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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Bootstrapping Gene Expression-Cancer Knowledge Bases with Limited Human Annotations⋆</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Stefano Marchesin</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Laura Menotti</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Fabio Giachelle</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Gianmaria Silvello</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Omar Alonso</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Amazon</institution>
          ,
          <addr-line>Palo Alto, California</addr-line>
          ,
          <country country="US">USA</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Department of Information Engineering, University of Padua</institution>
          ,
          <addr-line>Padua</addr-line>
          ,
          <country country="IT">Italy</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>We introduce the Collaborative Oriented Relation Extraction (CORE) system for Knowledge Base Construction, based on the combination of Relation Extraction (RE) methods and domain experts feedback. CORE features a seamless, transparent, and modular architecture that suits large-scale processing. Via active learning, the CORE system bootstraps Knowledge Bases (KBs) and then employs RE methods to scale to large text corpora. We employ CORE to build one of the largest KBs focusing on fine-grained gene expression- cancer associations, fundamental to complement and validate experimental data for precision medicine and cancer research. We conducted comprehensive experiments showing the robustness of the approach and highlighting the scalability of CORE to large text corpora with limited manual annotations.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;Knowledge Base Construction</kwd>
        <kwd>Relation Extraction</kwd>
        <kwd>Active Learning</kwd>
        <kwd>Distant Supervision</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        In 2020 there were about 19.2 million cancer cases worldwide and the World Health
Organization estimates a 33% overall increase by 2040.1 With this growing global
burden, cancer prevention is one of the century’s most pressing public health challenges,
and data-driven research is crucial in assisting the development of medical solutions
to address it. In this regard, microarray and next-generation sequencing technologies
providing raw data about gene expression-cancer interactions [
        <xref ref-type="bibr" rid="ref2 ref3">2, 3</xref>
        ] are essential to
guide diagnosis, assess prognosis, or predict therapy response [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. Although these data
are invaluable to the advancement of cancer research, they cannot be steadily used as
is, as they require further processing and validation by experts. In most cases, the
outcome of this research process is described in a scientific peer-reviewed publication.
Hence, scientific literature is an authoritative data source that can be exploited to
complement and validate such experimental data. However, the manual extraction of
knowledge (e.g., scientific facts) from domain-specific literature is expensive and
timeconsuming [
        <xref ref-type="bibr" rid="ref5 ref6 ref7">5, 6, 7</xref>
        ]. In recent years, thanks to the advancement of Machine Learning (ML)
methods, automated techniques for Knowledge Base Construction (KBC) have flourished
and empowered large-scale construction and curation of Knowledge Bases (KBs) [
        <xref ref-type="bibr" rid="ref10 ref8 ref9">8, 9, 10</xref>
        ].
Nevertheless, the two main components of KBC systems – i.e., Named Entity Recognition
and Disambiguation (NERD) and Relation Extraction (RE) – both require expensive
and often unavailable labeled data for training.
      </p>
      <p>
        Thus, alternative solutions have been proposed to address this limitation, such as distant
supervision [
        <xref ref-type="bibr" rid="ref11 ref12">11, 12</xref>
        ] and active learning [
        <xref ref-type="bibr" rid="ref13 ref14">13, 14</xref>
        ]. Distant supervision and active learning are
complementary and often used together [
        <xref ref-type="bibr" rid="ref15 ref16">15, 16</xref>
        ] to bootstrap KBC systems and generate
high-quality datasets for NERD and RE. Therefore, in this work, we use both paradigms
to build a modular, pluggable, transparent, and scalable KBC system for cancer research
that focuses on the discovery of “gene expression-cancer” associations. Specifically, we
present the Collaborative Oriented Relation Extraction (CORE) system [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ], a KBC
system based on the combination of automated ML-based methods and domain experts
feedback. CORE features a seamless, transparent and modular architecture, where the
diferent components can be easily plugged-in. CORE also employs active learning to
bootstrap a KB focusing on gene expression-cancer associations. To this end, CORE
exploits the fine-grained aspects involved in gene expression-cancer associations to perform
iterative tests that measure the reliability of the data to be stored in the KB and return
small, selected samples to domain experts for annotation. The high-quality data generated
by this process is then used as reinforcement to re-train the ML models from scratch.
