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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>TXPO: A toxic process ontology for better understanding of drug-induced liver injury</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Yuki Yamagata</string-name>
          <email>y-yamagata@nibiohn.go.jp</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Yoshinobu Igarashi</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>Noriyuki Nakatsu</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>Hiroshi Yamada</string-name>
          <email>h-yamada@nibiohn.go.jp</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Laboratory of Toxicogenomics Informatics, National Institutes of Biomedical Innovation</institution>
          ,
          <addr-line>Health and Nutrition, Ibaraki, Osaka</addr-line>
          ,
          <country country="JP">Japan</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Yuki Yamagata</institution>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2015</year>
      </pub-date>
      <volume>2011</volume>
      <fpage>25</fpage>
      <lpage>29</lpage>
      <abstract>
        <p>Elucidating the mechanism of toxicity is crucial in drug safety evaluations. We focus on toxic processes and developed a toxic process ontology, designated TXPO. Here, we outline the TXPO, which systematizes toxic processes within the liver in a consistent manner. The TXPO makes processes explicit across granularity using a functional decomposition tree. Concerning the course of toxic processes, we present a framework of causal relationships between processes from latent to toxicity manifestation. In applied work, we introduce a prototype of TOXPILOT, a toxic process interpretable knowledge system. TOXPILOT provides visualization maps of the toxic course, which facilitates capturing the comprehensive picture for understanding toxicity mechanisms. Our ontological approach will help develop new knowledge regarding drug safety evaluations.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Introduction</title>
      <p>
        ontology; process; drug-induced liver toxicity
Drug-induced liver injury is a major cause of drug withdrawal
from the market and discontinuation of drug development [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ].
Therefore, safety assessments during the early stages of drug
development are required. Toxicology is a scientific discipline
that examines the biological effects (toxic effects) of substances
such as chemical compounds, drugs, and drug candidates. We
developed a hepatotoxicity prediction informatics system with
the aim of developing safety biomarkers during the early stages
of drug development. We conduct hepatotoxicity predictions
based on computational approaches using toxicogenomics data
and machine learning. In order to promote data-driven research
and appropriately assess safety, it is necessary to explain
computational predicted results in light of the relevant mechanisms.
However, the mechanisms of hepatotoxicity are complex, in part
because the liver is the site of drug metabolism, the results of
which can affect a wide variety of biological structures and
functions. For safety management, it is desirable to systematize
the necessary knowledge from a consistent viewpoint.
To better clarify toxicity mechanisms, in the present study, we
developed a toxic process ontology (TXPO). The TXPO
systematizes a wide variety of toxicological terms involving
hepatotoxicity processes. We also modeled a representation framework
that appropriately describes toxic courses. In applied work, we
developed a prototype toxic process interpretable knowledge
system (TOXPILOT). Here, we discuss the current state of our
work.
      </p>
    </sec>
    <sec id="sec-2">
      <title>Methods</title>
      <sec id="sec-2-1">
        <title>TXPO development</title>
        <p>
          From textbooks [
          <xref ref-type="bibr" rid="ref2">2-6</xref>
          ] we researched drug-induced hepatotoxic
mechanisms and obtained information about toxic courses and
related processes, molecules and their roles, and biological
structures. Next, we searched for the latest information from
toxic course-related articles using PubMed search terms in Table
1.
        </p>
        <p>Table 1 PubMed search terms for hepatotoxic course
We used the ontology editing tool Protégé 5.2.0 [7] to develop
the TXPO in the Web Ontology Language (OWL) and HermiT
reasoner [8] as a Protégé Plug-in.</p>
        <p>Figure 1 shows examples of the TXPO development process.
