<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD v1.0 20120330//EN" "JATS-archivearticle1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Refinement of the COHESIVE Information System towards a Unified Ontology of Food Terms for the Public Health Organizations</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Iolanda Mangone</string-name>
          <email>i.mangone@izs.it</email>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Nicolas Radomski</string-name>
          <email>n.radomski@izs.it</email>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Adriano Di Pasquale</string-name>
          <email>a.dipasquale@izs.it</email>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Andrea Santurbano</string-name>
          <email>andrea.santurbano@larus-</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Paolo Calistri</string-name>
          <email>p.calistri@izs.it</email>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Cesare Cammà</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Kitty Maassen</string-name>
          <email>kitty.maassen@rivm.nl</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>LARUS Business Automation</institution>
          ,
          <addr-line>via Bruno Maderna 7, Mestre, - 30174 (VE)</addr-line>
          ,
          <country country="IT">Italy (</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>National Institute for Public Health and the Environment (RIVM)</institution>
          ,
          <addr-line>P.O. Box 1, Bilthoven, 3720 (BA)</addr-line>
          ,
          <country country="NL">The Netherlands (</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>National Reference Centre (NRC) for Whole Genome Sequencing of microbial pathogens: data-base and bioinformatics analysis (GENPAT), Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise "Giuseppe Caporale" (IZSAM)</institution>
          ,
          <addr-line>via Campo Boario, Teramo, 64100 (TE)</addr-line>
          ,
          <country country="IT">Italy (</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>Background. The task 4.1 of the One Health European joint programme (OHEJP) “One Health Structure In Europe” (COHESIVE) focuses on integrating pathogen information from public health, animal health and food safety surveillance at Member State level. Considered information are metadata associated to each sample (i.e. isolation date, origin, matrix) and whole genome sequencing (WGS) data from official laboratories (e.g. next generation sequencing data and bioinformatics-based analytical outcomes). Methods. A WEB-based platform called the COHESIVE Information System (CIS) has been created with separate instances for three Member States, in order to provide a proof of concept showing the advantages for surveillance and investigation of outbreaks at the genomic scale, considering food as a source of human pathogens. Currently, a CIS Version 2 (CISv2) is under development to integrate a unified food ontology at Member State level, taking into account as a first step organizations from Italy, Norway and The Netherlands: countries involved in the feasibility study foreseen in the project. More precisely, the last developments focused on the harmonization of the foodborn disease biosample contextual data collected over the past few decades (i.e. contextual metadata of foodborne samples sent in by labs for sequencing) based on the rule-based text mining tool LexMapr, and the implementation of the FoodOn ontology into the CIS based on the graph-database Neo4j to allow future records of harmonized food terms in the CISv2. Results. The successful harmonization of the past food terms and implementation of the FoodOn ontology into the CIS were mandatory steps allowing food ontology harmonization between organizations and improvement of queries from the CISv2 based on relational- and graph-databases.</p>
      </abstract>
      <kwd-group>
        <kwd>1 COHESIVE information system</kwd>
        <kwd>food ontology</kwd>
        <kwd>relational-database</kwd>
        <kwd>graph-database</kwd>
        <kwd>genomics-based surveillance</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        The microbiological surveillance and outbreak investigation are today supported by public health
organizations through genomics-based information systems integrating multiple metadata related to
foodborn disease biosample collected over the past few decades for sequencing by veterinarians,
biologists, researchers and medical doctors [
        <xref ref-type="bibr" rid="ref2">1</xref>
        ]. Unfortunately, these metadata associated to samples
are, neither organized nor harmonized between public health organizations in charge of food,
veterinary and environmental sectors [
        <xref ref-type="bibr" rid="ref3">2</xref>
        ]. Consequently, several projects of the food [
        <xref ref-type="bibr" rid="ref1 ref4">3</xref>
        ], veterinary [
        <xref ref-type="bibr" rid="ref5">4</xref>
        ]
and environmental [
        <xref ref-type="bibr" rid="ref6">5</xref>
        ] sectors, aim currently at organizing and harmonizing these metadata based on
developments and implementations of ontologies.
      </p>
      <p>
        Both in and between European countries, the European Joint Programme (EJP) “One Health
Structure In Europe” (COHESIVE) is of paramount importance for organizations of food production
systems, as well as the veterinary and human health domains, in dealing with (re‐)emerging zoonoses,
including antimicrobial resistance and food‐borne zoonoses 2. Because of current implementation of
omics for outbreak investigation, source attribution and risk assessment of food-borne
microorganisms across European Member States [
        <xref ref-type="bibr" rid="ref7">6</xref>
        ], the EJP COHESIVE, initially developed to
collect data related to the area of risk‐analysis, aims today at integrating also genomics data from
human and veterinary domains involved in genomics-based surveillance (Figure 1).
