Precision Oncology: Artificial Intelligence and DNA Methylation Analysis of Circulating Cell-Free DNA for Lung Cancer Detection

BackgroundLung cancer (LC) is a leading cause of cancer-deaths globally. Its lethality is due in large part to the paucity of accurate screening markers. Precision Medicine includes the use of omics technology and novel analytic approaches for biomarker development. We combined Artificial Intelligen...

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Main Authors: Ray Bahado-Singh, Kyriacos T. Vlachos, Buket Aydas, Juozas Gordevicius, Uppala Radhakrishna, Sangeetha Vishweswaraiah
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.790645/full
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author Ray Bahado-Singh
Kyriacos T. Vlachos
Buket Aydas
Juozas Gordevicius
Uppala Radhakrishna
Sangeetha Vishweswaraiah
author_facet Ray Bahado-Singh
Kyriacos T. Vlachos
Buket Aydas
Juozas Gordevicius
Uppala Radhakrishna
Sangeetha Vishweswaraiah
author_sort Ray Bahado-Singh
collection DOAJ
description BackgroundLung cancer (LC) is a leading cause of cancer-deaths globally. Its lethality is due in large part to the paucity of accurate screening markers. Precision Medicine includes the use of omics technology and novel analytic approaches for biomarker development. We combined Artificial Intelligence (AI) and DNA methylation analysis of circulating cell-free tumor DNA (ctDNA), to identify putative biomarkers for and to elucidate the pathogenesis of LC.MethodsIllumina Infinium MethylationEPIC BeadChip array analysis was used to measure cytosine (CpG) methylation changes across the genome in LC. Six different AI platforms including support vector machine (SVM) and Deep Learning (DL) were used to identify CpG biomarkers and for LC detection. Training set and validation sets were generated, and 10-fold cross validation performed. Gene enrichment analysis using g:profiler and GREAT enrichment was used to elucidate the LC pathogenesis.ResultsUsing a stringent GWAS significance threshold, p-value <5x10-8, we identified 4389 CpGs (cytosine methylation loci) in coding genes and 1812 CpGs in non-protein coding DNA regions that were differentially methylated in LC. SVM and three other AI platforms achieved an AUC=1.00; 95% CI (0.90-1.00) for LC detection. DL achieved an AUC=1.00; 95% CI (0.95-1.00) and 100% sensitivity and specificity. High diagnostic accuracies were achieved with only intragenic or only intergenic CpG loci. Gene enrichment analysis found dysregulation of molecular pathways involved in the development of small cell and non-small cell LC.ConclusionUsing AI and DNA methylation analysis of ctDNA, high LC detection rates were achieved. Further, many of the genes that were epigenetically altered are known to be involved in the biology of neoplasms in general and lung cancer in particular.
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spelling doaj.art-d758b84d3845486c8fdadd8bbd74a1cf2022-12-22T00:48:50ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-05-011210.3389/fonc.2022.790645790645Precision Oncology: Artificial Intelligence and DNA Methylation Analysis of Circulating Cell-Free DNA for Lung Cancer DetectionRay Bahado-Singh0Kyriacos T. Vlachos1Buket Aydas2Juozas Gordevicius3Uppala Radhakrishna4Sangeetha Vishweswaraiah5Department of Obstetrics and Gynecology, Oakland University William Beaumont School of Medicine, Royal Oak, MI, United StatesDepartment of Biomedical Sciences, Wayne State School of Medicine, Basic Medical Sciences, Detroit, MI, United StatesDepartment of Healthcare Analytics, Meridian Health Plans, Detroit, MI, United StatesVugene, LLC, Grand Rapids, MI, United StatesDepartment of Obstetrics and Gynecology, Oakland University William Beaumont School of Medicine, Royal Oak, MI, United StatesDepartment of Obstetrics and Gynecology, Beaumont Research Institute, Royal Oak, MI, United StatesBackgroundLung cancer (LC) is a leading cause of cancer-deaths globally. Its lethality is due in large part to the paucity of accurate screening markers. Precision Medicine includes the use of omics technology and novel analytic approaches for biomarker development. We combined Artificial Intelligence (AI) and DNA methylation analysis of circulating cell-free tumor DNA (ctDNA), to identify putative biomarkers for and to elucidate the pathogenesis of LC.MethodsIllumina Infinium MethylationEPIC BeadChip array analysis was used to measure cytosine (CpG) methylation changes across the genome in LC. Six different AI platforms including support vector machine (SVM) and Deep Learning (DL) were used to identify CpG biomarkers and for LC detection. Training set and validation sets were generated, and 10-fold cross validation performed. Gene enrichment analysis using g:profiler and GREAT enrichment was used to elucidate the LC pathogenesis.ResultsUsing a stringent GWAS significance threshold, p-value <5x10-8, we identified 4389 CpGs (cytosine methylation loci) in coding genes and 1812 CpGs in non-protein coding DNA regions that were differentially methylated in LC. SVM and three other AI platforms achieved an AUC=1.00; 95% CI (0.90-1.00) for LC detection. DL achieved an AUC=1.00; 95% CI (0.95-1.00) and 100% sensitivity and specificity. High diagnostic accuracies were achieved with only intragenic or only intergenic CpG loci. Gene enrichment analysis found dysregulation of molecular pathways involved in the development of small cell and non-small cell LC.ConclusionUsing AI and DNA methylation analysis of ctDNA, high LC detection rates were achieved. Further, many of the genes that were epigenetically altered are known to be involved in the biology of neoplasms in general and lung cancer in particular.https://www.frontiersin.org/articles/10.3389/fonc.2022.790645/fullDNA methylationlung cancerartificial intelligencemachine learningmiRNAs
spellingShingle Ray Bahado-Singh
Kyriacos T. Vlachos
Buket Aydas
Juozas Gordevicius
Uppala Radhakrishna
Sangeetha Vishweswaraiah
Precision Oncology: Artificial Intelligence and DNA Methylation Analysis of Circulating Cell-Free DNA for Lung Cancer Detection
Frontiers in Oncology
DNA methylation
lung cancer
artificial intelligence
machine learning
miRNAs
title Precision Oncology: Artificial Intelligence and DNA Methylation Analysis of Circulating Cell-Free DNA for Lung Cancer Detection
title_full Precision Oncology: Artificial Intelligence and DNA Methylation Analysis of Circulating Cell-Free DNA for Lung Cancer Detection
title_fullStr Precision Oncology: Artificial Intelligence and DNA Methylation Analysis of Circulating Cell-Free DNA for Lung Cancer Detection
title_full_unstemmed Precision Oncology: Artificial Intelligence and DNA Methylation Analysis of Circulating Cell-Free DNA for Lung Cancer Detection
title_short Precision Oncology: Artificial Intelligence and DNA Methylation Analysis of Circulating Cell-Free DNA for Lung Cancer Detection
title_sort precision oncology artificial intelligence and dna methylation analysis of circulating cell free dna for lung cancer detection
topic DNA methylation
lung cancer
artificial intelligence
machine learning
miRNAs
url https://www.frontiersin.org/articles/10.3389/fonc.2022.790645/full
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