Genome-wide detection of human 5’UTR variants that impact protein translation
Research Highlight: Presented as a Platform Talk at ASHG 2025. We developed 5ULTRA, a Random Forest classifier integrating SpliceAI and uORF biology to prioritize 5'UTR variants — achieving AUC 0.82 vs. 0.75 (CADD) on independent ClinVar benchmarks. Validated predictions using Olink proteomics (n = 46,362): cis-pQTL variants predicted by 5ULTRA carry effect sizes >5× larger than baseline. Applied to identify disease-causing mechanisms in cancer (ABI1, NRAS) and infectious diseases (TNF, RPSA).
AUC on held-out ClinVar 5'UTR variants (scale 0.5–1.0; 0.5 = random). 5ULTRA outperforms the CADD industry standard.