5b4e8221e9a3ce8c7cd18d4554ee95dc4b4abfbe
lrnassar
  Thu Aug 13 17:28:29 2026 -0700
Restore BP4_Moderate strength in TP53 VCEP Curated track from Table S2. refs #37399

EvRepo's structured export emits a bare 'BP4' tag with no BP4_Moderate variant
(unlike PP3_Moderate / PM2_Supporting, which it keeps), so the VCEP Curated
track dropped the BP4 strength the panel actually applied. Restore it from the
VCEP's Table S2 bioinformatic worksheet, matched on the exact nt change:
tp53VCEPClinVar.py loads Table S2's BP4_Moderate set and upgrades a bare Met
'BP4' to 'BP4_Moderate' for the matching variant.

Validated against the ClinVar interpretation prose: where that text is parseable
its BP4 strength matches Table S2 for every missense variant. The enrichment
changes 48 variants, all exactly BP4 -> BP4_Moderate with no off-target code
changes, and removes all 34 BP4 strength disagreements in the EvRepo cross-check
(full code agreement 37% -> 43%).

diff --git src/hg/makeDb/scripts/tp53/tp53VCEPClinVar.py src/hg/makeDb/scripts/tp53/tp53VCEPClinVar.py
index 75fc4276adf..6dd7c81a4ee 100644
--- src/hg/makeDb/scripts/tp53/tp53VCEPClinVar.py
+++ src/hg/makeDb/scripts/tp53/tp53VCEPClinVar.py
@@ -1,477 +1,518 @@
 #!/usr/bin/env python3
 """
 TP53 VCEP Curated Variants track generator.
 
 Fetches TP53 VCEP classifications from the ClinGen Evidence Repository
 (EvRepo). EvRepo is the authoritative source for VCEP classifications
 (176 TP53 variants as of 2026-04-17) and is used here instead of ClinVar
 esearch because ClinVar's NCBI esearch index silently drops legacy VCV
 records like VCV 12374 / R175H.
 
 Emits bigBed 9+9 with the per-variant list of applied evidence codes plus
 the overall classification (P / LP / VUS / LB / B). hg38 and hg19
 coordinates parsed directly from the HGVS list; liftOver fallback where
 absent.
 """
 
 import argparse
 import html
 import json
 import os
 import re
 import subprocess
 import sys
 import tempfile
 import time
 import urllib.parse
 import urllib.request
 
 EVREPO_URL = ("https://erepo.genome.network/evrepo/api/classifications"
               "?gene=TP53&matchLimit=2000&format=json")
 CLINVAR_EFETCH = "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi"
 
+# The VCEP bioinformatic worksheet (Table S2). Used to restore the strength that
+# EvRepo's structured export drops from BP4: EvRepo emits a bare "BP4" tag with
+# no BP4_Moderate variant (unlike PP3_Moderate / PM2_Supporting, which it keeps).
+# Validated against the ClinVar interpretation prose: where that text is
+# parseable, its BP4 strength matches Table S2 for every missense variant.
+SRC_S2 = "/hive/users/lrnassar/claude/RM37399/tp53_downloads/bioinformatic_worksheet.xlsx"
+_S2_BP4MOD = None
+
+
+def _norm_c(s):
+    """Strip a transcript prefix so 'NM_000546.6:c.886C>T' -> 'c.886C>T'."""
+    if not s:
+        return ''
+    return re.sub(r'^NM_000546\.[0-9]*:', '', s.strip())
+
+
+def load_s2_bp4_moderate():
+    """Return the set of c. notations that Table S2 assigns BP4_Moderate."""
+    global _S2_BP4MOD
+    if _S2_BP4MOD is not None:
+        return _S2_BP4MOD
+    out = set()
+    try:
+        import openpyxl
+        wb = openpyxl.load_workbook(SRC_S2, data_only=True)
+        ws = wb["Supplementary Table S2"]
+        for row in ws.iter_rows(min_row=4, values_only=True):
+            hgvsc = row[0]
+            code = str(row[4]).strip() if row[4] is not None else ''
+            if isinstance(hgvsc, str) and code.lower() == 'bp4_moderate':
+                out.add(_norm_c(hgvsc))
+    except Exception as ex:
+        log("  WARNING: Table S2 BP4-strength recovery unavailable: {}".format(ex))
+    _S2_BP4MOD = out
+    return out
+
 # HGVS genomic regex for hg38 (NC_000017.11) and hg19 (NC_000017.10)
 HGVS_G_RE = re.compile(r'^NC_0000(17)\.(\d+):g\.(\d+)([ACGT])>([ACGT])$')
 HGVS_G_INDEL_RE = re.compile(r'^NC_0000(17)\.(\d+):g\.(\d+)_?(\d+)?(del|ins|dup).*$')
 
