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An expanded phenotype centric benchmark of variant prioritisation tools.

Denise Anderson1, Timo Lassmann1

  • 1Telethon Kids Institute Precision Health Computational Biology, The University of Western Australia, Subiaco, Western Australia, Australia.

Human Mutation
|February 28, 2022
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Summary

Variant prioritization tools aid genetic disease diagnosis. Performance varies by disease, with BayesDel, CADD, and ClinPred recommended for missense variants.

Keywords:
dbNSFPdiseasehuman phenotype ontologyphenotypevariant prioritization

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Area of Science:

  • Genomics
  • Bioinformatics
  • Computational Biology

Background:

  • Next-generation sequencing (NGS) generates vast data for genetic disease diagnosis.
  • Variant prioritization tools predict pathogenicity but lack disease specificity.
  • Previous benchmarks showed tool performance varies across disease contexts.

Purpose of the Study:

  • To expand the benchmark of variant prioritization tools to 37 methods.
  • To refine performance assessment by distinguishing nonsynonymous single nucleotide variants (nsSNVs) from missense variants.
  • To identify top-performing tools for variant prioritization in genetic disease diagnosis.

Main Methods:

  • Benchmarking 37 variant prioritization tools using disease-specific data.
  • Separating performance evaluation for nsSNVs and missense variants.
  • Analyzing in silico predictions of variant pathogenicity.

Main Results:

  • Significant differences in tool performance were observed.
  • Tool performance is dependent on specific disease phenotypes.
  • Performance varied between nsSNVs and missense variants.
  • BayesDel, CADD, and ClinPred demonstrated superior performance for missense variants.

Conclusions:

  • Variant prioritization tool selection must consider disease context.
  • Distinguishing variant types (nsSNVs vs. missense) improves assessment accuracy.
  • BayesDel, CADD, and ClinPred are recommended for prioritizing missense variants in genetic disease diagnosis.