=Paper= {{Paper |id=None |storemode=property |title=Analysis of Vaccine-related Networks using Semantic MEDLINE and the Vaccine Ontology |pdfUrl=https://ceur-ws.org/Vol-1061/Paper6_vdos2013.pdf |volume=Vol-1061 |dblpUrl=https://dblp.org/rec/conf/icbo/ZhangTHKL13 }} ==Analysis of Vaccine-related Networks using Semantic MEDLINE and the Vaccine Ontology== https://ceur-ws.org/Vol-1061/Paper6_vdos2013.pdf
    Analysis of Vaccine-related Networks using Semantic MEDLINE
                      and the Vaccine Ontology
               Yuji Zhang1,*, Cui Tao1, Yongqun He2, Pradip Kanjamala1, Hongfang Liu1
    1
     Department of Health Sciences Research, Mayo College of Medicine, Rochester, MN 55905, USA
    2
     Unit of Laboratory of Animal Medicine, University of Michigan, Ann Arbor, MI 48109, USA



ABSTRACT                                                        medicines and vaccines were developed based on previ-
   A major challenge in the vaccine research has been to        ous marketed products. This suggested that drug reposi-
identify important vaccine-related networks and logically       tioning has drawn great attention from the both industry
explain the results. In this paper, we showed that network-     and academic institutes (Graul, Sorbera et al. 2010).
based analysis of vaccine-related networks can discover         However, many of these drug repositioning have been
the underlying structure information consistent with that       serendipitous discoveries (Ashburn and Thor 2004) or on
captured by the Vaccine Ontology and propose new hy-            observable clinical phenotypes, which are lack of system-
potheses for vaccine disease or gene associations. First, a     atic ways to identify new targets. Recent research has
vaccine-vaccine network was inferred using a bipartite          shown that bioinformatics-based approaches can aid to
network projection strategy on the vaccine-disease net-         reposition drugs based on the complex relationships
work extracted from the Semantic MEDLINE database. In           among drugs, diseases and genes (Liu, Fang et al. 2013).
total, 76 vaccines and 573 relationships were identified to     Such approaches can also be applied in the future vaccine
construct the vaccine network. The shortest paths between       development.
all pairs of vaccines were calculated within the vaccine            In recent years, high-throughput biological data and
network. The correlation between the shortest paths of          computational systems biology approaches has provided
vaccine pairs and their semantic similarities in the Vac-       an unprecedented opportunity to understand the disease
cine Ontology was then investigated. Second, a vaccine-         etiology and its underlying cellular subsystems. Biologi-
gene network was also constructed, in which several im-         cal knowledge such as drug-disease networks, and bio-
portant vaccine-related genes were identified. This study       medical ontologies have accelerated the development of
demonstrated that a combinatorial analysis using literature     network-based approaches to understanding disease etiol-
knowledgebase, semantic technology, and ontology is             ogy (Ideker and Sharan 2008; Barabasi, Gulbahce et al.
able to reveal unidentified important knowledge critical to     2011) and drug action (network pharmacology) (Berger
biomedical research and public health and generate testa-       and Iyengar 2009; Mathur and Dinakarpandian 2011).
ble hypotheses for future experimental verification.            Such approaches could also be applied in the vaccine re-
                                                                search, aiming to investigate the vaccine-related associa-
1       INTRODUCTION                                            tions derived from public knowledgebase such as
Vaccines have been one of the most successful public            PUBMED literature abstracts. For example, a Vaccine
health interventions to date with most vaccine-preventable      Ontology (VO)-based literature mining research was re-
diseases having declined in the United States by at least       ported last year to study all gene interactions associated
95-99% (1994). However, vaccine development is getting          with fever alone or both fever and vaccine (Hur, Ozgur et
more difficult as more complex organisms become vac-            al. 2012). This study focused on the retrieval of gene-gene
cine targets. In recent years, drug repositioning has been      associations based on their direct interactions in the con-
growing in last few years and achieved a number of suc-         text of fever and vaccine. The centrality-based network
cesses for existing drugs such as Viagra (Goldstein, Lue        approach (Ozgur, Vu et al. 2008) evaluated the level of
et al. 1998) and thalidomide (Singhal, Mehta et al. 1999).      importance for each gene in extracted gene interaction
By definition, drug repositioning is the “process of find-      network. Novel gene interactions were identified to be
ing new users outside the scope of the original medical         essential in fever- or vaccine-related networks that could
indications for existing drugs or compounds” (Chong and         not be found before. A similar VO and centrality-based
Sullivan 2007). In 2009, more than 30% of the 51 new            literature mining approach was also used to analyse vac-
                                                                cine-associated IFN- gene interaction network (Ozgur,
   *
       To   whom    correspondence   should   be   addressed:   Xiang et al. 2011). Ball et al. compiled a network consist-
Zhang.Yuji@mayo.edu                                             ing of 6,428 nodes (74 vaccines and 6,354 adverse events)
                                                                and more than 1.4 million interlinkages, derived from