 LIFTOVER_CHAINS = {
     'hg19_to_hg38': '/cluster/data/hg19/bed/liftOver/hg19ToHg38.over.chain.gz',
     'hg38_to_hg19': '/cluster/data/hg38/bed/liftOver/hg38ToHg19.over.chain.gz',
 }
 CHROM_SIZES = {
     'hg19': '/cluster/data/hg19/chrom.sizes',
     'hg38': '/cluster/data/hg38/chrom.sizes',
 }
 
 COLORS = {
     'pathogenic':             '210,0,0',
     'likely pathogenic':      '245,152,152',
     'uncertain significance': '0,0,136',
     'likely benign':          '213,247,213',
     'benign':                 '0,210,0',
 }
 DEFAULT_COLOR = '136,136,136'
 
 CLASSIFICATION_CANONICAL = {
     'pathogenic':             'Pathogenic',
     'likely pathogenic':      'Likely pathogenic',
     'uncertain significance': 'Uncertain significance',
     'likely benign':          'Likely benign',
     'benign':                 'Benign',
 }
 
 AUTOSQL = """table TP53VCEPCuratedVars
 "TP53 VCEP expert-panel-reviewed classifications from ClinGen EvRepo"
    (
    string chrom;           "Reference sequence chromosome or scaffold"
    uint   chromStart;      "Start position in chromosome"
    uint   chromEnd;        "End position in chromosome"
    string name;            "HGVS (NM_000546.6 preferred)"
    uint   score;           "Not used, set to 0"
    char[1] strand;         "Not used, set to ."
    uint   thickStart;      "Same as chromStart"
    uint   thickEnd;        "Same as chromEnd"
    uint   reserved;        "RGB color"
    string classification;  "Final VCEP classification (P/LP/VUS/LB/B)"
    string hgvsc;           "c. notation (NM_000546.6)"
    string hgvsp;           "p. notation if available"
    string varId;           "ClinVar variation ID"
    string caid;            "ClinGen Canonical Allele ID"
    string publishedDate;   "Date published to EvRepo"
    string metCodes;        "Semicolon-separated list of Met evidence codes"
    string notMetCodes;     "Count / summary of Not Met codes"
    lstring _mouseOver;     "HTML mouseover"
    )
 """
 
 
 def log(msg):
     print(msg, file=sys.stderr)
 
 
 def escape_html(s):
     if not s:
         return ""
     # HTML-escape, then encode non-ASCII as numeric entities so UCSC
     # hgTracks' mouseover pipeline renders cleanly (raw UTF-8 ends up as
     # mojibake like 'â€"').
     escaped = html.escape(str(s))
     return "".join(
         ch if ord(ch) < 128 else "&#{};".format(ord(ch))
         for ch in escaped
     )
 
 
 def fetch_evrepo():
     """Download the full TP53 VCEP classification list from EvRepo."""
     log("Fetching TP53 VCEP classifications from EvRepo...")
     req = urllib.request.Request(EVREPO_URL,
                                  headers={'User-Agent': 'UCSC-kent/TP53-hub'})
     with urllib.request.urlopen(req, timeout=60) as resp:
         data = json.loads(resp.read())
     entries = data.get('variantInterpretations', [])
     log("  Found {} TP53 VCEP entries".format(len(entries)))
     return entries
 
 
 def pick_hgvs(hgvs_list):
     """Select preferred HGVS notations from the HGVS list.
 
     Returns dict with hg38_g, hg19_g (genomic NC format), hgvsc (NM_000546.6),
     hgvsp (NM_000546.6 with p.), display name.
     """
     out = {'hg38_g': None, 'hg19_g': None,
            'hgvsc': None, 'hgvsp_full': None, 'display': None}
     for h in hgvs_list:
         if h.startswith('NC_000017.11:g.'):
             out['hg38_g'] = h
         elif h.startswith('NC_000017.10:g.'):
             out['hg19_g'] = h
         elif h.startswith('NM_000546.6:c.'):
             out['hgvsc'] = h
         elif h.startswith('NM_000546.5(TP53):c.') or h.startswith('NM_000546.6(TP53):c.'):
             # The prose form includes p. &#8212; e.g.
             # "NM_000546.5(TP53):c.245C>T (p.Pro82Leu)"
             out['hgvsp_full'] = h
             if out['display'] is None:
                 out['display'] = h
     if out['display'] is None:
         out['display'] = out['hgvsc'] or (hgvs_list[0] if hgvs_list else 'unknown')
     return out
 
