Evidence map›Paper›PMID 38271453›Full record

ArticlePloS one2024

Benchmarking AlphaMissense pathogenicity predictions against cystic fibrosis variants.

Eli Fritz McDonald, Kathryn E Oliver, Jonathan P Schlebach, Jens Meiler, Lars Plate

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
13.4field-weighted citation impact, top 1% of its field
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

27 citing papers in PubMed, 32 citations in OpenAlex.

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  13. Benchmarking AlphaMissense pathogenicity predictions againstBiochemistry and biophysics reports · 2025
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  14. Article
  15. Review
  16. Proteostasis landscapes of cystic fibrosis variants reveal drug response vulnerability.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  17. Article
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  20. Genetic variant classification by predicted protein structure: A case study on IRF6.Computational and structural biotechnology journal · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Eli Fritz McDonaldDepartment of Chemistry, Vanderbilt University, Nashville, Tennessee, United States of America.ORCID 0000-0002-0572-330X
Kathryn E OliverDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States of America.ORCID 0000-0002-7781-7006
Jonathan P SchlebachDepartment of Chemistry, Purdue University, West Lafyette, Indiana, United States of America.
Jens MeilerDepartment of Chemistry, Vanderbilt University, Nashville, Tennessee, United States of America.ORCID 0000-0001-8945-193X
Lars PlateDepartment of Chemistry, Vanderbilt University, Nashville, Tennessee, United States of America.ORCID 0000-0003-4363-6116
Vanderbilt University · USEmory University · USPurdue University West Lafayette · US

Funding

Chemistry-Biology Interface Training GrantT32GM065086 · NIGMS · VANDERBILT UNIVERSITY · PI BACHMANN, BRIAN O, SULIKOWSKI, GARY ALLEN · 2002 to 2022
$7.0M
Coordination of chaperone interactions that dictate protein folding and traffickingR35GM133552 · NIGMS · VANDERBILT UNIVERSITY · PI Lars Plate · 2019 to 2026
$3.2M
Rational optimization of combinatorial therapies for the treatment of rare cystic fibrosis variantsR01HL167046 · NHLBI · PURDUE UNIVERSITY · PI Lars Plate, Jonathan Patrick Schlebach · 2023 to 2026
$2.7M
Vanderbilt Chemical Biology Interface Training ProgramT32GM149371 · NIGMS · VANDERBILT UNIVERSITY · PI Lars Plate · 2023 to 2026
$1.7M
Modulation of ribosome velocity as a means to rescue refractory CF-causing variantsR00HL151965 · NHLBI · EMORY UNIVERSITY · PI OLIVER, KATHRYN E · 2021 to 2023
$747k
Molecular Chaperone Recognition of CFTR StabilityF31HL162483 · NHLBI · VANDERBILT UNIVERSITY · PI MCDONALD, ELI FRITZ · 2022 to 2023
$58k
NHLBI NIH HHS F31 HL162483NHLBI NIH HHS R00 HL151965NHLBI NIH HHS R01 HL167046NIGMS NIH HHS R35 GM133552NIGMS NIH HHS T32 GM065086NIGMS NIH HHS T32 GM149371
6 · The paper itself

Abstract

Variants in the cystic fibrosis transmembrane conductance regulator gene (CFTR) result in cystic fibrosis-a lethal autosomal recessive disorder. Missense variants that alter a single amino acid in the CFTR protein are among the most common cystic fibrosis variants, yet tools for accurately predicting molecular consequences of missense variants have been limited to date. AlphaMissense (AM) is a new technology that predicts the pathogenicity of missense variants based on dual learned protein structure and evolutionary features. Here, we evaluated the ability of AM to predict the pathogenicity of CFTR missense variants. AM predicted a high pathogenicity for CFTR residues overall, resulting in a high false positive rate and fair classification performance on CF variants from the CFTR2.org database. AM pathogenicity score correlated modestly with pathogenicity metrics from persons with CF including sweat chloride level, pancreatic insufficiency rate, and Pseudomonas aeruginosa infection rate. Correlation was also modest with CFTR trafficking and folding competency in vitro. By contrast, the AM score correlated well with CFTR channel function in vitro-demonstrating the dual structure and evolutionary training approach learns important functional information despite lacking such data during training. Different performance across metrics indicated AM may determine if polymorphisms in CFTR are recessive CF variants yet cannot differentiate mechanistic effects or the nature of pathophysiology. Finally, AM predictions offered limited utility to inform on the pharmacological response of CF variants i.e., theratype. Development of new approaches to differentiate the biochemical and pharmacological properties of CFTR variants is therefore still needed to refine the targeting of emerging precision CF therapeutics.

Indexed as

Cystic FibrosisBenchmarkingCystic Fibrosis Transmembrane Conductance RegulatorHumansMutationMutation, MissenseVirulenceCystic Fibrosis Transmembrane Conductance Regulator

Identifiers

PMID38271453
PMCPMC10810519
OpenAlexW4391216271

What OpenQuestion holds

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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.