2EJP COHESIVE
Home: https://onehealthejp.eu/jip-cohesive/
      </p>
      <p>
        In the framework of the EJP COHESIVE, the “COHESIVE information system” (CIS) has been
developed by IZSAM and three demo versions have been provided to organizations from Italy,
Norway and The Netherlands (Task 4.1) to integrate pathogen information from public health, animal
health and food safety surveillance at Member State level, integrating metadata related to samples (i.e.
isolation date, origin, matrix) and genomics analyses (i.e. genome assembly, mapping of reads,
species identification, mutations of interest) [
        <xref ref-type="bibr" rid="ref10 ref8 ref9">7–9</xref>
        ].
      </p>
      <p>The first challenge of the CIS is to harmonize the past food terms which have been accumulated in
different languages from different European organizations over the past few decades, though
free-systems of recording independently of food term ontology. The second challenge of the CIS is to
allow recording by European organizations of future food terms following a common ontology of
food terms. A common and unified ontology of food terms into the CIS would allow queries from past
and future food terms recorded by different European organizations (e.g. Which samples related to the
cheese factory sector were isolated during 2008 in Italy with a clonal complex CC8?).</p>
      <p>
        In parallel, the EJP “One health suRveillance Initiative on harmOnization of data collection and
interpretatioN” (ORION) (WP3) focused on the development of a “Health Surveillance Ontology”
(HSO) at the European level [
        <xref ref-type="bibr" rid="ref11">10</xref>
        ], while other international consortia developed “Open Biological and
Biomedical Ontology” (OBO) foundries [
        <xref ref-type="bibr" rid="ref12">11</xref>
        ], such like the “Genomic Epidemiology Ontology”
(GenEpiO) [
        <xref ref-type="bibr" rid="ref13">12</xref>
        ] and the “food ontology” (FoodOn) [
        <xref ref-type="bibr" rid="ref14">13</xref>
        ]. Among these ongoing projects, the FoodOn
ontology fit particularly well requirements of the CIS concerning the need of unified food terms
(Figure 2), while HSO, OBO, GenEpiO focus mainly on surveillance system level data (e.g. number
of samples collected, cases observed, ...), development of interoperable ontologies for the biological
sciences (e.g. chemical entities, human disease, gene ontology, phenotype and trait, …), as well as
vocabulary necessary to identify, document and research foodborne pathogens (e.g. genomic
laboratory testing, specimen and isolate metadata), respectively.
      </p>
      <p>The specific objectives of the presented CIS Version 2 (CISv2) are (Figure 3):
1 the harmonization of the past food terms into the CISv2 which we hope to achieve using text
mining tool LexMapr and FoodOn ontology from the CIS (i.e. Action 1),
2 the recording of the future food terms into the CISv2 which we hope to achieve implementing
FoodOn ontology into the CIS through the graph-database Neo4j (i.e. Action 2),
3 the discussion of future actions related to food ontology harmonization between organizations
which we hope to achieve implementing the CISv2 in different organizations (i.e. Action 3),
4 and the discussion of future improvements related to queries from the CISv2 which we hope
to achieve combining relational- (CIS) and graph-database (CISv2) relationships (i.e. Action 4).</p>
    </sec>
    <sec id="sec-2">
      <title>2. Material and Methods</title>
      <p>The harmonization of the past food terms from the CIS (i.e. Action 1) and implementation of the
FoodOn ontology into the CIS (i.e. Action 2) are required before performing any actions related to
food ontology harmonization between organizations (i.e. Action 3) and improvement of queries from
the CISv2 (i.e. Action 4).</p>
    </sec>
    <sec id="sec-3">
      <title>2.1. Action 1: Harmonization of Past Food Terms from the CIS based on the</title>
    </sec>
    <sec id="sec-4">
      <title>Food Ontology FoodOn</title>
      <p>
        The CIS terms come from different providers and were manually curated by each involved
organization from Italy, Norway and The Netherlands. The lists of food terms from several
organizations written in different languages (i.e. Italy, Norway, Netherlands) were translated by each
organization into lists of food terms in English without independent verification of the translation to
avoid bias or error (Figure 4). This English translation of multilingual food terms was done with
Google translate. Then, these lists of English food terms were mapped against the food ontology
FoodOn [
        <xref ref-type="bibr" rid="ref14">13</xref>
        ] with the rule-based text mining tool LexMapr [
        <xref ref-type="bibr" rid="ref15">14</xref>
        ]. More precisely, LexMapr uses a
rule-engine for handling synonyms, prefixes and suffixes to automatically map a matrix of English
food terms with FoodOn codes. The resulting harmonized food terms were finally imported in the
CISv2 (Figure 4). The accuracy of LexMapr mapping and missing food terms from FoodOn were not
assessed in the present study.
