Academic Journal

Variant Classification Using Proteomics-Informed Large Language Models Increases Power of Rare Variant Association Studies and Enhances Target Discovery.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Variant Classification Using Proteomics-Informed Large Language Models Increases Power of Rare Variant Association Studies and Enhances Target Discovery.
Συγγραφείς: Gillies CE; Regeneron Genetics Center, Tarrytown, New York, USA., Mbatchou J; Regeneron Genetics Center, Tarrytown, New York, USA., Habegger L; Regeneron Genetics Center, Tarrytown, New York, USA., Kessler MD; Regeneron Genetics Center, Tarrytown, New York, USA., Bao S; Regeneron Genetics Center, Tarrytown, New York, USA., Balasubramanian S; Regeneron Genetics Center, Tarrytown, New York, USA., Delaneau O; Regeneron Genetics Center, Tarrytown, New York, USA., Kosmicki JA; Regeneron Genetics Center, Tarrytown, New York, USA., Willer CJ; Regeneron Genetics Center, Tarrytown, New York, USA., Kang HM; Regeneron Genetics Center, Tarrytown, New York, USA., Baras A; Regeneron Genetics Center, Tarrytown, New York, USA., Reid JG; Regeneron Genetics Center, Tarrytown, New York, USA., Marchini J; Regeneron Genetics Center, Tarrytown, New York, USA., Abecasis GR; Regeneron Genetics Center, Tarrytown, New York, USA., Ghoussaini M; Regeneron Genetics Center, Tarrytown, New York, USA.
Πηγή: Genetic epidemiology [Genet Epidemiol] 2025 Dec; Vol. 49 (8), pp. e70023.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley-Liss Country of Publication: United States NLM ID: 8411723 Publication Model: Print Cited Medium: Internet ISSN: 1098-2272 (Electronic) Linking ISSN: 07410395 NLM ISO Abbreviation: Genet Epidemiol Subsets: MEDLINE
Imprint Name(s): Publication: New York, NY : Wiley-Liss
Original Publication: New York, N.Y. : Alan R. Liss, c1984-
Ιατρικοί όροι (MeSH): Proteomics*/methods , Genetic Association Studies*/methods , Genetic Variation*, Humans ; Machine Learning ; Models, Genetic ; Phenotype ; Genome-Wide Association Study ; Deep Learning ; Language ; Mutation, Missense ; Large Language Models
Περίληψη: Rare variant association analysis, which assesses the aggregate effect of rare damaging variants within a gene, is a powerful strategy for advancing knowledge of human biology. Numerous models have been proposed to identify damaging coding variants, with the most recent ones employing deep learning and large language models (LLMs) to predict the impact of changes in coding sequences. Here, we use newly available proteomics data on 2898 proteins across 46,665 individuals to evaluate and refine LLM predictors of damaging variants. Using one of these refined models, we evaluate the association between rare damaging variants and human phenotypes at 241 positive control gene-trait pairs. Among these gene-trait pairs, our proteomics-guided model outperforms an ensemble of conventional approaches including PolyPhen2, MutationTaster, SIFT, and LRT, as well as newer machine learning approaches for identifying damaging missense variants, such as CADD, ESM-1v, ESM-1b, and AlphaMissense. When attempting to recover known associations by correctly separating damaging singleton missense variants from other singleton variants, our approach recapitulates 36.5% of gene-trait pairs with known associations, exceeding all the alternatives we considered. Furthermore, when we apply our model to 10 example traits from the UK Biobank, we identify 177 gene-trait associations-again exceeding all other approaches. Our results demonstrate that summary statistics from large-scale human proteomics data enable evaluation and refinement of coding variant classification LLMs, improving discovery potential in human genetic studies.
(© 2025 Regeneron Pharmaceuticals. Genetic Epidemiology published by Wiley Periodicals LLC.)
References: Abul‐Husn, N. S., X. Cheng, A. H. Li, et al. 2018. “A Protein‐Truncating HSD17B13 Variant and Protection From Chronic Liver Disease.” New England Journal of Medicine 378, no. 12: 1096–1106.
