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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Genet.</journal-id>
<journal-title>Frontiers in Genetics</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Genet.</abbrev-journal-title>
<issn pub-type="epub">1664-8021</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1087267</article-id>
<article-id pub-id-type="doi">10.3389/fgene.2023.1087267</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Genetics</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Deep mutational scanning: A versatile tool in systematically mapping genotypes to phenotypes</article-title>
<alt-title alt-title-type="left-running-head">Wei and Li</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fgene.2023.1087267">10.3389/fgene.2023.1087267</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Wei</surname>
<given-names>Huijin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2110238/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Li</surname>
<given-names>Xianghua</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2078588/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Zhejiang University&#x2014;University of Edinburgh Institute</institution>, <institution>Zhejiang University</institution>, <addr-line>Haining</addr-line>, <addr-line>Zhejiang</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Deanery of Biomedical Sciences</institution>, <institution>University of Edinburgh</institution>, <addr-line>Edinburgh</addr-line>, <country>United Kingdom</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>The Second Affiliated Hospital of Zhejiang University</institution>, <addr-line>Hangzhou</addr-line>, <addr-line>Zhejiang</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Biomedical and Health Translational Centre of Zhejiang Province</institution>, <addr-line>Haining</addr-line>, <addr-line>Zhejiang</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1500538/overview">Honey V. Reddi</ext-link>, Medical College of Wisconsin, United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1122889/overview">Xiujun Zhang</ext-link>, Wuhan Botanical Garden (CAS), China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2097358/overview">Qian Nie</ext-link>, Medical College of Wisconsin, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Xianghua Li, <email>v1xli226@exseed.ed.ac.uk</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Genomic Assay Technology, a section of the journal Frontiers in Genetics</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>12</day>
<month>01</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1087267</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>11</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>02</day>
<month>01</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Wei and Li.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Wei and Li</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Unveiling how genetic variations lead to phenotypic variations is one of the key questions in evolutionary biology, genetics, and biomedical research. Deep mutational scanning (DMS) technology has allowed the mapping of tens of thousands of genetic variations to phenotypic variations efficiently and economically. Since its first systematic introduction about a decade ago, we have witnessed the use of deep mutational scanning in many research areas leading to scientific breakthroughs. Also, the methods in each step of deep mutational scanning have become much more versatile thanks to the oligo-synthesizing technology, high-throughput phenotyping methods and deep sequencing technology. However, each specific possible step of deep mutational scanning has its pros and cons, and some limitations still await further technological development. Here, we discuss recent scientific accomplishments achieved through the deep mutational scanning and describe widely used methods in each step of deep mutational scanning. We also compare these different methods and analyze their advantages and disadvantages, providing insight into how to design a deep mutational scanning study that best suits the aims of the readers&#x2019; projects.</p>
</abstract>
<kwd-group>
<kwd>deep mutational scanning</kwd>
<kwd>genotype-phenotype mapping</kwd>
<kwd>massively parallel mutagenesis</kwd>
<kwd>high-throughput analysis</kwd>
<kwd>systems biology</kwd>
<kwd>biotechnology</kwd>
</kwd-group>
<contract-sponsor id="cn001">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Since Mendel&#x2019;s experiments with peas (<xref ref-type="bibr" rid="B118">Mendel, 1865</xref>) laid the foundation of modern genetics about 150 years ago, our ability to read, write, and rewrite genetic information has grown prominently. In comparison, our ability to understand genetic information&#x2014;i.e., mapping genetic variations to phenotypic variations&#x2014;is very limited. For instance, the effects of the vast majority of human genetic variations are unknown (<xref ref-type="bibr" rid="B77">Riesselman et al., 2018</xref>; <xref ref-type="bibr" rid="B30">Frazer et al., 2021</xref>; <xref ref-type="bibr" rid="B48">Lappalainen and MacArthur, 2021</xref>). In light of this challenge, deep mutational scanning (DMS) was developed to systematically quantify the effects of genetic variations on a large scale, with high efficiency and relatively low cost (<xref ref-type="bibr" rid="B28">Fowler et al., 2011</xref>; <xref ref-type="bibr" rid="B40">Hietpas et al., 2012</xref>). DMS, also known as massively parallel mutagenesis (<xref ref-type="bibr" rid="B28">Fowler et al., 2011</xref>; <xref ref-type="bibr" rid="B29">Fowler and Fields, 2014</xref>), involves making a comprehensive mutant library followed by high-throughput phenotyping and deep-sequencing of the mutant libraries before and after selection (<xref ref-type="fig" rid="F1">Figure 1A</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>An overview of the DMS procedure <bold>(A)</bold> A mutant DNA library is transformed into cell types of interest to generate a mutant cell library. Then, the mutant cell library goes through high-throughput phenotyping where cells carrying functional variants are enriched (cells filled with blue) while those with detrimental variants are depleted (cells filled with red or purple). Genetic variants are extracted and sequenced to calculate the relative enrichment changes before and after selection. Finally, the enrichment scores are analysed as the functional scores of mutations <bold>(B)</bold> Protein-Fragment Complementation Assay (PCA) <bold>(C)</bold> The underlying assumption is that the concentrations of functional DHFR are linearly related to cell survival (fitness) <bold>(D)</bold> BindingPCA captures mutational effects on both stability and protein-protein interactions without distinguishing them <bold>(E)</bold> AbundancePCA captures mutational effects on stability <bold>(F)</bold> ddPCA combines BindingPCA and AbundancePCA and enables the inference of the bbphysical effects of mutations by quantifying and comparing phenotypic effects.</p>
