Key result
ILP-augmented signaling models improve drug-induced cardiomyopathy prediction accuracy to ~88% over DEGs alone.
Why the study?
Drug-induced cardiomyopathy contributes to drug attrition and improved predictive modeling approaches are needed to assess cardiotoxicity risk.
Does ILP-augmented predictive modeling improve the prediction accuracy of drug-induced cardiomyopathy compared to using differentially expressed genes alone?
Does ILP-augmented predictive modeling improve the prediction accuracy of drug-induced cardiomyopathy compared to using differentially expressed genes alone?
Absolute Event Rate: 88% vs 79%
An ILP-augmented predictive modeling approach using signaling networks improves the accuracy of predicting drug-induced cardiomyopathy compared to using differentially expressed genes alone.
Drug-induced cardiomyopathy contributes to drug attrition. We compared two pipelines of predictive modeling: (1) applying elastic net (EN) to differentially expressed genes (DEGs) of drugs; (2) applying integer linear programming (ILP) to construct each drug's signaling pathway starting from its targets to downstream proteins, to transcription factors, and to its DEGs in human cardiomyocytes, and then subjecting the genes/proteins in the drugs' signaling networks to EN regression. We classified 31 drugs with availability of DEGs into 13 toxic and 18 nontoxic drugs based on a clinical cardiomyopathy incidence cutoff of 0.1%. The ILP-augmented modeling increased prediction accuracy from 79% to 88% (sensitivity: 88%; specificity: 89%) under leave-one-out cross validation. The ILP-constructed signaling networks of drugs were better predictors than DEGs. Per literature, the microRNAs that reportedly regulate expression of our six top predictors are of diagnostic value for natural heart failure or doxorubicin-induced cardiomyopathy. This translational predictive modeling might uncover potential biomarkers.
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Messinis et al. (2018) studied Drug-induced cardiomyopathy (n=31). Integer linear programming (ILP)-augmented modeling vs. Elastic net (EN) applied to differentially expressed genes (DEGs) was evaluated on Prediction accuracy for drug-induced cardiomyopathy. ILP-augmented modeling of drug signaling networks increased prediction accuracy for drug-induced cardiomyopathy from 79% to 88% (sensitivity: 88%; specificity: 89%) compared to using DEGs alone.
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