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The Knowledge Graph Revolution: Connecting Diseases, Genes, and Treatments

Crick Team
February 15, 2026
6 min read
Knowledge GraphNetwork BiologyInnovationData Visualization

The Knowledge Graph Revolution: Connecting Diseases, Genes, and Treatments

Medical knowledge has traditionally been organized like an encyclopedia: alphabetically, by topic, in neat separate volumes. You look up "Breast Cancer" in one place, "BRCA2" in another, "Olaparib" in a third. Each entry is meticulously detailed, scientifically accurate, and completely isolated from the others.

But biology doesn't work like an encyclopedia. Biology is a network.

A disease isn't just a diagnosis—it's a cascade of molecular events involving dozens of genes, proteins, and pathways. A drug doesn't just "treat a condition"—it targets specific proteins, which are encoded by specific genes, which interact with other genes in complex networks. A clinical trial isn't just testing a compound—it's probing a hypothesis about biological relationships.

Traditional medical databases preserve the encyclopedia structure. ClinicalTrials.gov shows you trials. OpenTargets shows you gene-disease associations. PubChem shows you drug structures. Each is excellent at its specific job, but they don't show you the most important thing: how everything connects.

That's why we built Crick's Knowledge Graph—not as another database, but as a map of medical knowledge itself.

What is a Knowledge Graph?

At its simplest, a knowledge graph is a way of representing information as entities (nodes) and relationships (edges). Instead of storing data in tables or documents, you store it as a network of interconnected facts.

For Crick, the entities are:

  • Diseases (Breast Cancer, Type 2 Diabetes, Alzheimer's Disease)
  • Genes (BRCA2, EGFR, APOE)
  • Drugs (Olaparib, Erlotinib, Metformin)
  • Proteins (PARP1, Epidermal Growth Factor Receptor)
  • Clinical Trials (NCT00753545, NCT01234567)
  • Biological Pathways (DNA Repair, Cell Cycle, Metabolism)

The relationships are what make it powerful:

  • Breast Cancer is associated with BRCA2
  • BRCA2 encodes BRCA2 protein
  • BRCA2 protein participates in DNA Repair pathway
  • Olaparib inhibits PARP1 protein
  • PARP1 also participates in DNA Repair pathway
  • Clinical Trial NCT00753545 tests Olaparib in patients with BRCA2 mutations

When you visualize these relationships, something remarkable happens: you see not just data points, but the logical structure of medical knowledge. You understand why certain treatments work, why they work for some patients but not others, and where the gaps and opportunities exist.

From Linear Search to Network Exploration

Let's compare two approaches to the same question: "What treatments are available for breast cancer patients with BRCA mutations?"

Traditional linear search:

  1. Search ClinicalTrials.gov for "breast cancer"
  2. Get 15,000+ results
  3. Manually filter for BRCA-related trials by reading titles and descriptions
  4. Maybe find relevant trials, maybe miss them if they use different terminology
  5. Separately search for what BRCA does, what drugs target it, etc.
  6. Try to mentally connect the dots between genetics, mechanisms, and trials

Knowledge Graph exploration:

  1. Search Crick for "Breast Cancer"
  2. See the disease node connected to BRCA1, BRCA2, and other associated genes
  3. Click on BRCA2
  4. Graph reorganizes with BRCA2 at center, showing:
    • Diseases it's associated with (breast, ovarian, prostate cancers)
    • Proteins it encodes
    • Biological pathways it participates in (DNA repair)
    • Drugs that target this pathway (PARP inhibitors)
    • Clinical trials testing these drugs in BRCA2-mutant patients
  5. Click on Olaparib (a PARP inhibitor)
  6. See its molecular structure, mechanism, and all trials testing it
  7. Filter trials by location, phase, recruitment status
  8. Understand the entire biological rationale in minutes, not hours

The difference isn't just efficiency—it's comprehension. The Knowledge Graph shows you why Olaparib makes sense for BRCA2-mutant cancers (both involve DNA repair pathways). You're not blindly following treatment recommendations; you understand the molecular logic.

