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MissenseHMM: state-based annotations for missense variants through joint modeling of pathogenicity scores
Runjia Li1,2, Jason Ernst1,2,3,4,5,6,7
1Bioinformatics Interdepartmental Program, University of California, Los Angeles, CA, USA.
Biorxiv : the Preprint Server for Biology
|February 12, 2026
Summary
MissenseHMM integrates multiple variant predictors to identify pathogenic missense variants. This new approach enhances variant interpretation and provides insights into predictor performance.
Area of Science:
- Genomics
- Bioinformatics
- Computational Biology
Background:
- Numerous computational tools exist for predicting missense variant pathogenicity.
- Integrating information from diverse predictors is crucial for accurate variant classification.
Purpose of the Study:
- To develop MissenseHMM, a novel method that learns combinatorial patterns from multiple pathogenicity predictors.
- To annotate a large set of missense variants using MissenseHMM for improved interpretation.
Main Methods:
- Applied MissenseHMM to 43 existing pathogenicity predictors.
- Trained MissenseHMM to identify 20 distinct states based on predictor score patterns.
- Annotated over 70 million missense variants with the learned states.
Main Results:
- MissenseHMM states revealed distinct patterns in predictor scores, amino acid substitutions, and genomic annotations.
- Annotations derived from MissenseHMM improved associations with clinical pathogenic variants and deep mutational scanning data.
- The study provided insights into the performance of various protein language models.
Conclusions:
- MissenseHMM serves as a valuable annotation resource for missense variant interpretation.
- This approach enhances the utility of individual pathogenicity predictors.
- The learned states offer a nuanced understanding of variant pathogenicity.
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