Active Genetics & Molecular Biology Cells, Biochemistry & Physiology

Protein Variant Interpretation

In plain English

AI plain-English summary

A single misspelling in a person's genetic code can turn a healthy protein into a disease-causing one, but scientists often cannot tell which mutations matter and which are harmless. This research tackles a fundamental gap in medical genetics: even when a DNA sequencing test finds a variant in a patient's genome, clinicians often have no way to know whether that variant actually causes disease. The problem is that existing tools each have blind spots. Computational predictors can flag damaging mutations but cannot explain *why* they are harmful. Structural models can reveal the molecular mechanism but are poor at identifying which variants are damaging in the first place. And high-throughput lab experiments called deep mutational scanning can do both, but only if designed correctly. The researchers are developing strategies to combine these three approaches—computational prediction, structural bioinformatics, and deep mutational scanning—into a single, efficient pipeline. If successful, this work would allow clinical geneticists to interpret thousands of rare variants with confidence, turning ambiguous sequencing results into actionable diagnoses. It could also reveal the precise molecular mechanisms by which specific mutations disrupt protein function, opening the door to targeted therapies. This is fundamental science with a direct clinical payoff: better diagnosis and, eventually, better treatment for people with genetic diseases.

View original technical description
We study how mutations affect proteins, focusing on two closely related questions: 1) How likely is it that a given protein variant has a clinically relevant effect; and 2) What is the protein-level molecular mechanism by which a variant causes disease? To do this, we employ three highly complementary strategies. Computational variant effect predictors, driven primarily by evolutionary information, are very good at identifying pathogenic mutations in certain genes, but tell us nothing about why they are damaging. In contrast, using structural bioinformatics to investigate the 3D protein context of mutations can provide great insight into the molecular mechanisms underlying disease mutations, but has historically been less useful for identifying deleterious mutations. Finally, deep mutational scanning, which allows direct high-throughput measurement of variant effects, is proving tremendously valuable for the identification disease mutations, and can also clarify molecular mechanisms given the correct experimental design. Our focus is on developing optimal strategies for utilising all three approaches to most efficiently and effectively identify damaging protein variants and elucidate their molecular mechanisms, ultimately leading to improved diagnosis and treatment of human genetic disease.

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Researchers

Joe Marsh (Principal Investigator)

Related Research

Grants with similar aims, by meaning.

Protein Structure, Molecular Mechanisms and Human Genetic Disease: Beyond the Loss-of-function Paradigm
Computational analysis of protein covariation for the identification of disease-associated variants in coding regions
Mutational Scanning
Determining the causal links and clinical significance of rare genetic variants
Mutagenesis and its Biomedical Impact

Original classification

Intramural

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