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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>The use of Foundational Ontologies in Bioinformatics?</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Cesar Henrique Bernabe</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Nuria Queralt-Rosinach</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>V tor E. Silva Souza</string-name>
          <email>vitor.souza@ufes.br</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Luiz Olavo Bonino da Silva S</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Annik</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>o Roos</string-name>
          <email>m.roosg@lumc.nl</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Federal University of Esp rito Santo</institution>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Leiden University Medical Center</institution>
          ,
          <addr-line>Leiden</addr-line>
          ,
          <country country="NL">The Netherlands</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>University of Twente</institution>
          ,
          <addr-line>Enschede</addr-line>
          ,
          <country country="NL">The Netherlands</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>Ontologies have been used in biomedicine for several purposes, such as knowledge representation, data analysis and integration. The FAIR principles recommend the use of controlled vocabularies, such as ontologies, to de ne data terms precisely. However, ontologies are currently modelled following di erent approaches, sometimes de ning overlapping concepts with con icting de nitions, which can harm data FAIRness. Foundational ontologies are de ned as domain-independent ontologies that describe the most basic concepts of our world, and thus used to lessen the interoperability problem. With the aim to investigate how foundational ontologies can improve the bene ts of FAIR data for life sciences research, we observed a need to assess how they are used in the area. To support our investigation, we conducted a systematic literature analysis, in which we selected appropriate works according to prede ned criteria. From the selected works, we identi ed that, besides being used for several purposes, there is almost no empirical evidence testing the claims for or against the use of foundational ontologies. This indicates a need for evaluating the use of such artefacts in bioinformatics. Similarly, we observed a low adherence to formal ontology construction and evaluation methods during ontologies development, which can impact the quality and sustainability of ontologies, and thus the FAIRness of ontologized data.</p>
      </abstract>
      <kwd-group>
        <kwd>Systematic Literature Mapping</kwd>
        <kwd>Foundational Ontologies</kwd>
        <kwd>FAIR</kwd>
        <kwd>Biomedical Ontologies</kwd>
        <kwd>Ontology Engineering</kwd>
        <kwd>Ontology Evaluation</kwd>
        <kwd>Ontology Application</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Introduction</title>
      <p>
        The biomedical eld is facing an increasing growth in the volume of research
data, which is impossible to analyse by human agents alone. To cope with this,
several approaches have been proposed to make data and metadata (i.e.
description of data) machine-readable and -actionable, such as to enable computers to
understand and automatically process it. The FAIR principles [
        <xref ref-type="bibr" rid="ref25">25</xref>
        ] aim to make
data Findable, Accessible, Interoperable and Reusable for both humans and
machines, thus enabling e cient data analysis across multiple resources with
minimal human intervention. The FAIR principles recommend the use of controlled
vocabularies (e.g., ontologies) in the description of metadata and data terms,
seeking to achieve an unambiguous understanding of concepts and properties.
      </p>
      <p>
        In life sciences research, ontologies are used to support knowledge
management and to improve data analysis, shareability and interoperability [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ].
However, ontologies are currently modelled in di erent paradigms, sometimes
describing overlapping concepts with con icting de nitions. Hence, there is a
risk for the interoperability problem to happen to ontologies just as it does to
data [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ]. Moreover, misalignment between ontologies can impact the reliability
of data analysis results due to the misunderstanding of terms, and also impact
the (meta)data adherence to FAIR principles (FAIRness) [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ].
      </p>
      <p>
        Foundational ontologies are one of the approaches proposed to improve
ontology interoperability, since they provide a general and domain-independent
conceptual architecture that describes the most basic kinds of entities and
relationships. Consequently, foundational ontologies support a more precise
descriptions of the concepts and relations in a given universe of discourse [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ].
      </p>
      <p>
        We investigate how foundational ontologies are used in bioinformatics, what
advantages they claim to have, and if these are validated for the biomedical
domain, as well as what the gaps and opportunities are in this particular area
of research. Our approach is based on a Systematic Literature Mapping (SLM),
which is a method to analyse the state of the art on a particular topic [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ].
To our knowledge, no other similar SLM has been conducted on this research
question. Our overarching goal is that our ndings will guide us to de ne how
foundational ontologies can be used to improve biomedical data FAIRness.
