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Variant effect predictor correlation with functional assays is reflective of clinical classification performance

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Benjamin Livesey, Joseph A. Marsh·2025·Genome biology

Published version of a preprint

Abstract

BACKGROUND: Understanding the relationship between protein sequence and function is crucial for accurate classification of missense variants. Variant effect predictors (VEPs) play a vital role in deciphering this complex relationship, yet evaluating their performance remains challenging for several reasons, including data circularity, where the same or related data is used for training and assessment. High-throughput experimental strategies like deep mutational scanning (DMS) offer a promising solution. RESULTS: In this study, we extend upon our previous benchmarking approach, assessing the performance of 97 VEPs using missense DMS measurements from 36 different human proteins. In addition, a new pairwise, VEP-centric approach mitigates the impact of missing predictions on overall performance comparison. We observe a strong correspondence between VEP performance in DMS-based benchmarks and clinical variant classification, especially for predictors that have not been directly trained on human clinical variants. CONCLUSIONS: Our results suggest that comparing VEP performance against diverse functional assays represents a reliable strategy for assessing their relative performance in clinical variant classification. However, major challenges in clinical interpretation of VEP scores persist, highlighting the need for further research to fully leverage computational predictors for genetic diagnosis. We also address practical considerations for end users in terms of choice of methodology.

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Cited by

Sorted by citations

Authors
Livesey, B., & Marsh, J. A.
Affiliations
Institute of Genetics and Cancer (GB)
Corresponding author
Joseph A. Marsh
Venue
Genome biology
Published
2025-04-22
Volume
26
Issue
1
Pages
104-104
ISSN
  • 1465-6906 (ISSN-L)
  • 1474-760X
OpenAlex
W4409669254
Cited by
50
References
19
Citations by year
2026: 24 · 2025: 20 · 2024: 6
FWCI
25.87
Type
journal article
Language
en
Open access
Locations
  • Genome biology (publishedVersion, cc-by)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
Funders
Medical Research Council (MC_UU_00035/9)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics and Phylogenetic Studies
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
Keywords
variant effect predictors, missense mutations, deep mutational scanning, functional assays, benchmarking, genetic diagnosis
MeSH terms
Humans, Computational Biology, Mutation, Missense

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