 
 def hgvs_to_bed_coords(hgvs_g):
     """Convert NC_000017:g.POS[ACGT]>[ACGT] or indel-style g. to (start, end)."""
     if not hgvs_g:
         return None
     m = HGVS_G_RE.match(hgvs_g)
     if m:
         pos = int(m.group(3))
         return (pos - 1, pos)
     m = HGVS_G_INDEL_RE.match(hgvs_g)
     if m:
         start = int(m.group(3))
         end_s = m.group(4)
         end = int(end_s) if end_s else start
         kind = m.group(5)
         # For a dup, the coord is the duplicated region. For del, the deleted range.
         # For ins, zero-width between positions; use start-1 to start in BED.
         if kind == 'ins':
             return (start, start)
         return (start - 1, end)
     return None
 
 
 def parse_entry(entry):
     """Turn one EvRepo interpretation into our internal dict."""
     hgvs_list = entry.get('hgvs', []) or []
     picks = pick_hgvs(hgvs_list)
 
     hg38 = hgvs_to_bed_coords(picks['hg38_g'])
     hg19 = hgvs_to_bed_coords(picks['hg19_g'])
 
     outcome = None
     met = []
     not_met_count = 0
     for g in entry.get('guidelines', []) or []:
         if g.get('outcome'):
             outcome = g['outcome'].get('label')
         for a in g.get('agents', []) or []:
             for c in a.get('evidenceCodes', []) or []:
                 label = c.get('label') or ''
                 status = (c.get('status') or '').strip().lower()
                 if status == 'met':
                     met.append(label)
                 elif status == 'not met':
                     not_met_count += 1
 
     cls_raw = outcome or ''
     cls = CLASSIFICATION_CANONICAL.get(cls_raw.strip().lower(), cls_raw)
 
     # Pull a short p. from the prose form, if present.
     hgvsp = ''
     if picks['hgvsp_full']:
         m = re.search(r'\(p\.[^)]+\)', picks['hgvsp_full'])
         if m:
             hgvsp = m.group(0)[1:-1]
 
     hgvsc = ''
     if picks['hgvsc']:
         hgvsc = picks['hgvsc']
     elif picks['hgvsp_full']:
         # Fallback to c. from the prose form
         m = re.search(r'c\.[^\s(]+', picks['hgvsp_full'])
         if m:
             hgvsc = 'NM_000546.6:' + m.group(0)
 
+    # Restore the BP4 strength EvRepo drops (bare "BP4" -> "BP4_Moderate") from
+    # Table S2, matched on the exact nt change.
+    if 'BP4' in met and _norm_c(hgvsc) in load_s2_bp4_moderate():
+        met = ['BP4_Moderate' if c == 'BP4' else c for c in met]
+
     return {
         'var_id': entry.get('variationId', ''),
         'caid': entry.get('caid', ''),
         'published': entry.get('publishedDate', ''),
         'classification': cls,
         'hgvsc': hgvsc,
         'hgvsp': hgvsp,
         'display': picks['display'],
         'hg38_bed': hg38,          # (start,end) or None
         'hg19_bed': hg19,
         'met_codes': met,
         'not_met_count': not_met_count,
     }
 
 
 def liftover_coords(coords, chain):
     if not coords:
         return {}
     with tempfile.NamedTemporaryFile(mode='w', suffix='.bed', delete=False) as f:
         in_bed = f.name
         for vid, (chrom, s, e) in coords.items():
             f.write("{}\t{}\t{}\t{}\n".format(chrom, s, e, vid))
     out_bed = in_bed.replace('.bed', '.lifted.bed')
     un_bed = in_bed.replace('.bed', '.unmapped.bed')
     try:
         subprocess.run(
             ["liftOver", in_bed, chain, out_bed, un_bed],
             check=True, stderr=subprocess.DEVNULL)
     except Exception:
         pass
     lifted = {}
     if os.path.exists(out_bed):
         with open(out_bed) as f:
             for line in f:
                 flds = line.strip().split('\t')
                 if len(flds) >= 4:
                     lifted[flds[3]] = (flds[0], int(flds[1]), int(flds[2]))
     for p in [in_bed, out_bed, un_bed]:
         if os.path.exists(p):
             os.remove(p)
     return lifted
 
 
 def create_bed(variants, assembly):
     lines = []
     unmapped = []
     # Which coord set is native on this assembly?
     native_key = 'hg38_bed' if assembly == 'hg38' else 'hg19_bed'
     other_key = 'hg19_bed' if assembly == 'hg38' else 'hg38_bed'
     chain = LIFTOVER_CHAINS['hg19_to_hg38'] if assembly == 'hg38' \
         else LIFTOVER_CHAINS['hg38_to_hg19']
 