Real-World Application: The EGFR Lung Cancer Story

Let me show you the Knowledge Graph in action with a common clinical scenario.

A patient is diagnosed with non-small cell lung cancer. Their oncologist orders tumor sequencing and finds an EGFR mutation. The patient goes home and searches "lung cancer treatment."

Without a Knowledge Graph, they find information about chemotherapy, radiation, and immunotherapy—generic treatments that apply broadly to lung cancer. They might never discover that their specific genetic mutation makes them ideal candidates for targeted therapy.

With Crick's Knowledge Graph, here's what happens:

Start at "Lung Cancer" node. You see it's connected to numerous genes, including EGFR, KRAS, ALK, ROS1. This immediately tells you that lung cancer isn't one disease—it's many diseases defined by different genetic drivers.

Click on EGFR. The graph shows:

  • EGFR is a growth factor receptor gene
  • Mutations cause uncontrolled cell division
  • Multiple drugs specifically target EGFR: erlotinib, gefitinib, osimertinib, afatinib
  • Different mutations (exon 19 deletion vs. L858R vs. T790M) respond to different drugs

Click on osimertinib. You see:

  • Molecular structure (a small molecule that fits into EGFR's active site)
  • Mechanism: irreversible EGFR inhibitor
  • Special property: crosses blood-brain barrier (important for brain metastases)
  • FDA approved for first-line EGFR-mutant lung cancer
  • Hundreds of clinical trials testing it in various settings

Now click on one of those trials. You see:

  • What specific EGFR mutations qualify
  • Trial locations
  • Phase (many Phase 3 trials, meaning strong evidence)
  • Combination approaches (osimertinib + chemotherapy, osimertinib + immunotherapy)

In 10 minutes of visual exploration, the patient understands:

  1. Their lung cancer has a specific genetic driver
  2. Drugs exist that specifically target that driver
  3. These targeted therapies often work better than chemotherapy for EGFR-mutant disease
  4. Different EGFR mutations might require different drugs
  5. Clinical trials are testing next-generation approaches

This is knowledge that would take hours of reading research papers to piece together—if you even knew what to search for.

Discovery Through Network Topology

One of the most powerful aspects of knowledge graphs is discovering connections you weren't looking for.

Researchers call this "network topology insight"—understanding that the structure of the network itself contains information.

Hub nodes (entities with many connections) are often druggable targets or common disease drivers. If a gene is connected to dozens of diseases, it's either a fundamental biological process or a promising therapeutic target.

Bridge nodes connect otherwise separate parts of the graph. These are often opportunities for drug repurposing. A drug developed for one disease might work for another if they share a bridge node (a common gene or pathway).

Community clusters are groups of tightly interconnected nodes. These often represent functional modules—genes that work together in a pathway, drugs with similar mechanisms, diseases with shared biology.

Example discovery: A researcher exploring inflammatory bowel disease in the Knowledge Graph notices that several IBD-associated genes are also connected to psoriasis. Clicking through, they discover that some biologics approved for psoriasis are being tested for IBD in early trials. This is drug repurposing discovered through network structure, not literature review.

Temporal Dynamics: The Graph Evolves

One of the most exciting aspects of Crick's Knowledge Graph is that it's not static—it evolves as science advances.

When a new clinical trial is registered on ClinicalTrials.gov, it appears in the graph, connected to the disease it's studying, the drug it's testing, and the genetic biomarkers it requires.

When new gene-disease associations are published and incorporated into OpenTargets, new edges appear in the graph.

When FDA approves a new drug, its status changes, and its connections proliferate as more trials test it in combination with other therapies.

This means the Knowledge Graph is a living representation of the current state of medical research. You're not reading a textbook from 2020—you're exploring what researchers are investigating today.

For scientists, this temporal aspect is invaluable. You can see research trends: which targets are "hot" (many new trials), which have cooled off (few recent trials despite many connections), and which are emerging (suddenly many trials after years of dormancy).

Personalization: Your Graph

Here's where it gets really powerful: personalized knowledge graphs.

