant cell type-disease associations, including two with type 1 diabetes, two with Crohns disease, and one with ulcerative colitis. Together, our results demonstrate that cell type proportions observed in scRNA-seq can reveal regulatory loci and offer insights into how genetic variations regulate immune cell type proportions to affect disease risk. Although we focused on immune single-cell data, our framework is applicable to other tissues or cellular compositions as scRNA-seq datasets expand.