First, 1) each toxic course was defined, and related information
was annotated using the Annotation Properties. Next, 2) the
processes constituting each toxic course were described using a 'has
part' relation as Object Property. Then, 3) each process was
generalized using an is-a hierarchy: processes common to multiple
toxic courses, biological processes, and biomedical-independent
processes. Furthermore, 4) each process was decomposed into
subprocesses (has part relation), and 5) the biological structure
in which the process takes place was described (occurs in). In
addition, 6) molecules/drugs and their roles in the process were
also defined. Finally, 7) causal relationships between process
were defined by using a 'has result' relation.
(6)
(7)
(1)
(5)
In generalizing the is-a tree construction, we reused existing
ontologies. Domain- independent general entities were based on
BFO [9], and biomedical entities were imported manually from
existing ontologies in NCBO BioPortal [10]. These biomedical
ontologies include UBERON [11], Cell Ontology [12], NCBI
Taxon [13], ChEBI [14], Gene Ontology [15], PATO [16],
INOH [17], and Ontology of Genes and Genomes (OGG) [18].</p>
      </sec>
      <sec id="sec-2-2">
        <title>TOXPILOT development</title>
        <p>TOXPILOT consists of an ontology library, a Resource
Description Framework (RDF) database, and a Web application
(2)
(3)
system. The TXPO file is stored in the ontology library, and
the file is converted to RDF format represented by a triple
Subject, Predicate, and Object by Protégé. The RDF data
are then stored in an RDF triple store using Apache Fuseki
[19] to construct the SPARQL endpoint. Regarding the web
application system for TOXPILOT, necessary information
is dynamically acquired via SPARQL queries. Moreover,
TOXPILOT generates graphs using D3.js [20] of the
JavaScript library.
(4)</p>
      </sec>
      <sec id="sec-2-3">
        <title>Development of the TXPO</title>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>Results</title>
      <sec id="sec-3-1">
        <title>Outline of the TXPO</title>
        <p>Figure 2 shows an overview of the TXPO, which is a
three-layer model organized in an is-a hierarchy of general
terms to specialized toxicologic terms. The top layer is
domain-independent (domain-neutral) and provides general
terms. Most of the entities in the top layer refer to the upper
ontology, Basic Formal Ontology (BFO). Upper ontologies
support generic categories and relations based on a
philosophical orientation. Accordingly, we could construct our
ontology with inheritance of the intrinsic nature in a consistent
manner. All entities of the TXPO are classified into the basic
categories continuant or occurrent. Continuant refers to an
entity that persists, endures, or continues to exist through time while
maintaining its identity and includes objects, roles, and qualities.</p>
        <p>An object is an independent continuant, such as a thing. Roles
and qualities are dependent continuants that can only exist
depending on something else. Occurrent includes entities that
unfold over time, such as processes.</p>
        <p>The intermediate layer is biomedical domain dependent and
Figure 2. Overview of the ToXic Process Ontology (TXPO). The TXPO contains an is-a hierarchy that is organized into three
layers: the top layer contains general terms, mostly derived from the Basic Formal Ontology. The intermediate layer contains
biomedical terms, and the lower layer contains more granular, toxicology terms.
consists of entities commonly used in biomedicine. As lower
entities of continuant, biological structures such as molecules,
compounds, organelles, cells, organs, and species are defined.</p>
        <p>The open community OBO Foundry [21] seeks to share
knowledge and standardize terms among the biological
community, and OBO ontologies utilize BFO as an upper ontology.</p>
        <p>Accordingly, the TXPO imports existing terms and reuses them
from biomedical ontologies of OBO foundries. These terms
include anatomic structures from UBERON, cells from Cell
Ontology, organisms from NCBI Taxon, compounds from ChEBI,
biological processes and cellular components from Gene
Ontology, qualities from PATO, some molecule families from INOH,
and genes from OGG.</p>
        <p>The lower layer encompasses entities specific to toxicology
(i.e., entities that are toxicological domain dependent).</p>
      </sec>
      <sec id="sec-3-2">
        <title>Process in the TXPO</title>
        <p>
          Process is a central category in the TXPO. In order to elucidate
a toxicity mechanism adequately, we provide two
subcategories, namely, primitive process and process sequence. The
former is defined as a single unit of process, whereas the latter is
defined as a series of processes, which includes pathways and
toxic courses.
