Biology-aware mutation-based deep learning for outcome prediction of cancer immunotherapy with immune checkpoint inhibitors

Autor: Junyan Liu, Md Tauhidul Islam, Shengtian Sang, Liang Qiu, Lei Xing
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: npj Precision Oncology, Vol 7, Iss 1, Pp 1-10 (2023)
Druh dokumentu: article
ISSN: 2397-768X
DOI: 10.1038/s41698-023-00468-8
Popis: Abstract The response rate of cancer immune checkpoint inhibitors (ICI) varies among patients, making it challenging to pre-determine whether a particular patient will respond to immunotherapy. While gene mutation is critical to the treatment outcome, a framework capable of explicitly incorporating biology knowledge has yet to be established. Here we aim to propose and validate a mutation-based deep learning model for survival analysis on 1571 patients treated with ICI. Our model achieves an average concordance index of 0.59 ± 0.13 across nine types of cancer, compared to the gold standard Cox-PH model (0.52 ± 0.10). The “black box” nature of deep learning is a major concern in healthcare field. This model’s interpretability, which results from incorporating the gene pathways and protein interaction (i.e., biology-aware) rather than relying on a ‘black box’ approach, helps patient stratification and provides insight into novel gene biomarkers, advancing our understanding of ICI treatment.
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