Peer reviewed AI-led

Pathogenicity predictions for 71 million human missense variants

Pathogenicity predictions for 71 million human missense variants is graded peer reviewed on whataifound.org, with the AI's role graded ai-led.

An AlphaFold-derived model classified 89% of all 71 million possible human missense variants as likely benign or likely pathogenic, against the roughly 0.1% that carry a clinical classification today.

Verification
Peer reviewed
Autonomy
AI-led
Lab
Google DeepMind
Model
AlphaMissense
Field
Medicine
Date
2023-09-19

What was found

AlphaMissense fine-tunes AlphaFold's structural representation on human and primate variant frequency data, so it learns which substitutions natural selection tolerates without being trained on clinical labels. Applied across 19,233 canonical human proteins it scored every possible single amino-acid change, calling 57% likely benign and 32% likely pathogenic. The full catalogue and the model code were released publicly. Published in Science.

Novelty check

Variant-effect predictors are a crowded field (SIFT, PolyPhen-2, EVE, CADD). The contribution is proteome-wide coverage at state-of-the-art benchmark accuracy without training on clinical annotations, which is what makes the predictions usable where no clinical data exists.

Caveats

These are predictions, not diagnoses, and DeepMind says so: ACMG/AMP guidance treats computational evidence as supporting rather than standalone. Benchmarks have been criticised for circularity, since the model trains on population frequency and is evaluated partly against datasets encoding related signals. Calibration varies by gene, and a "likely pathogenic" call on a variant nobody has seen in a patient remains a hypothesis.

Sources

How this is graded

whataifound.org grades every entry on two axes: verification (how solid the result is, from a machine-checked proof down to refuted) and autonomy (how much the AI did versus its human collaborators). This finding is peer reviewed and ai-led. Full definitions are in the methodology.

Cite this entry

whataifound.org (2023). Pathogenicity predictions for 71 million human missense variants. whataifound.org: A Registry of AI Scientific and Mathematical Discoveries. https://whataifound.org/finding/2023-09-19-alphamissense

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