</caption>
<graphic xlink:href="fgene-14-1087267-g001.tif"/>
</fig>
<p>DMS has been widely used in many biological systems, allowing breakthroughs in biological and biomedical research since its first introduction (<xref ref-type="bibr" rid="B27">Fowler et al., 2010</xref>; <xref ref-type="bibr" rid="B29">Fowler and Fields, 2014</xref>). For example, many human disease-related genetic variants with unknown significance have been classified as either benign or detrimental systematically (<xref ref-type="bibr" rid="B57">Majithia et al., 2016</xref>; <xref ref-type="bibr" rid="B25">Findlay et al., 2018</xref>; <xref ref-type="bibr" rid="B59">Matreyek et al., 2018</xref>; <xref ref-type="bibr" rid="B65">Mighell et al., 2018</xref>; <xref ref-type="bibr" rid="B8">Bridgford et al., 2020</xref>; <xref ref-type="bibr" rid="B66">Mighell et al., 2020</xref>; <xref ref-type="bibr" rid="B36">Hanna et al., 2021</xref>; <xref ref-type="bibr" rid="B85">Seuma et al., 2021</xref>). Genetic interaction patterns and the underlying biophysical mechanisms have been revealed for both between genes (<xref ref-type="bibr" rid="B17">Diss and Lehner, 2018</xref>; <xref ref-type="bibr" rid="B55">Lite et al., 2020</xref>; <xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>) and within the same gene (<xref ref-type="bibr" rid="B69">Olson et al., 2014</xref>; <xref ref-type="bibr" rid="B51">Li et al., 2016</xref>; <xref ref-type="bibr" rid="B75">Puchta et al., 2016</xref>; <xref ref-type="bibr" rid="B82">Sarkisyan et al., 2016</xref>; <xref ref-type="bibr" rid="B4">Baeza-Centurion et al., 2019</xref>; <xref ref-type="bibr" rid="B114">Yoo et al., 2020</xref>; <xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>). Also, using the positional genetic interaction scores generated from DMS experiments, protein structures can be accurately predicted (<xref ref-type="bibr" rid="B79">Rollins et al., 2019</xref>; <xref ref-type="bibr" rid="B83">Schmiedel and Lehner, 2019</xref>). The release of the DMS data on SARS-Cov2 spike protein RBD within a year of the SARS-Cov2 outbreak (<xref ref-type="bibr" rid="B97">Starr et al., 2020</xref>) demonstrates that DMS is a powerful technique to address pressing questions in a relatively short period. The data accurately captured some SARS-Cov2 mutations that became prevalent in the later stage of the pandemic (<xref ref-type="bibr" rid="B97">Starr et al., 2020</xref>; <xref ref-type="bibr" rid="B96">Starr et al., 2022</xref>). Furthermore, DMS data on immune-escape mutants of various SARS-Cov2 variants (<xref ref-type="bibr" rid="B35">Greaney et al., 2021a</xref>; <xref ref-type="bibr" rid="B34">Greaney et al., 2021b</xref>; <xref ref-type="bibr" rid="B43">Javanmardi et al., 2022</xref>) guides better vaccine design.</p>
<p>A typical DMS experiment involves three steps: 1) generating a genetic mutant library; 2) performing a high-throughput phenotyping assay; 3) and deep sequencing and data analysis. Several good reviews on designing DMS experiments were published (<xref ref-type="bibr" rid="B29">Fowler and Fields, 2014</xref>; <xref ref-type="bibr" rid="B90">Shin and Cho, 2015</xref>; <xref ref-type="bibr" rid="B94">Starita and Fields, 2015</xref>; <xref ref-type="bibr" rid="B62">Matuszewski et al., 2016</xref>; <xref ref-type="bibr" rid="B11">Cao et al., 2022</xref>) in the early days of DMS. However, many more technical options became available in DMS thanks to the fast-developing technology in gene synthesis, sequencing technologies and high-throughput phenotyping methods since the reviews. The recent reviews (<xref ref-type="bibr" rid="B109">Weile and Roth, 2018</xref>; <xref ref-type="bibr" rid="B45">Kemble et al., 2019</xref>; <xref ref-type="bibr" rid="B46">Kinney and McCandlish, 2019</xref>; <xref ref-type="bibr" rid="B68">Narayanan and Procko, 2021</xref>; <xref ref-type="bibr" rid="B37">Hanning et al., 2022</xref>) in light of the DMS boom mostly focus on specific biological insights&#x2014;for example, how the technique enabled breakthroughs in human genetics (<xref ref-type="bibr" rid="B109">Weile and Roth, 2018</xref>), on transcriptional factors (TF) and cis-regulatory elements (CRE) (<xref ref-type="bibr" rid="B46">Kinney and McCandlish, 2019</xref>), on viral protein and receptors (<xref ref-type="bibr" rid="B68">Narayanan and Procko, 2021</xref>) or therapeutic antibody engineering (<xref ref-type="bibr" rid="B37">Hanning et al., 2022</xref>). Kemble et al. gave a comprehensive overview of genotype-phenotype mapping (<xref ref-type="bibr" rid="B45">Kemble et al., 2019</xref>) enabled by DMS technology. While the DMS strategy is straightforward, each step of the technique can be tricky and complicated to generate clean and meaningful data, as it involves various synthetic biology and massive parallel assays. In addition, genetic variants from DMS experiments are of low complexity but are of a big amount that needs special attention for statistical analysis. We notice a lack of such up-to-date reviews on the insights in technical aspects.</p>
<p>In this review, we give an up-to-date overview of the DMS experiment (<xref ref-type="fig" rid="F1">Figure 1A</xref>) with a specific focus on recently developed techniques in mutation library generation, high-throughput methods, and data analysis. Our motivation is to guide the readers on selecting the most appropriate techniques for a DMS project aim. Finally, we will discuss the ongoing efforts and challenges in improving DMS accuracy and scope.</p>
</sec>
<sec id="s2">
<title>Generating a genetic mutant library</title>