(1) Functioning Process
Many biological defense processes function to protect
organisms from toxicity-associated injury. Therefore, we focused on
functioning processes in the present study. Functioning
processes in organisms are diversified in granularity from the molecular
level to the organelle, cell, tissue, and organ level. In order to
define functioning processes in a consistent fashion, we
systematize the functioning tree based on functional ontology [
          <xref ref-type="bibr" rid="ref3">22,
23</xref>
          ]. As an ontological engineering approach, functional
ontology defines general functions based on changes in the state of the
input-output relationship between physical things and models
the functional knowledge (Fig. 3 (a)). As a basic idea, a
functioning process can be categorized into receiving, making
existent, and generating groupings based on the number of focused
inputs and outputs of the target. The making existent category
can be further subdivided into changing an operand and
changing relationship between operands classifications. Changing an
operand includes changing qualities such as concentration,
pressure, volume, etc. Examples of subtypes of changing
relationship between operands are transmitting and separating.
Subtypes of separating include decomposing, splitting, and
detaching. Based on these terms and by specializing their use, we
developed the functioning is-a hierarchy in the TXPO (Fig. 3 (b)).
        </p>
        <p>The intermediate layer is biomedical domain dependent. For
instance, a lower level of transmitting includes biological
(a) Examples of functions in functional ontology
(c) An example of functioning decomposition of protein quality control during ER stress
Figure 3 functioning process
(b) The TXPO functioning is-a hierarchy
transport processes such as nuclear transport and Golgi vesicle
transport. Decomposing includes proteolysis and lipid
degradation; splitting includes cell division; and detaching includes
complex dissociation. These processes are generally consistent
with the GO Biological Process, as some of the GO biological
processes can be interpreted as functional processes common to
biomedicine.</p>
        <p>The lower layer is a toxicology domain dependent. In this
study, we define a "toxic process" as a process that constitutes a
specific toxic course. For example, by specializing the
biomedical process "apoptotic process (GO:0006915)", we define an
"apoptotic process [ER stress]" that constitutes a course of ER
stress, and an "apoptotic process [Phospholipidosis]" that
constitutes a course of Phospholipidosis, and so on.</p>
        <p>
          One of the difficulties of capturing a toxic process is that
some toxic effects are protective responses to xenobiotic
substances (drugs) [
          <xref ref-type="bibr" rid="ref4">24</xref>
          ]; hence, to understand the toxicity
mechanisms appropriately, we also regard a process functioning as a
biological defense in the specific toxic course as a "toxic
process."
        </p>
        <p>Developing a toxicity-dependent process subtree is based on
the low-hanging fruit policy. From toxicology-related textbooks
and published articles, terms were extracted and manually
annotated.</p>
        <p>Here, as a function-related process, in addition to the
functionexecution process, the TXPO defines meta-functioning
processes. Meta-functioning processes are functioning processes
specific to other functions and include controlling, for example.
Subtypes of controlling include the regulation of apoptosis and cell
cycle control.
