Integrating Semantic Retrieval, LLM-based Refinement, and Structured Expert Curation for Scalable AOP Gene Mapping

Toxicogenomics can support regulatory toxicology, but its use is limited by the difficulty of translating molecular responses into mechanistic, decision-relevant interpretations. Adverse Outcome Pathways (AOPs) provide a framework for this translation, yet omics applications require scalable mapping of Key Events (KEs) to molecular features. Here, we present an AI-assisted, multi-step workflow for KE-to-gene mapping that uses embedding-based semantic retrieval to identify candidate ontology/pathway terms, large language model-assisted refinement to filter these candidates, and double-independent expert group curation with rule-based consolidation to finalize mappings and derive confidence scores. Compared with earlier NLP-based approaches, the workflow improves KE-to-ontology/pathway mapping performance and generates candidate annotations that better align with expert judgment while substantially reducing the need for manual augmentation. Explicit gene and protein mentions in KE titles were additionally grounded to improve specificity, and each curated mapping was assigned curator reason codes to support transparent, traceable, and confidence-aware reuse. Applied across AOP-Wiki, the workflow produced a comprehensive KE-to-gene set resource covering 1,254 KEs across 523 AOPs and linking 15,833 human genes. Utility is demonstrated through CTD-based AOP fingerprinting of curated reference chemical groups, highlighting expanded coverage and confidence-informed interpretation of chemical-associated gene signatures in an AOP context. The workflow and resulting resource provide a practical bridge between toxicogenomics and AOP-based mechanistic interpretation and support routine updating and future extension to additional omics layers within OECD Omics2AOP.