<p>A genetic mutant library is often first synthesized as a pool of oligos and amplified as a library of linear gene blocks. Then the amplified dsDNA is ligated to the expression vector backbones to substitute the wild-type region of the gene to be mutated. The ligation mix is introduced to the cloning cell lines to be amplified and extracted as a plasmid mutant library, which will be introduced to the destination cells (i.e., <italic>via</italic> transformation) for the next step&#x2014;high throughput phenotyping assay. While most of the steps mentioned above follow regular molecular cloning procedures, mutagenesis in the very first step is not trivial and requires careful design. In this section, we will discuss the most widely used methods in designing and creating mutant libraries so that the readers can determine the optimal method to suit their research needs.</p>
<sec id="s2-1">
<title>Error-prone PCR</title>
<p>Error-prone PCR is relatively cheap and easy to perform. It uses low-fidelity DNA polymerases to incorporate mistakes during the DNA amplification, and mutation rates can be modified by PCR conditions like different concentrations of manganese chloride and dNTP (<xref ref-type="bibr" rid="B54">Lin-Goerke et al., 1997</xref>; <xref ref-type="bibr" rid="B86">Shafikhani et al., 1997</xref>). The technique has been widely used in making random mutations for directed evolution experiments (<xref ref-type="bibr" rid="B32">Giver et al., 1998</xref>; <xref ref-type="bibr" rid="B67">Moore et al., 2000</xref>) and recently for DMS studies (<xref ref-type="bibr" rid="B82">Sarkisyan et al., 2016</xref>; <xref ref-type="bibr" rid="B85">Seuma et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>). However, mutations generated <italic>via</italic> error-prone PCR are not completely random due to mutation biases of polymerases. For example, Taq polymerase-based mutation rates from A/T are much higher than from C/G (<xref ref-type="bibr" rid="B86">Shafikhani et al., 1997</xref>; <xref ref-type="bibr" rid="B107">Wan et al., 1998</xref>). Nowadays, error-prone PCR is made easier using commercial kits with mixes of engineered polymerases (<xref ref-type="bibr" rid="B105">Vanhercke et al., 2005</xref>), generating reduced biases. However, judging from the DMS data (<xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>), mutation biases are only partially removable even with commercial kits. To be noted, error-prone PCR is suitable for generating comprehensive nucleotide-level mutations but not for all possible single amino acid substitutions for each codon. To achieve all possible 19 amino acid substitutions per codon, two consecutive nucleotides of a codon must often be mutated simultaneously. But such a mutation rate will likely hit two or more codons simultaneously, creating a mutation library mixed with single amino acid substitutions and multiple amino acid substitutions.</p>
</sec>
<sec id="s2-2">
<title>PCR with oligonucleotides containing mutations</title>
<p>Another commonly used method is a DMS library with a pool of oligos containing different mutations. Compared to the error-prone PCR, it is more costly but can generate a customized library with fewer biases. Oligonucleotides containing random mutations can be synthesized as a pool of doped oligos (<xref ref-type="bibr" rid="B61">Matteucci and Heyneker, 1983</xref>; <xref ref-type="bibr" rid="B3">Araya et al., 2012</xref>; <xref ref-type="bibr" rid="B51">Li et al., 2016</xref>; <xref ref-type="bibr" rid="B75">Puchta et al., 2016</xref>; <xref ref-type="bibr" rid="B52">Li et al., 2019</xref>; <xref ref-type="bibr" rid="B113">Wu et al., 2022</xref>) or oligos containing NNN triplets (sometimes NNS or NNK) (<xref ref-type="bibr" rid="B40">Hietpas et al., 2012</xref>; <xref ref-type="bibr" rid="B63">McLaughlin et al., 2012</xref>; <xref ref-type="bibr" rid="B100">Stiffler et al., 2015</xref>; <xref ref-type="bibr" rid="B98">Starr et al., 2017</xref>; <xref ref-type="bibr" rid="B17">Diss and Lehner, 2018</xref>; <xref ref-type="bibr" rid="B39">Hartman et al., 2018</xref>; <xref ref-type="bibr" rid="B2">Ahler et al., 2019</xref>; <xref ref-type="bibr" rid="B97">Starr et al., 2020</xref>; <xref ref-type="bibr" rid="B71">Park et al., 2022</xref>), where N represents any of the four nucleotide bases, S for G/C and K for G/T) targeting each codon. This strategy, combined with oligo pool synthesis technology like DropSynth (<xref ref-type="bibr" rid="B74">Plesa et al., 2018</xref>), allows construction of user-defined, scalable, and low-cost mutant libraries with comprehensive nucleotide or amino acid substitutions.</p>
<p>These oligos can be designed as doped oligos with each position incorporating a defined percentage of mutations (<xref ref-type="bibr" rid="B94">Starita and Fields, 2015</xref>) during the oligo synthesis. The pool of the long mutant oligos (up to 300&#xa0;nt) can be used as DNA templates. These long oligos need to contain flanking wild-type sequences for primer binding, so they can be amplified and replace the wild-type sequences. On the other hand, short oligos with user-defined mutations or NNN triplets serve as primers. Mutations are introduced to the gene in a manner that is similar to site-directed mutagenesis. The oligos containing NNN triplets are more suited to create mutant libraries covering all possible single amino acid substitutions, while this doped oligo method also targets nucleotide-level mutations as error-prone PCR does. The disadvantage of using oligos with NNN triplets is that it often requires at least two consecutive PCR reactions to generate double amino acid substitutions.</p>
<p>Another popular primer-based method is the nicking mutagenesis (<xref ref-type="bibr" rid="B112">Wrenbeck et al., 2016</xref>; <xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>), which is developed from a method called Pfunkle (<xref ref-type="bibr" rid="B26">Firnberg and Ostermeier, 2012</xref>). Both methods use the circular dsDNA as the template and incorporate mutations using a mix of phosphorylated primers. To remove excessive wild-type template, thymidine in the template is replaced with uracil and degraded after the mutagenesis using the uracil DNA glycosylase and exonuclease III (Exo III) (<xref ref-type="bibr" rid="B26">Firnberg and Ostermeier, 2012</xref>). For the same purpose, nicking mutagenesis uses a pair of endonucleases (NtBbvCl and NbBbvCl) that nick one strand of the template dsDNA at a time.</p>
