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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Re ections on: Finding Melanoma Drugs Through a Probabilistic Knowledge Graph</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>James P. McCusker</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Michel Dumontier</string-name>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Rui Yan</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Sylvia He</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Jonathan S. Dordick</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Deborah L. McGuinness</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Center for Biotechnology &amp; Interdisciplinary Studies, Rensselaer Polytechnic Institute</institution>
          ,
          <addr-line>Troy, NY</addr-line>
          ,
          <country country="US">US</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Department of Chemical &amp; Biological Engineering</institution>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Department of Computer Science</institution>
        </aff>
        <aff id="aff3">
          <label>3</label>
          <institution>Stanford Center for Biomedical Informatics Research, Stanford University</institution>
          ,
          <addr-line>Stanford, CA</addr-line>
          ,
          <country country="US">US</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>We build a nanopublication-based knowledge graph of protein/protein, drug/protein, and protein/disease interactions to create a resource for exploring potential therapies for diseases. This is accomplished using Semantic Web standard tools like Blazegraph, SADI web services, and JSON-LD for integration with a Javascript-based web client. Metastatic cutaneous melanoma is an aggressive skin cancer with some progression-slowing treatments but no known cure. The omics data explosion has created many possible drug candidates, however ltering criteria remain challenging, and systems biology approaches have become fragmented with many disconnected databases. Using drug, protein, and disease interactions, we built an evidence-weighted knowledge graph of integrated interactions. Our knowledge graph-based system, ReDrugS, can be used via an API or web interface, and has generated 25 high quality melanoma drug candidates. We show that probabilistic analysis of systems biology graphs increases drug candidate quality compared to non-probabilistic methods. Four of the 25 candidates are novel therapies, three of which have been tested with other cancers. All other candidates have current or completed clinical trials, or have been studied in in vivo or in vitro. This approach can be used to identify candidate therapies for use in research or personalized medicine.</p>
      </abstract>
      <kwd-group>
        <kwd>melanoma</kwd>
        <kwd>drug repositioning</kwd>
        <kwd>knowledge graphs</kwd>
        <kwd>uncertainty reasoning</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        Metastatic cutaneous melanoma is an aggressive cancer of the skin with low
prevalence but very high mortality rate, with an estimated 5 year survival
rate of 6 percent [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] There are currently no known therapies that can
consistently cure metastatic melanoma. Vemurafenib is e ective against BRAF
mutant melanomas [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ] but resistant cells often result in recurrence of metastases
[
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] Melanoma itself may be best approached based on the individual genetics of
the tumor, as it has been shown to involve mutations in many di erent genes to
produce the same disease [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. Because of this, an individualized approach may
be necessary to nd e ective treatments.
      </p>
      <p>
        A knowledge graph is a compilation of facts and gures that can be used to
provide contextual meaning to searches. Google is using knowledge graphs to
improve its search and to analyze the information graph of the web; Facebook is
using them to analyze the social graph. We built our knowledge graph with the
goal of unifying large parts of biomedical domain knowledge for both mining and
interactive exploration related to drugs, diseases, and proteins. Our knowledge
graph is enhanced by the provenance of each fragment of knowledge captured,
which is used to compute the con dence probabilities for each of those fragments.
Further, we use open standards from the World Wide Web Consortium (W3C),
including the Resource Description Framework (RDF) [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ], Web Ontology
Language (OWL) [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ], and SPARQL [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. The representation of the knowledge in our
knowledge graph is aligned with best practice vocabularies and ontologies from
the W3C and the biomedical community, including the PROV Ontology [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ], the
HUPO Proteomics Standards Initiative Molecular Interactions (PSI-MI)
Ontology [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ], and the Semanticscience Integrated Ontology (SIO) [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. Use of these
standards, vocabularies, and ontologies make it simple for ReDrugS to integrate
with other similar e orts in the future with minimal e ort.
      </p>
      <p>We built a novel computational drug repositioning platform, that we refer
to as ReDrugS, that applies probabilistic ltering over individually-supported
assertions drawn from multiple databases pertaining to systems biology,
pharmacology, disease association, and gene expression data. We use our platform to
identify novel and known drugs for melanoma.
