Department of R&D, Helixco Inc., Ulsan, South Korea.
College of Pharmacy and Research Institute of Life and Pharmaceutical Sciences, Sunchon National University, Suncheon, South Korea.
Front Cell Infect Microbiol. 2020 Nov 16;10:571515. doi: 10.3389/fcimb.2020.571515. eCollection 2020.
Periodontitis is a widespread chronic inflammatory disease caused by interactions between periodontal bacteria and homeostasis in the host. We aimed to investigate the performance and reliability of machine learning models in predicting the severity of chronic periodontitis. Mouthwash samples from 692 subjects (144 healthy controls and 548 generalized chronic periodontitis patients) were collected, the genomic DNA was isolated, and the copy numbers of nine pathogens were measured using multiplex qPCR. The nine pathogens are as follows: (Pg), (Tf), (Td), (Pi), (Fn), (Cr), (Aa), (Pa), and (Ec). By adding the species one by one in order of high accuracy to find the optimal combination of input features, we developed an algorithm that predicts the severity of periodontitis using four machine learning techniques. The accuracy was the highest when the models classified "healthy" and "moderate or severe" periodontitis (H vs. M-S, average accuracy of four models: 0.93, AUC = 0.96, sensitivity of 0.96, specificity of 0.81, and diagnostic odds ratio = 112.75). One or two red complex pathogens were used in three models to distinguish slight chronic periodontitis patients from healthy controls (average accuracy of 0.78, AUC = 0.82, sensitivity of 0.71, and specificity of 0.84, diagnostic odds ratio = 12.85). Although the overall accuracy was slightly reduced, the models showed reliability in predicting the severity of chronic periodontitis from 45 newly obtained samples. Our results suggest that a well-designed combination of salivary bacteria can be used as a biomarker for classifying between a periodontally healthy group and a chronic periodontitis group.
牙周炎是一种广泛存在的慢性炎症性疾病,由牙周细菌与宿主内环境之间的相互作用引起。本研究旨在探究机器学习模型在预测慢性牙周炎严重程度中的性能和可靠性。我们收集了 692 名受试者(144 名健康对照和 548 名广泛性慢性牙周炎患者)的漱口水样本,提取基因组 DNA,采用多重 qPCR 检测 9 种病原体的拷贝数。这 9 种病原体分别为:(Pg)、(Tf)、(Td)、(Pi)、(Fn)、(Cr)、(Aa)、(Pa)和(Ec)。通过按准确度从高到低的顺序逐个添加物种,找到预测牙周炎严重程度的最佳输入特征组合,我们利用 4 种机器学习技术开发了一种算法。当模型将“健康”和“中度或重度”牙周炎进行分类时(H 与 M-S,4 种模型的平均准确率:0.93,AUC=0.96,敏感度为 0.96,特异度为 0.81,诊断比值比=112.75),准确率最高。有 3 个模型使用 1 或 2 种红色复合体病原体来区分轻度慢性牙周炎患者和健康对照者(平均准确率为 0.78,AUC=0.82,敏感度为 0.71,特异度为 0.84,诊断比值比=12.85)。尽管整体准确率略有下降,但模型在预测 45 份新获得的样本的慢性牙周炎严重程度方面表现出可靠性。本研究结果表明,精心设计的唾液细菌组合可作为区分牙周健康组和慢性牙周炎组的生物标志物。
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