Adzhubei, I., D. M. Jordan, and S. R. Sunyaev. 2013. “Predicting Functional Effect of Human Missense Mutations Using PolyPhen‐2.” Current Protocols in Human Genetics 76: 7–20.
Agar, P. 2025. Launch of World's Most Significant Protein Study Set to Usher in New Understanding for Medicine. UK Biobank. https://www.ukbiobank.ac.uk/news/launch-of-worlds-most-significant-protein-study-set-to-usher-in-new-understanding-for-medicine/.
Akbari, P., A. Gilani, O. Sosina, et al. 2021. “Sequencing of 640,000 Exomes Identifies GPR75 Variants Associated With Protection From Obesity.” Science 373, no. 6550: eabf8683.
Ba, J. L., J. R. Kiros, and G. E. Hinton. 2016. “Layer Normalization.” Preprint, arXiv. https://doi.org/10.48550/arXiv.1607.06450.
Backman, J. D., A. H. Li, and A. Marcketta, et al. 2021. “Exome Sequencing and Analysis of 454,787 UK Biobank Participants.” Nature 599: 1–10. https://doi.org/10.1038/s41586-021-04103-z.
Beltran, A., X. Jiang, Y. Shen, and B. Lehner. 2025. “Site‐Saturation Mutagenesis of 500 Human Protein Domains.” Nature 637, no. 8047: 885–894.
Benegas, G., S. S. Batra, and Y. S. Song. 2023. “DNA Language Models Are Powerful Predictors of Genome‐Wide Variant Effects.” Proceedings of the National Academy of Sciences 120, no. 44: e2311219120.
Bourgault, J., E. Abner, H. D. Manikpurage, et al. 2023. “Proteome‐Wide Mendelian Randomization Identifies Causal Links Between Blood Proteins and Acute Pancreatitis.” Gastroenterology 164, no. 6: 953–965.e3.
Brandes, N., G. Goldman, C. H. Wang, C. J. Ye, and V. Ntranos. 2023. “Genome‐Wide Prediction of Disease Variant Effects With a Deep Protein Language Model.” Nature Genetics 55, no. 9: 1512–1522.
Chen, L., J. E. Peters, B. Prins, et al. 2022. “Systematic Mendelian Randomization Using the Human Plasma Proteome to Discover Potential Therapeutic Targets for Stroke.” Nature Communications 13, no. 1: 6143.
Cheng, J., G. Novati, J. Pan, et al. 2023. “Accurate Proteome‐Wide Missense Variant Effect Prediction With Alphamissense.” Science 381, no. 6664: eadg7492.
Chun, S., and J. C. Fay. 2009. “Identification of Deleterious Mutations Within Three Human Genomes.” Genome Research 19, no. 9: 1553–1561.
Clarke, B., E. Holtkamp, H. Öztürk, et al. 2024. “Integration of Variant Annotations Using Deep Set Networks Boosts Rare Variant Association Testing.” Nature Genetics 56, no. 10: 2271–2280.
Das, S., L. Forer, S. Schönherr, et al. 2016. “Next‐Generation Genotype Imputation Service and Methods.” Nature Genetics 48, no. 10: 1284–1287.
Derbel, H., Z. Zhao, and Q. Liu. 2023. “Accurate Prediction of Functional Effect of Single Amino Acid Variants With Deep Learning.” Computational and Structural Biotechnology Journal 21: 5776–5784.
Devlin, B., K. Roeder, and L. Wasserman. 2001. “Genomic Control, a New Approach to Genetic‐Based Association Studies.” Theoretical Population Biology 60, no. 3: 155–166.
Dhindsa, R. S., O. S. Burren, B. B. Sun, et al. 2023. “Rare Variant Associations With Plasma Protein Levels in the UK Biobank.” Nature 622, no. 7982: 339–347.
Eldjarn, G. H., E. Ferkingstad, S. H. Lund, et al. 2023. “Large‐Scale Plasma Proteomics Comparisons Through Genetics and Disease Associations.” Nature 622, no. 7982: 348–358.