(2) Decomposition of Functioning</p>
        <p>
          The TXPO specifies a functioning process based on a
function decomposition framework. As an ontological engineering
approach, a device (system) consists of sub-devices
(subsystems). In a function decomposition tree, the whole function of
a system is achieved by a sequence of sub-functions of the
subsystems. As biological functions can be considered
specializations of systemic functions [
          <xref ref-type="bibr" rid="ref5">25</xref>
          ], in the present study, we
attempted to clarify the functioning process of biological structures for
each granularity based on the whole-part relationship (part of/ has
part relationship). At the cell level, we regard a cell as the system
and cell components such as organelles as system parts. Figure 3
(c) shows an example describing how the cell system functions
from a decomposition perspective. In the toxic course of
endoplasmic reticulum (ER) stress, for example, the accumulation of
drugs such as tunicamycin in the ER is known to initiate protein
unfolding. Therefore, the cell system executes the "protein
quality control" function as a biological defense function. Here, we
can say that the cell system consists of subparts: the ER,
ribosomes, nucleus, and cytoplasm. During the early stages of ER
stress, the sub-functioning process "protein refolding" is carried
out in the ER. The ER receives input regarding an unfolded
protein, and after executing the refolding function, the ER output
consists of the refolded protein. In addition, "translation
attenuation" is also carried out by the ribosomes to suppress production
of new proteins, which supports protein refolding. However, if
the refolding process is not sufficient, then, “regulating gene
expression” can occur in the nucleus, and in the cytoplasm, "protein
degradation" is executed, with the unfolded protein serving as the
input and its degradation product as the output. Thus, the cell
system achieves protein quality control through specific
subfunctioning processes of the cellular system parts (i.e.,
organelles).
(3) Toxic course
In toxicology research, elucidating the mechanism of toxicity is
crucial for safety management. Toxicity mechanisms are
generally explained in terms of multiple processes, such as toxicant
delivery, biological defense processes, cellular
dysfunction/dysregulation, and cell death. Therefore, in the present study,
we focused on toxic courses. As a subtype of the process
sequence, the TXPO defines a toxic course as a series of processes
in an organism from latency to the manifestation of toxicity,
which is not part of the normal life of the organism. Subtypes of
the toxic course include specific themes, such as ER stress,
glutathione depletion, phospholipidosis, lipidosis/fatty liver, ground
glass appearance of hepatocytes, and eosinophilic granular
degeneration.
        </p>
        <p>
          In the present study, we developed a framework called the
“toxic course map” to represent toxic courses uniformly. The map
represents a toxic course as causal relationships between
processes (Fig. 4). With regard to development of toxicity, we applied
the imbalance theory [
          <xref ref-type="bibr" rid="ref6">26</xref>
          ]. In the present study, supply indicates
the functioning processes associated with biological defense and
maintaining homeostasis, and demand refers to toxic activity. As
illustrated in Figure 4, in the imbalance model, the basic units are
as follows:
        </p>
        <p>1) a functioning process (supply) for biological defense and
maintaining homeostasis;
2) a functional demand process (demand) as toxic activity;
3) balance/imbalance between toxic activity and defense
processes; and</p>
        <p>4) outcome from organelles, cells, or tissues to the organ
exhibiting toxicity manifestations
The degree of functioning performance can change according
to changes in demand; however, if demand exceeds the
performance of functioning, an imbalance occurs and results in an
outcome that is no longer latent and manifests toxicity. Table 2
shows examples describing the imbalance framework in ER
stress.
In general, a molecule plays multiple roles in the body.
Therefore, in the present research, we tried to explicate the roles of
molecules participating in specific processes in the toxic course.
For example, in ER stress, GRP78 participates in the protein
refolding process and can play the role of a "chaperone" that assists
protein refolding (Fig. 5). GRP78 also plays the role of
"autophagy inducer" in the positive regulation of autophagy process
during ER stress. As viewed relative to the role of a molecule, the
TXPO contributes to identifying biomarkers that participate in
the turning points of processes that cause cell injury during the
course of toxicity manifestation. As for drugs, TXPO makes
explicit the role of drugs in a specific toxic process. For example,
tunicamycin plays a 'protein glycosylation inhibitor' role and
participates in the negative regulation of glycosylation process.
Tunicamycin also plays an 'apoptosis inducer' role in the positive
regulation of apoptosis in the liver (Fig. 5).