     # Build needs_liftover map for variants missing native coords.
     needs = {}
     for v in variants:
         if v[native_key] is None and v[other_key] is not None:
             other_start, other_end = v[other_key]
             needs[v['var_id']] = ('chr17', other_start, other_end)
     lifted = liftover_coords(needs, chain) if needs else {}
     if needs:
         log("  liftOver ({} -> {}): {} lifted of {} needing".format(
             'hg19' if assembly == 'hg38' else 'hg38',
             assembly, len(lifted), len(needs)))
 
     for v in variants:
         start, end = None, None
         if v[native_key] is not None:
             start, end = v[native_key]
             chrom = 'chr17'
         elif v['var_id'] in lifted:
             chrom, start, end = lifted[v['var_id']]
         else:
             unmapped.append(v)
             continue
 
         color = COLORS.get((v['classification'] or '').strip().lower(), DEFAULT_COLOR)
         cv_url = "https://www.ncbi.nlm.nih.gov/clinvar/variation/{}/".format(v['var_id'])
         met_summary = ", ".join(v['met_codes']) if v['met_codes'] else "(none Met)"
         mo = (
             "<b>Final &#8212; VCEP ClinVar submission</b><br>"
             "<b>Variant:</b> {disp}<br>"
             "<b>Classification:</b> {cls}<br>"
             "<b>ClinGen CAid:</b> {caid}<br>"
             "<b>ClinVar ID:</b> <a href=\"{url}\" target=\"_blank\">{vid}</a><br>"
             "<b>Published:</b> {pub}<br>"
             "<b>Met evidence codes:</b> {met}<br>"
             "<b>Not Met codes:</b> {notmet}<br>"
             "<b>Source:</b> ClinGen Evidence Repository (EvRepo)"
         ).format(
             disp=escape_html(v['display']),
             cls=escape_html(v['classification']),
             caid=escape_html(v['caid']),
             url=cv_url, vid=v['var_id'],
             pub=escape_html(v['published']),
             met=escape_html(met_summary),
             notmet=v['not_met_count'],
         )
         # Use HGVSp short if available, else c. notation, else full display.
         # ASCII-encode every free-text field to avoid UCSC mouseover mojibake.
         def _safe(s):
             if s is None:
                 return ''
             return "".join(
                 ch if ord(ch) < 128 else "&#{};".format(ord(ch)) for ch in str(s)
             )
         name = v['hgvsp'] or v['hgvsc'] or v['display']
         if len(name) > 200:
             name = name[:197] + "..."
         lines.append("\t".join([
             chrom, str(start), str(end),
             _safe(name), '0', '.',
             str(start), str(end),
             color,
             v['classification'] or 'Unknown',
             _safe(v['hgvsc'] or ''),
             _safe(v['hgvsp'] or ''),
             v['var_id'],
             _safe(v['caid']),
             v['published'],
             _safe("; ".join(v['met_codes'])),
             str(v['not_met_count']),
             mo,
         ]))
     return lines, unmapped
 
 
 def build_assembly(variants, assembly, outdir):
     log("\n=== {} ===".format(assembly))
     entries, unmapped = create_bed(variants, assembly)
     log("  mapped: {}  unmapped: {}".format(len(entries), len(unmapped)))
     if not entries:
         return None
     bed = os.path.join(outdir, "TP53VCEPCuratedVars_{}.bed".format(assembly))
     with open(bed, 'w') as f:
         f.write("\n".join(entries) + "\n")
     subprocess.run(["sort", "-k1,1", "-k2,2n", bed, "-o", bed], check=True)
     as_file = os.path.join(outdir, "TP53VCEPCuratedVars.as")
     bb = os.path.join(outdir, "TP53VCEPCuratedVars{}.bb".format(assembly.capitalize()))
     subprocess.run(
         ["bedToBigBed", "-as=" + as_file, "-type=bed9+9", "-tab",
          bed, CHROM_SIZES[assembly], bb],
         check=True)
     log("  wrote {}".format(bb))
     return bb
 