When you upload your 23andMe data or enter your specific diagnosis, Crick can highlight the parts of the graph most relevant to you.

Imagine the full Knowledge Graph is a map of the entire world. Personalization is like highlighting your neighborhood, your common routes, places you care about. The full map is still there, but your personal context is emphasized.

A patient with a BRCA2 mutation sees BRCA2-connected nodes emphasized. Trials recruiting BRCA2-positive patients are highlighted. Drugs targeting the DNA repair pathway are flagged. The graph becomes their map, not just a general reference.

This personalization extends to research interests. An oncologist studying immunotherapy can filter the graph to emphasize immune checkpoint inhibitors, CAR-T cells, and related trials. A genetic counselor can focus on hereditary cancer genes and associated conditions.

The same underlying graph serves everyone, but each person navigates it through their own lens.

Three Viewing Modes

Crick's Knowledge Graph offers three distinct visualization modes, each revealing different insights:

Ego Mode: Traditional force-directed layout where nodes push apart and edges pull together. Great for seeing immediate connections around a specific entity. When you click a node, it becomes the "ego" at the center with its neighborhood arranged organically around it.

Pathway Mode: Arranges nodes in left-to-right columns by type (Genes → Targets → Diseases → Drugs → Trials). Perfect for understanding biological flow and causality. You can visually trace: gene mutations lead to protein dysfunction, causing disease, which is targeted by drugs being tested in trials.

Cluster Mode: Groups nodes by type in distinct regions with visual "hulls" around each cluster. Excellent for seeing the overall structure and comparing cluster sizes. If you see 50 genes but only 5 drugs in the graph, that reveals an opportunity—many targets, few therapies.

Switch between modes instantly to gain different perspectives on the same data.

Making Networks Intuitive

The challenge with knowledge graphs is that network visualizations can be overwhelming. Show someone a graph with 10,000 nodes and 50,000 edges, and they'll just see a hairball of lines.

We've invested heavily in making Crick's Knowledge Graph intuitive:

Progressive disclosure: Start with a simple view (disease + immediately connected genes and drugs), then expand as needed by clicking the "+" badges on nodes. You're never confronted with everything at once.

Smart layout: Nodes are positioned using physics simulation that places related entities near each other naturally.

Color coding: Each entity type has a distinct color. Diseases are red circles, genes are green diamonds, drugs are blue hexagons, trials are amber rectangles, targets are teal triangles. Your eye learns the visual language quickly.

Interactive filtering: Control panel lets you toggle entity types on/off. Hide trials, show only Phase 3. Hide genes, show only FDA-approved drugs. The graph adapts instantly.

Click-to-focus: Click any node, and it moves to the center with its immediate neighbors highlighted. The rest of the graph fades to background. This local focus prevents overwhelm while maintaining context.

We've watched non-scientists use the Knowledge Graph with minimal instruction. The key is that it's visual and interactive—you learn by exploring, not by reading a manual.

Democratizing Scientific Insight

Perhaps the most important aspect of Crick's Knowledge Graph is what it represents philosophically: the democratization of scientific insight.

For decades, understanding how diseases, genes, and treatments connect required years of medical education and hours of literature review. Knowledge graphs make this insight accessible to anyone willing to click and explore.

A patient newly diagnosed with cancer can gain the molecular understanding that once required a PhD. A medical student can visualize in minutes what would take weeks to learn from textbooks. A researcher in one field can quickly understand another domain by exploring its connections.

This doesn't replace expertise—oncologists, geneticists, and researchers bring irreplaceable knowledge and judgment. But it levels the informational playing field. Patients can have informed conversations with their doctors. Researchers can spot connections across disciplines. The knowledge graph becomes a shared language.

Science is fundamentally about understanding connections: how phenomena relate, how systems interact, how one fact implies another. By representing medical knowledge as a network, we're not just building a tool—we're revealing the actual structure of biomedical science.

And we're making that structure accessible to everyone.


Explore the Knowledge Graph at crick.ai/graph

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