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    Zhang et al.



Vaccine Adverse Event Reporting System (VAERS) (Ball                                 In this paper, we proposed a network-based approach to
and Botsis 2011). This network demonstrated a scale-free                             investigate the underlying relationships among vaccines
property, in which certain vaccines and adverse events act                           in the context of the vaccine-related network derived from
as “hubs”. Such network analysis approaches complement                               Semantic MEDLINE. The distances of the vaccines were
current statistical techniques by offering a novel way to                            further compared with their semantic similarities in the
visualize and evaluate vaccine adverse event data. How-                              VO. The results demonstrated that the structure infor-
ever, the relationships among different vaccines in the                              mation of vaccine network is consistent with that captured
context of vaccine-vaccine and vaccine-gene networks                                 by VO. Such network-based analysis can serve as an in-
have not been well studied yet. A systematic level inves-                            dependent data resource to construct and evaluate bio-
tigation of such relationships will help us understand bet-                          medical ontologies. In addition, the vaccine-gene network
ter how vaccines are related to each other and whether                               was also constructed based on Semantic MEDLINE in-
such information can complement the existing knowledge                               formation, in which important vaccine-related genes were
such as VO.                                                                          identified and further investigated by VO and related in-
   To analyse the possible common protective immunity                                dependent resources.
or adverse event mechanisms among different vaccines, it                                The rest of the paper is organized as follows. Section 2
is critical to study all possible vaccine-vaccine and vac-                           introduces the data resources and the proposed network-
cine-gene associations using network analysis approaches.                            based framework. Section 3 illustrates the results generat-
The hypotheses behind this are: (1) if two vaccines have                             ed from each step in the proposed computational frame-
coupling relationship with common disease(s)/gene(s),                                work. Section 4 provides a thorough discussion of the
they are linked in the vaccine network; (2) the closer two                           results and concludes the paper.
vaccines are in the vaccine network, the more similar they
are in the context of literature knowledgebase, such as
Semantic MEDLINE (Rindflesch, Kilicoglu et al. 2011).




Fig. 1. Overview of the proposed framework. The proposed method consists of three steps: 1) Extraction of vaccine-related associations from Semantic
MEDLINE using ontology based terms; 2) Network based analyses to identify vaccine-vaccine associations and vaccine-gene associations; 3) Evaluation of
inferred vaccine-vaccine and vaccine-gene relationships using vaccine ontology hierarchical structure and literature validation.
                                                                                     Medicine (NLM) initiated project which provides a public
2       MATERIALS AND METHODS                                                        available database that contains comprehensive resources
In this section, we describe the data resources and prepro-                          with structured annotations for information extracted from
cessing method in this work. We then introduce our pro-                              more than 19 million MEDLINE abstracts. Since the
posed network-based approach for investigating vaccine-                              Semantic MEDLINE is a comprehensive resource that
related associations derived from PubMed literature ab-                              contains heterogeneous data with different features ex-
stracts. The evaluation of the discovered vaccine-vaccine                            tracted, our previous research has reorganized this data
and vaccine-gene relationships is conducted based on the                             source and optimized it for informatics analysis (Tao,
VO hierarchy and logical definitions. Fig. 1 illustrates the                         Zhang et al. 2012). Using the Unified Medical language
steps of the proposed approach.                                                      System (UMLS) semantic types and groups (2012), we
                                                                                     extracted unique associations among diseases, genes, and
2.1      Data Resources and preprocessing                                            drugs, and represented them in six Resource Description
2.1.1. Data Resources                                                                Framework (RDF) graphs. In this paper, we used our op-
                                                                                     timized Semantic MEDLINE RDF data as the data source
In this study, we use Semantic MEDLINE as the data
                                                                                     to perform network analysis for vaccine-related networks.
resource to build the networks. Semantic MEDLINE
(Rindflesch, Kilicoglu et al. 2011) is a National Library of


