Common coverage, Reproductive identity and unassigned proteins

Current local replay: 522 CTA proteins, 18,031 Unsafe, 20 Neither and 1,290 unassigned. The maximum-versus-maximum restriction rule has been removed. Complete GTEx core coverage is required. The HPA diffuseness gate uses 10% for adult/placental identity. Chosen method, changed proteins and cutoff sensitivity.

Current curation report · Paper titles and database versions · Every unassigned protein and its measurements · All protein scores · Every ZNF730 calculation

One common GTEx core

The fixed GTEx v11 panel has 52 native bulk contexts: nine Reproductive and 43 other contexts. The latter represent 23 anatomical units after subdivisions share an organ's weight. Require a measured value for every member locus in every context. A measured zero counts as coverage; a missing or ambiguous identity does not. Read-through and retired identifiers need identity repair, not substitution with a nearby gene.

19,119 / 19,863 proteins have complete GTEx coverage. In this pinned matrix, all other proteins lack a complete member profile throughout the panel; requiring 50%, 80% or 100% therefore gives the same answer. Coverage failure excludes a protein from CTA and yields unassigned/incomplete evidence unless independent safety evidence already establishes Unsafe. It does not establish Neither. GTEx does not cover placenta, fetal stages, every rare cell or every Disposable tissue.

All 52 contexts · All GTEx profiles · 23 previously retained proteins missing GTEx. Removing the old maximum veto alone would add TGIF2-RAB5IF and ATF7-NPFF; both also lack GTEx core coverage, so remain unassigned. The required HPA tissue/immune panels remain in force. Optional DICE/cornea coverage does not shrink or expand the score's denominator; measured counterevidence from those sources still contributes to safety.

What the numerator and denominator mean

For each non-Reproductive context, calculate:

tissue similarity = N / (N + R)
diffuseness = sum(fixed tissue weight × tissue similarity)

N is that tissue's RNA. R is the highest measured Reproductive RNA within the same source, version, unit and summary. The numerator is normal RNA; the denominator is that normal RNA plus the Reproductive reference. The outer average has fixed weights summing to one. It is not “10% of tissues”, a count of positive tissues, a percentage of total body RNA, or a probability of harm.

Uniform normal profile Score
Every normal tissue is zero, with a positive reference 0%
Every normal tissue is 1/10 of the reference 9.09%
Every normal tissue equals the reference 50%
Every normal tissue greatly exceeds the reference Approaches 100%

The adult/placental identity boundary is >10%. In the uniform example this means normals above 1/9 of the reference. One extreme GTEx organ contributes at most 1/23 = 4.35%; one HPA organ at most 1/29 = 3.45%. Thus a single outlier does not veto identity, while many comparable tissues raise the score. These weights correct panel sampling; they are not organ sizes, cell counts or safety priorities.

Missing normals retain their fixed weight: report a lower/upper bound, never a zero-filled or smaller-denominator score. A reference below 2 native units gets a descriptive value but no concentrated/diffuse verdict. This guard is a proposed research parameter, not an assay detection limit. Zero reference gives no score.

Consequences of diffuseness

A supported diffuse adult/placental profile with no other qualifying route and clear normal safety belongs in Neither, not Unsafe. The HPA gate requires its existing ≥5 nTPM positive reference and a complete same-source comparison. Independent safety exclusions retain Unsafe precedence. Required coverage failures remain unassigned. Missing optional concentration measurements remain unassessed, without becoming a pass/fail value. Full policy and impact.

An adult comparison cannot reject supported embryonic evidence. Compatible embryonic/adult measurements are needed to resolve its concentration. GTEx is a separate descriptive comparison, not a second veto or a fallback denominator. IHC affects safety but does not mathematically reduce RNA diffuseness.

Measurements in familiar proteins

Protein category source reference_value unit Score (%) review
CTAG2 CTA hpa_rna_consensus 10.1 nTPM 5.147 concentrated
CT83 CTA hpa_rna_consensus 62.2 nTPM 0.1494 concentrated
FOXR2 — hpa_rna_consensus 1.2 nTPM 0 weak_reference
XAGE1A/B CTA hpa_rna_consensus 98.8 nTPM 0.2247 concentrated
MAGEA4 CTA hpa_rna_consensus 21.5 nTPM 0.1515 concentrated
ZNF730 Unsafe hpa_rna_consensus 4.9 nTPM 9.532 concentrated
CT55 CTA hpa_rna_consensus 3.7 nTPM 0.334 concentrated
PRAME CTA hpa_rna_consensus 102.2 nTPM 0.304 concentrated
TBXT CTA hpa_rna_consensus 0.2 nTPM 15.15 weak_reference
NY-ESO-1 CTA hpa_rna_consensus 15.5 nTPM 0.0718 concentrated
MTCP1 Neither hpa_rna_consensus 5.1 nTPM 24.53 diffuse
CTAG2 CTA gtex_tissue_rna 14.33 TPM 0.0348 concentrated
CT83 CTA gtex_tissue_rna 113.4 TPM 0.04953 concentrated
FOXR2 — gtex_tissue_rna 2.671 TPM 0 concentrated
XAGE1A/B CTA gtex_tissue_rna 0.1847 TPM 0 weak_reference
MAGEA4 CTA gtex_tissue_rna 26.88 TPM 0 concentrated
ZNF730 Unsafe gtex_tissue_rna 4.914 TPM 1.646 concentrated
CT55 CTA gtex_tissue_rna 4.101 TPM 0.1538 concentrated
PRAME CTA gtex_tissue_rna 166.1 TPM 0.1416 concentrated
TBXT CTA gtex_tissue_rna 0.6035 TPM 5.597 weak_reference
NY-ESO-1 CTA gtex_tissue_rna 0.1067 TPM 2.062 weak_reference
MTCP1 Neither gtex_tissue_rna 9.746 TPM 16.82 diffuse