Active learning makes the CORE system suited to iterative KB versioning. Therefore,
with the data annotated by domain experts, re-trained ML models are deployed to build
subsequent versions of the KB.
      </p>
      <p>
        To show the robustness of the proposed approach, we conducted extensive analyses that
highlight how CORE scales to large text corpora with little human annotations. Moreover,
to evaluate the system efectiveness against the state-of-the-art, we performed a knowledge
base completion task showing that CORE achieves top performances. The KB derived
by CORE storing fine-grained facts about gene expression-cancer associations is available
at https://zenodo.org/records/7577127. The KB can also be accessed via CoreKB [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ], a
web search platform available at https://gda.dei.unipd.it.
      </p>
      <p>The rest of the article is as follows: Section 2 reports on related work; Section 3 outlines
the CORE system; Section 4 presents the experiments; Section 5 concludes the paper.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Related Work</title>
      <p>
        To date, there are a handful of knowledge resources containing data about gene
expressioncancer associations [
        <xref ref-type="bibr" rid="ref18 ref19 ref20 ref21 ref22 ref23">18, 19, 20, 21, 22, 23</xref>
        ]. Most of these resources only contain
experimental data obtained through microarray and next-generation sequencing
technologies [
        <xref ref-type="bibr" rid="ref18 ref19 ref20 ref21">18, 19, 20, 21</xref>
        ]. Whereas few of them, such as BioXpress [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ] and OncoMX [
        <xref ref-type="bibr" rid="ref23">23</xref>
        ],
also integrate knowledge extracted from the biomedical literature and rely on pattern
matching techniques to extract relationships [
        <xref ref-type="bibr" rid="ref24">24</xref>
        ]. Thus, there is the opportunity to
develop more adaptive RE methods that can broaden the reach of KBC systems to
heterogeneous large-scale text corpora.
      </p>
      <p>
        Beside resources based on experimental studies, there also exist a few literature-based
resources [
        <xref ref-type="bibr" rid="ref25 ref26">25, 26, 27, 28</xref>
        ] such as CoMAGC [
        <xref ref-type="bibr" rid="ref25">25</xref>
        ] and OncoSearch [
        <xref ref-type="bibr" rid="ref26">26</xref>
        ]. They focus on
gene expression-cancer associations, modeling the diferent, fine-grained aspects involved
between gene expression and cancer. Although relevant, CoMAGC only consists of 821
sentences on prostate, breast, and ovarian cancers while OncoSearch is currently not
maintained. On the other hand, more general and large-scale resources on gene-disease
associations – i.e., DisGeNET [27] and LHGDN [28] – store coarse-grained information
expressing the existence of an association between gene expression and cancer, which is
often insuficient to model such complex, faceted relationships efectively.
      </p>
      <p>Hence, there is a need for KBC systems that can scale to large text corpora and
stay up to date while generating fine-grained information about gene expression-cancer
associations. These fine-grained associations are essential to complement and validate
experimental data, fundamental for advancing cancer research.</p>
    </sec>
    <sec id="sec-3">
      <title>3. The CORE System</title>
      <sec id="sec-3-1">
        <title>Preliminaries.</title>
        <p>Let us consider a directed graph  = ( , )
, where  ⊆ {( 1,  2) | ( 1,  2) ∈
 ×  }</p>
        <p>is the set of edges connecting ordered pairs of vertices. Given an edge  = ( 1,  2) ∈  ,
we call  1 the source vertex and  2 the target vertex. In our context, the nodes of  are
entities and the edges are the relationships between them.</p>
        <sec id="sec-3-1-1">
          <title>Definition 1 (Aspect).</title>
        </sec>
        <sec id="sec-3-1-2">
          <title>We call aspect an attribute of a relationship between a pair of</title>
          <p>entities. An aspect has a name and a domain dom= { 1 , … ,   }, where   ∈   is the  ℎ
aspect value of   . Given an aspect  , the function () =
dom returns its domain.</p>
          <p>When it is clear from the context, the aspect value   ∈   is simply referred to as   .
