Evidence map›Paper›PMID 41050905›Full record

Articlenpj drug discovery2025

Genetic evidence informs the direction of therapeutic modulation in drug development.

Robert Chen, Áine Duffy, Joshua K Park, David Stein, Avner Schlessinger, Yuval Itan, Benjamin S Glicksberg, Rory J Tinker, Daniel M Jordan, Ghislain Rocheleau and 1 more

Abstract read
In one paragraph

Article in npj drug discovery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

11 authors.

Robert ChenThe Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Áine DuffyThe Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Joshua K ParkThe Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY USA.
David SteinThe Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Avner SchlessingerDepartment of Pharmacological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Yuval ItanThe Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Benjamin S GlicksbergWindreich Department of Artificial Intelligence and Human Health, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Rory J TinkerDepartment of Pediatrics, Division of Medical Genetics and Genomic Medicine, Vanderbilt University Medical Center, Nashville, TN USA.
Daniel M JordanThe Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Ghislain RocheleauThe Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY USA.
Ron DoThe Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY USA.

Funding

MOUNT SINAI MEDICAL SCIENTIST TRAINING PROGRAMT32GM007280 · NIGMS · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI BARON, MARGARET H · 1985 to 2021
$22.8M
Towards an integrated map of causal connections for common, complex diseasesR35GM124836 · NIGMS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Ron Do · 2017 to 2026
$3.9M
Prenatal medication exposure in autism, birth complications and developmental disabilitiesR01HD107528 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MAGDALENA JANECKA, ABRAHAM REICHENBERG · 2022 to 2026
$3.4M
Substrate Specificity Determinants in Nutrient Solute Carrier TransportersR01CA277794 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Avner Schlessinger · 2023 to 2026
$1.7M
NCI NIH HHS R01 CA277794NICHD NIH HHS R01 HD107528NIGMS NIH HHS R35 GM124836NIGMS NIH HHS T32 GM007280
6 · The paper itself

Abstract

Determining the correct direction of effect (DOE), whether to increase or decrease the activity of a drug target, is essential for therapeutic success. We introduce a framework to predict DOE at gene and gene-disease levels using gene and protein embeddings and genetic associations across the allele frequency spectrum, respectively. Specifically, we predict: (1) DOE-specific druggability for 19,450 protein-coding genes with a macro-averaged area under the receiver operating characteristic curve (AUROC) of 0.95; (2) isolated DOE among 2553 druggable genes with a macro-averaged AUROC of 0.85; and (3) gene-disease-specific DOE for 47,822 gene-disease pairs with a macro-averaged AUROC of 0.59, with performance improving with genetic evidence availability. Our predictions outperform existing approaches, are associated with clinical trial success, and identify novel therapeutic opportunities. We uncover genetic and functional differences between activator and inhibitor targets, allowing DOE inference independent of disease context. This framework represents a valuable tool for target selection and drug development.

Indexed as

Target identificationTarget validation

Identifiers

PMID41050905
PMCPMC12488494

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.