2
      </p>
    </sec>
    <sec id="sec-2">
      <title>Ontologies and their Abstraction Levels</title>
      <p>
        Several de nitions of the term \ontology" have been proposed in the last decades.
Studer, Benjamins &amp; Fensel [
        <xref ref-type="bibr" rid="ref23">23</xref>
        ] de ne ontologies as a \formal, explicit speci
cation of a shared conceptualization". `Formal' means that the model is logically
de ned so it supports algorithmic reasoning. `Explicit' refers to concepts
being de ned with unambiguous descriptions. Finally, `shared conceptualization'
refers to the consensual de nition of domain concepts within the community of
expected users.
      </p>
      <p>
        Ontologies can be modelled in di erent levels of detail, and classi ed
accordingly [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. Application ontologies are built to address a speci c use case, usually
constrained to a particular activity (e.g. orchestrate a machine learning
workow). Domain ontologies describe concepts related to a domain of discourse (e.g.,
rare diseases). Core ontologies provide an upper-level structural de nition to a
eld that spans across di erent domains (e.g. biomedicine). Foundational
ontologies de ne very general and domain-independent concepts (e.g., time, event and
object). In the literature, foundational ontologies are also de ned as \top" or
\upper-level" ontologies, while core ontologies can also be described as \domain
upper ontologies" or \middle-level ontologies".
      </p>
      <p>
        The Basic Formal Ontology (BFO) [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ], the Descriptive Ontology for
Linguistic and Cognitive Engineering (DOLCE) [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ], the General Formal Ontology
(GFO) [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] and the Suggested Upper Merged Ontology (SUMO) [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ] are
examples of foundational ontologies, while Biotop [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ] is an example of core ontology.
Currently, most biological and biomedical ontologies are registered in
repositories such as the NCBO Bioportal [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ] and the Open Biological and Biomedical
Ontologies (OBO) Foundry [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ].
3
      </p>
    </sec>
    <sec id="sec-3">
      <title>Systematic Literature Mapping Method and Output</title>
      <p>
        The SLM research method used for our literature study is de ned by
Kitchenham [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ] as a secondary study designed to answer broad questions about a
research area. Planning, Conducting and Reporting are the main steps of an
SLM process, which are further divided into more speci c tasks. In the planning
step, the research questions, research sources, research query and selection
criteria are de ned. In the conducting step, papers are extracted from considered
sources, deduplicated and selected according to inclusion and exclusion rules. In
the reporting step, the results from the SLM are compiled and discussed in the
form of answers to research questions.
      </p>
      <p>
        Planning. Based on the literature (e.g., [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ]), we observed that, despite
being used for several purposes in bioinformatics, there are very few experiments
testing the claims and drawbacks of foundational ontologies in the eld.
Additionally, a second and complementary observation is that there is a lack of
methodological rigour in the development and evaluation of ontologies in
bioinformatics. Consequently, we de ned ve research questions in the rst task of the
planning step. First of all, we would like to know \How are foundational
ontologies used in bioinformatics?" (RQ1 ). Secondly, we would like to investigate the
reason why foundational ontologies are or are not used, and hence we ask two
questions: \What are the claimed advantages of using foundational ontologies?"
(RQ2 ) and \What are the claimed drawbacks of using foundational ontologies?"
(RQ3 ). Third, since the answers to RQ2 and RQ3 are based on perceptions
by the extracted papers' authors, we would like to nd scienti c support for
the answers to the questions by asking \What is the empirical evidence for the
advantages and drawbacks?" (RQ4 ). Finally, our second observation could be
answered by asking \From the total number of papers that describe the
development of a biomedical ontology, how many use existing formal development and
evaluation methods?" (RQ5 ).
