> For the complete documentation index, see [llms.txt](https://help.bioinsight.illumina.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://help.bioinsight.illumina.com/annotation/data-sources/splice-ai.md).

# SpliceAI

### Overview

SpliceAI is an AI annotation model developed by the BioInsight Artificial Intelligence Lab to predict splice effects. [SpliceAI2](/annotation/data-sources/splice-ai-2.md) was released for improved splicing predictions.

The model evaluates probability that a variant disrupts or creates acceptor and donor splice sites. Higher delta scores suggest a stronger predicted effect on RNA splicing.

Splicing defects are a major contributor to human disease, particularly in rare disease and oncology, where many pathogenic variants occur in non-coding regions.

For more details, refer to:

{% hint style="info" %}
**Publication**

Jaganathan, et al. Predicting splicing from primary sequence with deep learning. *Cell* (2019). <https://doi.org/10.1016/j.cell.2018.12.015>
{% endhint %}

{% hint style="warning" %}
**Professional data source**

This data source requires a Professional license. Contact `annotation_support@illumina.com` to request access.
{% endhint %}

### Parsing

#### VCF File

```scss
##fileformat=VCFv4.0
##assembly=GRCh37/hg19
##INFO=<ID=SYMBOL,Number=1,Type=String,Description="HGNC gene symbol">
##INFO=<ID=STRAND,Number=1,Type=String,Description="+ or - depending on whether the gene lies in the positive or negative strand">
##INFO=<ID=TYPE,Number=1,Type=String,Description="E or I depending on whether the variant position is exonic or intronic (GENCODE V24lift37 canonical annotation)">
##INFO=<ID=DIST,Number=1,Type=Integer,Description="Distance between the variant position and the closest splice site (GENCODE V24lift37 canonical annotation)">
##INFO=<ID=DS_AG,Number=1,Type=Float,Description="Delta score (acceptor gain)">
##INFO=<ID=DS_AL,Number=1,Type=Float,Description="Delta score (acceptor loss)">
##INFO=<ID=DS_DG,Number=1,Type=Float,Description="Delta score (donor gain)">
##INFO=<ID=DS_DL,Number=1,Type=Float,Description="Delta score (donor loss)">
##INFO=<ID=DP_AG,Number=1,Type=Integer,Description="Delta position (acceptor gain) relative to the variant position">
##INFO=<ID=DP_AL,Number=1,Type=Integer,Description="Delta position (acceptor loss) relative to the variant position">
##INFO=<ID=DP_DG,Number=1,Type=Integer,Description="Delta position (donor gain) relative to the variant position">
##INFO=<ID=DP_DL,Number=1,Type=Integer,Description="Delta position (donor loss) relative to the variant position">
#CHROM	POS	ID	REF	ALT	QUAL	FILTER	INFO
10	92946	.	C	T	.	.	SYMBOL=TUBB8;STRAND=-;TYPE=E;DIST=-53;DS_AG=0.0000;DS_AL=0.0000;DS_DG=0.0000;DS_DL=0.0000;DP_AG=-26;DP_AL=-10;DP_DG=3;DP_DL=35
10	92946	.	C	G	.	.	SYMBOL=TUBB8;STRAND=-;TYPE=E;DIST=-53;DS_AG=0.0008;DS_AL=0.0000;DS_DG=0.0003;DS_DL=0.0000;DP_AG=34;DP_AL=-27;DP_DG=35;DP_DL=1
10	92946	.	C	A	.	.	SYMBOL=TUBB8;STRAND=-;TYPE=E;DIST=-53;DS_AG=0.0004;DS_AL=0.0000;DS_DG=0.0001;DS_DL=0.0000;DP_AG=-10;DP_AL=-48;DP_DG=35;DP_DL=-21
10	92947	.	A	C	.	.	SYMBOL=TUBB8;STRAND=-;TYPE=E;DIST=-54;DS_AG=0.0002;DS_AL=0.0000;DS_DG=0.0000;DS_DL=0.0000;DP_AG=-49;DP_AL=-11;DP_DG=0;DP_DL=34
10	92947	.	A	T	.	.	SYMBOL=TUBB8;STRAND=-;TYPE=E;DIST=-54;DS_AG=0.0002;DS_AL=0.0000;DS_DG=0.0000;DS_DL=0.0000;DP_AG=33;DP_AL=-11;DP_DG=-22;DP_DL=34
10	92947	.	A	G	.	.	SYMBOL=TUBB8;STRAND=-;TYPE=E;DIST=-54;DS_AG=0.0006;DS_AL=0.0000;DS_DG=0.0001;DS_DL=0.0000;DP_AG=33;DP_AL=-11;DP_DG=34;DP_DL=32
```

