Deep learning–based assessment of missense variants in the COG4 gene presented with bilateral congenital cataract

Objective We compared the protein structure and pathogenicity of clinically relevant variants of the COG4 gene with AlphaFold2 (AF2), Alpha Missense (AM), and ThermoMPNN for the first time.Methods and analysis The sequences of clinically relevant Cog4 missense variants (one novel identified p.Y714F...

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Main Authors: Shaohua Zhang, Yang Sun, Yinghong Ji, Li Ning, Binghe Xiao, Maierdanjiang Ainiwaer, Houyi Liu, Yingying Hong
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Open Ophthalmology
Online Access:https://bmjophth.bmj.com/content/10/1/e001906.full
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author Shaohua Zhang
Yang Sun
Yinghong Ji
Li Ning
Binghe Xiao
Maierdanjiang Ainiwaer
Houyi Liu
Yingying Hong
author_facet Shaohua Zhang
Yang Sun
Yinghong Ji
Li Ning
Binghe Xiao
Maierdanjiang Ainiwaer
Houyi Liu
Yingying Hong
author_sort Shaohua Zhang
collection DOAJ
description Objective We compared the protein structure and pathogenicity of clinically relevant variants of the COG4 gene with AlphaFold2 (AF2), Alpha Missense (AM), and ThermoMPNN for the first time.Methods and analysis The sequences of clinically relevant Cog4 missense variants (one novel identified p.Y714F and three pre-existing p.G512R, p.R729W and p.L769R from Uniprot Q9H9E3) were imported into AF2 for protein structural prediction, and the pathogenicity was estimated using AM and ThermoMPNN. Different pathogenicity metrics were aggregated with principal component analysis (PCA) and further analysed at three levels (amino acid position, substitution and post-translation) based on all possible Cog4 missense variants (n=14 915).Results Localised protein structural impact including change of conformation and amino acid polarity, breakage of hydrogen bond and salt-bridge, and formation of alpha-helix were identified among clinically relevant Cog4 variants. The global structural comparison with multidimensional scaling demonstrated variants with similar protein structures (AF2) tended to exhibit similar clinical and biological phenotypes. The Cog4 p.Y714F variant exhibited greater protein structural similarity to mutated Cog4 found in Saul‒Wilson syndrome (p.G512R) and shared similar clinical phenotype (congenital cataract and psychomotor retardation). PCA of included pathogenic metrics demonstrated p.Y714F occurred at a critical position in Cog4 amino acid sequence with disrupted post-translational phosphorylation.Conclusion Deep learning algorithms, including AF2, AM and ThermoMPNN, can be useful for evaluating variant of uncertain significance (VUS) by structural and pathogenicity prediction. Despite classified as VUS (American College of Medical Genetics and Genomics criteria: PM1, PP4), the pathogenicity in this Cog4 variant cannot be ruled out and warrants further investigation.
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spelling doaj-art-298a4723356c46d6b1ee42e88ee82f292025-01-15T05:10:08ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692025-01-0110110.1136/bmjophth-2024-001906Deep learning–based assessment of missense variants in the COG4 gene presented with bilateral congenital cataractShaohua Zhang0Yang Sun1Yinghong Ji2Li Ning3Binghe Xiao4Maierdanjiang Ainiwaer5Houyi Liu6Yingying Hong7Key laboratory of Myopia and Related Eye Diseases, NHC, Shanghai, ChinaEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, ChinaEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, ChinaKey laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, ChinaEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, ChinaEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, ChinaEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, ChinaObjective We compared the protein structure and pathogenicity of clinically relevant variants of the COG4 gene with AlphaFold2 (AF2), Alpha Missense (AM), and ThermoMPNN for the first time.Methods and analysis The sequences of clinically relevant Cog4 missense variants (one novel identified p.Y714F and three pre-existing p.G512R, p.R729W and p.L769R from Uniprot Q9H9E3) were imported into AF2 for protein structural prediction, and the pathogenicity was estimated using AM and ThermoMPNN. Different pathogenicity metrics were aggregated with principal component analysis (PCA) and further analysed at three levels (amino acid position, substitution and post-translation) based on all possible Cog4 missense variants (n=14 915).Results Localised protein structural impact including change of conformation and amino acid polarity, breakage of hydrogen bond and salt-bridge, and formation of alpha-helix were identified among clinically relevant Cog4 variants. The global structural comparison with multidimensional scaling demonstrated variants with similar protein structures (AF2) tended to exhibit similar clinical and biological phenotypes. The Cog4 p.Y714F variant exhibited greater protein structural similarity to mutated Cog4 found in Saul‒Wilson syndrome (p.G512R) and shared similar clinical phenotype (congenital cataract and psychomotor retardation). PCA of included pathogenic metrics demonstrated p.Y714F occurred at a critical position in Cog4 amino acid sequence with disrupted post-translational phosphorylation.Conclusion Deep learning algorithms, including AF2, AM and ThermoMPNN, can be useful for evaluating variant of uncertain significance (VUS) by structural and pathogenicity prediction. Despite classified as VUS (American College of Medical Genetics and Genomics criteria: PM1, PP4), the pathogenicity in this Cog4 variant cannot be ruled out and warrants further investigation.https://bmjophth.bmj.com/content/10/1/e001906.full
spellingShingle Shaohua Zhang
Yang Sun
Yinghong Ji
Li Ning
Binghe Xiao
Maierdanjiang Ainiwaer
Houyi Liu
Yingying Hong
Deep learning–based assessment of missense variants in the COG4 gene presented with bilateral congenital cataract
BMJ Open Ophthalmology
title Deep learning–based assessment of missense variants in the COG4 gene presented with bilateral congenital cataract
title_full Deep learning–based assessment of missense variants in the COG4 gene presented with bilateral congenital cataract
title_fullStr Deep learning–based assessment of missense variants in the COG4 gene presented with bilateral congenital cataract
title_full_unstemmed Deep learning–based assessment of missense variants in the COG4 gene presented with bilateral congenital cataract
title_short Deep learning–based assessment of missense variants in the COG4 gene presented with bilateral congenital cataract
title_sort deep learning based assessment of missense variants in the cog4 gene presented with bilateral congenital cataract
url https://bmjophth.bmj.com/content/10/1/e001906.full
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