<p>Firstly, a 5&#x2019; phosphorylated mutant oligo pool as primers is applied to the NtBbvCI-treated ssDNA template to generate the second-strand DNA with mutations. Then, a second phosphorylated primer without mutations will synthesize the complementary strand for each mutated genetic variant, using the PCR-derived strand with mutations as templates. While other primer-based mutagenesis methods require a pair of primers per mutant, both Pfunkle and nicking mutagenesis requires only one primer per mutant, greatly reducing the cost of oligo synthesis. But to perform Pfunkle or nicking mutagenesis, one needs to ensure high-quality circular DNA and careful design of the primer libraries with a freshly phosphorylated state. Nevertheless, nicking mutagenesis has been rising in popularity for achieving codon-level saturation mutagenesis recently.</p>
</sec>
<sec id="s2-3">
<title>Generating a library with mutations at the endogenous genetic loci</title>
<p>For DMS studies aimed at endogenous genetic loci, CRISPR-based technologies (<xref ref-type="bibr" rid="B20">Doudna and Charpentier, 2014</xref>; <xref ref-type="bibr" rid="B76">Rees and Liu, 2018</xref>) are used. The mutant library can be designed as a sgRNA library targeting intended genetic loci (<xref ref-type="bibr" rid="B108">Wang et al., 2014</xref>; <xref ref-type="bibr" rid="B38">Hart et al., 2015</xref>; <xref ref-type="bibr" rid="B81">Sadhu et al., 2018</xref>; <xref ref-type="bibr" rid="B36">Hanna et al., 2021</xref>) or as a donor DNA mutant library for homology-directed repair (HDR) template (<xref ref-type="bibr" rid="B24">Findlay et al., 2014</xref>; <xref ref-type="bibr" rid="B87">Sharon et al., 2018</xref>; <xref ref-type="bibr" rid="B14">Choudhury et al., 2020</xref>; <xref ref-type="bibr" rid="B88">Shen et al., 2022</xref>). The donor DNA mutant library can be generated using the methods mentioned above and combined into the backbone flanked by the recombination arms and necessary components. Simultaneous use of two gRNAs also enables multiplexed mutagenesis (<xref ref-type="bibr" rid="B9">Campa et al., 2019</xref>). Yet, compared to the ectopic expression of a mutation library, there are much fewer DMS studies performed at the endogenous loci due to additional technical limitations&#x2014;including sgRNA-dependent uneven editing efficiencies (<xref ref-type="bibr" rid="B108">Wang et al., 2014</xref>; <xref ref-type="bibr" rid="B6">Bassalo et al., 2018</xref>; <xref ref-type="bibr" rid="B14">Choudhury et al., 2020</xref>), low HDR efficiency (<xref ref-type="bibr" rid="B24">Findlay et al., 2014</xref>), and high incidences of undetected off-target mutations and editing biases (<xref ref-type="bibr" rid="B15">Cui and Bikard, 2016</xref>; <xref ref-type="bibr" rid="B115">Zerbini et al., 2017</xref>). The challenges are even more prominent when the mammalian cell genome is the target of saturation mutagenesis (<xref ref-type="bibr" rid="B76">Rees and Liu, 2018</xref>).</p>
<p>To sum up, different methods of generating mutation libraries have their own pros and cons (<xref ref-type="table" rid="T1">Table 1</xref>). The choice of the method should be determined primarily by the purpose. For instance, should the experiment target nucleotide or codon level, single or combinations of mutations? How extensive the mutant library should be, and should the mutations be ectopically expressed or integrated into the genome?</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Mutant library construction.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">&#x2014;</th>
<th align="center">
<italic>Targeted mutations</italic>
</th>
<th align="center">
<italic>Number of mutations</italic>
</th>
<th align="center">
<italic>Pros</italic>
</th>
<th align="center">
<italic>Cons</italic>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">
<italic>Error-prone PCR</italic>
</td>
<td align="center">Nucleotide (nt) level</td>
<td align="center">A distribution of single and multiple changes, by modifying the PCR conditions</td>
<td align="center">Economical; Easy to perform</td>
<td align="center">Mutation bias</td>
</tr>
<tr>
<td align="center">
<italic>Doped oligo</italic>
</td>
<td align="center">Nucleotide (nt) level</td>
<td align="center">A distribution of single and multiple changes, designed as an error rate per position (i.e., 1.2% error rate/position)</td>
<td align="center">Economical; Customized mutation distribution</td>
<td align="center">Oligo size is limited by the coupling efficiency. The longer the oligos are, the lower the oligo pool qualities are. It is limited up to 300&#xa0;nt</td>
</tr>
<tr>
<td align="center">
<italic>NNN (NNE or NNS) oligos</italic>
</td>
<td align="center">Amino acid (AA) level</td>
<td align="center">All possible single AA per codon</td>
<td align="center">Comprehensive protein residue substitution effects; Can be designed as primers or PCR templates</td>
<td align="center">Two or more rounds of PCR required to achieve multi-codon mutants</td>
</tr>
<tr>
<td align="center">
<italic>Gene blocks for Homology- Directed Repair (HDR)</italic>
</td>
<td align="center">Nucleotide or amino acid (AA) level</td>
<td align="center">A distribution of single and multiple changes</td>
<td align="center">Endogenous expression of the mutant variants</td>
<td align="center">Delivery and HDR efficiency limit the library size</td>
</tr>
<tr>
<td align="center">
<italic>sg-RNA library</italic>
</td>
<td align="center">Nucleotide (nt) level</td>
<td align="center">Single mutants but with possible off-target mutations</td>
<td align="center">Endogenous expression of the mutant variants</td>
<td align="center">Off-target issues</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec id="s3">
<title>High-throughput phenotyping</title>
<p>After obtaining the mutant plasmid library or gene blocks <italic>via</italic> various molecular cloning steps, including amplification, ligation, <italic>etc.</italic>, the library is delivered (<italic>via</italic> transformation, transfection, or transduction) to the cell types of interest for high-throughput quantification of the phenotypes coupled by the deep sequencing. These phenotyping assays are usually designed to enrich functional genetic variants while depleting the detrimental variants in a bulk experiment (<xref ref-type="bibr" rid="B29">Fowler and Fields, 2014</xref>; <xref ref-type="bibr" rid="B69">Olson et al., 2014</xref>; <xref ref-type="bibr" rid="B5">Bandyopadhyay et al., 2020</xref>) or <italic>via</italic> reporter-based cell sorting (<xref ref-type="bibr" rid="B98">Starr et al., 2017</xref>; <xref ref-type="bibr" rid="B59">Matreyek et al., 2018</xref>; <xref ref-type="bibr" rid="B52">Li et al., 2019</xref>; <xref ref-type="bibr" rid="B71">Park et al., 2022</xref>).</p>