• New “FoodOn code” as
matrix term with FoodOn
      </p>
      <p>source
• Association between the
term and the FoodOn code</p>
      <p>C IS v 2
COHESIVE
Inform ation</p>
      <p>System
Version 2</p>
    </sec>
    <sec id="sec-5">
      <title>2.2. Action 2: Implementation of the FoodOn Ontology into the CIS to Allow</title>
    </sec>
    <sec id="sec-6">
      <title>Recording of Future Food Terms from the CISv2</title>
      <p>
        The implementation of the FoodOn ontology into the CIS was performed with the graph-database
Neo4j [
        <xref ref-type="bibr" rid="ref16">15</xref>
        ] (Figure 5). The graph-database Neo4j is able to reveal invisible contexts and hidden
relationships, storing and traversing networks of highly connected data. In the present context, Neo4J
transforms xml specifications of the FoodOn ontology [
        <xref ref-type="bibr" rid="ref14">13</xref>
        ] into a graph-database of food terms. Using
open source technologies 3, the FoodOn ontology was imported into Neo4j in order to build the first
iteration of the knowledge graph. From the resulting CISv2, the Apache Zeppelin notebook [
        <xref ref-type="bibr" rid="ref17">16</xref>
        ] was
used to create a data pipeline that covers from the ingestion, the enrichment, to the visualization of
queries performed on the FoodOn ontology through Neo4J [
        <xref ref-type="bibr" rid="ref16">15</xref>
        ] (Figure 5). The Apache Zeppelin
notebook is a Web-based notebook that enables data-driven, interactive data analytics and
collaborative documents with SQL and other languages.
      </p>
      <p>C IS
COHESIVE
Inform ation</p>
      <p>Sys te m</p>
      <p>Ve rs ion 1
3Open source technologies
GitHub: https://github.com/neo4j-contrib/neo4j-apoc-procedures and https://github.com/neo4j-labs/neosemantics</p>
    </sec>
    <sec id="sec-7">
      <title>3. Results</title>
      <p>The tools for the harmonization of the past food terms into the CIS (i.e. Action 1) and
implementation of the FoodOn ontology into the CIS (i.e. Action 2) were carefully selected according
to future other actions related to food ontology harmonization between organizations (i.e. Action 3)
and improvement of queries from the CISv2 (i.e. Action 4).</p>
    </sec>
    <sec id="sec-8">
      <title>3.1. Action 1: Harmonization of Past Food Terms from the CIS based on the</title>
    </sec>
    <sec id="sec-9">
      <title>Food Ontology FoodOn</title>
      <p>
        Compared to nutritional ontologies designed to annotate and describe intervention trials [
        <xref ref-type="bibr" rid="ref18 ref19 ref20">17–19</xref>
        ],
the FoodOn ontology [
        <xref ref-type="bibr" rid="ref14">13</xref>
        ] was selected because of its strong representation of food nutrients and
processing [
        <xref ref-type="bibr" rid="ref21">20</xref>
        ]. Compared to other text mining tools in Literature [
        <xref ref-type="bibr" rid="ref22">21</xref>
        ], finance [
        <xref ref-type="bibr" rid="ref23">22</xref>
        ] and medicine
[
        <xref ref-type="bibr" rid="ref24">23</xref>
        ], the selection of the rule-based text mining tool LexMapr to map food terms translated in English
against the FoodOn ontology (Table 1) was driven by its interoperability across sectors [
        <xref ref-type="bibr" rid="ref15">14</xref>
        ]. Initially
developed to fulfil objectives of public health surveillance networks like the US FDA’s GenomeTrakr
system and the US National Antimicrobial Resistance Monitoring System (NARMS), LexMapr
describes indeed food pathogen source for reporting of transmission dynamics in public health
foodborne pathogen surveillance and investigation 4. Without speaking about issues related to English
translations, the proposed mockup (Table 1) shows that there is a need to improve FoodOn's curation
because FoodOn does not have a term for a generic pizza with or without meat or cheese 5.
