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The "Prediction Scores" container track contains subtracks showing the results of variant impact prediction
scores. Usually these are prediction algorithms that use protein features, conservation, nucleotide composition and similar
signals to determine if a genome variant is pathogenic or not.
AlphaGenome - hg38
Interpretation: Scores are PHRED-scaled, so 10 marks the top 10 percent of the most
impactful substitutions in the genome, 20 the top 1 percent and 30 the top 0.1 percent. Higher
values are more likely to be damaging. The authors do not define a pathogenicity cutoff.
AlphaGenome
shows the AlphaGenome Variant Impact (AVI) score from Google DeepMind, a machine-learning
prediction that combines AlphaGenome regulatory predictions, AlphaMissense scores, sequence
conservation and other functional annotations. Unlike most of the other scores in this
container, it is not restricted to coding sequence: the track contains four bigWig subtracks
(one per alternate allele) covering all 8.8 billion possible single-base substitutions in the
genome, including introns and intergenic regulatory regions. The score has not yet been
described in a peer-reviewed publication, and the data cannot be redistributed by UCSC.
BayesDel - Only hg19
BayesDel is a deleteriousness meta-score for coding and
non-coding variants, single nucleotide
variants, and small insertion/deletions. The range of the score is from -1.29334 to 0.75731.
The higher the score, the more likely the variant is pathogenic.
MaxAF stands for maximum allele frequency. The old ACMG (American College of Medical Genetics and
Genomics) rules utilize allele frequency to classify variants, so the "BayesDel without MaxAF"
tracks were created to avoid double-dipping. However, new ACMG rules will not include allele
frequency, so it is okay to use the "BayesDel with MaxAF" for variant classification in the future.
For gene discovery research, it is better to use BayesDel with MaxAF.
For gene discovery research, a universal cutoff value (0.0692655 with MaxAF, -0.0570105 without
MaxAF) was obtained by maximizing sensitivity and specificity in classifying ClinVar variants;
Version 1 (build date 2017-08-24).
For clinical variant classification, Bayesdel thresholds have been calculated for a variant to
reach various levels of evidence; please refer to Pejaver et al. 2022 for general application
of these scores in clinical applications.
M-CAP - Only hg19
Interpretation: The authors define that at an M-CAP score > 0.025, 5% of
pathogenic variants are misclassified as benign. 0.025 is the recommended cutoff.
The Mendelian Clinically Applicable Pathogenicity (M-CAP)
score (Jagadeesh et al, Nat Genetics 2016) is a
pathogenicity likelihood score that aims to misclassify no more than 5% of
pathogenic variants while aggressively reducing the list of variants of
uncertain significance. Much like allele frequency, M-CAP is readily
interpreted; if it classifies a variant as benign, then that variant can be
trusted to be benign with high confidence.
At an M-CAP score > 0.025, 5% of pathogenic variants are misclassified as benign.
The score varies from 0.0 - 1.0, following a geometric distribution with a mean of 0.09.
MutScore - hg38/hg19
Interpretation: The authors defined the thresholds <0.140 for a variant
to be benign, and > 0.730 for pathogenic with 95% confidence.
The within-gene clustering of pathogenic and benign DNA changes is an important
feature of the human exome.
MutScore
score (Quinodoz, AJHG 2022) integrates qualitative features of
DNA substitutions with new additional information derived from
positional clustering. Variants of unknown significance that are scored
as benign by other algorithms but located close to known pathogenic variants
should be weighted more pathogenic by MutScore. The score ranges from 0.0-1.0, resembles
a negative binomial distribution with a maximum ~0.05, depending on the nucleotide.
MutScore was seen to outperform other scores by papers Porretta et al and Brock et al.
PrimateAI-3D - hg38/hg19
Interpretation: Scores range from 0 to 1, with higher values indicating greater
predicted pathogenicity. The authors suggest a clinical threshold of 0.821 for distinguishing
pathogenic from benign missense variants. 75% of all possible missense variants are classified
as benign, 25% as pathogenic.
PrimateAI-3D
(Gao et al, Science 2023) is a semi-supervised 3D convolutional neural network trained on
4.5 million benign missense variants from 233 primate species and common human variants.
It operates on voxelized protein structures at 2 Å resolution (from AlphaFold or
homology models) combined with multiple sequence alignments from 592 species. The track
contains pre-computed scores for all 70.7 million possible single nucleotide missense
variants.
Pathogenic variants are shown in red,
benign in blue.
Items can be filtered by prediction and by percentile score.
PromoterAI - hg38
Interpretation: Scores range from -1 to 1. Positive scores indicate predicted
disruption of promoter function, negative scores indicate the variant is tolerated.
PromoterAI
predicts the impact of single nucleotide variants in gene
promoter regions, scoring all possible substitutions within 500 bp of annotated
transcription start sites. The track contains four bigWig subtracks (one per alternate
allele) covering 39.5 million positions, plus a bigBed track for the 3.8% of positions
where overlapping transcripts produce different scores.
ClinPred - hg38/hg19
Interpretation: Scores range from 0 to 1, with higher values indicating greater
predicted likelihood of pathogenicity. The authors recommend a threshold of ≥ 0.5 to
flag variants as likely disease-relevant.
ClinPred
(Alirezaie et al, AJHG 2018) is a machine-learning predictor for nonsynonymous
(missense) single-nucleotide variants. It combines existing pathogenicity scores
with population allele frequency from gnomAD, and was trained on confidently
annotated disease-causing and benign variants from ClinVar. The track contains
four bigWig subtracks (one per alternate allele) with pre-computed scores for
all possible human missense variants in the exome.
Pathogenic variants are shown in red,
benign in blue.
EVE - hg38
Interpretation: EVE scores range from 0 (benign) to 1 (pathogenic) and are
normalized within each protein, so they are not directly comparable across proteins. A
Class25 label assigns each variant to benign, uncertain, or pathogenic using a 25%
uncertainty threshold.
EVE
(Frazer et al, Nature 2021) is a deep generative model (a Bayesian variational
autoencoder) trained per protein on evolutionary sequence alignments, without using
clinical labels. The track shows scores for all possible missense substitutions in
2,949 disease-associated proteins as a heatmap (rows = amino acids, columns = protein
positions), colored from benign (blue) through
uncertain (white) to pathogenic (red).
popEVE - hg38
Interpretation: popEVE scores are a continuous, proteome-wide measure of
deleteriousness and, unlike most missense scores, are calibrated to be comparable across
genes; lower (more negative) scores are more deleterious. The authors define a
high-confidence severe threshold at −5.056 and a moderate threshold at −4.617.
popEVE
(Orenbuch et al, Nature Genetics 2025) builds on EVE and the ESM-1v protein language model,
calibrating their scores against human population variation (UK Biobank) with a Gaussian
process to place variants across the whole proteome on a single scale. The track shows
scores for all single-nucleotide-reachable missense substitutions across roughly 18,000
proteins as a heatmap, colored on a global gradient from
deleterious (red) to
tolerated (blue).
To view the full description, click here.
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