As of February 1, 2018, the TXPO defined approximately 6000
entities, and Figure 5 shows the major relationships between
terms defined in the TXPO.</p>
        <sec id="sec-3-2-1">
          <title>Applications</title>
          <p>We developed a prototype toxic process interpretable support
knowledge system, known as TOXPILOT. The TOXPILOT
provides varied useful information based on the TXPO (Fig. 6). The
TOXPILOT visualizes toxic course maps (Fig. 6 (a)), as
described in the previous section. Since our map can visualize
molecules that participate in toxic processes, we can apply the map to
facilitate explanation of biomarkers for toxicity prediction by
machine learning. Our preliminary data show that by using maps,
in vivo and in vitro data of predicted marker genes of liver
toxicity can be comparatively analyzed. As a result, we can identify
genes predicted to participate in common processes in ER stress
based on rat in vivo and human in vitro analyses. Thus, this toxic
course map facilitates evaluation and extrapolation to humans for
translational research.</p>
          <p>The TXPO also provides process maps (Fig. 6 (b)), in which
sub-processes can be displayed according to the whole-part
relationship of systemic functioning across granularities. These maps
also enable visualization of pathologic findings associated with a
process.</p>
          <p>The TXPO also provides a general course map that visualizes
general toxic courses common to multiple specific toxic courses
(Fig. 6 (c)). In safety evaluation, toxicologists sometimes want to
know whether one phenomenon that occurs in a particular toxic
course could occur in other toxic courses. For instance, in the
course of lipidosis, "lipid accumulation" can cause "increasing
hepatocyte volume." The TXPO system extracts information
from the RDF database by SPARQL and automatically generates
a general course map. In the general course map, common
processes are represented as large nodes. As a result, users can
obtain information indicating that "increasing hepatocyte volume"
is common to other toxic courses, such as cholestasis. Moreover,
users can obtain information regarding different causes
associated with other courses. Each toxic course is colored, so users can
see easily that, for example, "bile acid accumulation" occurs
specifically in the course of cholestasis.</p>
          <p>Our system also provides a function for searching routes from
specific processes (Fig. 6 (d)). When users want to conduct
retrospective analyses, TOXPILOT provides an illustration of
‘upstream’ of the focused process in the toxic course, which can help
identify critical causes during the early stages of toxicity. In the
same way, if users wish to know how a process unfolds with the
progress of the toxicity development, our system provides a
‘downstream’ illustration that supports severe manifestation risk
management.
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    </sec>
    <sec id="sec-4">
      <title>Discussion</title>
      <p>
        There are many biomedical pathway databases, including
KEGG [
        <xref ref-type="bibr" rid="ref7">27</xref>
        ], WikiPathways [
        <xref ref-type="bibr" rid="ref8">28</xref>
        ], and Reactome [
        <xref ref-type="bibr" rid="ref9">29</xref>
        ]. Since
these databases deal with a large number of pathways, one might
conclude that they also explain toxic mechanisms. However,
most of these databases are based on molecular-molecular
interactions. Such molecular-centered approaches do not cover
cellor organ-level granularity. The AOP covers key events leading
to adverse effects with varying granularities [
        <xref ref-type="bibr" rid="ref10">30</xref>
        ]. However, the
AOP focuses primarily on measurable changes. Furthermore, as
an essential point, the AOP is not an ontology, and the terms
described in its pathways lack consistency and in some cases are
redundant. Ontology can provide richer information flexibly by
generalization, specialization, and other relationships in a
consistent manner. The TXPO is an ontology and systematizes toxic
processes according to an is-a hierarchy with inheritances from
general to specific terms based on a philosophical view that
makes the intrinsic nature explicit. Moreover, by employing
systemic functional decomposition, the TXPO covers various
processes across granularities in a consistent manner. We
confirmed that we can describe both pathway- and molecular-level
processes in a unified manner with regard to ER stress.
However, we found that the number of molecular processes is so large
that it can be difficult to grasp the overall picture of the
mechanism. Therefore, the TXPO deals primarily with process-process
interactions with grain sizes from the organelle level. With
regard to the molecular level, we describe molecules as
participants in toxic course processes. Furthermore, we explain the role
of each molecule in a given specific process.