<p>Measured phenotypes can be divided into two main categories: 1) Fitness based on the reproduction rate of cells (<xref ref-type="bibr" rid="B51">Li et al., 2016</xref>; <xref ref-type="bibr" rid="B75">Puchta et al., 2016</xref>; <xref ref-type="bibr" rid="B19">Domingo et al., 2018</xref>) or 2) measurement of the molecular function (abundance, binding, or activity) (<xref ref-type="bibr" rid="B3">Araya et al., 2012</xref>; <xref ref-type="bibr" rid="B69">Olson et al., 2014</xref>; <xref ref-type="bibr" rid="B82">Sarkisyan et al., 2016</xref>; <xref ref-type="bibr" rid="B59">Matreyek et al., 2018</xref>; <xref ref-type="bibr" rid="B52">Li et al., 2019</xref>; <xref ref-type="bibr" rid="B101">Tack et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>). In this section, we will describe and compare techniques used in these two categories and another recently developed method that can decompose molecular functions <italic>via</italic> the fitness-based assay.</p>
<sec id="s3-1">
<title>Fitness assays</title>
<p>Fitness competition is the most straightforward and economical approach for a high-throughput functional selection. Its logic is that if the gene product is required for cell survival or reproduction, cells carrying functional genetic variants will enrich. In contrast, detrimental variants will deplete over time in a culture medium. As a result, frequency changes of genetic variants can be calculated as fitness scores (<xref ref-type="bibr" rid="B19">Domingo et al., 2018</xref>). This strategy does not require special equipment, making it easy to conduct. However, the obtained fitness scores may not necessarily be linearly related to the molecular mechanisms of the mutations, making it complicated to acquire mechanistic insight into the mutational effects on the molecular level (<xref ref-type="bibr" rid="B99">Stein et al., 2019</xref>). Besides, marginally detrimental effects on molecular functions may be masked due to the non-linear relationship between fitness and molecular function (<xref ref-type="bibr" rid="B92">Soskine and Tawfik, 2010</xref>; <xref ref-type="bibr" rid="B100">Stiffler et al., 2015</xref>). It also needs to be noted that mutational effects often alter in different environments (<xref ref-type="bibr" rid="B100">Stiffler et al., 2015</xref>; <xref ref-type="bibr" rid="B19">Domingo et al., 2018</xref>; <xref ref-type="bibr" rid="B13">Chen et al., 2022</xref>).</p>
<p>Therefore, it is essential to select an optimal condition that either reflects the physiological situation best (<xref ref-type="bibr" rid="B95">Starita et al., 2015</xref>; <xref ref-type="bibr" rid="B7">Braun et al., 2018</xref>; <xref ref-type="bibr" rid="B10">Cantor et al., 2018</xref>; <xref ref-type="bibr" rid="B39">Hartman et al., 2018</xref>; <xref ref-type="bibr" rid="B93">Staller et al., 2018</xref>; <xref ref-type="bibr" rid="B2">Ahler et al., 2019</xref>; <xref ref-type="bibr" rid="B60">Matreyek et al., 2020</xref>; <xref ref-type="bibr" rid="B66">Mighell et al., 2020</xref>) to unveil disease-causing mutations or evolutionary paths of mutations. On the other hand, to easily infer biophysical effects, the fitness assay conditions should be selected to be linearly related to the molecular function (<xref ref-type="bibr" rid="B19">Domingo et al., 2018</xref>; <xref ref-type="bibr" rid="B52">Li et al., 2019</xref>; <xref ref-type="bibr" rid="B50">Leander et al., 2020</xref>; <xref ref-type="bibr" rid="B97">Starr et al., 2020</xref>; <xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>).</p>
</sec>
<sec id="s3-2">
<title>Functional assays</title>
<p>Using the protein stability or binding affinity as a phenotype (<xref ref-type="bibr" rid="B3">Araya et al., 2012</xref>; <xref ref-type="bibr" rid="B69">Olson et al., 2014</xref>; <xref ref-type="bibr" rid="B97">Starr et al., 2020</xref>; <xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>) is another widely used method to evaluate mutational effects for a protein-coding gene. This approach can capture essential biophysical effects of mutations and give more mechanistic insights into mutations.</p>
<p>Stability assays often involve tagging the target protein to a reporter, like the green fluorescent protein (GFP) as an indicator of the protein stability (<xref ref-type="bibr" rid="B52">Li et al., 2019</xref>; <xref ref-type="bibr" rid="B50">Leander et al., 2020</xref>; <xref ref-type="bibr" rid="B60">Matreyek et al., 2020</xref>; <xref ref-type="bibr" rid="B71">Park et al., 2022</xref>). Cells can be sorted based on the fluorescence levels into several bins, followed by deep sequencing of each sorted subpopulation (<xref ref-type="bibr" rid="B72">Peterman and Levine, 2016</xref>; <xref ref-type="bibr" rid="B59">Matreyek et al., 2018</xref>). Then, each mutant&#x2019;s mean fluorescence level is calculated based on the frequencies of each genetic variant in each sorted bin.</p>
<p>
<italic>In vitro</italic> display methods, such as phage display (<xref ref-type="bibr" rid="B3">Araya et al., 2012</xref>), yeast display (<xref ref-type="bibr" rid="B47">Klesmith et al., 2017</xref>; <xref ref-type="bibr" rid="B98">Starr et al., 2017</xref>; <xref ref-type="bibr" rid="B11">Cao et al., 2022</xref>), and mRNA display (<xref ref-type="bibr" rid="B69">Olson et al., 2014</xref>), detect frequency changes of genetic variants based on the binding affinity of the protein to its ligands. Although the experimental results from such an approach reveal the functional effects of mutations, it does not immediately indicate whether mutations affect the function by changing the protein stability or binding affinity, which is termed biophysical ambiguity hereafter. Nevertheless, it is crucial to resolve the biophysical ambiguity of mutations if we want to predict the combined effects of mutations (<xref ref-type="bibr" rid="B70">Otwinowski et al., 2018</xref>; <xref ref-type="bibr" rid="B53">Li and Lehner, 2020</xref>) accurately. To overcome this, approaches like combining the binding affinity-based functional assay and the stability-based assay (<xref ref-type="bibr" rid="B97">Starr et al., 2020</xref>), or predicting mutants&#x2019; biophysical effects by analyzing how mutations combine based on a single assay (<xref ref-type="bibr" rid="B70">Otwinowski et al., 2018</xref>) have been shown.</p>
