Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA; Department of Biomedical Data Sciences, Stanford University, Stanford, CA, USA.
Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Trends Mol Med. 2021 Aug;27(8):762-776. doi: 10.1016/j.molmed.2021.01.007. Epub 2021 Feb 8.
A healthy pregnancy depends on complex interrelated biological adaptations involving placentation, maternal immune responses, and hormonal homeostasis. Recent advances in high-throughput technologies have provided access to multiomics biological data that, combined with clinical and social data, can provide a deeper understanding of normal and abnormal pregnancies. Integration of these heterogeneous datasets using state-of-the-art machine-learning methods can enable the prediction of short- and long-term health trajectories for a mother and offspring and the development of treatments to prevent or minimize complications. We review advanced machine-learning methods that could: provide deeper biological insights into a pregnancy not yet unveiled by current methodologies; clarify the etiologies and heterogeneity of pathologies that affect a pregnancy; and suggest the best approaches to address disparities in outcomes affecting vulnerable populations.
健康的妊娠取决于复杂的相互关联的生物学适应,包括胎盘形成、母体免疫反应和激素内稳态。高通量技术的最新进展使我们能够获取多组学的生物学数据,这些数据与临床和社会数据相结合,可以深入了解正常和异常妊娠。使用最先进的机器学习方法整合这些异构数据集,可以预测母婴的短期和长期健康轨迹,并开发预防或最小化并发症的治疗方法。我们回顾了先进的机器学习方法,这些方法可以:为尚未被当前方法揭示的妊娠提供更深入的生物学见解;阐明影响妊娠的病理的病因和异质性;并提出解决影响弱势群体的结果差异的最佳方法。