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  <front>
    <journal-meta>
      <journal-id journal-id-type="iso-abbrev">Pharmacophore</journal-id>
      <journal-id journal-id-type="publisher-id">pharmacophorejournal.com</journal-id>
      <journal-id journal-id-type="publisher-id">Pharmacophore</journal-id>
      <journal-title-group>
        <journal-title>Pharmacophore</journal-title>
      </journal-title-group>
      <issn pub-type="epub">2229-5402</issn>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">pharmacophorejournal.com-6926</article-id>
      <article-id pub-id-type="doi">10.51847/wWZOrAlYUt</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Causal Target Validation Must Separate Molecular Association, Biological Mediation, Disease Modification, and Therapeutic Intervention</article-title>
      </title-group>
                    <contrib-group>
                      <contrib contrib-type="author">
              <name>
                <surname>Chang</surname>
                <given-names>Michael</given-names>
              </name>
                              <xref rid="aff1" ref-type="aff">1</xref>
                                                            <xref rid="cor1" ref-type="corresp" />
                          </contrib>
                      <contrib contrib-type="author">
              <name>
                <surname>Martin</surname>
                <given-names>Anne-Sophie</given-names>
              </name>
                              <xref rid="aff2" ref-type="aff">2</xref>
                                        </contrib>
                      <contrib contrib-type="author">
              <name>
                <surname>Oduor</surname>
                <given-names>Richard</given-names>
              </name>
                              <xref rid="aff3" ref-type="aff">3</xref>
                                        </contrib>
                      <contrib contrib-type="author">
              <name>
                <surname>Lehmann</surname>
                <given-names>Thomas</given-names>
              </name>
                              <xref rid="aff4" ref-type="aff">4</xref>
                                        </contrib>
                  </contrib-group>
                  <aff id="aff1">
            <label>1</label>Department of Causal Target Validation and Drug Discovery, Faculty of Pharmacy, University of California, Davis, Davis, United States.
          </aff>
                  <aff id="aff2">
            <label>2</label>Department of Molecular Association and Biological Mediation, Faculty of Sciences, Université Paris-Saclay, Paris, France.
          </aff>
                  <aff id="aff3">
            <label>3</label>Department of Disease Modification and Therapeutic Intervention, Faculty of Pharmacy, University of Nairobi, Nairobi, Kenya.
          </aff>
                  <aff id="aff4">
            <label>4</label>Department of Causal Pharmacology and Target Reasoning, Faculty of Pharmacy, University of Bonn, Bonn, Germany.
          </aff>
                          <author-notes>
            <corresp id="cor1">
              <bold>Address for correspondence:</bold> Prof. Wael Abu Dayyih, Department of
              Pharmaceutical Chemistry, Faculty of Pharmacy, Mutah University, Al-Karak 61710, Jordan.
                              E-mail: <email xlink:href="michael.chang@ucdavis.edu">michael.chang@ucdavis.edu</email>
                          </corresp>
          </author-notes>
                    <pub-date pub-type="epub">
        <day>28</day>
        <month>12</month>
        <year>2024</year>
      </pub-date>
      <volume>15</volume>
      <issue>6</issue>
      <fpage>97</fpage>
      <lpage>107</lpage>
      <permissions>
        <copyright-statement>
          Copyright: &#x000a9; 2026 Pharmacophore
        </copyright-statement>
        <copyright-year>2026</copyright-year>
        <license>
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/"
            specific-use="textmining" content-type="ccbyncsalicense">
            https://creativecommons.org/licenses/by-nc-sa/4.0/</ali:license_ref>
          <license-p>This is an open access journal, and articles are distributed under the terms of
            the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows
            others to remix, tweak, and build upon the work non-commercially, as long as appropriate
            credit is given and the new creations are licensed under the identical terms.</license-p>
        </license>
      </permissions>
      <abstract>
        <title>A<sc>BSTRACT</sc></title>
        <p>Target validation is often described as a progressive accumulation of evidence, yet pharmaceutical research frequently treats qualitatively different claims as though they were interchangeable. Statistical association, molecular prediction, experimentally observed mediation, disease modification, and successful therapeutic intervention answer different scientific questions and are vulnerable to different sources of error. Collapsing these levels can cause an associated locus to be presented as a causal gene, a perturbed cellular phenotype to be interpreted as disease modification, or a genetically supported mechanism to be assumed pharmacologically actionable. This article develops a proposed causal target-validation model that preserves these distinctions while allowing evidence to be integrated across human genetics, functional perturbation, context-specific omics, disease models, and pharmacology. The model organizes target validation into separable evidentiary levels connected by conditional inference gates rather than by an automatic linear progression. It further introduces a causal-threat register covering confounding, pleiotropy, linkage, context mismatch, perturbation fidelity, direction of effect, and genetic-to-pharmacological analogy. Target advancement is consequently treated as a bounded, reversible decision based on the weakest unresolved causal link rather than on a single score or performance measure. The proposed model is conceptual and has not been empirically validated as a predictive or operational decision system. Its usefulness will depend on the quality, independence, biological relevance, and transportability of the evidence supplied to each component. By separating what evidence supports from what it cannot establish, the model may improve the design, interpretation, and documentation of target-validation programs while reducing premature claims of therapeutic causation.</p>
      </abstract>
      <kwd-group>
                <kwd>Causal inference</kwd>
                <kwd>Target validation</kwd>
                <kwd>Biological mediation</kwd>
                <kwd>Disease modification</kwd>
                <kwd>Human genetics</kwd>
                <kwd>Functional perturbation</kwd>
              </kwd-group>
    </article-meta>
  </front>
</article>