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How to read a gene card

How to read a gene card.

What the platform is, what every class, code and track on a gene card means, and what the platform found. Every figure is a number the platform computed and stored, with the date it was measured — not an estimate, and not a claim about your assay. Sign in at the login page — enter your email address and we email you a six-digit code; no password needed.

What the platform is

Short-read sequencing cannot see every base of every gene. Segmental duplications, low-complexity tracts, paralogues that differ by a handful of bases, and stretches where the reference genome itself is wrong or absent all produce regions where a variant can be present and simply not called. Those regions are known, documented and measurable — but they are usually invisible at the point where someone is choosing a test or reading a negative result.

Blindspot maps them gene by gene, on both of the human reference assemblies in current use, and says how much of each gene's coding sequence sits inside one. It carries 19,250 genes: 5,694 at clinical tier, which are assessed in full, and 13,556 at research tier. It is a reference tool. It does not interpret variants, it does not see your data, and it is not diagnostic.

All figures on this page measured 26 October 2026

What every figure is measured against

Every class, code and percentage on this site is measured against one haploid reference assembly at a time and one GIAB benchmark sample, HG002. A gene scored clean here is clean in that sample, against that assembly — which is not the same as clean in a given patient.

Two benchmark arms are used and both are HG002: v5.0q, derived from the T2T-HG002v1.1 diploid assembly, and v4.2.1, the earlier read- and trio-derived benchmark. Where the two disagree the gene card says so, under criteria code TBOC. No second sample enters any figure on this site.

Three consequences, stated plainly. A benchmark that can adjudicate a call is not a pipeline that can make one — v5.0q knows the truth inside a segmental duplication precisely because it was assembled rather than read short, so a gene can be 100% benchmark-validatable and still unreadable by short reads. Difficulty is a property of the reference, so a figure measured on GRCh38 is not a claim about the same gene on T2T-CHM13; the card carries both and they disagree more often than is comfortable. And one sample cannot show you a variant it does not carry: population-specific and private variation is outside what anything here measures.

Callability classes

Five tiers, assigned from coding-sequence coverage against the GIAB HG002 v5.0q confident regions on each reference, plus GIAB difficult-region overlap. The rule is applied in a fixed order — Refractory, then Reference-sensitive, then Reliable, then Technology-sensitive, with Caution for everything left — and the first class a gene qualifies for is the one it gets. The classification is orthogonal to ACMG pathogenicity — it describes the assay, not the variant.