* FoodOn codes are arbitrary examples # ISO means that samples from the present example
follow the requirements of the International Organization for Standardization
4Open source text mining tools
LexMapr: https://www.cineca-project.eu/blog-all/lexmapr-a-rule-based-text-mining-tool-for-ontology-term-mapping-and-classification
5FoodOn term "pizza food product"
URL: https://urlsand.esvalabs.com/?u=http%3A%2F%2Fpurl.obolibrary.org%2Fobo%2FFOODON_03310775&amp;e=2f9e67d3&amp;h=88f8ff14&amp;
f=n&amp;p=y
      </p>
      <p>
        The implementation of the FoodOn ontology into the CIS was successfully performed through
Neo4J [
        <xref ref-type="bibr" rid="ref16">15</xref>
        ], as exemplified with the Apache Zeppelin notebook (Figure 6) [
        <xref ref-type="bibr" rid="ref17">16</xref>
        ]. The graph-database
Neo4j was selected for its capacity to query easily ontologies [
        <xref ref-type="bibr" rid="ref16">15</xref>
        ].
      </p>
    </sec>
    <sec id="sec-10">
      <title>Discussion</title>
    </sec>
    <sec id="sec-11">
      <title>4.1. Action 3: Harmonization of Food Terms and Implementation of the</title>
    </sec>
    <sec id="sec-12">
      <title>FoodOn Ontology in Public Health Organizations</title>
      <p>
        In a near future, we plan to harmonize the past food terms from the CIS (i.e. Action 1) and
implement the FoodOn ontology into the CIS (i.e. Action 2) instances provided during the feasibility
study for the organizations: IZSAM (Italy), NVI (Norway) and RIVM (The Netherlands) at the time,
in order to use the same CISv2 implementing an identical food ontology. Indeed, different coding
systems can be harmonized looking for different English translated terms that LexMapr [
        <xref ref-type="bibr" rid="ref15">14</xref>
        ] maps
towards the same FoodOn codes [
        <xref ref-type="bibr" rid="ref14">13</xref>
        ] (Table 1). Even if LexMapr mapping of English translated terms
against the FoodOn ontology may not be completely efficient, it allows sharing of common FoodOn
terms derived from English translated terms between organizations using different languages.
4.2.
      </p>
    </sec>
    <sec id="sec-13">
      <title>Improvement of Queries from the CISv2</title>
      <p>
        Today, the CIS without Neo4j implementation (Figure 4) can be interrogated through
relational-database queries for data related to isolation date, sampling origin, food matrix and/or
genomics data, while the CISv2 implementing Neo4j [
        <xref ref-type="bibr" rid="ref16">15</xref>
        ] can be interrogated through queries of
graph-database relationships for food sectors organized inside the FoodOn ontology [
        <xref ref-type="bibr" rid="ref14">13</xref>
        ]. We plan in
a near future to improve queries combining queries of relational- and graph-database relationships in
order to interrogate the CISv2 for isolation date, sampling origin, food matrix, genomics data and/or
food sectors organized inside the FoodOn ontology. Just using the CIS, we can query samples via
standard SQL statements ().
Draft code 1: SQL query using relational-database relationships of the CIS (response: samples
isolated during 2008 in Italy with a clonal complex CC8)
      </p>
      <p>Neo4J implemented into the CISv2 allows query of FoodOn terms using graph-database
relationships (). If the queried FoodOn term do not exist, it would become a new Environment
Ontology (ENVO) term useful for FoodOn curation.</p>
      <p>--------------- Neo4J QUERY on FoodOn Terms
-------------------------select foodoncode</p>
      <p>with a relationship to foodoncode of "cheese factory"
Draft code 2: Neo4J query using graph-database relationships of the CISv2
(response: FoodOn codes related to the FoodOn term "cheese factory")</p>
      <p>Using the combination of SQL and Neo4J queries, an innovative query could use relational- and
graph-database relationships ().
(
(
--------------- SQL QUERY on sampling and genomics metadata
---------select samples where
sampling_date is 2018 and
sampling_place is Italy and</p>
      <p>CC=CC8
) AND foodoncode in (
--------------- NEO4J QUERY on FoodOn Terms
-------------------------select foodoncode</p>
      <p>with a relationship to foodoncode of "cheese factory"
)
Draft code 3: SQL and Neo4J queries using relational- and graph-database relationships of the CISv2,
respectively (response: samples isolated during 2008 in Italy with a clonal complex CC8 and a
FoodOn code related to the FoodOn term "cheese factory")</p>
      <p>
        Adding additional ontologies, such as the Gene Ontology (GO) dedicated to GO terms [
        <xref ref-type="bibr" rid="ref25 ref26">24, 25</xref>
        ]
describing the metabolic pathways 6, other innovative combinations of SQL and Neo4J queries could
use relational- and graph-database relationships filtering samples via classical relational constraints,
and adding ontology constraints on food matrix and genome annotations (). This kind of Gene
Ontology-based query is typically usefull to list GO-terms from a subset of genomes and a larger
collection of genomes in order to perform a Genome Ontology Enrichment Analysis (GOEA) [
        <xref ref-type="bibr" rid="ref27">26</xref>
        ]
identifying over-represented metabolic pathways across genomes of interest (e.g. genomes involved in
an outbreak).