DRAGEN Annotation extracts these INFO fields:

* `DS_AG` - Δ score (acceptor gain)
* `DS_AL` - Δ score (acceptor loss)
* `DS_DG` - Δ score (donor gain)
* `DS_DL` - Δ score (donor loss)
* `DP_AG` - Δ position (acceptor gain) relative to the variant position
* `DP_AL` - Δ position (acceptor loss) relative to the variant position
* `DP_DG` - Δ position (donor gain) relative to the variant position
* `DP_DL` - Δ position (donor loss) relative to the variant position

These fields report the predicted splice gain or loss and the relative position of the effect.

#### Filtering

SpliceAI provides entries across the genome. Many low-scoring entries have limited value, especially in intergenic regions. These entries increase storage requirements and slow annotation.

DRAGEN Annotation filters out low-confidence entries except within 15 bp of nascent splice sites. In those regions, low-confidence predictions can still help identify potential splice disruption.

### JSON output

```json
"spliceAI":[ 
   {
      "hgnc":"BLCAP",
      "acceptorGainDistance":-3,
      "acceptorGainScore":0.3,
      "donorLossDistance":7,
      "donorLossScore":0.9
   },
   { 
      "hgnc":"NNAT",
      "acceptorGainDistance":-1,
      "acceptorGainScore":0.2,
      "donorGainDistance":-2,
      "donorGainScore":0.3
   }
]
```

<table><thead><tr><th width="199.54296875">Field</th><th width="140.0703125">Type</th><th>Notes</th></tr></thead><tbody><tr><td>hgnc</td><td>string</td><td>HGNC gene symbol</td></tr><tr><td>acceptorGainDistance</td><td>int</td><td>± bp from current position</td></tr><tr><td>acceptorGainScore</td><td>float</td><td>range: 0 - 1.0. 1 decimal place</td></tr><tr><td>acceptorLossDistance</td><td>int</td><td>± bp from current position</td></tr><tr><td>acceptorLossScore</td><td>float</td><td>range: 0 - 1.0. 1 decimal place</td></tr><tr><td>donorGainDistance</td><td>int</td><td>± bp from current position</td></tr><tr><td>donorGainScore</td><td>float</td><td>range: 0 - 1.0. 1 decimal place</td></tr><tr><td>donorLossDistance</td><td>int</td><td>± bp from current position</td></tr><tr><td>donorLossScore</td><td>float</td><td>range: 0 - 1.0. 1 decimal place</td></tr></tbody></table>

### Interpreting scores

SpliceAI delta scores range from `0` to `1`.

The SpliceAI team suggests this interpretation:

|     Range     | Confidence | Pathogenicity     |
| :-----------: | ---------- | ----------------- |
|  0 ≤ x < 0.1  | low        | likely benign     |
| 0.1 ≤ x ≤ 0.5 | medium     | likely pathogenic |
|    x > 0.5    | high       | pathogenic        |

### Resources

* [SpliceAI GitHub](https://github.com/Illumina/spliceAI)
* [Download URL](https://basespace.illumina.com/s/5u6ThOblecrh)
* Related paper:
  * Rowlands, et al. Comparison of in silico strategies to prioritize rare genomic variants impacting RNA splicing for the diagnosis of genomic disorders. *Scientific Reports* (2021). <https://doi.org/10.1038/s41598-021-99747-2>


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