Gene counts measured 2026-10-26 at release v1.27, across the 5,694-gene clinical panel; percentages are of that panel. In v1.9 the TASM code is computed from one written rule for every gene (see the code table below); before that, the clinical panel carried TASM as an August pipeline run had stored it. That moved 43 panel genes from Caution to Technology-sensitive and one, KCNE5, the other way — class 2 1,843→1,801, class 4 271→313. Classes 1, 3 and 5 did not move. In v1.11 SLC19A1 received RG38 by the same 25-point rule every other gene follows, moving it to Reference-sensitive (class 3 67, class 4 312). In v1.12 TBCD lost the CHM13 figure that had been measured on a Liftoff projection rather than a native model, and with it RG38, moving to Caution (class 2 1,802, class 3 66). In v1.20 (2026-10-14) Reference-sensitive gained a second route, RMAP: a gene whose coding sequence short reads cannot place on GRCh38 but can on T2T-CHM13, though the benchmark scores it on both. That moved 21 genes, 9 of them on the panel, from Technology-sensitive to Reference-sensitive — CBS among them (class 3 75, class 4 303). In v1.25 (2026-10-24) the 366 genes that were Reference-sensitive only because the benchmark covers them differently on the two references were re-read by where short reads can actually be placed (150 bp reads, one mismatch, on both references): 4 panel genes moved to Reliable, 42 to Caution and 14 to Technology-sensitive (class 1 3,456, class 2 1,844, class 3 15, class 4 317). In v1.26 (2026-10-26) placement was asked of every gene: 7 panel genes that short reads cannot place for 10% or more of the coding sequence on either reference moved from Caution to Technology-sensitive, and 122 that are duplicated but whose every coding exon 100 and 150 bp reads place moved from Technology-sensitive to Caution (class 2 1,959, class 4 202). In v1.27 (2026-10-26) 18 panel genes that no benchmark scores, for a reason in the benchmark sample or the assembly rather than in the gene, and that short reads place moved from Refractory to Caution, MAPT among them (class 2 1,977, class 5 44). Recorded here rather than queried live, so the date is part of the number.
Class 1
Reliable
Coding SNVs and indels are fully benchmark-validated — standard short-read sequencing is expected to detect them.
3,456 genes (60.7% of panel) · 10,758 of all 19,250rule: 100% of coding sequence benchmark-validatable on GRCh38, under 25% in a GIAB difficult region, and under 5% each in segmental duplication and low mappability
Class 2
Caution
Coding SNVs and indels are benchmark-validated, but part of the gene overlaps a difficult region where short-read calls are more error-prone. A few genes here have a related copy elsewhere in the genome that short reads nonetheless keep apart, or are not benchmarked at all for a reason in the benchmark sample rather than in the gene; their cards say which.
1,977 genes (34.7% of panel) · 6,954 of all 19,250rule: every gene that meets none of the other four; it includes duplicated genes whose every coding exon short reads place (DSEGP, 122 on the panel, since v1.26) and genes no benchmark scores for a recorded reason in the benchmark sample or the assembly, which short reads place (UNBENCH, 18 on the panel, since v1.27) · panel average 97.1% benchmark-validatable on GRCh38, measured 2026-10-26
Class 3
Reference-sensitive
Short reads can be placed on one reference but not on the other. Which reference the assay was aligned to changes what can be seen.
15 genes (0.3% of panel) · 47 of all 19,250rule: low-mappability coding sequence 25 points or more higher on GRCh38 than on T2T-CHM13 and under 10% on T2T-CHM13 (RMAP, 21 genes); or, where the benchmark covers the gene 25 points or more differently on the two references, measured placement that differs between them the same way (RPLACE, 6 genes); six pseudoautosomal genes with no T2T figure qualify on RG38 alone; 14 research genes whose placement is not yet measured keep the benchmark rule · on the panel, 9 RMAP and 6 pseudoautosomal genes, measured 2026-10-26
Class 4
Technology-sensitive
Short reads struggle here and changing reference does not help: either the benchmark reports the gene as callable but the region is segmental-duplication heavy, or short reads cannot be placed on part of it on either reference. Long-read sequencing or a targeted assay resolves it.
202 genes (3.5% of panel) · 1,091 of all 19,250rule: short reads cannot place 10% or more of the coding sequence on either reference (TPLACE, 524 genes, 62 on the panel; asked of benchmark-gap genes since v1.25 and of every gene since v1.26); or TASM, and at least 10% of coding sequence in a segmental duplication or at least 50% in a difficult region, unless the gene is duplicated but short reads place every coding exon (then Caution, DSEGP) · panel averages 93.1% benchmark-validatable, 59.6% segmental duplication, measured 2026-10-26
Class 5
Refractory
Not resolvable by short-read sequencing on any reference. A dedicated orthogonal assay is the only route.
44 genes (0.8% of panel) · 400 of all 19,250rule: at most 0.5% benchmark-validatable on GRCh38 and on T2T-CHM13 — or on GRCh38 alone where T2T-CHM13 has no figure (63 of the 400). Since v1.27 not a gene whose missing benchmark has a recorded cause in the benchmark sample or the assembly and which short reads place (UNBENCH, now Caution)

On the panel, classes 1 and 4 sit well apart: class 1 tops out at 24.9% difficult-region overlap of coding sequence and class 4 begins at 26.0%. Across all genes they do not — the lowest class-4 gene sits at 13.5%, because class 4 is also decided by segmental duplication, not by overall overlap alone. Against an independent catalog of short-read failures (Mandelker et al. 2016, high-stringency list) the five classes score an AUC of 0.925 over all 19,250 genes and 0.920 on the panel — see the validation page.

Criteria codes

Every class carries the codes that produced it, so a rating is never a bare verdict. A gene may carry several. The date the counts were measured is given below the table.