<p>Performing two sets of different experiments (<xref ref-type="bibr" rid="B97">Starr et al., 2020</xref>) are often troublesome while predicting folding and binding energy changes based on the protein structures (<xref ref-type="bibr" rid="B12">Capriotti et al., 2005</xref>; <xref ref-type="bibr" rid="B84">Schymkowitz et al., 2005</xref>; <xref ref-type="bibr" rid="B116">Zhang et al., 2020</xref>) is not as accurate as experiment results. Recently, a method called ddPCA (<xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>) that uses a relatively simple experimental approach to solve the biophysical ambiguity has been developed, which we will discuss in the following part.</p>
</sec>
<sec id="s3-3">
<title>ddPCA: Untangling biophysical parameters with the fitness assays</title>
<p>The method called Double Deep Protein-Fragment Complementation Assay (ddPCA) (<xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>) is based on the protein-fragment complementation (PCA) assay (<xref ref-type="bibr" rid="B102">Tarassov et al., 2008</xref>). In ddPCA, the expression ratios of dihydrofolate reductase (DHFR) fragments are tweaked into two sets so that one assay can detect mutational effects on the stability of the protein (AbundancePCA) while the other detects both stability and protein-protein interactions (BindingPCA) (<xref ref-type="fig" rid="F1">Figures 1B&#x2013;F</xref>).</p>
<p>BindingPCA uses the traditional PCA method in which two interacting partners are each tagged with interacting partners are each tagged with DHFR[1,2] and DHFR[3] fragments (<xref ref-type="fig" rid="F1">Figure 1D</xref>). Mutations that affect the binding affinity to the ligand and/or the protein stability will reduce the functional DHFR concentration inside the cells and therefore minimize cell survival (fitness) (<xref ref-type="fig" rid="F1">Figures 1B, C</xref>). AbundancePCA, on the other hand, only has one protein-coding gene tagged to one fragment of DHFR (DHFR[3]) while overexpressing the other fragment DHFR[1,2]. This allows the cellular fitness to be solely determined by the limiting concentration of the protein tagged with DHFR fragment (i.e., DHFR [1,2], which reflects the protein stability (<xref ref-type="fig" rid="F1">Figure 1E</xref>). The combination of the BindingPCA and the AbundancePCA serves to determine biophysical effects and resolve biophysical ambiguities (<xref ref-type="fig" rid="F1">Figure 1F</xref>). Compared to other experimental approaches, ddPCA is a much simpler approach to unveil stability and binding affinity of mutations because both AbundancePCA and BindingPCA use the same fitness selection system. ddPCA has been applied to several allosteric proteins and resolves the &#x2018;biophysical ambiguities&#x2019;, as well as pinpointing allosteric sites systematically (<xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>; <xref ref-type="bibr" rid="B119">Weng et al., 2022</xref>).</p>
<p>Besides the methods mentioned above, enzyme kinetics can be measured in a dynamic system using microfluidics technology. For instance, the High-Throughput Microfluidic Enzyme Kinetics (HT-MEK) in a DMS experiment allows the systematic investigation of enzymes in an automatically valved microfluidics expression system (<xref ref-type="bibr" rid="B58">Markin et al., 2021</xref>).</p>
</sec>
</sec>
<sec id="s4">
<title>Deep sequencing and data analysis</title>
<p>Deep-sequencing of the genetic variants for both the input (before phenotyping) and the output (after phenotyping) follows the high-throughput phenotyping. Samples from a DMS experiment are special in that there are up to tens of thousands of genetic variants. Yet, they are with a low frequency of mutations at each position (sometimes as low as 0.1%) in an overall very homogenous sequence. Considering that genotype-phenotype mapping depends on frequencies of each genetic variant that are often only one or two hamming distances away from each other, choosing a high-throughput sequencing platform with high accuracy is especially important for a DMS study.</p>
<sec id="s4-1">
<title>Sequencing platforms</title>
<p>The most widely used platform in DMS studies has been the Illumina HiSeq platforms for their relatively lower error rates compared to the third-generation sequencing platforms (PacBio or Nanopore sequencing) and the higher cost-effectiveness (cost/base pair) compared to Illumina MiSeq (<xref ref-type="bibr" rid="B89">Shendure et al., 2017</xref>; <xref ref-type="bibr" rid="B73">Pfeiffer et al., 2018</xref>). However, the HiSeq platforms have a sequencing read length limitation to 300&#xa0;nt. This makes the identification of long-range epistatic interactions challenging if the mutated region exceeds the length limit. To overcome this, barcoding genetic variants can be applied, first to associate genetic variants with barcodes using Miseq or PacBio sequencing (<xref ref-type="bibr" rid="B75">Puchta et al., 2016</xref>; <xref ref-type="bibr" rid="B97">Starr et al., 2020</xref>; <xref ref-type="bibr" rid="B113">Wu et al., 2022</xref>) and then to perform deep sequencing of the barcodes using HiSeq.</p>
<p>Recently, UMI-based Nanopore sequencing (<xref ref-type="bibr" rid="B117">Zurek et al., 2020</xref>) and new circular consensus sequencing (CCS) method using PacBio (<xref ref-type="bibr" rid="B111">Wenger et al., 2019</xref>) were developed to increase the accuracies of long-read sequencing platforms to &#x3e;99.5% (<xref ref-type="bibr" rid="B117">Zurek et al., 2020</xref>; <xref ref-type="bibr" rid="B44">Karst et al., 2021</xref>). This suggests that Nanopore or PacBio may completely substitute HiSeq for DMS studies in the future.</p>
<p>Experiment design and library preparation for sequencing are utterly important to obtain high-quality data, regardless of the sequencing platforms used. One should always 1) start with a sufficient number of molecules per variant in each mutant library; 2) have multiple independent biological replicates; and 3) avoid experimental bottlenecks, over-sequencing or under-sequencing. Especially, it is essential not to over-sequence as that would impactfully hinder accurate prediction of the variant frequencies (<xref ref-type="bibr" rid="B23">Faure et al., 2020</xref>). Read-depths should not be more than that of total expected molecule numbers before generating sequencing libraries but also need to be sufficiently bigger than the expected unique counts of genetic variants.</p>
</sec>
<sec id="s4-2">
<title>Data analysis</title>
<p>The phenotype of each genetic variant is often quantified as the normalized relative enrichment scores from the aggregated count data (i.e., after <italic>versus</italic> before selection) compared to that of the wild type, as shown in Eq. <xref ref-type="disp-formula" rid="e1">1</xref> below.<disp-formula id="e1">