Frazer, J., P. Notin, M. Dias, et al. 2021. “Disease Variant Prediction With Deep Generative Models of Evolutionary Data.” Nature 599, no. 7883: 91–95.
Gao, H., T. Hamp, J. Ede, et al. 2023. “The Landscape of Tolerated Genetic Variation in Humans and Primates.” Science 380, no. 6648: eabn8153.
Guo, M. H., L. Plummer, Y.‐M. Chan, J. N. Hirschhorn, and M. F. Lippincott. 2018. “Burden Testing of Rare Variants Identified Through Exome Sequencing via Publicly Available Control Data.” American Journal of Human Genetics 103, no. 4: 522–534.
Hendrycks, D., and K. Gimpel. 2023. “Gaussian Error Linear Units (GELUs).” Preprint, arXiv. https://doi.org/10.48550/arXiv.1606.08415.
Hu, E. J., Y. Shen, and P. Wallis, et al. 2021. “LoRA: Low‐Rank Adaptation of Large Language Models.” Preprint, arXiv. https://doi.org/10.48550/arXiv.2106.09685.
Ioannidis, N. M., J. H. Rothstein, V. Pejaver, et al. 2016. “REVEL: An Ensemble Method for Predicting the Pathogenicity of Rare Missense Variants.” American Journal of Human Genetics 99, no. 4: 877–885.
Jagota, M., C. Ye, C. Albors, et al. 2023. “Cross‐Protein Transfer Learning Substantially Improves Disease Variant Prediction.” Genome Biology 24, no. 1: 182.
Kang, H. M., J. H. Sul, S. K. Service, et al. 2010. “Variance Component Model to Account for Sample Structure in Genome‐Wide Association Studies.” Nature Genetics 42, no. 4: 348–354.
Kari, E., L. Llaci, J. L. Go, et al. 2019. “A De Novo SIX1 Variant in a Patient With a Rare Nonsyndromic Cochleovestibular Nerve Abnormality, Cochlear Hypoplasia, and Bilateral Sensorineural Hearing Loss.” Molecular Genetics & Genomic Medicine 7, no. 12: e995.
Kessler, M. D., A. Damask, S. O'Keeffe, et al. 2022. “Common and Rare Variant Associations With Clonal Haematopoiesis Phenotypes.” Nature 612, no. 7939: 301–309.
Lafita, A., F. Gonzalez, M. Hossam, et al. 2024. “Fine‐Tuning Protein Language Models With Deep Mutational Scanning Improves Variant Effect Prediction.” Preprint, arXiv. https://doi.org/10.48550/arXiv.2405.06729.
Landrum, M. J., S. Chitipiralla, G. R. Brown, et al. 2020. “ClinVar: Improvements to Accessing Data.” Nucleic Acids Research 48, no. D1: D835–D844.
Landrum, M. J., J. M. Lee, M. Benson, et al. 2018. “ClinVar: Improving Access to Variant Interpretations and Supporting Evidence.” Nucleic Acids Research 46, no. D1: D1062–D1067.
Li, C., D. Zhi, K. Wang, and X. Liu. 2022. “MetaRNN: Differentiating Rare Pathogenic and Rare Benign Missense SNVs and InDels Using Deep Learning.” Genome Medicine 14, no. 1: 115.
Lin, W., J. Wells, Z. Wang, C. Orengo, and A. C. R. Martin. 2023. “VariPred: Enhancing Pathogenicity Prediction of Missense Variants Using Protein Language Models.” Preprint, bioRxiv. https://doi.org/10.1101/2023.03.16.532942.
Loh, P.‐R., G. Tucker, B. K. Bulik‐Sullivan, et al. 2015. “Efficient Bayesian Mixed‐Model Analysis Increases Association Power in Large Cohorts.” Nature Genetics 47, no. 3: 284–290.
Lundberg, S. M., and S.‐I. Lee. 2017. “A Unified Approach to Interpreting Model Predictions.” In Proceedings of the 31st International Conference on Neural Information Processing Systems, 4768–4777. Curran Associates Inc.