      </p>
      <p>Based on our research questions, we selected papers that apply a foundational
ontology in life science domains (Inclusion Criteria - IC). We excluded papers
that did use a foundational ontology but are not related to life sciences (Exclusion
Criteria 1 - EC1). For the sake of reproducibility of this study, we also excluded
papers not written in English (EC2).</p>
      <p>Sources were selected considering the biological and computational aspects
of bioinformatics. We included one biosemantics focused source (Jane4), one
biomedical (Pubmed5) and a third that also covers areas from computer
science (Science Direct6). Finally, the search strategy was driven by the fact that
di erent terms are used to describe foundational ontologies, as mentioned in
Section 2. Thus, we included the \top level" and \upper level" synonyms in the
search string, which can be generically described as: ("foundational ontology"
OR "top-level ontology" OR "top level ontology" OR "upper-level ontology" OR
"upper level ontology" OR "upper ontology") AND ("biology" OR "biomedical"
OR "biomedicine" OR "biological"). The speci c search strings, the search
results (and the date each one was performed), are available in the supplementary
material at https://doi.org/10.5281/zenodo.5793618.</p>
      <p>Conducting. In the extraction process, the search string was used in the
mentioned sources and applied to the paper's full text. The search result was
downloaded from each source, merged, deduplicated and selected according to
the criteria de ned. The selection process is performed in three steps, where
papers are rstly selected based on information from (i) the title and abstract.
Then, the results from the rst step are reanalysed, now by performing (ii)
diagonal reading (title, abstract, introduction and conclusion sections, gures
and tables). In the third step, papers from step two are nally selected/excluded
based on (iii) full-text reading.</p>
      <p>Reporting. In this nal step, the analysis conducted on the resulting
selection of papers is compiled and reported. During the nal iteration of the selection
process, the individual answers were manually annotated on a reading sheet and
then synthesized in mind maps. Due to space constraints, the mind maps and
the information about the extraction process (which criteria was applied to each
paper in each phase) are available as supplementary material.
4</p>
    </sec>
    <sec id="sec-4">
      <title>Data Synthesis</title>
      <p>The rst step of the extraction process resulted in 404 records, which were then
deduplicated, resulting in 346 papers. The nal step of the extraction process
resulted in 51 papers.</p>
      <p>Figure 1a presents the number of selected papers per year of publication. The
set comprehend works published from 2004 to 2019, with an average of 2 papers
published per year from 2004 to 2010 and 4 papers published per year from 2011
to 2019, with a peak of 6 papers published in 2011, 2012 and 2015. Figure 1b
4 jane.biosemantics.org/
5 pubmed.ncbi.nlm.nih.gov/
6 sciencedirect.com/
shows the foundational ontologies popularity between the set of selected papers.
It can be noticed that BFO is the most used foundational ontology, followed
by DOLCE, GFO and SUMO, respectively. Figure 2 compares the use of the
foundational ontologies per year (some works used more than one ontology). We
consider that a foundational ontology is \used" when it is applied to one of the
activities described in the answer to RQ1 (cf. Section 4.1).
(a) Number of publications per year among the
set of selected papers in the SLM.
(b) Popularity of each
foundational ontology among the set of
selected papers in the SLM.
During data analysis, periodic meetings between co-authors were conducted to
discuss the information extraction process in an attempt to reduce possible bias
in our synthesis.</p>
      <p>
        Answers to RQ1 can be classi ed into ve main categories:
{ Ontology development: in most cases, foundational ontologies were used
as a starting point for ontology design, providing a set of basic categories in
a top-down development strategy, where classes from the selected
foundational ontology are used as a reference for deriving domain concepts.
Foundational ontologies were also used in bottom-up (existing domain concepts are
anchored in foundational ones), or middle-out (hybrid) approaches.
Foundational ontologies also supported the development of ontology design patterns.
{ Ontology enrichment: the axioms provided by foundational ontologies
were added to domain concepts, thus improving inference and supporting
the identi cation of new knowledge.
{ Ontology merging or alignment: foundational ontologies were used as
a common ground for the process of ontology merging, where di erent
domain ontologies are combined to produce a new one. Similarly, foundational
ontologies were used to develop mappings between di erent core/domain
ontologies, usually with the aim of interoperability improvement.
{ Ontological analysis: the ontological commitments (categories,
relationships, constraints and axioms) de ned by foundational ontologies were used
to identify and repair inconsistencies in domain ontologies or other
informational artefacts (i.e., information systems, databases, information ow
processes or documents). To exemplify, in [
        <xref ref-type="bibr" rid="ref19">19</xref>
        ], DOLCE is used to address
the polysemy of the term \in ammation", which can be de ned as a
physiological function, a characteristic portion of a body part, clinical condition
or as a diagnosis applicable to that condition.