Example 1. Let us consider the context of gene-cancer associations, where there are
three aspects describing a possible relationship ( ) between gene ( 1) and cancer ( 2): the
Change of Gene Expression (CGE), the Change of Cancer Status (CCS), and the
GeneCancer Interaction (GCI). Following Definition</p>
        </sec>
        <sec id="sec-3-1-3">
          <title>1, CGE, CCS, and GCI are the names</title>
          <p>of the aspects with the following domains: (
CGE) = {up, down, notinf}, (</p>
          <p>CCS) =
{progression, regression, notinf}, and (</p>
          <p>
            GCI) = {causality, correlation, notinf}. A detailed
description of these aspect domains can be found in the original paper [
            <xref ref-type="bibr" rid="ref1">1</xref>
            ].
defines a multi-aspect relationship between  1 and  2.
          </p>
          <p>Definition 2 (Multi-Aspect Relationship).</p>
          <p>Given a graph ( , )
and a set of aspects
 = {</p>
          <p>}=1 , then a tuple of aspect values ( 1 , … ,   ) associated with  = ( 1,  2) ∈ 
a multi-aspect relationship to a type from  , called the signature set.</p>
          <p>Definition 3 (Signature Function).</p>
          <p>Given a set of aspects  = {

we define s ∶ ∏=1   →  ⊆ Σ ∗; s(( 1 , ...,   )) ↦ type as the signature function that maps

 }=1 and an alphabet Σ,</p>
          <p>The signature function defines a set of mapping rules depending on the domain of
interest. In our setting, we refer to the mapping rules described in Table 1. That is,
we use the signature function to map multi-aspect gene expression-cancer relationships
to gene prospective roles in cancer. Gene roles allow to distinguish the genes that are
responsible for oncogenesis from those that are not; these are essential information for
efective for cancer research and therapy design [ 29].</p>
          <p>Definition 4 (Tagging Function). Given an edge  ∈  and the signature set  . We define
 ∶  → ;  () ↦ type as the function tagging an edge with a signature type.</p>
          <p>The tagging function works on the graph and associates a signature type to an edge.
Thus, we use it to label edges with gene prospective roles. In other words, the graph
represents gene expression-cancer associations as gene prospective roles in cancer.
Overview. The goal of the CORE system is to harvest facts from text corpora to
populate KBs. We model a KB as a directed graph  made up of entities connected
by typed relationships. Facts (or statements) are ( 1, ,  2) triples, where  1,  2 ∈  ,
 = ( 1,  2) ∈  , and  () ∈  .</p>
          <p>To obtain facts, CORE collects scientific literature from diferent sources, identifies
sentences containing pairs of entities relevant to the considered task, and extracts aspects
from them. Depending on the combination of extracted aspect values, a sentence expresses
a specific signature type. Note that, for a given pair of entities, diferent sentences can
express various signature types, as we show in the next example.</p>
          <p>Example 2. Let us consider the following sentences taken from the biomedical literature:
A. Colorectal cancer (CRC) growth and progression is frequently driven by RAS
pathway activation through upstream growth factor receptor activation or through
mutational activation of KRAS or BRAF.</p>
          <p>B. Somatic mutations of the BRAF gene, causing constitutive activation of BRAF,
have been found in various types of human cancers such as malignant melanoma,
and colorectal cancer.</p>
          <p>In both sentences, the following entities are extracted  1 = BRAF and  2 = Colorectal Cancer.
Considering the aspects introduced in Example 1, for sentence A we find CGE
= up, CCS = progression, and GCI = causality, leading to the signature type
s((up, progression, causality)) = oncogene. On the other hand, the aspect values of sentence
bootstrapping (orange), deployment (blue), and active learning (purple).</p>
          <p>B are CGE = up, CCS = progression, and GCI = correlation, leading to the signature
type s((up, progression, correlation)) = biomarker.</p>
          <p>From Example 2, we see that diferent sentences may lead to diferent signature types.