Martin, F. J., M. R. Amode, A. Aneja, et al. 2023. “Ensembl 2023.” Nucleic Acids Research 51, no. D1: D933–D941.
Mbatchou, J., L. Barnard, J. Backman, et al. 2021. “Computationally Efficient Whole‐Genome Regression for Quantitative and Binary Traits.” Nature Genetics 53, no. 7: 1097–1103.
McLaren, W., L. Gil, S. E. Hunt, et al. 2016. “The Ensembl Variant Effect Predictor.” Genome Biology 17, no. 1: 122.
Meier, J., R. Rao, R. Verkui, J. Liu, T. Sercu, and A. Rives. 2021. “Language Models Enable Zero‐Shot Prediction of the Effects of Mutations on Protein Function.” Advances in Neural Information Processing Systems 34: 29287–29303.
Minton, K. 2023. “Predicting Variant Pathogenicity With Alphamissense.” Nature Reviews Genetics 24, no. 12: 804.
Morales, J., S. Pujar, J. E. Loveland, et al. 2022. “A Joint NCBI and EMBL‐EBI Transcript Set for Clinical Genomics and Research.” Nature 604, no. 7905: 310–315.
Neale, B. M., and P. C. Sham. 2004. “The Future of Association Studies: Gene‐Based Analysis and Replication.” American Journal of Human Genetics 75, no. 3: 353–362.
Notin, P., A. Kollasch, and D. Ritter, et al. 2023. “ProteinGym: Large‐Scale Benchmarks for Protein Fitness Prediction and Design.” Advances in Neural Information Processing Systems 36: 64331–64379.
Notin, P., R. Weitzman, D. S. Marks, and Y. Gal. 2023. “ProteinNPT: Improving Protein Property Prediction and Design With Non‐Parametric Transformers.” In Part of Advances in Neural Information Processing Systems, Vol. 36. NeurIPS. https://proceedings.neurips.cc/paper_files/paper/2023/hash/6a4d5d85f7a52f062d23d98d544a5578-Abstract-Conference.html.
OpenAl. 2025. Introducing GPT‐4.1 in the API. OpenAI. https://openai.com/index/gpt-4-1/.
Park, J., A. M. Lucas, X. Zhang, et al. 2021. “Exome‐Wide Evaluation of Rare Coding Variants Using Electronic Health Records Identifies New Gene–Phenotype Associations.” Nature Medicine 27, no. 1: 66–72.
Richardson, T. G., E. Sanderson, T. M. Palmer, et al. 2020. “Evaluating the Relationship Between Circulating Lipoprotein Lipids and Apolipoproteins With Risk of Coronary Heart Disease: A Multivariable Mendelian Randomisation Analysis.” PLOS Medicine 17, no. 3: e1003062.
Rives, A., J. Meier, T. Sercu, et al. 2021. “Biological Structure and Function Emerge From Scaling Unsupervised Learning to 250 Million Protein Sequences.” Proceedings of the National Academy of Sciences 118, no. 15: e2016239118.
Rodriguez, J. M., P. Maietta, I. Ezkurdia, et al. 2013. “APPRIS: Annotation of Principal and Alternative Splice Isoforms.” Nucleic Acids Research 41, no. D1: D110–D117.
Schmirler, R., M. Heinzinger, and B. Rost. 2024. “Fine‐Tuning Protein Language Models Boosts Predictions Across Diverse Tasks.” Nature Communications 15, no. 1: 7407.
Schwarz, J. M., C. Rödelsperger, M. Schuelke, and D. Seelow. 2010. “MutationTaster Evaluates Disease‐Causing Potential of Sequence Alterations.” Nature Methods 7, no. 8: 575–576.
Sham, P. C., and S. M. Purcell. 2014. “Statistical Power and Significance Testing in Large‐Scale Genetic Studies.” Nature Reviews Genetics 15, no. 5: 335–346.