{ Ontology based data analysis: domain ontologies developed using a
foundational ontology were used to perform data integration and analysis. Here,
the usefulness of ontologies can be noticed in two ways. First, by
grounding the data on an ontology, researchers are able to identify errors, organize
the data and connect it with external sources. Second, by being e ciently
curated and by using reasoning, the ontology-grounded data can undergo
a more signi cant data analysis (e.g., using machine learning algorithms),
which can present useful results that support clinical decisions [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ].
      </p>
      <p>Answers to the question related to the claimed advantages and motivations
(RQ2 ) can be grouped in two main categories: improvement of ontologies and
improvement of data. Regarding the former category, foundational ontologies are
claimed to improve the semantic understanding of terms and avoid ambiguity
(as in the \in ammation" example above), enhance reasoning and prevent errors
(by the axioms added by foundational ontologies), speed up ontology
development (through the reuse of top-level categories and other ontologies grounded
on the same foundational one), improve interoperability (based on the idea that
ontologies that use the same foundational ontology tend to interoperate easier),
and facilitate ontology maintainability (by reusing categories from foundational
ontologies). Advantages related to data are: to enhance data consistency and
interoperability (by grounding data into a human-readable semantic artefact),
and improve queriability (ontologized data can be queried using human-readable
terms).</p>
      <p>A convergence to a small set of similar answers was observed when asking
RQ3. Several works mentioned the excessive complexity brought up by the use
of foundational ontologies, manifested in the time spent understanding class
descriptions and the high level of familiarity needed with background philosophical
theories. Additionally, the reduced usability in domain ontologies caused by the
added complexity from foundational ones is described as another disadvantage.</p>
      <p>
        Unfortunately, just one paper speci cally presented an empirical assessment
to test the claimed advantages and drawbacks (RQ4 ). Boeker et al. [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ] conducted
a controlled trial to test the hypothesis that \students who received training on
top-level ontologies and design patterns perform better than those who only
received training in the basic principles of formal ontology engineering." In the
assessment phase, students were asked to solve problems related to di erent
topics, producing a set of ontological models that were compared to a gold
standard. However, \the experiment showed no signi cant e ect of the
guidelinebased training on the performance of ontology developers".
      </p>
      <p>
        The last question aims to assess methodological rigour in the process of
building and evaluating ontologies (RQ5 ). A subset of 33 of the 51 selected
papers developed a new domain ontology (using foundational ontologies). When
analysing this subset, we investigated how papers addressed ontology
engineering [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] and evaluation [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. The information about the methods employed by each
paper is available in the supplementary material.
      </p>
      <p>
        Ontology Engineering. Five papers stated that ontologies were built
following the OBO principles [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ], which suggest the use of BFO as a foundational
ontology for ontology development. From the 33 papers that developed
ontologies, only four explicitly mentioned the use of an ontology engineering method
proposed in the literature (i.e., Ontology Development 101 (OD101) [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ] or
OntoSpec [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ]).
      </p>
      <p>
        Ontology Evaluation. Only two papers used Competency Questions [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ] as
veri cation activities. On the other hand, sixteen works applied the developed
ontology to use case scenarios as means of validation, more speci cally: in data
integration experiments, to support the development of an information system, in
data classi cation algorithms, in ontology mapping experiments, and in querying
and text mining tasks. Two papers performed instantiation [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] as a validation
step and four papers validated the ontologies with domain experts.
5
      </p>
    </sec>
    <sec id="sec-5">
      <title>Discussion</title>
      <p>
        The results of our review corroborates our observations, as we could identify
only one paper that ran an empirical experiment to test the claims for the use
of foundational ontologies. It is important to note that this does not mean that
these claimed (dis)advantages are under- or overrated. Actually, it indicates that
there is a clear need for evaluating these claims within the bioinformatics domain.
In other elds, there already exist several works that performed evaluations in
an attempt to provide empirical evidence for the use of foundational ontologies,
and their results might be generalizable to bioinformatics. For instance, Keet [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ]
conducted an experiment where participants, after receiving training in
foundational ontologies, had to choose between developing a \Computer Ontology"
from scratch or by reusing an OWL version of DOLCE or BFO. The study
concluded that advantages brought up by the use of foundational ontologies make
up for the time spent on getting acquainted with them. Verdonck et al. [
        <xref ref-type="bibr" rid="ref24">24</xref>
        ] ran
an experiment to test the di erences between traditional conceptual modelling
and ontology-driven conceptual modelling, in which foundational ontologies were
used. The authors found that very few di erences (e.g., number of ambiguities
and inconsistencies) are perceived when experimenting with simple and small
models. However, signi cant improvements are perceived when modelling bigger
or more sophisticated domains.