      </p>
      <p>--------------- SQL QUERY on sampling and genomics metadata
---------select samples where
sampling_date is 2018 and
sampling_place is Italy and</p>
      <p>CC=CC8
) AND foodoncode in (
--------------- NEO4J QUERY on FoodOn Terms
-------------------------select foodoncode</p>
      <p>with a relationship to ontology_node of "cheese factory"
) AND GOterm in (
--------------- NEO4J QUERY on GO Terms
-----------------------------select GOterm</p>
      <p>with a relationship to ontology_node of "ATPase activity"
)
Draft code 4: SQL and Neo4J queries using relational- and graph-database
relationships of the CISv2, respectively (response: samples isolated during 2008
in Italy with a clonal complex CC8, a FoodOn code related to the FoodOn term
"cheese factory" and a Gene Ontology code related to the Gene Ontology term
"ATPase activity")
6Open source ontology
GENE ONTOLOGY: http://geneontology.org/docs/download-ontology/</p>
    </sec>
    <sec id="sec-14">
      <title>Significant Overlapping with Existing Efforts</title>
      <p>
        The present development of the CISv2, dedicated to food ontology between organizations,
overlaps significantly to existing efforts in the field of human nutrition, especially the food, health,
nutrition domain ontologies (FHNDO) [
        <xref ref-type="bibr" rid="ref18">17</xref>
        ], the Ontology for Nutritional Studies (ONS) [
        <xref ref-type="bibr" rid="ref19">18</xref>
        ], and the
Ontology for Nutritional Epidemiology (ONE) [
        <xref ref-type="bibr" rid="ref20">19</xref>
        ]. While these nutritional ontologies aim at
identifying healthy diets based on interoperability of ontologies related to classifications of diets,
diseases and food [
        <xref ref-type="bibr" rid="ref18 ref19 ref20">17–19</xref>
        ], the CISv2 is dedicated to surveillance and investigation of foodborne
outbreaks in human at the genomic scale based on ontologies related to genes and food. Instead of
identifying healthy diets (i.e. FHNDO, ONS and ONE), the immediate goal of the project is to explain
genetically foodborne outbreaks in human (i.e. CISv2). Compared to the relational-databases
dedicated to the nutritional ontologies FHNDO [
        <xref ref-type="bibr" rid="ref18">17</xref>
        ], ONS [
        <xref ref-type="bibr" rid="ref19">18</xref>
        ] and ONE [
        <xref ref-type="bibr" rid="ref20">19</xref>
        ], the CISv2 presents the
advantage to be able to combine relational- (i.e. CIS) and graph-databases (i.e. Neo4j).
      </p>
    </sec>
    <sec id="sec-15">
      <title>Conclusion</title>
      <p>The harmonization of the past food terms into the CIS (i.e. Action 1) and implementation of the
FoodOn ontology into the CIS (i.e. Action 2) will allow harmonization of the food ontology between
organizations (i.e. Action 3) and improvement the interrogation of the CISv2 (i.e. Action 4)
combining queries from relational- (i.e. CIS) and graph-databases (i.e. Neo4j). Thenceforth, the
CISv2 need FoodOn curators from the ontology community to perform better biosample description,
text mining and text mashing to ontology terms. In the longer term, we also plan to extend the CISv2
to other ontologies, like Gene Ontology in order to perform GOEA. Based on successful outcomes of
actions 1 and 2, the CISv2 presents today harmonious English food terms and can be distributed for
easy implementation in different European organizations with standard servers (Action 3) and used to
perform combinations of queries from relational- (i.e. past food terms from CIS) and graph-databases
(i.e. future food terms from CISv2).</p>
    </sec>
    <sec id="sec-16">
      <title>6. Acknowledgements</title>
      <p>The study was funded by the European Joint Programme (EJP) “One Health Structure In Europe”
(COHESIVE). Mention of trade names or commercial products in this article is solely for the purpose
of providing specific information and does not imply recommendation or endorsement by the IZSAM.
The authors declare that they have no competing interests and thank especially the Italian Ministry of
Health for supporting in the acquisition of high-performance computing resources. This manuscript
was drafted by Nicolas Radomski based on an available Word template under a Creative Commons
License Attribution-ShareAlike 4.0 International (CC BY-SA 4.0).</p>
    </sec>
    <sec id="sec-17">
      <title>7. References</title>
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