Ancestry-aware variant interpretation
Variant interpretation · drug resistanceOverview
Deterministic ACMG/AMP engines that ask whether evidence is strong enough for a given ancestry — exposing gaps Western-centric databases hide. The same rigour extends to the molecular logic of treatment failure: from reclassifying Variants of Uncertain Significance (VUS) in DDR genes to uncovering intrinsic resistance to Antibody-Drug Conjugates (ADCs), we turn genomic complexity into actionable targets. Where AI takes part in a clinical call, the class is set by rules; models advise and are audited.
Recent work
- VUS Lens — ancestry-confidence auditing: A deterministic ACMG rule engine that flags where variant evidence is unreliable for under-represented ancestries. Validated against 1,277 known-pathogenic variants with zero false-benign calls; open source and live.
- VUS Pipeline — decision support for tumour boards: ACMG/AMP 2015 + ClinGen SVI + Tavtigian points applied deterministically, with an advisory mechanistic interpretation layer that never changes the class and source-cited reports. How it works.
- AI-Driven Variant Resolution (ESMO TAT 2026, Paris): Proteome-wide AI reclassification of 9,534 germline VUS in the DDR genes ATM and PALB2, identifying hidden candidates for PARP-inhibitor therapy.
- Decoding Intrinsic Resistance: Uncovering the "1p32 Co-Deletion" syndrome in lung cancer — a genetic blind spot driving resistance to TROP2-ADCs.
- Synthetic Lethality: Transforming molecular liabilities into therapeutic assets by validating CDK4/6 inhibitors as a rescue strategy for drug-resistant tumours.