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   Analysis of Vaccine-related Networks using Semantic MEDLINE and the Vaccine Ontology



   Our RDF-based Semantic MEDLINE resource current-               The vaccine-gene network was constructed by vaccine-
ly contains 843k disease-disease, 111k disease-gene,              gene associations extracted from the drug-gene associa-
1277k disease-drug, 248k drug-gene, 1900k drug-drug,              tions in our RDF-based data resource. The important vac-
and 49k gene-gene associations. Since this resource con-          cine-related genes were identified by their significant
tains high-level terms (e.g., gene, protein, disease) that are    higher node degree compared to other vaccine/gene in the
not useful for network analysis, we further manually fil-         same network. The Cytoscape tool (Smoot, Ono et al. 2011)
tered out these terms using the following strategy. For           was selected to visualize the network. Cytoscape is an
disease terms, we only included those terms that are in-          open-source platform for integration, visualization and
cluded in ICD9. For gene terms, we only include those             analysis of biological networks. Its functionalities can be
terms that have an Entrez gene ID.                                extended through Cytoscape plugins. Scientists from dif-
                                                                  ferent research fields have contributed over 160 useful
2.1.2. Data extraction
                                                                  plugins so far. These comprehensive features allow us to
We identified those associations relevant to vaccines only.       perform thorough network level analyses and visualiza-
Specifically, vaccine terms were identified based on              tion of our association tables, and integration with other
SNOMED CT (http://www.ihtsdo.org/snomed-ct). All the              biological networks in the future.
terms under the SNOMED CT term Vaccine (CUI:
C0042210) were first extracted. A manual review by 3
experts further removed those common terms (e.g., bacte-
ria vaccine) or animal vaccine terms.
2.2      Network analysis of Vaccine Network
2.2.1. Projection of bipartite vaccine-disease network
In graph theory, a bipartite network is composed of two
non-overlapping sets of nodes and links that connect one
node in the first node set with one node in the second
node set. The properties of bipartite networks are often
investigated by considering the one-mode projection of
the bipartite network. The one-mode projection network
can be created by connecting two nodes in the same node
set if they have at least one common neighboring node in
the other node set. For instance, the vaccine-disease asso-
ciation network is one bipartite network: vaccines and
diseases constitute two node sets, and links are generated
between vaccine and disease if they are associated in the
                                                                  Fig. 2. The heat map of vaccine-vaccine associations. The shortest path
Semantic MEDLINE. Therefore, the vaccine-vaccine
                                                                  matrix of all vaccine pairs was used to generate the heat map. Each row
network can be investigated by projecting vaccine-disease
                                                                  (column) represents a vaccine term. The color scale represents the short-
associations to vaccine-vaccine associations, in which two
                                                                  est path between any vaccine pair.
vaccines are connected if they are associated with at least
one same disease. In this work, all links were generated          2.3     Analysis of vaccine groups using VO
based on the associations extracted from Semantic                 The community-based Vaccine Ontology (VO) has in-
MEDLINE as described in Section 2.1. A vaccine-vaccine            cluded over 4,000 vaccine-specific terms, including all
network was generated consisting of all the links identi-         licensed human and veterinary vaccines currently used in
fied in vaccine-disease associations.                             the USA. Logical axioms have been defined in VO to
2.2.2. Network distance between vaccines                          represent the relations among vaccine terms (Ozgur,
The distance between any two vaccines in the vaccine              Xiang et al. 2011). The Semantic MEDLINE analysis
network was calculated as the length of the shortest path         uses SNOMED terms to represent various vaccines. VO
between them (Fekete, Vattay et al. 2009). The hierar-            has established automatic mapping between SNOMED
chical clustering analysis was performed on the distance          vaccine terms and VO terms. Based on the mapping, we
matrix of all vaccines (Guess and Wilson 2002). A heat            first extracted all vaccine terms from the Semantic
map was generated based on the clustering analysis re-            MEDLINE and mapped to VO. The ontology term re-
sults.                                                            trieval tool OntoFox (Xiang, Courtot et al. 2010) was then
                                                                  applied to obtain the hierarchies of the total vaccines or
2.2.3.    Analysis of vaccine-gene network                        subgroups of the vaccines identified in this study.



