“…Many of the early methods were based on the prediction of the effect of a single mutation on the protein thermodynamic stability, as destabilization is one of the key factors in pathogenesis ( Capriotti et al, 2008 ; Dehouck et al, 2011 ; Worth et al, 2011 ; Fariselli et al, 2015 ; Laimer et al, 2015 ; Quan et al, 2016 ; Savojardo et al, 2016 ; Yang et al, 2018 ; Marabotti et al, 2020 ; Pires et al, 2020 ; Montanucci et al, 2022 ). Subsequent efforts and developments in the field produced last-generation methods, using one of three general strategies: i) prediction of the likelihood of a missense mutation for causing pathogenic changes in a protein ( Sim et al, 2012 ; Adzhubei et al, 2013 ; Carter et al, 2013 ; Katsonis et al, 2014 ; Niroula et al, 2015 ; Capriotti et al, 2017 ; Raimondi et al, 2017 ; Rentzsch et al, 2019 ; Pejaver et al, 2020 ; Manfredi et al, 2022 ; Quinodoz et al, 2022 ); ii) evolutionary conservation analysis of the mutated sites; iii) methods combining different strategies ( Stein et al, 2019 ; Petrosino et al, 2021 ). More recently, several methods have been developed to also predict the impact of variants in noncoding regions ( Rojano et al, 2019 ; Katsonis et al, 2022 ; Tabarini et al, 2022 ).…”