cs.AIOct 3, 2026

Agentic discovery of blood biomarker from distilled private health records

Authors: Seffi Cohen, Liat Antwarg Friedman, Amir Anisman, Ruth Johnson, Michelle M. Li, Ayush Noori, Ben Reis, Ran Balicer, +2 more

Organizations: Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA · The Ivan and Francesca Berkowitz Family Living Laboratory Collaboration at Harvard Medical School and Clalit Research Institute, Boston, MA, USA · Clalit Research Institute, Innovation Division, Clalit Health Services, Ramat-Gan, Israel · Department of Epidemiology, Biostatistics and Community Health Sciences. Ben-Gurion University of the Negev, Be’er Sheva, Israel · Computer and Information Science, Ben Gurion University of the Negev, Be’er Sheva, Israel

Abstract

Routine complete blood counts (CBCs) could yield new biomarkers, but the private records needed to evaluate candidates cannot be shared with frontier language model agents that excel at discovery. We distilled the evidence held in the Clalit Health Services panel of over 5.4 million patients into a released scoring tool: for each of 13 immune-mediated diseases, a graph attention network was trained inside the data boundary to predict the case-control AUC of candidate CBC expressions, and only the trained weights were released. The tool grounds an agent's propose-score-refine loop in real-world data without exposing any patient data. In external validation, agent-discovered expressions improved on their literature-seeded starting points by a median of 4.18 AUC percentage points, and across three independent cohorts, reranking the candidates of three frontier research tools improved on their first choices in most comparisons, with gains that varied by cohort. The released scorer supports privacy-preserving biomarker hypothesis generation.

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