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Design matrix for fixed and random effects Model (A) Yij ~ gamma(ij , ) Log (ij ) ij ui i 1,..., g ; j 1,..., si u1 ,..., ug ~ N (0, 2 I ) Model (B) Yij ~ gamma(ij , ) Log (ij ) ij ui i 1,..., g ; j 1,..., si u1 ,..., u g ~ N (0, G ) Parameters SNP A SNP B SNP C Parameters SNP A SNP B SNP C u1 u2 u3 intercept gene 1 gene 2 gene 3 1 1 0 0 1 1 1 0 1 0 1 1 u1 u2 u3 intercept gene 1 gene 2 gene 3 1 1 0 0 1 1 1 0 1 0 1 1 Covariance matrix G 2 2 2 1 e d12 / e d13 / 2 e d21 / 1 e d23 / e d31 / e d32 / 1 dii ' distance between physical locations of gene i and gene i’ Supplementary Fig. 1 The proposed Generalized Linear Mixed Models, with design matrix and covariance matrix for a hypothetical gene set with three genes and three SNPs: SNP A is on gene 1, SNP B is on genes 1 and 2, SNP C is on genes 2 and 3. For both models, the outcome variable for the mixed models is the chi-square statistic for Cochran-Armitage trend test for single SNP.