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A machine-learning framework to characterize functional disease architectures and prioritize disease variants
Siliangyu Cheng1,2, Artem Kim1,2, Dhrithi Deshpande2,3
1Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Medrxiv : the Preprint Server for Health Sciences
|November 24, 2025
Summary
The variant-to-disease (V2D) framework uses machine learning to model disease effect sizes from genome-wide association studies (GWAS). This approach enhances variant prioritization and reveals constrained regulatory variants as key to disease architecture.
Area of Science:
- Genetics
- Bioinformatics
- Computational Biology
Background:
- Genome-wide association studies (GWAS) are crucial for understanding disease functional architecture and prioritizing causal variants.
- Accurate modeling of disease effect sizes is essential for advancing genetic research.
Purpose of the Study:
- Introduce the variant-to-disease (V2D) framework, a machine learning approach for modeling disease effect sizes.
- Leverage posterior estimates from genome-wide fine-mapping and functional annotations.
- Enhance the prioritization of potentially causal variants.
Main Methods:
- Developed the variant-to-disease (V2D) framework using machine learning algorithms.
- Applied linear trees to model heritability and functional enrichment across 15 UK Biobank traits.
- Utilized neural networks to generate GWAS prioritization scores.
Main Results:
- V2D framework provides reliable estimates of heritability (h²).
- Identified non-linear relationships between constraint and regulatory annotations, highlighting constrained regulatory variants.
- Developed GWAS prioritization scores enriched in common variant h² (20.6 ± 0.7x for top 1%), outperforming existing methods.
Conclusions:
- The V2D framework offers a robust method for modeling disease effect sizes and functional architecture.
- Constrained regulatory variants are a major component of disease functional architecture.
- V2D-derived GWAS prioritization scores improve variant discovery and are transferable across datasets.