<mml:math id="m1">
<mml:mrow>
<mml:msub>
<mml:mi>E</mml:mi>
<mml:mrow>
<mml:mi>v</mml:mi>
<mml:mtext>&#x2009;</mml:mtext>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mi mathvariant="italic">log</mml:mi>
<mml:mo>&#x2061;</mml:mo>
<mml:mn>2</mml:mn>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi>F</mml:mi>
<mml:mrow>
<mml:mi>v</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>o</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>p</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>F</mml:mi>
<mml:mrow>
<mml:mi>v</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>p</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#x2212;</mml:mo>
<mml:mi mathvariant="italic">log</mml:mi>
<mml:mo>&#x2061;</mml:mo>
<mml:mn>2</mml:mn>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi>F</mml:mi>
<mml:mrow>
<mml:mi>w</mml:mi>
<mml:mi>t</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>o</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>p</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>F</mml:mi>
<mml:mrow>
<mml:mi>w</mml:mi>
<mml:mi>t</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>p</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(1)</label>
</disp-formula>
</p>
<p>
<italic>F</italic>
<sub>
<italic>v,output</italic>
</sub> and <italic>F</italic>
<sub>
<italic>v,input</italic>
</sub> are the frequencies of a given variant <italic>v</italic> after selection (<italic>output</italic>) and before selection (<italic>input</italic>) respectively, and <italic>E</italic>
<sub>
<italic>v</italic>
</sub> is the normalized enrichment score of the variant to the wild type. When the phenotype is based on the reporter fluorescence intensity and cell sorting (<xref ref-type="bibr" rid="B97">Starr et al., 2020</xref>), functional scores as the mean fluorescence signals are estimated based on the variant counts in each sorted bin and the bin fluorescence parameters (<xref ref-type="bibr" rid="B72">Peterman and Levine, 2016</xref>).</p>
<p>To estimate mutants&#x2019; phenotypes from the sequencing data accurately and to obtain enough statistical power, correct error detection and propagation are essential. However, it is not a simple task as there are many sources of errors in the typical DMS dataset, including sequencing error, Poisson error, errors from the replicates, and stochastic error (<xref ref-type="bibr" rid="B80">Rubin et al., 2017</xref>). Enrich2 (<xref ref-type="bibr" rid="B80">Rubin et al., 2017</xref>) and a more recent software DiMSum (<xref ref-type="bibr" rid="B23">Faure et al., 2020</xref>) are two good statistical frameworks developed for DMS sequencing data to help users reliably quantify the data and perform error estimation. Enrich2 and DiMSum are both based on the Poisson-based sequence count distribution, and they both integrate the empirical variance into account to estimate the errors. However, the way they handle the empirical variance is different. For instance, Enrich2 takes the mix-effects from the empirical variance, while DiMSum introduced replicate-specific additive and multiplicative modifier terms from empirical variance. Thus, the error estimated from the two models differs (<xref ref-type="bibr" rid="B23">Faure et al., 2020</xref>). The only available and direct comparisons between the two statistical software are from Faure and others who developed DiMSum. Based on the 12 datasets examined, Enrich2 and DiMSum performed similarly well on the datasets with little overdispersion, but Enrich2 underestimates errors on the dataset with a lot of overdispersion (<xref ref-type="bibr" rid="B23">Faure et al., 2020</xref>). Still, DiMSum is not as widely used as Enrich2 in DMS data analysis, likely because it is still a relatively newly developed pipeline. Either error models from Enrich2 or DiMSum cannot capture systematic errors arising from the experiments, which need to be identified and judged by the researchers using diagnostic plots. After this step, one could select only reliable data based on the error thresholds for further analysis.</p>
<p>Relative mutational effects are often presented in a 2D map, with each x- and <italic>y</italic>-axis representing mutation position and substitution respectively, and the phenotype in a gradient of filled color as a heatmap (<xref ref-type="fig" rid="F1">Figure 1</xref>). With such a descriptive figure giving an overview of the data, one can quickly judge which positions are more sensitive to mutations and whether certain types of substitutes are more acceptable than others. There are also tools developed to visualize both published and own DMS data. MaveVis, developed as part of the MaveDB (<xref ref-type="bibr" rid="B21">Esposito et al., 2019</xref>), allows users to generate heatmaps integrating the protein structural information for each position. It is available for both web-based interfaces and as an R package. Another web-based tool called dms-view (<xref ref-type="bibr" rid="B41">Hilton et al., 2020</xref>) can provide a quick exploration of the DMS data to look for specific mutations per site and in the context of protein 3D structure in an interactive manner. Compared to MaveVis, the advantage of dms-view is the integration of the protein 3D structure and logo generation based on mutational effects. However, local users cannot use the software as it is only web-based.</p>
<p>To obtain mechanistic insights into genotype-phenotype maps, machine-learning algorithms (<xref ref-type="bibr" rid="B108">Wang et al., 2014</xref>; <xref ref-type="bibr" rid="B38">Hart et al., 2015</xref>; <xref ref-type="bibr" rid="B57">Majithia et al., 2016</xref>; <xref ref-type="bibr" rid="B47">Klesmith et al., 2017</xref>; <xref ref-type="bibr" rid="B78">Rocklin et al., 2017</xref>; <xref ref-type="bibr" rid="B110">Weile et al., 2017</xref>; <xref ref-type="bibr" rid="B33">Gray et al., 2018</xref>; <xref ref-type="bibr" rid="B93">Staller et al., 2018</xref>; <xref ref-type="bibr" rid="B91">Song et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>; <xref ref-type="bibr" rid="B42">Hsu et al., 2022</xref>; <xref ref-type="bibr" rid="B49">Leander et al., 2022</xref>) and deep learning algorithms (<xref ref-type="bibr" rid="B82">Sarkisyan et al., 2016</xref>; <xref ref-type="bibr" rid="B31">Gelman et al., 2021</xref>; <xref ref-type="bibr" rid="B22">Faure et al., 2022</xref>; <xref ref-type="bibr" rid="B103">Tareen et al., 2022</xref>; <xref ref-type="bibr" rid="B104">Vaishnav et al., 2022</xref>) are frequently used. Especially, a recently developed python package called MAVE-NN (<xref ref-type="bibr" rid="B103">Tareen et al., 2022</xref>) can unveil the one-dimensional latent phenotypes (i.e., a hidden type of biophysical parameter values) that are non-linearly linking genotypes to phenotypes, based on the neural-network algorithm. MAVE-NN has its limitations. For example, it cannot analyse DMS data with only single mutations or mutations affecting more than one type of expected biophysical parameters to reveal the latent phenotypes.</p>
