Madan Krishnamurthy

Harry Caufield, Carlo Kroll, Shawn T O'Neil et al.

Effective data-driven biomedical discovery requires data curation: a time-consuming process of finding, organizing, distilling, integrating, interpreting, annotating, and validating diverse information into a structured form suitable for databases and knowledge bases. Accurate and efficient curation of these digital assets is critical to ensuring that they are FAIR, trustworthy, and sustainable. Unfortunately, expert curators face significant time and resource constraints. The rapid pace of new information being published daily is exceeding their capacity for curation. Generative AI, exemplified by instruction-tuned large language models (LLMs), has opened up new possibilities for assisting human-driven curation. The design philosophy of agents combines the emerging abilities of generative AI with more precise methods. A curator's tasks can be aided by agents for performing reasoning, searching ontologies, and integrating knowledge across external sources, all efforts otherwise requiring extensive manual effort. Our LLM-driven annotation tool, CurateGPT, melds the power of generative AI together with trusted knowledge bases and literature sources. CurateGPT streamlines the curation process, enhancing collaboration and efficiency in common workflows. Compared to direct interaction with an LLM, CurateGPT's agents enable access to information beyond that in the LLM's training data and they provide direct links to the data supporting each claim. This helps curators, researchers, and engineers scale up curation efforts to keep pace with the ever-increasing volume of scientific data.

Madan Krishnamurthy, Surya Saha, Pierrette Lo et al.

Trisomy 21 results in Down syndrome, a multifaceted genetic disorder with diverse clinical phenotypes, including heart defects, immune dysfunction, neurodevelopmental differences, and early-onset dementia risk. Heterogeneity and fragmented data across studies challenge comprehensive research and translational discovery. The NIH INCLUDE (INvestigation of Co-occurring conditions across the Lifespan to Understand Down syndromE) initiative has assembled harmonized participant-level datasets, yet realizing their potential requires integrative analytical frameworks. We developed a knowledge graph-driven platform transforming nine INCLUDE studies, comprising 7,148 participants, 456 conditions, 501 phenotypes, and over 37,000 biospecimens, into a unified semantic infrastructure. Cross-resource enrichment with Monarch Initiative data expands coverage to 4,281 genes and 7,077 variants. The resulting knowledge graph contains over 1.6 million semantic associations, enabling AI-ready analysis with graph embeddings and path-based reasoning for hypothesis generation. Researchers can query the graph via SPARQL or natural language interfaces. This framework converts static data repositories into dynamic discovery environments, supporting cross-study pattern recognition, predictive modeling, and systematic exploration of genotype-phenotype relationships in Down syndrome.

Madan Krishnamurthy, Daniel Korn, Melissa A Haendel et al.

This research aims to develop a dynamic and scalable framework to facilitate harmonization of Common Data Elements (CDEs) across heterogeneous biomedical datasets by addressing challenges such as semantic heterogeneity, structural variability, and context dependence to streamline integration, enhance interoperability, and accelerate scientific discovery. Our methodology leverages Large Language Models (LLMs) for context-aware text embeddings that convert CDEs into dense vectors capturing semantic relationships and patterns. These embeddings are clustered using Hierarchical Density-Based Spatial Clustering of Applications with Noise (HDBSCAN) to group semantically similar CDEs. The framework incorporates four key steps: (1) LLM-based text embedding to mathematically represent semantic context, (2) unsupervised clustering of embeddings via HDBSCAN, (3) automated labeling using LLM summarization, and (4) supervised learning to train a classifier assigning new or unclustered CDEs to labeled clusters. Evaluated on the NIH NLM CDE Repository with over 24,000 CDEs, the system identified 118 meaningful clusters at an optimized minimum cluster size of 20. The classifier achieved 90.46 percent overall accuracy, performing best in larger categories. External validation against Gravity Projects Social Determinants of Health domains showed strong agreement (Adjusted Rand Index 0.52, Normalized Mutual Information 0.78), indicating that embeddings effectively capture cluster characteristics. This adaptable and scalable approach offers a practical solution to CDE harmonization, improving selection efficiency and supporting ongoing data interoperability.