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README.md
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- v1: Baseline — 273 training rows, 4 decreased_function examples, F1=0.0 for decreased_function
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- v2: +Offer 2014 + PharmVar data, SMOTE, domain features — 392 rows, 23 decreased_function examples, F1=0.66 (XGB)
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- v3: +AlphaMissense + CADD + VEP annotations on training set — AM importance 0→0.01, sentinel gap closed
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## Two-tier inference note
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## Ground truth sources
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PharmVar activity scores, Offer et al. 2014, GeT-RM 2024 (Gaedigk et al.), ClinVar
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- v1: Baseline — 273 training rows, 4 decreased_function examples, F1=0.0 for decreased_function
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- v2: +Offer 2014 + PharmVar data, SMOTE, domain features — 392 rows, 23 decreased_function examples, F1=0.66 (XGB)
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- v3: +AlphaMissense + CADD + VEP annotations on training set — AM importance 0→0.01, sentinel gap closed
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- v4: protein-only model — drop clnsig_norm/activity_pct/AF, keep AM/CADD/SIFT/PolyPhen/domain/aa_position/vep_consequence. 13/25 Scaria variants changed class (no_function→decreased_function). CV accuracy 0.91→0.73 (expected — label proxy removed). Best model: lgbm (decreased_function F1=0.25).
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## Two-tier inference note
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The two tier-2 options for novel population-discovery variants (no ClinVar significance, no measured activity — e.g. the Scaria 2025 Indian cohort) are **complementary, not competing**:
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- The **protein-only classifier (v4)** is preferred when class discrimination between `decreased_function` and `no_function` is required. Unlike v1–v3, v4 does not default novel variants to `no_function` (it reclassified 13/25 Scaria variants), at the cost of in-distribution accuracy it does not need on this tail.
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- The **raw AlphaMissense score** is sufficient when the clinical question is simply pathogenicity vs. benign.
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For variants that *do* carry clinical labels or measured activity, the v2/v3 mixed-feature classifier (decreased_function F1=0.66) remains the better tool. CPIC-assigned variants are handled by the deterministic engine, not any classifier. See [validation paper](https://doi.org/10.5281/zenodo.20727790).
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## Ground truth sources
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PharmVar activity scores, Offer et al. 2014, GeT-RM 2024 (Gaedigk et al.), ClinVar
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