      </p>
      <p>Understanding toxicity mechanisms is a hard task. Among the
many issues involved, one aspect is the complexity of various
interactions in the toxic course. We demonstrated that our
imbalance model can make the context clearer and distinguish
toxic actions from body defense functions in each granularity, thus
facilitating interpretations of toxic mechanisms. Interestingly,
we found that sometimes one functioning process plays both a
biological defense role and toxic role. For example, as shown in
Table 2, during the course of ER stress, apoptosis plays a
defensive role in removing abnormal cells accumulating unfolded
proteins, whereas increasing apoptosis has a toxic effect at the
organ level that can lead to liver failure. Furthermore, our
imbalance model is possible to explain that an imbalance also
occurs when defensive functioning becomes excessive. For
instance, when the cell proliferation function becomes excessive,
liver carcinogenesis can develop at the organ level. We are
currently trying to introduce the imbalance model for other toxic
courses and clarify the relationships between functioning
demand and the defense function.</p>
      <p>The identification of biomarkers for toxicity prediction using
machine learning techniques is a frequent objective of
computational toxicology research. However, such machine learning
approaches often lack accountability. By annotating markers based
on the ontology of TXPO, associating markers with the toxicity
process as a progression of toxicity development, and by
visualizing them, it is possible to provide accountability for marker
genes. Therefore, the TXPO and TOXPILOT will contribute to
the enhancement of safety evaluations. Moreover, the general
course map in TOXPILOT provides an indication of causal
relationships across various mechanisms of toxicity. Therefore, it
could be used to discover previously unknown relationships and
contribute to the identification of new risks.</p>
      <p>Using TOXPILOT, researchers can obtain an overall picture of
the mechanism of toxicity in the liver and explore the systemic
effects of biological functions. Moreover, from a fragmented
knowledge perspective, our maps facilitate the discovery of new
knowledge through commonality. Also, our system supports
both retrospective and forward analyses. In this way,
TOXPILOT enables the generation of knowledge cycles based
on the TXPO (Fig. 6).</p>
    </sec>
    <sec id="sec-5">
      <title>Conclusions</title>
      <p>In the present work, we developed a TXPO to organize toxic
process knowledge. As an application, we developed the
TOXPILOT as a prototype system for supporting the
interpretation of toxicity mechanisms. We are currently annotating more
toxic courses and enhancing the level of sophistication of the
terms in the TXPO. In the future, we plan to cover toxic courses
in other organs, such as the kidney. We are also planning to
reuse various ontologies, such as the Disease Ontology
(http://disease-ontology.org/), and the Monarch Disease
Ontology (Mondo, https://github.com/cmungall/tbd-disease-ontology.)
Bridging domains on toxicity knowledge from basic to clinical
medicine could help elucidate multiple mechanisms of toxicity.
In furthering the applications of the TOXPILOT, we are
striving to enhance its functions. The first version of the TXPO is
available via the NCBO BioPortal, and the prototype
TOXPILOT is open at the following site:
https://toxpilot.nibiohn.go.jp. New term requests and reporting
of issues can be made via a GitHub tracker
(https://github.com/txpo-ontology/TXPO/issues.) We plan to
submit TXPO to the OBO foundry for collaboration and
knowledge sharing among not only toxicologists but also other
biomedical communities.</p>
    </sec>
    <sec id="sec-6">
      <title>Acknowledgements</title>
      <p>This research was supported by AMED under grant number
19nk0101103h0005. The authors would like to thank Dr. K.
Horimoto, Dr. K. Fukui, Prof. Y. Uesawa, and S. Ueda. The
authors also thank Prof. R. Mizoguchi for useful discussions
related to the ontological approach.</p>
    </sec>
    <sec id="sec-7">
      <title>Address for correspondence</title>
    </sec>
  </body>
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