arXiv:2602.08751v3 Announce Type: replace-cross
Abstract: Current biological AI models lack interpretability — their internal representations do not correspond to biological relationships that researchers can
examine. Understanding gene regulation requires models whose learned structure can be directly interrogated to generate experimentally testable
hypotheses. CDT-II mirrors the central dogma in its architecture — DNA self-attention, RNA self-attention, and cross-attention for transcriptional
control — requiring only genomic embeddings and raw per-cell expression. Applied to K562 CRISPRi data with five genes held out entirely, CDT-II predicts
perturbation effects (per-gene mean r = 0.84), recovers the GFI1B regulatory network (6.6-fold enrichment, P = 3.5 x 10^-17), and shows that
cross-attention focuses on ENCODE regulatory elements including CTCF sites (mean 7.67x across 28 targets, P < 0.001). Gradient-based attribution
accurately predicts downstream consequences of perturbing therapeutic targets (mean r = 0.82). Applied to TFRC, the target of the anti-TfR1 antibody
PPMX-T003, gradient analysis identifies genes involved in erythrocyte structure, iron-dependent DNA synthesis, and oxidative stress — pathways that align
with anemia and reticulocyte decrease reported in Phase 1 trials and ferroptosis demonstrated in preclinical studies, without any clinical data as input,
establishing CDT-II as an AI microscope that reveals clinically relevant regulatory structure from perturbation experiments alone.
Unlocking electronic health records: a hybrid graph RAG approach to safe clinical AI for patient QA
IntroductionElectronic health record (EHR) systems present clinicians with vast repositories of clinical information, creating a significant cognitive burden where critical details are easily overlooked. While



