arXiv:2603.07233v2 Announce Type: replace-cross Abstract: Predicting transcriptional responses to genetic perturbations is fundamental to functional genomics and therapeutic discovery. Recent deep learning models have shown promise in single-cell perturbation response prediction, but they typically generate each response in isolation, without explicitly leveraging related perturbations. We introduce PT-RAG (Perturbation-aware Two-stage Retrieval-Augmented Generation), a plug-in retrieval-and-conditioning module for generative cellular perturbation response. PT-RAG augments an existing perturbation-response backbone with learned access to related perturbation contexts. The key challenge is that relevance is not fixed in this setting: functionally related genes may elicit different effects across cell types. PT-RAG addresses this with a two-stage retrieval mechanism: GenePT-based semantic retrieval first identifies K candidate perturbations, after which a differentiable Gumbel-Softmax selector adaptively selects retrieved contexts conditioned on the control cell state, the query perturbation, and each candidate perturbation. We evaluate PT-RAG on two backbones, a STATE-style generator used as a frozen random reservoir and a fully trained scGPT, across cross-cell-type and cross-perturbation generalization tasks. PT-RAG consistently improves distributional similarity and often overall predictive quality; for example, on scGPT cross-cell-type results, the 2-Wasserstein distance drops by 5.9% relative to scGPT alone. The code to reproduce our experiments is available at https://github.com/difra100/PT-RAG_NIPS.