</sec>
</sec>
<sec sec-type="discussion" id="s5">
<title>Discussion</title>
<p>Recent years have witnessed a boom in DMS applied to various coding and non-coding genes from many organisms, including viruses, bacteria, yeast, and mammalian cells. In this review, we presented an overview of DMS that combines synthetic biology, high-throughput phenotyping methods, and deep sequencing technology. We also showed the main steps in the DMS technique and compared different choices of designing mutation libraries, phenotyping assays, and sequencing platforms. Finally, by comparing different techniques, we gave brief guidance on selecting the most appropriate strategy according to different scientific questions and experimental models.</p>
<p>A high-quality DMS dataset not only provides important information on genotype-phenotype mapping for biomedical research, but also guides other research fields including structural biology, biophysics, and protein engineering. For instance, the very comprehensive single and double-mutant GB1 DMS dataset (<xref ref-type="bibr" rid="B69">Olson et al., 2014</xref>) enabled accurate prediction of the protein 3D structure (<xref ref-type="bibr" rid="B83">Schmiedel and Lehner, 2019</xref>) and biophysical effects of each mutation without doing the painstaking experiments (<xref ref-type="bibr" rid="B31">Gelman et al., 2021</xref>; <xref ref-type="bibr" rid="B103">Tareen et al., 2022</xref>). Also, the technology provides mechanistic insights into understanding and predicting mutational effects (<xref ref-type="bibr" rid="B42">Hsu et al., 2022</xref>), contributing to protein engineering and structure prediction (<xref ref-type="bibr" rid="B79">Rollins et al., 2019</xref>; <xref ref-type="bibr" rid="B83">Schmiedel and Lehner, 2019</xref>), biomedicine (<xref ref-type="bibr" rid="B7">Braun et al., 2018</xref>; <xref ref-type="bibr" rid="B4">Baeza-Centurion et al., 2019</xref>; <xref ref-type="bibr" rid="B8">Bridgford et al., 2020</xref>; <xref ref-type="bibr" rid="B56">Livesey and Marsh, 2020</xref>; <xref ref-type="bibr" rid="B30">Frazer et al., 2021</xref>) and evolution (<xref ref-type="bibr" rid="B1">Aakre et al., 2015</xref>; <xref ref-type="bibr" rid="B51">Li et al., 2016</xref>; <xref ref-type="bibr" rid="B75">Puchta et al., 2016</xref>; <xref ref-type="bibr" rid="B98">Starr et al., 2017</xref>; <xref ref-type="bibr" rid="B19">Domingo et al., 2018</xref>; <xref ref-type="bibr" rid="B97">Starr et al., 2020</xref>; <xref ref-type="bibr" rid="B71">Park et al., 2022</xref>; <xref ref-type="bibr" rid="B96">Starr et al., 2022</xref>). In light of accumulating DMS datasets and the challenge of reproducibility and source-data compilation, several pioneering labs in the field of massive parallel assays made an open-source platform called MaveDB (<xref ref-type="bibr" rid="B21">Esposito et al., 2019</xref>) available for DMS experiment data. By now (December 2022), more than a hundred DMS datasets have been listed in MaveDB that are available for download and analyse. An alliance called Atlas of Variant Effects (<ext-link ext-link-type="uri" xlink:href="https://www.varianteffect.org">https://www.varianteffect.org</ext-link>) is also formed to maximise collaboration, benefits, and the influence of mutational scanning.</p>
<p>Still, there are limitations in DMS technology. Firstly, each DMS experiment could handle up to tens of thousands of mutations but not more. One of the limiting factors in scaling mutation libraries is transformation (transfection or transduction) efficiencies, as one does not want to generate a bottleneck by randomly sampling genetic variants that go into the destination cells. The number of successfully transformed (transfected or transduced) cells should be sufficiently higher than the library sizes to minimize the loss of some genetic variants during the transformation step. Secondly, performing DMS at the endogenous genomic loci of cells is still a big challenge. Nevertheless, endogenous DMS will become available soon with improved precision in genome editing technologies and transformation/transfection efficiencies. While DMS has been applied to various organisms, including humans, viruses, bacteria and yeast, interestingly, there is no DMS research on plant genes, even though mapping genotypes to phenotypes on the plant is both important and challenging (<xref ref-type="bibr" rid="B106">Voichek and Weigel, 2020</xref>; <xref ref-type="bibr" rid="B16">Deng et al., 2021</xref>). The reason could be the technical challenges in developing a high throughput phenotyping assay with the designed mutation pools.</p>
<p>To sum up, our ability to interpret genotypes is still lacking due to the complication of the genotype-phenotype maps (<xref ref-type="bibr" rid="B18">Domingo et al., 2019</xref>; <xref ref-type="bibr" rid="B46">Kinney and McCandlish, 2019</xref>). While sequencing technology is becoming more advanced and economical, &#x2018;reading&#x2019; genetic codes has become the routine of many labs. We believe that DMS will become a laboratory routine in the near future together with further development in synthetic biology and sequencing technologies.</p>
</sec>
</body>
<back>
<sec id="s6">
<title>Author contributions</title>
<p>HW and XL wrote the manuscript together. This work is supported by the Young Scientists Fund of the National Natural Science Foundation of China (NSFC Grant No. 32100478).</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>XL is supported by the Young Scientists Fund of National Natural Science Foundation of China (NSFC Grant No.32100478). The study is also supported by the department (Zhejiang University-University of Edinburgh Institute) start-up funding and the seed-fund.</p>
</sec>
<ack>
<p>We thank members of the Li lab for comments on the manuscript.</p>
</ack>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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