Evidence map›Paper›PMID 31484976›Full record

ArticleScientific reports2019

REVEL and BayesDel outperform other in silico meta-predictors for clinical variant classification.

Yuan Tian, Tina Pesaran, Adam Chamberlin, R Bryn Fenwick, Shuwei Li, Chia-Ling Gau, Elizabeth C Chao, Hsiao-Mei Lu, Mary Helen Black, Dajun Qian

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed.

  1. Article
  2. The Landscape of Genomic and Socioeconomic Variables in Patients with Colorectal Cancer Based on Genetic Ancestry.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
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  5. Fanconi Anemia as a Window into Premalignant Field Cancerization of the Oral Mucosa.medRxiv : the preprint server for health sciences · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
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  18. Article
  19. A Report of a Child with SEC31A-Related Neurodevelopmental Disorder.International journal of molecular sciences · 2025
    Article
  20. Review

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yuan TianAmbry Genetics, 15 Argonaut, Aliso Viejo, CA, 92656, USA.
Tina PesaranAmbry Genetics, 15 Argonaut, Aliso Viejo, CA, 92656, USA.
Adam ChamberlinAmbry Genetics, 15 Argonaut, Aliso Viejo, CA, 92656, USA.
R Bryn FenwickAmbry Genetics, 15 Argonaut, Aliso Viejo, CA, 92656, USA.ORCID http://orcid.org/0000-0002-0925-7422
Shuwei LiAmbry Genetics, 15 Argonaut, Aliso Viejo, CA, 92656, USA.
Chia-Ling GauAmbry Genetics, 15 Argonaut, Aliso Viejo, CA, 92656, USA.
Elizabeth C ChaoAmbry Genetics, 15 Argonaut, Aliso Viejo, CA, 92656, USA.
Hsiao-Mei LuAmbry Genetics, 15 Argonaut, Aliso Viejo, CA, 92656, USA.
Mary Helen BlackAmbry Genetics, 15 Argonaut, Aliso Viejo, CA, 92656, USA.
Dajun QianAmbry Genetics, 15 Argonaut, Aliso Viejo, CA, 92656, USA. dqian@ambrygen.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many in silico predictors of genetic variant pathogenicity have been previously developed, but there is currently no standard application of these algorithms for variant assessment. Using 4,094 ClinVar-curated missense variants in clinically actionable genes, we evaluated the accuracy and yield of benign and deleterious evidence in 5 in silico meta-predictors, as well as agreement of SIFT and PolyPhen2, and report the derived thresholds for the best performing predictor(s). REVEL and BayesDel outperformed all other meta-predictors (CADD, MetaSVM, Eigen), with higher positive predictive value, comparable negative predictive value, higher yield, and greater overall prediction performance. Agreement of SIFT and PolyPhen2 resulted in slightly higher yield but lower overall prediction performance than REVEL or BayesDel. Our results support the use of gene-level rather than generalized thresholds, when gene-level thresholds can be estimated. Our results also support the use of 2-sided thresholds, which allow for uncertainty, rather than a single, binary cut-point for assigning benign and deleterious evidence. The gene-level 2-sided thresholds we derived for REVEL or BayesDel can be used to assess in silico evidence for missense variants in accordance with current classification guidelines.

Identifiers

PMID31484976
PMCPMC6726608

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.