GTEx uses donor medians; HPA uses its consensus summary. These differ in sampling, annotation and processing and are not independent replications (HPA incorporates GTEx evidence). Do not average these scores or transfer their reference values. NY-ESO-1 and XAGE1A/B illustrate why mandatory coverage must not silently become a GTEx-only Reproductive expression floor. Both are well measured in GTEx, but their GTEx Reproductive references are low. Their HPA evidence remains separately visible.

HPA v23 provides a companion panel of 38 normal contexts / 29 anatomy units, including appendix, gallbladder and tonsil. Thymus is separately Permissive, excluded from both sides of the identity comparison. All 50 context roles. Disposable tissues count in this identity assessment even though their expression is permitted by the separate safety policy. Panel weights · All HPA profiles.

Reproductive is the umbrella

Branch Scope
Testicular Testis and explicitly identified testicular cells
Other male Other male reproductive organs and gametes
Ovarian Ovary, follicles and oocytes
Female tract Oviducts, uterus, cervix, vagina and other mapped tract tissues
Mammary Mapped breast/mammary compartments
Placental Mapped placenta and placental compartments
Other extraembryonic Amnion, chorion, yolk sac, allantois and umbilical cord
Embryonic Explicitly embryonic samples
Fetal Explicitly fetal samples, including fetal organs

These branches union to Reproductive. A protein can have evidence in multiple branches. “Embryonic-only evidence” describes which measured route qualifies, not proven absence from every other branch. Adult maternal organs do not change category during pregnancy. The current developmental inputs cover embryonic stages; they do not supply a comprehensive fetal panel. Branch measurements.

Open the original 617 / 649 buckets

The original release had 1,266 unassigned proteins. Its statuses combined observed failures with evidence gaps. They did not mean 617 had only missing data or 649 were unsafe. Here are disjoint combinations of actual failed requirements:

Incomplete evidence: 617 in release 1.22.0

Failed requirements Proteins
Reproductive expression + Adult restriction + Required coverage 215
Reproductive expression + Adult restriction 193
Reproductive expression + Cancer expression + Adult restriction + Required coverage 87
Required coverage 48
Reproductive expression + Adult restriction + Normal bulk 19
Reproductive expression + Adult restriction + HPA normal protein 14
HPA normal protein 11
Adult restriction + Required coverage 11
Reproductive expression + Cancer expression + Adult restriction 5
Cancer expression + Adult restriction + Required coverage 4
Reproductive expression + Adult restriction + Normal bulk + HPA tissue clusters 3
Reproductive expression + Adult restriction + HPA normal protein + Required coverage 3
Cancer expression + Required coverage 2
Reproductive expression + Adult restriction + Accepted normal-protein evidence 1
Reproductive expression + Cancer expression + Adult restriction + Required coverage + Normal bulk 1

Missing developmental data or a multi-locus tumor profile can prevent the stricter low-expression Neither determination without blocking an otherwise qualifying adult-Reproductive CTA. The status tracked those gaps together. A failure of the Reproductive expression floor means no qualifying RNA route in these inputs, not proof that the protein is absent or that all reproductive IHC is negative.

Outside definitions: 649 in release 1.22.0

Failed requirements Proteins
Reproductive expression + Adult restriction 617
Reproductive expression + Adult restriction + Normal bulk 19
Reproductive expression + Adult restriction + HPA normal protein + Normal bulk 3
Adult restriction 2
Reproductive expression + Adult restriction + HPA normal protein 1
Adult restriction + Normal bulk 1
Reproductive expression + Adult restriction + HPA tissue clusters 1
Adult restriction + HPA normal protein + Normal bulk 1
Reproductive expression + Adult restriction + HPA normal protein + Normal bulk + HPA tissue clusters 1
HPA tissue clusters 1
Reproductive expression + Cancer expression + Adult restriction 1
Normal bulk 1

Most fail only the association floor. For example FOXR2 has 1.2 HPA nTPM despite measured cancer expression; this failure is not normal-tissue danger. MAGEA3, TBATA, SPRR4 and LY6G6D have qualifying association but separate normal-expression holds. Those holds must be inspected independently of missingness or diffuseness.

Current unassigned status counts after removing the maximum veto and requiring GTEx: {'incomplete_evidence': 694, 'outside_category_definitions': 596}. Download the current incomplete combinations and current outside-definition combinations. Every record in the detailed download retains its release-1.22 status and current reason, so a coverage change cannot masquerade as newly measured toxicity.

Method basis and reproducibility

A benchmark of gene expression tissue-specificity metrics compares continuous tissue-specificity measures and discusses sensitivity to tissue sampling. Our Reproductive-anchored bounded average is a custom metric, not the paper's Tau statistic and not a validated 10% clinical or biological boundary.

Rebuild with python scripts/audit_cta_profile_concentration.py after the current selection replay. CANCERDATA_DATA_DIR selects the shared source-cache root. oncoref.expression_diffuseness.assess() exposes the score, weights, missingness bounds and reference-quality status for downstream use. CSV source values remain numeric and retain explicit units; labels in the report link to explanatory pages.