Title
DeepAMR for predicting co-occurrent resistance of Mycobacterium tuberculosis
Date Issued
15 September 2019
Access level
open access
Resource Type
journal article
Author(s)
Yang Y.
Walker T.M.
Walker A.S.
Wilson D.J.
Peto T.E.A.
Crook D.W.
Shamout F.
Zhu T.
Clifton D.A.
Arandjelovic I.
Comas I.
Farhat M.R.
Gao Q.
Sintchenko V.
Soolingen D.
Hoosdally S.
Cruz A.L.G.
Carter J.
Grazian C.
Earle S.G.
Kouchaki S.
Fowler P.W.
Iqbal Z.
Hunt M.
Smith E.G.
Rathod P.
Jarrett L.
Matias D.
Cirillo D.M.
Borroni E.
Battaglia S.
Ghodousi A.
Spitaleri A.
Cabibbe A.
Tahseen S.
Nilgiriwala K.
Shah S.
Rodrigues C.
Kambli P.
Surve U.
Khot R.
Niemann S.
Kohl T.
Merker M.
Hoffmann H.
Molodtsov N.
Plesnik S.
Ismail N.
Omar S.V.
Thwaites G.
Thuong T.N.T.
Ngoc N.H.
Srinivasan V.
Solano W.
Gao G.F.
He G.
Zhao Y.
Ma A.
Liu C.
Zhu B.
Laurenson I.
Claxton P.
Koch A.
Wilkinson R.
Lalvani A.
Posey J.
Gardy J.
Werngren J.
Paton N.
Jou R.
Wu M.H.
Lin W.H.
Ferrazoli L.
de Oliveira R.S.
Publisher(s)
Oxford University Press
Abstract
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. Results: 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. Availability and implementation: The details of source code are provided at http://www.robots.ox.ac.uk/∼davidc/code.php. Supplementary information: Supplementary data are available at Bioinformatics online.
Start page
3240
End page
3249
Volume
35
Issue
18
Language
English
OCDE Knowledge area
Enfermedades infecciosas
Biotecnología relacionada con la salud
Scopus EID
2-s2.0-85072333478
PubMed ID
Source
Bioinformatics
ISSN of the container
13674803
Sponsor(s)
D.A.C. was supported by the Royal Academy of Engineering, the EPSRC via a ‘Grand Challenge’ award. T.Z. is supported by a Research Fellowship with St. Hilda’s College, Oxford. This project was supported by the Bill & Melinda Gates Foundation and the Wellcome Trust. T.E.A.P. and D.W.C. are NIHR Senior Investigators. D.J.W. is a Sir Henry Dale Fellow, jointly funded by the Wellcome Trust and the Royal Society [grant number 101237/Z/13/Z]. T.M.W. is an NIHR Academic Clinical Lecturer.
Sources of information:
Directorio de Producción Científica
Scopus