 
 def write_tsv(variants, path):
     cols = ['var_id', 'caid', 'display', 'hgvsc', 'hgvsp', 'classification',
             'published', 'met_codes', 'not_met_count',
             'hg38_start', 'hg38_end', 'hg19_start', 'hg19_end']
     with open(path, 'w') as f:
         f.write("\t".join(cols) + "\n")
         for v in variants:
             h38 = v['hg38_bed'] or (None, None)
             h19 = v['hg19_bed'] or (None, None)
             row = [
                 v['var_id'], v['caid'], v['display'], v['hgvsc'] or '',
                 v['hgvsp'] or '', v['classification'] or '', v['published'],
                 ';'.join(v['met_codes']), str(v['not_met_count']),
                 str(h38[0] if h38[0] is not None else ''),
                 str(h38[1] if h38[1] is not None else ''),
                 str(h19[0] if h19[0] is not None else ''),
                 str(h19[1] if h19[1] is not None else ''),
             ]
             f.write("\t".join(row) + "\n")
 
 
 def backfill_clinvar_for_unlinked(variants):
     """For records that came in without a ClinVar var_id, look them up by
     HGVSc and backfill var_id + hgvsp from ClinVar esummary. Some EvRepo
     records (e.g. complex indels like c.322_332delinsATTCA) come through
     the variantInterpretations endpoint with hgvsp empty and no variationId
     populated; we recover both via ClinVar's esearch by VarName + esummary.
     """
     eutils_search = "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi"
     eutils_summary = "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esummary.fcgi"
     fixed = 0
     # Pace requests to stay well under NCBI's 3 req/sec limit and avoid 429s
     # on first-hit cold cache.
     time.sleep(1.0)
     for v in variants:
         if v['var_id'] or not v['hgvsc']:
             continue
         m = re.match(r'NM_000546(?:\.\d+)?:(c\.[^\s(]+)', v['hgvsc'])
         if not m:
             continue
         c_form = m.group(1)
         success = False
         for attempt in range(3):
             try:
                 url = (eutils_search +
                        "?db=clinvar&retmode=json&term=" +
                        urllib.parse.quote('"{}"[VarName] AND tp53[gene]'.format(c_form)))
                 with urllib.request.urlopen(url, timeout=20) as resp:
                     hits = json.loads(resp.read())['esearchresult']['idlist']
                 if not hits:
                     break
                 vid = hits[0]
                 time.sleep(0.5)
                 url = "{}?db=clinvar&id={}&retmode=json".format(eutils_summary, vid)
                 with urllib.request.urlopen(url, timeout=20) as resp:
                     summ = json.loads(resp.read())['result'][vid]
                 v['var_id'] = vid
                 title = summ.get('title', '')
                 mp = re.search(r'\(p\.[^)]+\)', title)
                 if mp and not v['hgvsp']:
                     v['hgvsp'] = mp.group(0)[1:-1]
                 fixed += 1
                 success = True
                 break
             except urllib.error.HTTPError as e:
                 if e.code == 429 and attempt < 2:
                     time.sleep(2.0 * (attempt + 1))
                     continue
                 log("  backfill skipped for {}: {}".format(c_form, e))
                 break
             except Exception as e:
                 log("  backfill skipped for {}: {}".format(c_form, e))
                 break
         if success:
             time.sleep(0.5)
     if fixed:
         log("Backfilled ClinVar var_id for {} previously-unlinked records".format(fixed))
 
 
 def fetch_all_variants():
     entries = fetch_evrepo()
     variants = [parse_entry(e) for e in entries]
     variants = [v for v in variants if v['classification']]
     log("Parsed {} variants with classifications".format(len(variants)))
     backfill_clinvar_for_unlinked(variants)
     return variants
 
 
 def main():
     p = argparse.ArgumentParser(description=__doc__)
     p.add_argument('-o', '--output-dir',
                    default=os.path.dirname(os.path.abspath(__file__)),
                    help='Output directory (default: script directory)')
     p.add_argument('--db', action='append',
                    help='hg38 or hg19 (repeat); default both')
     args = p.parse_args()
     outdir = args.output_dir
     os.makedirs(outdir, exist_ok=True)
     dbs = args.db if args.db else ['hg38', 'hg19']
 
     variants = fetch_all_variants()
     if not variants:
         log("ERROR: no variants parsed from EvRepo")
         sys.exit(1)
 
     tsv = os.path.join(outdir, "tp53_vcep_clinvar_variants.tsv")
     write_tsv(variants, tsv)
     log("TSV: {}".format(tsv))
 
     as_file = os.path.join(outdir, "TP53VCEPCuratedVars.as")
     with open(as_file, 'w') as f:
         f.write(AUTOSQL)
 
     for db in dbs:
         build_assembly(variants, db, outdir)
 
     from collections import Counter
     cls_counts = Counter(v['classification'] for v in variants)
     log("\nClassification counts:")
     for c, n in cls_counts.most_common():
         log("  {}: {}".format(c, n))
 
 
 if __name__ == "__main__":
     main()