Tixhon, M. | Search bioRxiv

bioRxiv2026

A scalable approach to resolving variants of uncertain significance

Over 90% of missense variants across [~]4,000 disease-associated genes are variants of uncertain significance (VUS). Experimental variant effect measurements provide critical evidence about pathogenicity and inform disease biology, but most variants lack data and clinical translation has been limited. The Impact of Genomic Variation on Function Consortium generated experimental data for 62,215 variants across ten genes using multiplexed assays and 1,407 variants across 163 genes using arrayed assays, curated 193,139 additional community-generated variant effect measurements across 30 additional genes, and developed automated calibration methods for translating experimental data and variant effect predictions into clinical evidence. To reduce current VUS, we developed a scalable workflow using only experimental and predictive evidence, enabling reclassification of 75% of the 16,115 VUS in these genes as pathogenic or benign with <1% error. To minimize future VUS, we analyzed >90,000 unobserved variants; 62% had enough evidence to be "preclassified" as pathogenic or benign. We validated our data, evidence and classifications using All of Us and created interactive resources to enable clinical use of the calibrated data. Thus, for 40 genes, representing 1% of the clinical genome, we resolve most existing VUS and future variants, illustrating how systematic use of scalable evidence can empower genomic medicine.

genomics↗

bioRxiv2025

Predicting interaction-specific protein-protein interaction perturbations by missense variants with MutPred-PPI

Disruption of protein-protein interactions (PPIs) is a major mechanism of a variants deleterious effect. Computational tools are needed to assess such variants at scale, yet existing predictors rarely consider loss of specific interactions, particularly when variants perturb binding interfaces without significantly affecting protein stability. To address this problem, we present MutPred-PPI, a graph attention network that predicts interaction-specific (edgetic) effects of missense variants by operating on AlphaFold 3-based protein complex contact graphs with protein language model embeddings imposed upon nodes. We systematically evaluated our model with stringent group cross-validation as well as benchmark data recently collected within the IGVF Consortium. MutPred-PPI outperformed all baseline methods across all evaluation criteria, achieving an AUC of 0.85 on seen proteins and 0.72 on previously unseen proteins in cross-validation, demonstrating strong generalizability despite scarce training data. To demonstrate biomedical relevance, we applied MutPred-PPI to variants from ClinVar, HGMD, COSMIC, gnomAD, and two de novo neurodevelopmental disorder-linked datasets. Disease-associated variants from Clin-Var and HGMD showed strong enrichment for both quasi-null and edgetic effects, whereas population variants from gnomAD increasingly preserved interactions with higher allele frequencies. Notably, we observed a strong edgetic disruption signature in highly recurrent cancer variants from both the full COSMIC dataset and a subset of variants from oncogenes. Recurrent tumor suppressor gene variants and autism spectrum disorder-associated variants exhibited moderate quasi-null enrichment, whilst neurodevelopmental disorder-linked variants showed a weak edgetic disruption signature. These results indicate distinct PPI perturbation mechanisms across disease types and show that MutPred-PPI captures functionally relevant molecular effects of pathogenic variants.

bioinformatics↗