PrimeKG Knowledge Graph Skill

SkillDev tools

Queries the Precision Medicine Knowledge Graph (PrimeKG) for multiscale biomedical relationships across genes, drugs, diseases, phenotypes, pathways, and biological processes. Use when exploring drug-disease or gene-disease links, building disease-centric knowledge subgraphs, or sourcing relations for drug repurposing and precision-medicine analyses. Part of the AlterLab Academic Skills suite.

Available today. Use it from your connected AI after setup.

Connect ahel once, and every AI you use reads what you have installed.

Then ask your AI: use the PrimeKG Knowledge Graph Skill skill

What this skill tells your AI

The instructions your AI receives, as published by alterlab-ieu/alterlab-academic-skills in skills/cheminformatics/alterlab-primekg/SKILL.md and read by ahel’s review.

Overview

PrimeKG (Chandak, Huang & Zitnik, Scientific Data 2023; mims-harvard/PrimeKG) is a precision medicine knowledge graph integrating 20 primary resources. It contains 129,375 nodes and 4,050,249 edges across 30 edge types and 10 node types, including drug-target, disease-gene, and disease-phenotype associations.

Key capabilities:

  • Search for nodes (genes, proteins, drugs, diseases, phenotypes)
  • Retrieve direct neighbors (associated entities and clinical evidence)
  • Analyze local disease context (related genes, drugs, phenotypes)
  • Identify drug-disease paths (potential repurposing opportunities)

Data access: Programmatic access via scripts/query_primekg.py. Point the loader at the kg.csv released on Harvard Dataverse via the PRIMEKG_DATA_PATH environment variable (it defaults to ../data/kg.csv relative to the script). All functions operate on the x_*/y_*/relation/display_relation columns of kg.csv.

When to Use This Skill

This skill should be used when:

  • Knowledge-based drug discovery: Identifying targets and mechanisms for diseases.
  • Drug repurposing: Finding existing drugs that might have evidence for new indications.
  • Phenotype analysis: Understanding how symptoms/phenotypes relate to diseases and genes.
  • Multiscale biology: Bridging the gap between molecular targets (genes) and clinical outcomes (diseases).
  • Network pharmacology: Investigating the broader network effects of drug-target interactions.

Core Workflow

Run under uv run python from the skill directory (so scripts/ is importable), or add the scripts/ dir to sys.path. Set PRIMEKG_DATA_PATH to your kg.csv.

1. Search for Entities

Find identifiers for genes, drugs, or diseases. Pass node_type using PrimeKG's exact type strings (see node types below) — e.g. "gene/protein", not "gene".

from scripts.query_primekg import search_nodes

# Search for Alzheimer's disease nodes
results = search_nodes("Alzheimer", node_type="disease")
# Returns: [{"id": <MONDO id>, "type": "disease", "name": "...",
#            "source": "MONDO" | "MONDO_grouped"}, ...]
# Disease ids are MONDO ids; PrimeKG groups diseases, so one name can map to
# several MONDO ids. Use the returned id with get_neighbors.

2. Get Neighbors (Direct Associations)

Retrieve all connected nodes and relationship types.

from scripts.query_primekg import get_neighbors

# Get all neighbors of a specific disease ID (the MONDO id from search_nodes)
neighbors = get_neighbors(disease_id, relation_type="disease_protein")
# Returns: List of neighbors like
#   {"neighbor_name": "APOE", "neighbor_type": "gene/protein",
#    "relation": "disease_protein", "display_relation": "associated with", ...}

3. Analyze Disease Context

A high-level function to summarize associations for a disease.

from scripts.query_primekg import get_disease_context

# Comprehensive summary for a disease
context = get_disease_context("Alzheimer")
# Access: context['associated_genes'], context['associated_drugs'],
#         context['phenotypes'], context['related_diseases']

4. Trace Drug-Disease Paths (Repurposing)

Find depth-2 paths (drug -> shared gene/protein target -> disease) as graph-based repurposing evidence.

from scripts.query_primekg import find_paths

# drug_id and disease_id come from search_nodes
paths = find_paths(drug_id, disease_id, max_depth=2)
# Each path is a list of edge dicts; a drug -> gene/protein -> disease path is a
# candidate new-indication hypothesis. For deeper traversal, load kg.csv into networkx.

Node and Relation Types in PrimeKG

These are the exact strings used in kg.csv — match them verbatim when filtering.

Node types (x_type/y_type, 10 total): gene/protein, drug, disease, effect/phenotype, biological_process, molecular_function, cellular_component, pathway, anatomy, exposure. Note: genes use gene/protein (not gene) and phenotypes use effect/phenotype (not phenotype).

Key relations (relation, 30 total). Edges are undirected; check both endpoints.

  • protein_protein: physical PPIs
  • drug_protein: drug target/mechanism associations
  • disease_protein: disease-gene/protein associations (there is no disease_gene)
  • indication, contraindication, off-label use: the three drug-disease relations (there is no single drug_disease)
  • disease_phenotype_positive / disease_phenotype_negative: phenotype present/absent
  • bioprocess_protein, pathway_protein, molfunc_protein, cellcomp_protein: GO / pathway annotations
  • anatomy_protein_present / anatomy_protein_absent, exposure_*: anatomy/exposure links

Best Practices

  1. Use specific IDs: When using get_neighbors, ensure you have the correct ID from search_nodes (disease IDs are MONDO ids).
  2. Context first: Use get_disease_context for a broad overview before diving into specific genes or drugs.
  3. Filter relationships: Use the relation_type filter in get_neighbors to focus on specific evidence (e.g., only drug_protein, or indication for treatment links). Use exact relation strings from the list above.
  4. Mind disease grouping: PrimeKG collapses ~22k MONDO concepts into ~17k grouped disease nodes, so one disease name may resolve to multiple MONDO ids that share a node_index.

Resources

Scripts

  • scripts/query_primekg.py: Core functions — search_nodes, get_neighbors, find_paths, get_disease_context.

Data Path

  • Data: kg.csv (set PRIMEKG_DATA_PATH; default ../data/kg.csv), from Harvard Dataverse (mims-harvard/PrimeKG).
  • 129,375 nodes, 4,050,249 edges; 10 node types, 30 edge types.
  • Loaded with pandas (pd.read_csv, low_memory=True). kg.csv is ~3 GB+ uncompressed — each function reloads it; for repeated queries, cache the DataFrame or use a real graph store.

Signals

GitHub stars
66
Forks
13
Last commit
Sep 2026
Advanced
Catalog kind
skill
Gateway key
alterlab-primekg
Source
github.com/alterlab-ieu/alterlab-academic-skills