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An open-source software package for predicting microRNA target site variants (miR-TSVs) from clinical genomic data sets that measure miRNA expression, gene expression, and genotype. The main benefits of SubmiRine are that it allows for de novo prediction of miR-TSVs from custom data sets - such as those that can be generated from large-scale clinical genomics projects - and provides a methodology to prioritize predicted miR-TSVs by their relative probability of being functional. Thus, SubmiRine enables researchers to perform miR-TSV prediction efficiently and systematically on genome-scale data sets and narrow down the list of candidates to a manageable set for further validation.