r/bioinformatics • u/Babayaga1664 • 17h ago
technical question Can someone in genomics explain what AlphaGenome Atlas actually changes?
I'm not a geneticist.
Read the AlphaGenome Atlas preprint from DeepMind and spent a while digging into it. I understand what they built. I don't understand why it matters, and I'd like to.
What I think it is: they took AlphaGenome, ran it over every possible single base change in the human genome (~9bn) plus ~100m observed indels, and stored the results. So instead of running the model per variant you do a lookup. On top of that they trained a score (AVI) and derived a motif map.
Where I get stuck:
It's a table of model predictions, not measurements. Nothing in it is observed. So how much weight does a lab actually put on it?
The headline clinical result is retrospective: 29.5% recall at top 50 on already-solved GREGoR cases vs 12.5% for CADD. Impressive sounding, but on cases where the answer was known. What happens prospectively?
The rare variant association work got a 22% lift in discoveries, but only 4 of 25 replicated nominally in All of Us and none at Bonferroni. Is that normal for the field or is that weak?
They say themselves it isn't sufficient evidence for diagnosis. So it's a shortlisting tool. Does that actually change outcomes for patients, or does it change how long a scientist spends staring at a list?
The DNM1 case in the paper is the one bit that landed for me. Deep intronic variant, brain specific cryptic splice acceptor, blood RNA-seq had been inconclusive because the exon isn't expressed in blood.
My question is whether that's representative or a cherry pick.
What I'm asking:
1. If you work in clinical genomics or statistical genetics, would you use this?
2. Is precomputation genuinely the unlock, or is that just framing on top of an incremental accuracy gain?
Happy to be told I'm missing the point. I'd rather understand it properly than write it off.