Sledzieski, S., M. Kshirsagar, M. Baek, R. Dodhia, J. Lavista Ferres, and B. Berger. 2024. “Democratizing Protein Language Models With Parameter‐Efficient Fine‐Tuning.” Proceedings of the National Academy of Sciences 121, no. 26: e2405840121.
Sollis, E., A. Mosaku, A. Abid, et al. 2023. “The NHGRI‐EBI GWAS Catalog: Knowledgebase and Deposition Resource.” Nucleic Acids Research 51, no. D1: D977–D985.
Stenson, P. D., M. Mort, E. V. Ball, K. Shaw, A. D. Phillips, and D. N. Cooper. 2014. “The Human Gene Mutation Database: Building a Comprehensive Mutation Repository for Clinical and Molecular Genetics, Diagnostic Testing and Personalized Genomic Medicine.” Human Genetics 133, no. 1: 1–9.
Suhre, K., M. I. McCarthy, and J. M. Schwenk. 2021. “Genetics Meets Proteomics: Perspectives for Large Population‐Based Studies.” Nature Reviews Genetics 22, no. 1: 19–37.
Sun, K. Y., X. Bai, S. Chen, et al. 2023. “A Deep Catalog of Protein‐Coding Variation in 985,830 Individuals.” Preprint, bioRxiv.
Sun, B. B., J. Chiou, M. Traylor, et al. 2023. “Plasma Proteomic Associations With Genetics and Health in the UK Biobank.” Nature 622, no. 7982: 329–338.
Taliun, D., D. N. Harris, M. D. Kessler, et al. 2021. “Sequencing of 53,831 Diverse Genomes From the NHLBI TOPMed Program.” Nature 590, no. 7845: 290–299.
Vaser, R., S. Adusumalli, S. N. Leng, M. Sikic, and P. C. Ng. 2016. “SIFT Missense Predictions for Genomes.” Nature Protocols 11, no. 1: 1–9.
Verweij, N., M. E. Haas, J. B. Nielsen, et al. 2022. “Germline Mutations in CIDEB and Protection Against Liver Disease.” New England Journal of Medicine 387, no. 4: 332–344.
Wang, Q., R. S. Dhindsa, K. Carss, et al. 2021. “Rare Variant Contribution to Human Disease in 281,104 UK Biobank Exomes.” Nature 597, no. 7877: 527–532.
Wang, X., T. Huang, and J. Jia. 2023. “Proteome‐Wide Mendelian Randomization Analysis Identified Potential Drug Targets for Atrial Fibrillation.” Journal of the American Heart Association 12, no. 16: e029003.
Yoshiji, S., G. Butler‐Laporte, T. Lu, et al. 2023. “Proteome‐Wide Mendelian Randomization Implicates Nephronectin as an Actionable Mediator of the Effect of Obesity on COVID‐19 Severity.” Nature Metabolism 5, no. 2: 248–264.
Zhang, T., J. Xu, P. Maire, and P.‐X. Xu. 2017. “Six1 Is Essential for Differentiation and Patterning of the Mammalian Auditory Sensory Epithelium.” PLOS Genetics 13, no. 9: e1006967.
Zheng, J., V. Haberland, D. Baird, et al. 2020. “Phenome‐Wide Mendelian Randomization Mapping the Influence of the Plasma Proteome on Complex Diseases.” Nature Genetics 52, no. 10: 1122–1131.
Zhou, W., J. B. Nielsen, L. G. Fritsche, et al. 2018. “Efficiently Controlling for Case‐Control Imbalance and Sample Relatedness in Large‐Scale Genetic Association Studies.” Nature Genetics 50, no. 9: 1335–1341.
Zuk, O., S. F. Schaffner, K. Samocha, et al. 2014. “Searching for Missing Heritability: Designing Rare Variant Association Studies.” Proceedings of the National Academy of Sciences 111, no. 4: E455–E464.
Entry Date(s): Date Created: 20251103 Date Completed: 20251103 Latest Revision: 20260707
Update Code: 20260708
DOI: 10.1002/gepi.70023
PMID: 41178319
Βάση Δεδομένων: MEDLINE