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    Zhang et al.



3       RESULTS                                               using an ontology reasoner was used to infer that the DTP
                                                              is also Bordetella pertussis vaccine (i.e., Pertussis vac-
3.1      The overall network view                             cine) (Fig. 3). It is likely that the association of the com-
In total, 76 vaccines, annotated by the SNOMED CT term        bination vaccine DTP with neurological disorder is at
Vaccine (CUI: C0042210), were used to extract related         least partially due to the Pertussis vaccine component.
vaccine-disease and vaccine-gene associations from the           Our study also identified many other diseases associat-
drug-disease and drug-gene association tables respective-     ing with different vaccines. For example, five vaccines
ly. In the vaccine-disease network, there were 1127 nodes     (e.g., pertussis vaccine) were found to be associated with
(178 vaccines and 949 diseases) and 1741 vaccine-disease      various types of antimicrobial susceptibility, and eight
associations. In the vaccine-gene network, there were 170     vaccines (e.g., influenza vaccine) have been co-studied
nodes (85 vaccines and 85 genes) and 94 vaccine-gene          with patients having the asthma condition. Due to the
associations. One vaccine network was generated by the        relative poor annotation of the vaccine data in the Seman-
projection of the vaccine-disease bipartite network, con-     tic MEDLINE system, the vaccines identified in the se-
sisting of 76 vaccines and 573 associations. This vaccine     mantic analysis were poorly classified. The incorporation
network was then used to analyze the vaccine relation-        of VO in the study clearly classifies these vaccines, lead-
ships. The derived vaccine-gene network was also inves-       ing to better understanding of the result of the Semantic
tigated by the VO knowledge.                                  MEDLINE analysis.
3.2      Analysis of vaccine network                             2) This group of vaccines, including Q fever vaccine,
                                                              Parvovirus vaccine, and Tick-borne encephalitis vaccine,
Fig. 2 showed a heat map of hierarchical analysis results,    is associated with the common disease “Delayed Hyper-
providing a direct visualization of potential vaccine-        sensitivity”. Delayed type reactions may occur at days
vaccine associations. Here we selected four relatively big    after vaccination and often raise serious safety concerns.
vaccine-vaccine association groups on the diagonal from       Delayed hypersensitivity is not antibody-mediated but
Fig. 2 and explain them in detail:                            rather is a type of cell-mediated response. The study of
   1) This group contains 18 very widely-studied vac-         common vaccines and related gene and pathway features
cines. Many interesting results are obtained from the         related to the delayed reaction will help to reveal the
analysis of this group of vaccine-disease-vaccine associa-    cause of DTR and eventually prevent it. While these vac-
tions. For example, the results from this group show that     cines are developed against different bacterial or viral
influenza vaccines and Rabies vaccines have been associ-      diseases, there may be similarities among these vaccines,
ated with the induction of a severe adverse event Guillain-   such as common vaccine ingredients (e.g., adjuvant) and a
Barré syndrome (GBS) (Hemachudha, Griffin et al. 1988;        shared target to some common biological pathway in hu-
Hartung, Keller-Stanislawski et al. 2012). GBS is a rare      mans. An identification of these common features may
disorder in which a person’s own immune system damag-         indicate a common cause of the DTR.
es their nerve cells, causing muscle weakness and some-          3) This group of vaccines is associated with the com-
times paralysis. This group also includes five other vac-     mon disease “Mumps”. The vaccines in this group include
cines associating with nervous system disorder, including     Mumps Vaccine, “measles, mumps, rubella, varicella
Pertussis Vaccine (Wardlaw 1988), Diphtheria-Tetanus-         vaccine”, and “diphtheria-tetanus-pertussis-haemophilus b
Pertussis Vaccine (Corkins, Grose et al. 1991), Hepatitis     conjugate vaccine” (DTP-Hib). The first two vaccines
B Vaccines (Comenge and Girard 2006), Chickenpox              protect against Mumps. DTP-Hib was compared with a
Vaccine (Bozzola, Tozzi et al. 2012), and Poliovirus Vac-     Mumps vaccine in a study (Henderson, Oates et al. 2004).
cine (Friedrich 1998; Korsun, Kojouharova et al. 2009).          4) This vaccine group consists of seven vaccines (e.g.,
As shown by a VO hierarchical structure layout (Fig. 3),      Brucella abortus vaccine and bovine rhinotracheitis vac-
these seven vaccines belong to different bacterial or viral   cine) with direct associations between them. They are all
vaccines. The Diphtheria-Tetanus-Pertussis vaccine            associated with the common term “calve” in the literature
(DTP) is a combination vaccine that contains three indi-      abstracts. Since “calve disease” has a synonym “Scheu-
vidual vaccine components, including a Pertussis vaccine.     ermann’s Disease”, these vaccines have all been linked to
DTP is asserted in VO as a subclass of “Diphtheria-           “Scheuermann’s Disease”. This is due to the ambiguity of
Tetanus vaccine”. Different from SNOMED, VO logical-          the Nature Language Processing (NLP) process. This can
ly defines vaccines based on their relation to the pathogen   be improved by future improvement of the disambiguity
organisms defined in the NCBI_Taxon ontology. Since           capacity of NLP tools.
multiple inheritances are not used in VO, an inference




