DeepAMR for predicting co-occurrent resistance of Mycobacterium tuberculosis

<p><strong>Motivation</strong> Resistance co-occurrence within first-line anti-tuberculosis (TB) drugs is a common phenomenon. Existing methods based on genetic data analysis of Mycobacterium tuberculosis (MTB) have been able to predict resistance of MTB to individual drugs, but ha...

Full description

Bibliographic Details
Main Authors: Yang, Y, Walker, T, Walker, A, Wilson, D, Peto, T, Crook, D, Shamout, F, Cryptic Consortium, Zhu, T, Clifton, D
Format: Journal article
Published: Oxford University Press 2019
_version_ 1826267923743768576
author Yang, Y
Walker, T
Walker, A
Wilson, D
Peto, T
Crook, D
Shamout, F
Cryptic Consortium
Zhu, T
Clifton, D
author_facet Yang, Y
Walker, T
Walker, A
Wilson, D
Peto, T
Crook, D
Shamout, F
Cryptic Consortium
Zhu, T
Clifton, D
author_sort Yang, Y
collection OXFORD
description <p><strong>Motivation</strong> Resistance co-occurrence within first-line anti-tuberculosis (TB) drugs is a common phenomenon. Existing methods based on genetic data analysis of Mycobacterium tuberculosis (MTB) have been able to predict resistance of MTB to individual drugs, but have not considered the resistance co-occurrence and cannot capture latent structure of genomic data that corresponds to lineages.</p> <p><strong>Results</strong> We used a large cohort of TB patients from 16 countries across six continents where whole-genome sequences for each isolate and associated phenotype to anti-TB drugs were obtained using drug susceptibility testing recommended by the World Health Organization. We then proposed an end-to-end multi-task model with deep denoising auto-encoder (DeepAMR) for multiple drug classification and developed DeepAMR_cluster, a clustering variant based on DeepAMR, for learning clusters in latent space of the data. The results showed that DeepAMR outperformed baseline model and four machine learning models with mean AUROC from 94.4% to 98.7% for predicting resistance to four first-line drugs [i.e. isoniazid (INH), ethambutol (EMB), rifampicin (RIF), pyrazinamide (PZA)], multi-drug resistant TB (MDR-TB) and pan-susceptible TB (PANS-TB: MTB that is susceptible to all four first-line anti-TB drugs). In the case of INH, EMB, PZA and MDR-TB, DeepAMR achieved its best mean sensitivity of 94.3%, 91.5%, 87.3% and 96.3%, respectively. While in the case of RIF and PANS-TB, it generated 94.2% and 92.2% sensitivity, which were lower than baseline model by 0.7% and 1.9%, respectively. t-SNE visualization shows that DeepAMR_cluster captures lineage-related clusters in the latent space.</p> <p><strong>Availability</strong> The details of source code are provided at http://www.robots.ox.ac.uk/∼davidc/code.php.</p>
first_indexed 2024-03-06T21:01:43Z
format Journal article
id oxford-uuid:3b1a36ea-ee7f-4d41-a862-bb8ebb7fac4a
institution University of Oxford
last_indexed 2024-03-06T21:01:43Z
publishDate 2019
publisher Oxford University Press
record_format dspace
spelling oxford-uuid:3b1a36ea-ee7f-4d41-a862-bb8ebb7fac4a2022-03-26T14:05:33ZDeepAMR for predicting co-occurrent resistance of Mycobacterium tuberculosisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:3b1a36ea-ee7f-4d41-a862-bb8ebb7fac4aSymplectic Elements at OxfordOxford University Press2019Yang, YWalker, TWalker, AWilson, DPeto, TCrook, DShamout, FCryptic ConsortiumZhu, TClifton, D<p><strong>Motivation</strong> Resistance co-occurrence within first-line anti-tuberculosis (TB) drugs is a common phenomenon. Existing methods based on genetic data analysis of Mycobacterium tuberculosis (MTB) have been able to predict resistance of MTB to individual drugs, but have not considered the resistance co-occurrence and cannot capture latent structure of genomic data that corresponds to lineages.</p> <p><strong>Results</strong> We used a large cohort of TB patients from 16 countries across six continents where whole-genome sequences for each isolate and associated phenotype to anti-TB drugs were obtained using drug susceptibility testing recommended by the World Health Organization. We then proposed an end-to-end multi-task model with deep denoising auto-encoder (DeepAMR) for multiple drug classification and developed DeepAMR_cluster, a clustering variant based on DeepAMR, for learning clusters in latent space of the data. The results showed that DeepAMR outperformed baseline model and four machine learning models with mean AUROC from 94.4% to 98.7% for predicting resistance to four first-line drugs [i.e. isoniazid (INH), ethambutol (EMB), rifampicin (RIF), pyrazinamide (PZA)], multi-drug resistant TB (MDR-TB) and pan-susceptible TB (PANS-TB: MTB that is susceptible to all four first-line anti-TB drugs). In the case of INH, EMB, PZA and MDR-TB, DeepAMR achieved its best mean sensitivity of 94.3%, 91.5%, 87.3% and 96.3%, respectively. While in the case of RIF and PANS-TB, it generated 94.2% and 92.2% sensitivity, which were lower than baseline model by 0.7% and 1.9%, respectively. t-SNE visualization shows that DeepAMR_cluster captures lineage-related clusters in the latent space.</p> <p><strong>Availability</strong> The details of source code are provided at http://www.robots.ox.ac.uk/∼davidc/code.php.</p>
spellingShingle Yang, Y
Walker, T
Walker, A
Wilson, D
Peto, T
Crook, D
Shamout, F
Cryptic Consortium
Zhu, T
Clifton, D
DeepAMR for predicting co-occurrent resistance of Mycobacterium tuberculosis
title DeepAMR for predicting co-occurrent resistance of Mycobacterium tuberculosis
title_full DeepAMR for predicting co-occurrent resistance of Mycobacterium tuberculosis
title_fullStr DeepAMR for predicting co-occurrent resistance of Mycobacterium tuberculosis
title_full_unstemmed DeepAMR for predicting co-occurrent resistance of Mycobacterium tuberculosis
title_short DeepAMR for predicting co-occurrent resistance of Mycobacterium tuberculosis
title_sort deepamr for predicting co occurrent resistance of mycobacterium tuberculosis
work_keys_str_mv AT yangy deepamrforpredictingcooccurrentresistanceofmycobacteriumtuberculosis
AT walkert deepamrforpredictingcooccurrentresistanceofmycobacteriumtuberculosis
AT walkera deepamrforpredictingcooccurrentresistanceofmycobacteriumtuberculosis
AT wilsond deepamrforpredictingcooccurrentresistanceofmycobacteriumtuberculosis
AT petot deepamrforpredictingcooccurrentresistanceofmycobacteriumtuberculosis
AT crookd deepamrforpredictingcooccurrentresistanceofmycobacteriumtuberculosis
AT shamoutf deepamrforpredictingcooccurrentresistanceofmycobacteriumtuberculosis
AT crypticconsortium deepamrforpredictingcooccurrentresistanceofmycobacteriumtuberculosis
AT zhut deepamrforpredictingcooccurrentresistanceofmycobacteriumtuberculosis
AT cliftond deepamrforpredictingcooccurrentresistanceofmycobacteriumtuberculosis