      </p>
      <p>
        We also investigated how ontologies were built and evaluated. As mentioned
in the previous section, only 4 of 33 papers used a systematic ontology
engineering method. Similarly, only 2 used a formal evaluation method (Competency
Questions) despite testing the ontology through application cases. Although the
use of foundational ontologies is claimed to impose a certain level of rigour
during ontology development and evaluation, these processes need to be supported
by additional techniques [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. We argue that the use of ontology engineering and
evaluation methods should be an important concern in the research and
development of ontologies in bioinformatics, since these methods guide ontology
designers in de ning aspects related to sustainability of ontologies (e.g.,
continuous integration, manutenability, documentation), which consequently impacts
the long-term realization of the FAIR principles. In addition, ontology evaluation
intends to identify inconsistencies in the developed ontologies, thus improving
interoperability.
      </p>
      <p>
        From the results overview, we observed that BFO's popularity between the
set of selected papers can be related to the OBO principles proposed by the OBO
Foundry. These principles require the use of BFO as the standard foundational
ontology for the ontologies registered in the repository. We also noticed that the
boundaries between foundational and core ontologies are not clearly de ned. For
instance, while some papers described Biotop as a core ontology for
bioinformatics (e.g., [
        <xref ref-type="bibr" rid="ref20">20</xref>
        ]), others classi ed it in the same level as BFO and DOLCE (e.g.,
[
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]). In our work, Biotop was considered a core ontology.
      </p>
      <p>
        Our ndings also identi ed a need to de ne the best practices that can
improve ontologies for bioinformatics. Simon et al. [
        <xref ref-type="bibr" rid="ref21">21</xref>
        ] mentions that there are
understandable reasons for the ad hoc features of many biomedical ontologies.
Given the urgency to move from paper based to digital systems, ontologists were
forced \to make a series of uninformed decisions about complex ontological
issues", which can be understood in the context of our work as the lack of formal
rigour in ontology development. The author also mentions that ontologists have
been tempted to seek immediate solutions to particular problems, but such
behaviour cannot be accepted in a semantically interoperable world, since \ad hoc
solutions foster further ad hoc problems."
      </p>
      <p>Finally, we recognize that some studies may not have been considered in our
analysis due to two reasons: (i) a paper may have used a foundational ontology
without explicitly mentioning it, or (ii) used an ontology that is in a grey area
between foundational and core ontologies. These can be seen as a trade-o in
using a method such as an SLM, since de nitions (e.g., whether a foundational
ontology was used or not) should be clearly stated so the process can be
systematically repeated. As a next step, we plan to manually include and discuss other
important studies (not captured by the SLM, but suggested by experts).
6</p>
    </sec>
    <sec id="sec-6">
      <title>Conclusion</title>
      <p>This paper described an SLM that was conducted to understand how
foundational ontologies are used in bioinformatics, as well as to identify the empirical
evidence in favour or against claimed advantages. Additionally, we investigated
the level of methodological adherence in papers that used foundational
ontologies to construct domain ones. The understanding of how foundational ontologies
are used in bioinformatics can better drive future research towards the
improvement of ontology interoperability, and consequently the FAIRness of research
data. Our ndings can imply two main conclusions. First, there is a lack of
empirical evidence for or against the use of foundational ontologies, and future
research should tackle this need. Second, this particular area of bioinformatics
should deal with ontology development and evaluation more formally and
systematically. Consequently, we recommend that research in bio-ontologies should
study the creation or reuse of methods for ontology engineering (considering
phases from ontology requirements elicitation to testing and sustainability) and
ontology evaluation (encompassing both evaluation techniques and procedures
for application-based evaluation) supported by foundational ontologies. Thus,
as future work, we plan to investigate how foundational ontologies are used in
other elds and what can be reused to improve research in ontologies for
bioinformatics.</p>
    </sec>
  </body>
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