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    Analysis of Vaccine-related Networks using Semantic MEDLINE and the Vaccine Ontology



                                                                           text of vaccine network extracted from PubMed literature
                                                                           abstracts. The investigations of vaccine-vaccine, vaccine-
                                                                           disease, and vaccine-gene networks demonstrate that such
                                                                           literature-based associations can be better analyzed using
                                                                           VO and such a combinatorial analysis is able to reveal the
                                                                           association patterns and identify new knowledge. The
                                                                           identified vaccine-vaccine associations based on vaccine-
                                                                           disease distance analysis are consistent with their VO
                                                                           categories and often lead to the generation of new hy-
                                                                           potheses. Our studies discovered some novel vaccine-
                                                                           vaccine relationships by discovering a group of vaccines
                                                                           associated with some common diseases as demonstrated
Fig. 3. The VO hierarchical structure of the seven vaccines associating    in the heat map analysis in the Results section. Due to the
with neurological disorder. A reasoning process assigned the Diphtheria-   incompleteness of such information existing in the litera-
Tetanus-Pertussis vaccine under Bordetella pertussis vaccine. The Pro-     ture abstracts, such vaccine-vaccine associations need
tégé-OWL editor 4.2 was used for the figure generation.                    further validation in independent databases or through
3.3      Vaccine-gene network                                              future experimental studies. For example, while our anal-
                                                                           ysis reveals associations between a group of vaccines and
In the vaccine-gene network, many genes were found to                      neurological adverse events, it is noted that the evidences
interact with different vaccines. For example, our study                   of these associations, although reported by some PubMed
identified that CD40LG (CD40 ligand) is closely associ-                    abstracts, are not necessarily commonly acknowledged
ated with five vaccines: Diphtheria toxoid vaccine, Chol-                  (Sarntivijai, Xiang et al. 2012). More analysis may be
era vaccine, Tetanus vaccine, Chickenpox vaccine, and                      required for clarification.
inactivated poliovirus vaccine (Fig. 4). CD40LG plays an                          Future extensions of this work include: (1) integra-
important role in antigen presentation and stimulation of                  tion of more comprehensive vaccine-disease association
cytotoxic T lymphocytes (Kornbluth 2000). CD40LG can                       databases (e.g., VAERS system) to construct more com-
also be used in rational vaccine adjuvant design                           plete vaccine-related networks; (2) generation of vaccine-
(Kornbluth and Stone 2006). Our finding confirms the                       related gene network by extending the neighbour genes of
important role of CD40LG and provides specific details                     vaccine-associated genes; (3) network-based investigation
on how this immune factor interacts with various bacterial                 of the relationships among vaccines and other drugs using
and viral vaccines.                                                        vaccine-drug associations; (4) investigation on possible
                                                                           ways to improve the network by assigning weights or
                                                                           confident rates to different types of associations or associ-
                                                                           ations from different sources.

                                                                           ACKNOWLEDGEMENTS
                                                                           This project was supported by the National Institute of
                                                                           Health grants 5R01LM009959-02 to HL, and
                                                                           R01AI081062 to YH.

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