Evidence map›Paper›PMID 42127894›Full record

ArticleCell2026

Image-based, pooled phenotyping reveals multidimensional, disease-specific variant effects.

Sriram Pendyala, Katie Partington, Nicholas Bradley, Abbye E McEwen, Gwenneth Straub, Hyeon-Jin Kim, Shawn Fayer, Daniel Lee Holmes, Katherine A Sitko, Riddhiman K Garge and 13 more

Abstract read
In one paragraph

Article in Cell, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Phenotype-Specific Recalibration of MAVE Data Enables Repurposing ofmedRxiv : the preprint server for health sciences · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. A scalable approach to resolving variants of uncertain significance.bioRxiv : the preprint server for biology · 2026
    Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Sriram PendyalaDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA; Medical Scientist Training Program, University of Washington, Seattle, WA 98195, USA.
Katie PartingtonDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA; Department of Bioengineering, University of Washington, Seattle, WA 98195, USA.
Nicholas BradleyDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Abbye E McEwenDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA; Brotman Baty Institute for Precision Medicine, Seattle, WA 98195, USA; Department of Laboratory Medicine and Pathology, University of Washington, Seattle, WA 98195, USA.
Gwenneth StraubDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Hyeon-Jin KimDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Shawn FayerDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA; Brotman Baty Institute for Precision Medicine, Seattle, WA 98195, USA.
Daniel Lee HolmesDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Katherine A SitkoDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Riddhiman K GargeDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA; Brotman Baty Institute for Precision Medicine, Seattle, WA 98195, USA.
Ziyu R WangDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Melinda K WheelockDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Allyssa J VandiDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Rachel L PowellDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Clayton E FriedmanInstitute for Stem Cell and Regenerative Medicine, University of Washington School of Medicine, Seattle, WA 98109, USA; Center for Cardiovascular Biology, University of Washington, Seattle, WA 98109, USA; Department of Medicine/Cardiology, University of Washington, Seattle, WA 98109, USA.
Evan McDermotDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Nishka KishoreDonnelly Centre, University of Toronto, Toronto, ON M5S 3E1, Canada; Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON M5G 1X5, Canada.
Frederick P RothDonnelly Centre, University of Toronto, Toronto, ON M5S 3E1, Canada; Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON M5G 1X5, Canada; Department of Computational and Systems Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
Alan F RubinCollaborative Centre for Genomic Cancer Medicine, University of Melbourne, Melbourne, VIC 3010, Australia; Bioinformatics Division, Walter and Eliza Hall Institute of Medical Research, Parkville, VIC 3050, Australia.
Kai-Chun YangInstitute for Stem Cell and Regenerative Medicine, University of Washington School of Medicine, Seattle, WA 98109, USA; Center for Cardiovascular Biology, University of Washington, Seattle, WA 98109, USA; Department of Medicine/Cardiology, University of Washington, Seattle, WA 98109, USA; Cardiology, Hospital Specialty Medicine, VA Puget Sound HCS, Seattle, WA 98108, USA.
Lea M StaritaDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA; Brotman Baty Institute for Precision Medicine, Seattle, WA 98195, USA.
William S NobleDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Douglas M FowlerDepartment of Genome Sciences, University of Washington, Seattle, WA 98195, USA; Department of Bioengineering, University of Washington, Seattle, WA 98195, USA; Brotman Baty Institute for Precision Medicine, Seattle, WA 98195, USA. Electronic address: dfowler@uw.edu.

Funding

Technology to understand genetic variant effects in contextRM1HG010461 · NHGRI · UNIVERSITY OF WASHINGTON · PI Douglas M Fowler, Bruce Colston Trapnell · 2019 to 2026
$18.9M
Systematically mapping variant effects for cardiovascular genesR01HL164675 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ASHLEY, EUAN A, RODEN, DAN M · 2022 to 2025
$8.1M
University of Washington Medical Scientist Training ProgramT32GM153182 · NIGMS · UNIVERSITY OF WASHINGTON · PI MARSHALL S. HORWITZ · 2024 to 2026
$5.3M
Advancing the implementation of variant-level functional data into clinical databases and clinical practiceR01HG013025 · NHGRI · UNIVERSITY OF WASHINGTON · PI Lea Starita, Andrew Ben Stergachis · 2023 to 2026
$3.1M
Deep mutational scanning of MYH7 in genome-edited cardiomyocytesR01HL171174 · NHLBI · UNIVERSITY OF WASHINGTON · PI Kai-Chun Daniel Yang · 2024 to 2026
$2.6M
New approaches for investigating the causes and consequences of cellular heterogeneityR35GM152106 · NIGMS · UNIVERSITY OF WASHINGTON · PI Douglas M Fowler · 2024 to 2026
$1.8M
High-Throughput Studies of MYH7 Variant Cardiomyocytes to Identify Pathogenic Variants and Factors Governing Variable Expressivity of Hypertrophic CardiomyopathyK99HL177347 · NHLBI · UNIVERSITY OF WASHINGTON · PI Clayton E Friedman · 2025 to 2026
$252k
BLRD VA I01 BX006428BLRD VA IK2 BX004642NHGRI NIH HHS R01 HG013025NHGRI NIH HHS RM1 HG010461NHLBI NIH HHS K99 HL177347NHLBI NIH HHS R01 HL164675NHLBI NIH HHS R01 HL171174NIGMS NIH HHS R35 GM152106NIGMS NIH HHS T32 GM153182
6 · The paper itself

Abstract

Genetic variants produce complex phenotypic effects that confound current assays and predictive models. We developed variant in situ sequencing (VIS-seq), a pooled, image-based method measuring variant effects on molecular and cellular phenotypes in diverse cell types. Applying VIS-seq to ∼3,000 LMNA and PTEN variants yielded high-dimensional morphological profiles capturing changes in protein abundance, localization, activity, and cell architecture. VIS-seq identified a subset of linker-subdomain LMNA variants that increase nuclear circularity, in contrast to aggregating or low-abundance rod-subdomain variants that decrease circularity. VIS-seq also identified autism-associated PTEN variants that mislocalize and accurately distinguished autism-linked from tumor syndrome-linked and gnomAD control variants. Most variants impacted a multidimensional phenotypic continuum not recapitulated by any single functional readout. By linking variants to cell images at scale, VIS-seq illuminates how variant effects cascade from molecules to subcellular structures to cells, providing a framework for resolving the complexity of variant function.

Indexed as

Lamin Type APTEN PhosphohydrolaseRNA, CircularSequence Analysis, RNASingle-Cell Gene Expression AnalysisCell Line, TumorGenetic VariationHEK293 CellsHumansPhenotypeLamin Type ALMNA protein, humanPTEN PhosphohydrolasePTEN protein, humanRNA, Circularfunctional genomicsgenetic variationmultiplexed assays of variant effectoptical pooled screeningpleiotropy

Identifiers

PMID42127894
PMCPMC13235708

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.