CodeMeaningGenes (panel)
Reference / benchmark coverage
RG00% of coding sequence benchmark-validatable on GRCh38682 (92)
RGpPart of the coding sequence is not benchmark-validatable on GRCh38546 (190)
RRESCUET2T-CHM13 validates ≥25 points more coding sequence than GRCh38. A statement about the benchmark; since v1.25 it does not set the class on its own (see RPLACE and TPLACE)279 (43)
RG38GRCh38 validates ≥25 points more coding sequence than T2T-CHM13. A statement about the benchmark; since v1.25 it does not set the class on its own, except for six pseudoautosomal genes that have no T2T-CHM13 figure95 (23)
RMAPShort reads cannot be placed on GRCh38 but can on T2T-CHM13: low-mappability coding sequence 25 points or more higher on GRCh38, and under 10% on T2T-CHM13. Added in v1.20 (2026-10-14); measured that day21 (9)
RPLACEShort reads place the coding sequence on one reference but not the other (measured, 150 bp with one mismatch). Added in v1.25 (2026-10-24)6 (0)
RT2TNONENo T2T-CHM13 comparison is available, and GRCh38 validates none of the coding sequence57 (4)
Difficult-region overlap
DADR50% or more of the coding sequence lies in a GIAB difficult region4,752 (1,100)
DADRp25% up to 50% of the coding sequence lies in a GIAB difficult region3,030 (901)
DSEG10% or more of the coding sequence lies in a segmental duplication2,034 (403)
DMAP10% or more of the coding sequence lies in a low-mappability region1,993 (373)
Technology and annotation
TPARNear-identical paralog — unresolvable by short reads on any reference. Fires on a Refractory (class 5) gene with half or more of its coding sequence in a segmental duplication349 (33)
TASMLong-read assembly resolves sequence that short reads cannot. Fires when a quarter or more of the coding sequence is segmentally duplicated yet the assembly-based benchmark (v5.0q) still validates 90% or more of it, or when v5.0q validates at least 10 points more coding sequence than the short-read benchmark (v4.2.1). That second clause on its own says the newer benchmark reaches sequence the older one did not, not that short reads fail there, so on a Reliable, Caution or Reference-sensitive gene it does not turn the Sequencing tech chip red.1,710 (407)
TPLACEShort reads (150 bp, one mismatch) cannot place at least 10% of the coding sequence on either reference. Added in v1.25 (2026-10-24)162 (8)
TBOCv4.2.1 validated ≥25 points more coding sequence than v5.0q — the 2021-era benchmark over-stated confidence and the assembly-era benchmark withdrew it349 (69)

A p suffix marks a partial criterion — the limitation is present but affects a minority of the coding sequence. Partial codes were introduced on 2026-08-29; before that, 777 class-2 genes carried a class with no stated reason. DADRp is now the only partial code: DSEGp and DMAPp were retired on 2026-09-18.

Counts measured on 2026-10-01 over all 19,250 genes with a RefSeq Select transcript, with the 5,694-gene medically relevant panel in parentheses. They are recorded here, not queried, so treat the date as part of the number.

Difficulty tracks

The five GIAB stratification categories drawn beneath the exon view, plus Alu elements. Colors are from the Okabe–Ito colorblind-safe palette, and every track is always labeled — color is never the only carrier of meaning.

Segmental duplication Low mappability GC-extreme (<25% or >65%) Tandem repeat Homopolymer Alu element

Segmental duplications and low-mappability intervals are drawn at their full extent, even where they run far beyond the gene; the other tracks are clipped to the gene body ±2 kb. A gene showing no track is not necessarily clean — it may sit in an assembly gap, where bases belong to no track at all; those genes carry an explicit unsequenced-percentage caveat on the gene card.

What it found

Seven results, in the order they matter. Each one is reproducible from the database the site runs on, and most of them can be seen on a gene card in a few seconds.

“Difficult” is not a useful label, because almost everything is difficult

19,150 of 19,338 genes — 99.0% — have at least one base inside GIAB's alldifficultregions track on GRCh38. A flag that fires on 99% of genes tells you nothing about the gene in front of you.

So the platform does not report whether a gene touches a difficult region. It reports how much of the coding sequence sits inside one, which tracks are responsible, and whether the answer changes between references. That is the difference between a warning and a measurement.

490 clinical genes have a coding exon short reads may not be able to place

Not merely difficult: every base of the exon lies in a GIAB segmental duplication or low-mappability region, where a read may align to another copy of the sequence instead of this one. On the gene card's exon map they are red where the sequence is low mappability, which short reads cannot place, and magenta where it is segmental duplication alone, where reads usually still place but a variant matching the other copy can be misassigned. These are the genes where a negative result for that exon carries the least information. They are 8.6% of the clinical panel.

For 299 of them the gene as a whole still rates Reliable or Caution — CFTR and TTN among them. The class describes the whole coding sequence, and one exon is a small share of it; the exon map on each card shows where the gap is.

The class ladder, and where the panel actually sits

Every gene is placed on a five-step ladder. The two ends are unsurprising; the middle three are the reason the ladder exists, because they fail for three different reasons and need three different responses.

ClassClinicalResearchAll genes
1 Reliablecallable end to end3,4567,30210,758
2 Cautiona region worth knowing about1,9774,9776,954
3 Reference-sensitivethe answer depends on which reference153247
4 Technology-sensitivethe answer depends on the method2028891,091
5 Refractoryno short-read method sees it44356400

261 clinical genes — one in 22 — are class 3, 4 or 5. That is the population this ladder exists for. It is not the whole population with a blind spot, and reading it that way is the mistake the next finding is here to stop.