2</p>
    </sec>
    <sec id="sec-2">
      <title>Results</title>
      <p>We used ReDrugS to examine the drug-target-disease network and identify
known, novel, and well supported melanoma drugs. The ReDrugS knowledge
base contained 6,180 drugs, 3,820 diseases, 69,279 proteins, and 899,198
interactions.</p>
      <p>We examined drug and gene connections that were 3 or less interaction steps
from melanoma, and additionally ltered interactions with a joint probability
greater or equal to 0.93. We identi ed 25 drugs in the resulting drug-gene-disease
network surrounding melanoma as illustrated in Figure 1 .</p>
      <p>We then validated the set of 25 drugs by determining their position in the
drug discovery pipeline for melanoma. Nearly all drugs uncovered by ReDrugS
were previously been identi ed as potential melanoma therapies either in clinical
trials or in vivo or in vitro. Of the 25 drugs, 12 have been in Phase I, II, or III
clinical trials, 5 have been studied in vitro, 4 in vivo, 1 was investigated as a
case study, and 3 are novel.</p>
      <p>To further evaluate our system, we examined the impact of decreasing the
joint probability or increasing the number of interaction steps. Figures 2 A and
B show precision, recall, and f-measure curves while varying each parameter.
Using these information retrieval performance curves we found that using a
joint probability of 0.93 or greater with 3 or less interaction steps maximizes the
precision and recall as shown in Figure 2.</p>
      <p>By performing a literature search on hypothesis candidates with a joint
probability of 0.5 or higher and 6 or fewer interaction steps, we were able to generate
precision, recall, and f-measure curves for both cuto s to nd our cuto of 0.93
with 3 or fewer interaction steps. The precision, recall, and f-measure curves
are shown for varying joint probability thresholds in Figure 2 A and for varying
interaction step counts in Figure 2 B.
3</p>
    </sec>
    <sec id="sec-3">
      <title>Discussion</title>
      <p>We designed ReDrugS to quickly and automatically integrate and lter a
heterogeneous biomedical knowledge graph to generate high-con dence drug
repositioning candidates. Our results indicate that ReDrugs generates clinically
plau(A) Information Retrieval by Probability Threshold
precision recal f­measure
(B) Information Retrieval by Network Expansion Step
precision recal f­measure
0.75
0.5
0.25
sible drug candidates, in which half are in various stages of clinical trials, while
others are novel or are being investigated in pre-clinical studies. By helping to
consolidate the three main datatypes - drug targets, protein interactions, and
disease genes, ReDrugs can amplify the ability of researchers to lter the vast
amount of information into those that are relevant for drug discovery.
3.1</p>
      <sec id="sec-3-1">
        <title>Architecture</title>
        <p>ReDrugS uses a fairly straightforward web architecture, as shown in Figure 3.
It uses the Blazegraph RDF database backend. The database layer is
interchangeable except that the full text search service needs to use Blazegraph-only
properties to perform text searches as text indexing is not yet standardized in
the SPARQL query language. All other aspects are standardized and should
work with other RDF databases without modi cation. ReDrugs currently uses
the Python-based TurboGears web application framework hosted using the Web
Services Gateway Interface (WSGI) standard via an Apache HTTP server.
TurboGears in turn hosts the SADI web services that drive the application and
access the database. It also serves up the static HTML and supporting les.</p>
        <p>The user interface is implemented with AngularJS and Cytoscape.js, which
submits queries to the SADI web services using JSON-LD and aggregates results
into the networked view. The software relies exclusively on standardized
protocols (HTTP, SADI, SPARQL, RDF, and others) to make it simple to replace
technologies as needed. The data itself is processed using conversion scripts as
shown in Figure 4.</p>
        <p>Javascript Web Client</p>
        <sec id="sec-3-1-1">
          <title>JSON-LD</title>
          <p>Cytoscape.js
/api/search
/api/upstream
/api/downstream
Python + Apache Web Server</p>
        </sec>
        <sec id="sec-3-1-2">
          <title>SPARQL</title>
          <p>
            RDF Store
This research project did not involve human subjects. The ReDrugS platform
consists of a graphical web application, an application programming interface
(API), and a knowledge base. The graphical web application enables users to
initiate a search using drug, gene, and disease names and synonyms. Users can
then interact with the application to expand the network at an arbitrary number
of interactions away from the entity of interest, and to lter the network based on
a joint probability between the source and target entities. Drug-protein,
proteinprotein, and gene-disease interactions were obtained from several datasets and
integrated into ontology-annotated and provenance and evidence bearing
representations called nanopublications. The web application obtains information
from the knowledge base using semantic web services. Finally, we evaluated
our approach by examining the mechanistic plausibility of the drug in having
melanoma-speci c disease modifying ability. We evaluated a large number of
possible drug/disease associations with varying joint probabilities and interaction
steps to determine the thresholds with the highest F-Measure, resulting in our
thresholds of three or less interactions and a joint probability of 0.93 or higher.
We developed four Semantic Automated Discovery and Integration (SADI) web
services [
            <xref ref-type="bibr" rid="ref13">13</xref>
            ] in Python to support easy access to the nanopubications (see Table
1) in ReDrugS. The four services are enumerated in Table 1.
