Yip Hiu F, Chowdhury Debajyoti, Wang Kexin, Liu Yujie, Gao Yao, Lan Liang, Zheng Chaochao, Guan Daogang, Lam Kei F, Zhu Hailong, Tai Xuecheng, Lu Aiping
Computational Medicine Laboratory, Hong Kong Baptist University, Hong Kong, Hong Kong SAR, China.
Institute of Integrated Bioinformedicine and Translational Science, School of Chinese Medicine, Hong Kong Baptist University, Hong Kong, Hong Kong SAR, China.
Front Med (Lausanne). 2022 Aug 22;9:931860. doi: 10.3389/fmed.2022.931860. eCollection 2022.
Diseases originate at the molecular-genetic layer, manifest through altered biochemical homeostasis, and develop symptoms later. Hence, symptomatic diagnosis is inadequate to explain the underlying molecular-genetic abnormality and individual genomic disparities. The current trends include molecular-genetic information relying on algorithms to recognize the disease subtypes through gene expressions. Despite their disposition toward disease-specific heterogeneity and cross-disease homogeneity, a gap still exists in describing the extent of homogeneity within the heterogeneous subpopulation of different diseases. They are limited to obtaining the holistic sense of the whole genome-based diagnosis resulting in inaccurate diagnosis and subsequent management. Addressing those ambiguities, our proposed framework, ReDisX, introduces a unique classification system for the patients based on their genomic signatures. In this study, it is a scalable machine learning algorithm deployed to re-categorize the patients with rheumatoid arthritis and coronary artery disease. It reveals heterogeneous subpopulations within a disease and homogenous subpopulations across different diseases. Besides, it identifies () as a subpopulation-differentiation marker that plausibly serves as a prominent indicator for -targeted drug repurposing. The ReDisX framework offers a novel strategy to redefine disease diagnosis through characterizing personalized genomic signatures. It may rejuvenate the landscape of precision and personalized diagnosis and a clue to drug repurposing.
疾病起源于分子遗传层面,通过生化稳态的改变得以显现,随后出现症状。因此,症状诊断不足以解释潜在的分子遗传异常和个体基因组差异。当前的趋势包括依靠算法通过基因表达来识别疾病亚型的分子遗传信息。尽管它们倾向于疾病特异性异质性和跨疾病同质性,但在描述不同疾病异质亚群内的同质性程度方面仍存在差距。它们仅限于获得基于全基因组诊断的整体认识,从而导致诊断不准确及后续治疗不当。为了解决这些模糊性问题,我们提出的ReDisX框架基于患者的基因组特征为患者引入了一种独特的分类系统。在本研究中,它是一种可扩展的机器学习算法,用于对类风湿性关节炎和冠状动脉疾病患者进行重新分类。它揭示了一种疾病内的异质亚群以及不同疾病间的同质亚群。此外,它将()识别为一个亚群分化标志物,该标志物可能作为靶向药物重新利用的一个重要指标。ReDisX框架提供了一种通过表征个性化基因组特征来重新定义疾病诊断的新策略。它可能会使精准和个性化诊断的局面焕然一新,并为药物重新利用提供线索。