The ladder answers one question. There is a second one, and it is bigger

The class ladder asks can the sequence be read. It does not ask what can the assay not see at all, and those are different questions. A gene can be perfectly callable base by base and still hide a whole-exon deletion.

2,249 clinical genes — 39.5% of the panel — are class 1 or 2 and still carry a documented pathogenic deletion or duplication. That is 8.6 times the class 3/4/5 population, and it lands almost entirely on the genes the ladder calls readable. 1,723 of them have an event that fits entirely inside the gene, and for 1,566 of those the median event is under 50 kb — exon scale.

Why small-variant calling shows nothing: a heterozygous deletion leaves the remaining copy perfectly readable. Every base returns a correct call. What reveals the loss is the read count, not the read content, and small-variant calling does not look at the count.

This is not a claim that sequencing cannot find these events. Depth-based copy-number calling from the same reads finds the larger ones, and whether a given laboratory runs it — with which caller, at which resolution — is a step inside that laboratory's own validated pipeline. This platform has never measured that and does not name callers. What it measures is where the event sits relative to the gene, because that is what decides which assay resolves it.

For some genes the blind spot is the reference, not the assay

CBS, ICOSLG and U2AF1 sit in a stretch of chromosome 21 that GRCh38 carries twice in error. On GRCh38 a 150 bp read cannot be placed on most of their coding sequence (90% of CBS); on T2T-CHM13 every base places. Nothing about the sequencing changed. The same reads, the same chemistry, the same pipeline — a different reference, and the gene goes from unplaceable to readable.

The benchmark differs between the references for many more genes: across the clinical panel, 121 genes score better on CHM13 and 47 score better on GRCh38. That difference is about what the truth set can check, not about the reads — CHD1L scores 0% on GRCh38 and 100% on T2T-CHM13 in the benchmark, yet short reads place it on both — so since v1.25 only a measured difference in placement makes a gene Reference-sensitive.

And for 62 clinical genes, neither reference helps

CFHR1 and CFHR3 are 0.0% on GRCh38 and have no native CHM13 gene model at all. Their criteria codes name the causes together — no benchmark-validatable coding sequence on GRCh38, segmental duplication, low mappability, and a benchmark that withdrew its earlier confidence — with no CHM13 model to fall back on. Class 5 is not a warning to read more carefully. It is a statement that this method does not answer the question, and the card says which codes led to it.

Sixteen clinical figures were withdrawn, because they were measured over a projection

A T2T-CHM13 number can be measured on a native gene model, annotated directly on that assembly by NCBI, or on a Liftoff projection, a GRCh38 model mapped across (Shumate 2021, PMID 33320174). Comparing all 20,064 protein-coding placements in the Johns Hopkins CHM13 Liftoff annotation with the native NCBI annotation found 721 (3.6%), over 528 genes, that no native model corroborates.

The clearest case: KRT81 carried a CHM13 figure of 100.0, but native CHM13 annotates no KRT81 there. The projection lands on the interval annotated as KRT86, a neighboring keratin paralog, so the figure described a different gene. OR1B1, PLA2G10 and ZAN were withdrawn for the same kind of reason.

Twelve more land on the right gene, but the transcript every GRCh38 figure is measured on is not annotated on CHM13, so their numbers described a projection rather than a native model. One of them, TBCD, had been Reference-sensitive on that number alone and is now class 2. Every CHM13 figure on the site is now measured on a native model; Liftoff is used only as a cross-check.

The genes are still carried, and their cards say the CHM13 placement is unverified rather than showing a number. A withdrawn figure is a finding.

1,484 gene symbols are one transposed character from another real gene

Of the 19,250 symbols carried here, 1,484 (7.7%) have an adjacent-transposition variant that is another real symbol on this platform. Restricted to the case where both are clinical: 165 genes. AMT and ATM. NF1 and FN1. PKD1 and PDK1.

Type one when you meant the other and you get a complete, accurate, entirely confident card — about a gene you did not ask for. Cards now disclose the neighbor, and a symbol that is not a gene at all offers the near miss instead of a dead end. Worth testing: search RMB20, then look at the ATM card.

What this is not

See a class in context.

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Blindspot Genetics is an informational and educational reference tool. It surfaces published, gene- and assembly-level sequencing limitations to support test selection and clinical understanding. It does not provide medical advice, make patient-specific recommendations, or replace confirmatory testing, laboratory judgment, or genetic counseling. Every figure is traceable to peer-reviewed literature or a documented internal pipeline.