          </p>
          <p>Ontological Resources
Protein/Protein Interaction Ontology,
Semanticscience Integrated Ontology,</p>
          <p>Gene Ontology
vocabularies, relationships</p>
          <p>ReDrugS
RDF Store
queries
evidence to
probability</p>
          <p>Experimental</p>
          <p>Method</p>
          <p>Assessment
Confidence scores of
experimental methods.
iRefIndex
converted to
nanopubs</p>
          <p>ReDrugS API
Interaction network search</p>
          <p>and expansion
queries graph</p>
          <p>queries graph</p>
          <p>Analytical Tools
Cytoscape, R, Python, etc.</p>
          <p>ReDrugS
Cytoscape.js App</p>
          <p>
            The rst service is a simple free text lookup, that takes an pml:Query 5 [
            <xref ref-type="bibr" rid="ref10">10</xref>
            ]
with a prov:value as a query and produces a set of entities whose labels contain
the substring. This is used for interactive typeahead completion of search terms
so users can look up URIs and entities without needing to know the details.
          </p>
          <p>The other three SADI services look up interactions that contain a named
entity. Two of them look at the entity to nd upstream and downstream
connections, and the third service assumes that the entity is a biological process
and nds all interactions that related to that process. The services return only
one interaction for each triple (source, interaction type, target). There are
often multiple probabilities per interaction, and more than one interaction per
interaction type. This is because the interaction may have been recorded in
multiple databases, based on di erent experimental methods. To provide a single
probability score for each interaction of a source and target, the interactions are
combined. A single probability is generated per identi ed interaction by
taking the geometric mean of the probabilities for that interaction. However, this
5 PML 3, in development: https://github.com/timrdf/pml. This includes PML 2
constructs that are not covered in PROV-O.
Service Description URL Input Output
Name
Resource Look up resources using search pml:Query
text tearch free text search against
their RDFS labels. This
service is optimized for
typeahead user interfaces.</p>
          <p>Find inter- Find interactions whose process sio:Process
actions in participants or targets also
a biological participate in the input
process process.</p>
          <p>Find up- Find interactions that the upstream
stream input entity is a target of
participants in and have explicit
partic</p>
          <p>ipants.</p>
          <p>Find down- Find interactions that the downstream sio:MaterialEntity sio:Agent
stream tar- input entity participates in
gets and have explicit targets.
sio:MaterialEntity sio:Target
sio:Process
method is undesirable when combining multiple interaction records of the same
type. We instead combine the interaction records using a form of probabilistic
voting using composite Z-Scores. This is done to model that multiple
experiments that produce the same results reinforce each other, and should therefore
give a higher overall probability than would be indicated by taking their mean
or even by Bayes Theorem. We do this by converting each probability into a Z
Score (aka Standard Score) using the Quantile Function (Q()), summing the
values, and applying the Cumulative Distribution Function (CDF ()) to compute
the corresponding probability:</p>
          <p>P (x1:::n) = CDF
n
X Q (P (xi))
i=1
!</p>
          <p>
            These composite Z Scores, which we transform back into probabilities, are
frequently used to combine multiple indicators of the same underlying
phenomena, as in [
            <xref ref-type="bibr" rid="ref11">11</xref>
            ].
4.2
          </p>
        </sec>
      </sec>
      <sec id="sec-3-2">
        <title>User Interface</title>
        <p>The user interface was developed using the above SADI web services and uses
Cytoscape.js,6, angular.js,7 and Bootstrap 3.8 An example network is shown
6 http://cytoscape.github.io/cytoscape.js
7 https://angularjs.org
8 http://getbootstrap.com
in Figure 1 Users can search for biological entities and processes, which can
then be autocompleted to speci c entities that are in the ReDrugS graph. Users
can then add those entities and processes to the displayed graph and retrieve
upstream and downstream connections and link out to more details for every
entity. Cytoscape.js is used as the main rendering and network visualization tool,
and provides node and edge rendering, layout, and network analysis capabilities,
and has been integrated into a customized rich web client.</p>
        <p>In order to evaluate this knowledge graph, we developed a demonstration
web interface9 based on the Cytoscape.js10 JavaScript library. The interface lets
users enter biological entity names. As the user types, the text is resolved to
a list of entities. The user nishes by selecting from the list, and submitting
the search. The search returns interactions and nodes associated with the entity
selected, which are added to the Cytoscape.js graph. Users are also able to select
nodes and populate upstream or downstream connections. Figure 1 is an example
output of this process.
9 http://redrugs.tw.rpi.edu
10 http://cytoscape.github.io/cytoscape.js</p>
      </sec>
    </sec>
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