Designing sensitive viral diagnostics with machine learning. Author Hayden Metsky, Nicole Welch, Priya Pillai, Nicholas Haradhvala, Laurie Rumker, Sreekar Mantena, Yibin Zhang, David Yang, Cheri Ackerman, Juliane Weller, Paul Blainey, Cameron Myhrvold, Michael Mitzenmacher, Pardis Sabeti Publication Year 2022 Type Journal Article Abstract Design of nucleic acid-based viral diagnostics typically follows heuristic rules and, to contend with viral variation, focuses on a genome's conserved regions. A design process could, instead, directly optimize diagnostic effectiveness using a learned model of sensitivity for targets and their variants. Toward that goal, we screen 19,209 diagnostic-target pairs, concentrated on CRISPR-based diagnostics, and train a deep neural network to accurately predict diagnostic readout. We join this model with combinatorial optimization to maximize sensitivity over the full spectrum of a virus's genomic variation. We introduce Activity-informed Design with All-inclusive Patrolling of Targets (ADAPT), a system for automated design, and use it to design diagnostics for 1,933 vertebrate-infecting viral species within 2 hours for most species and within 24 hours for all but three. We experimentally show that ADAPT's designs are sensitive and specific to the lineage level and permit lower limits of detection, across a virus's variation, than the outputs of standard design techniques. Our strategy could facilitate a proactive resource of assays for detecting pathogens. Keywords Nucleic Acids, Machine Learning, Neural Networks, Computer Journal Nat Biotechnol Volume 40 Issue 7 Pages 1123-1131 Date Published 2022 Jul ISSN Number 1546-1696 DOI 10.1038/s41587-022-01213-5 Alternate Journal Nat Biotechnol PMCID PMC9287178 PMID 35241837 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML