A

PhenoScore: AI-based phenomics to quantify rare disease and genetic variation

medRxiv

Abstract

Abstract While both molecular and phenotypic data are essential when interpreting genetic variants, prediction scores (CADD, PolyPhen, and SIFT) have focused on molecular details to evaluate pathogenicity — omitting phenotypic features. To unlock the full potential of phenotypic data, we developed PhenoScore: an open source, artificial intelligence-based phenomics framework. PhenoScore combines facial recognition technology with Human Phenotype Ontology (HPO) data analysis to quantify phenotypic similarity at both the level of individual patients as well as of cohorts. We prove PhenoScore’s ability to recognize distinct phenotypic entities by establishing recognizable phenotypes for 25 out of 26 investigated genetic syndromes against clinical features observed in individuals with other neurodevelopmental disorders. Moreover, PhenoScore was able to provide objective clinical evidence for two distinct ADNP -related phenotypes, that had already been established functionally, but not yet phenotypically. Hence, PhenoScore will not only be of use to unbiasedly quantify phenotypes to assist genomic variant interpretation at the individual level, such as for reclassifying variants of unknown clinical significance, but is also of importance for detailed genotype-phenotype studies.

Authors 31

  1. Radboud University Nijmegen · Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Artificial Intelligence, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Thomas van Aquinostraat 4, 6525 GD Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  2. Radboud University Nijmegen · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Artificial Intelligence, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Thomas van Aquinostraat 4, 6525 GD Nijmegen, the Netherlands

    Department of Artificial Intelligence, Donders Institute for Brain, Cognition and Behaviour, Radboud University

  3. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  4. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  5. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  6. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  7. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  8. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  9. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  10. Max Planck Institute for Psycholinguistics

    Affiliation as printed

    Language and Genetics Department, Max Planck Institute for Psycholinguistics, 6500 AH Nijmegen, the Netherlands

    Language and Genetics Department, Max Planck Institute for Psycholinguistics

  11. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  12. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  13. Amsterdam University Medical Centers · University of Amsterdam

    Affiliation as printed

    Department of Human Genetics, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands

    Department of Human Genetics, Amsterdam UMC, University of Amsterdam

  14. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  15. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  16. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  17. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  18. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  19. Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  20. Universitair Ziekenhuis Leuven · KU Leuven

    Affiliation as printed

    Center for Human Genetics, University Hospitals Leuven, University of Leuven, Leuven, Belgium

    Center for Human Genetics, University Hospitals Leuven, University of Leuven

  21. The Graduate Center, CUNY · City University of New York

    Affiliation as printed

    Biology PhD Program, The Graduate Center, The City University of New York, New York, United States of America

    Department of Human Genetics and George A. Jervis Clinic, Institute for Basic Research in Developmental Disabilities (IBR), Staten Island, New York, USA

    Biology PhD Program, The Graduate Center, The City University of New York

    Department of Human Genetics and George A. Jervis Clinic, Institute for Basic Research in Developmental Disabilities (IBR)

  22. King Faisal Specialist Hospital & Research Centre

    Affiliation as printed

    Department of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia

    Department of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center

  23. University of Zurich

    Affiliation as printed

    Institute of Medical Genetics, University of Zurich, Schlieren, 8952, Zurich, Switzerland

    Institute of Medical Genetics, University of Zurich

  24. Baylor College of Medicine

    Affiliation as printed

    Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA

    Department of Molecular and Human Genetics, Baylor College of Medicine

  25. University of Southampton

    Affiliation as printed

    Faculty of Medicine, University of Southampton, University Rd, Southampton, SO17 1BJ, UK

    Faculty of Medicine, University of Southampton

  26. Leiden University Medical Center

    Affiliation as printed

    Department of Clinical Genetics, Leiden University Medical Center, Leiden, the Netherlands

    Department of Clinical Genetics, Leiden University Medical Center

  27. Leiden University Medical Center

    Affiliation as printed

    Department of Clinical Genetics, Leiden University Medical Center, Leiden, the Netherlands

    Department of Clinical Genetics, Leiden University Medical Center

  28. University of Antwerp

    Affiliation as printed

    Department of Medical Genetics, University of Antwerp, Antwerp, Belgium

    Department of Medical Genetics, University of Antwerp

  29. Radboud University Nijmegen · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Artificial Intelligence, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Thomas van Aquinostraat 4, 6525 GD Nijmegen, the Netherlands

    Department of Artificial Intelligence, Donders Institute for Brain, Cognition and Behaviour, Radboud University

  30. Lisenka E.L.M. Vissers corresponding

    Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

  31. Bert B A De Vries corresponding

    Radboud University Medical Center · Donders Institute for Brain, Cognition and Behaviour

    Affiliation as printed

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB, P.O. Box 9101, Nijmegen, the Netherlands

    Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center

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