Rethinking what foundation models are for
Most people use single-cell foundation models for one of two things: classifying cell types (which usually doesn't justify the cost of building a foundation model in the first place) or predicting the effect of an arbitrary gene knockout in a dish (which is both extremely difficult and, arguably, not always biologically meaningful). This project didn't train a new model. It asked a different question about the models we already have: how do you quantify a gene's importance to a cell's specific identity and function?

The same idea carries over to a cell. Feed a cell's gene expression into a single-cell foundation model, and instead of just reading off its embedding, calculate an attribution score for every gene: how much did this specific gene move the cell to where it landed?

The intuitive assumption, that highly expressed genes matter more, is often backwards. Some of the most functionally important genes, like cytokines, are expressed at very low levels; some of the highest-expressed genes, like ribosomal genes, get filtered out precisely because they say almost nothing about a cell's role in its tissue.


Working out how to quantify "importance" properly, using what the foundation model has actually learned rather than raw expression, opened up several new tools: scalable searches for shared gene signatures across diseases, a cleaner way to simplify complex gene-expression data down to its essential patterns (dimensionality reduction) with much less background noise, and better ways to identify the genes that define a given cell type (marker genes). Applied at scale, that search for shared signatures is what turned up the paper's main finding: a single inflammatory gene program showing up across multiple, seemingly unrelated diseases, one that stayed invisible if you only looked at which genes were most highly expressed in each disease individually. A signature that broad is exactly the kind of thing worth chasing as a drug target, since treating it could help more than one patient population at once.
Gold, M., et al. Foundation Model Attributions Reveal Shared Inflammatory Program Across Diseases. Nature Biotechnology, 2026.