In the scientific discourse, it is not surprising that there are diferent viewpoints and
that various studies can lead to diferent conclusions – even in contradiction with each
other. Hence, we need to consider this potential uncertainty when facts are extracted
from the literature. The CORE system models this inherent uncertainty by assigning the
likelihood of being true to each aspect value. This probability is based on the evidence
we can extract from the literature. Given a set of sentences concerning the same two
entities, the more an aspect value is consistent in the set, the higher the probability
for that value to be true. Hence, we define the concepts of Aspect-Probability Set and
Multi-Aspect Function.</p>
        </sec>
        <sec id="sec-3-1-4">
          <title>Definition 5 (Aspect-Probability Set).</title>
          <p>value   carries a likelihood Pr(  ), we call   = {(  , Pr(  ))}=1 its aspect-probability set.</p>
          <p>Given an aspect   = {  }=1 such that each aspect
returns the  -tuple of aspect-probability sets.</p>
          <p>Definition 6 (Multi-Aspect Function).</p>
          <p>Let  = ( , )
be a directed graph and
  = {
({( 1 , Pr( 1 ))}</p>
          <p>}=1 a set of aspect-probability sets. We define  ∶  →

∏=1   ; () ↦
|=11|, … , {(  , Pr(  ))}</p>
          <p>|= 1 |) as the multi-aspect function that, given an edge,</p>
          <p>Thus, for each pair of target entities, CORE computes the probabilities for all the
aspect values and combines them into tuples of aspect-probability sets – which represent
a probability distribution over multi-aspect relationships. In this way, sentences serve
as supporting or contradicting evidence that strengthens or weakens the likelihood of a
fact. Furthermore, aspect-probability sets drive another essential aspect of CORE: the
data-driven, active learning approach used to bootstrap KBs. That is, through reliability
tests based on aspect value likelihoods and inference rules, the system tags facts as
reliable or unreliable. Part of the sentences associated with the most “highly” unreliable
facts is then fed to a human-in-the-loop process that reinforces the RE methods for
aspect extraction.</p>
        </sec>
      </sec>
      <sec id="sec-3-2">
        <title>Architecture.</title>
        <p>Figure 1 presents the system architecture. In the first module (module 1),
the texts acquired from the literature are processed and normalized to obtain sentences,
from which a NERD component extracts entity pairs. The entity-annotated sentences
undergo two diferent processes: bootstrapping (orange workflow) and deployment (blue
workflow). In the bootstrapping workflow, experts manually annotate multi-aspect
relationships between the entities (module 2), producing a set of relation-annotated
sentences.</p>
        <p>The manual, relation-annotated sentences are then used to train RE methods (module
3) and to populate the KB (module 5). The RE methods are trained to predict the
diferent aspects of multi-aspect relationships. Once trained, RE methods are employed
in the deployment workflow to obtain automatic annotations expressing multi-aspect
relationships between entities (module 4). Then, automatic, relation-annotated sentences
are used to further populate the KB (module 5).</p>
        <p>In the last module (module 5), relation-annotated sentences are grouped by entity
pairs and used to generate facts. First, a knowledge enrichment component computes
probabilities for all the aspect values and combines them into tuples of aspect-probability
sets. Then, a reliability testing component uses these probabilities to perform multiple
tests that tag facts as either reliable or unreliable. Only facts tagged as reliable are used
to populate the KB.</p>
        <p>When the deployment workflow is complete, unreliable facts are ranked by ascending
reliability score and the top- automatically annotated sentences associated with them
are re-annotated by experts – thus triggering an active learning process that reinforces
the RE methods (purple workflow).</p>
        <p>Versioning. The active learning workflow makes CORE suited to iterative KB versioning.
We define a KB version as the graph   = (  ,   ) obtained after the  ℎ iteration of the
bootstrap and deployment workflows. Once the  ℎ version of the KB has been deployed,
the active learning workflow starts by generating the batch of unreliable sentences for
bootstrapping the  ℎ + 1 version of the KB. The unreliable sentences are manually
annotated and used to increase the size of the datasets to re-train the RE methods from
scratch, which then generate a new set of automatic annotations to be included in the
 ℎ + 1 KB version. When the bootstrap and deployment workflows end, the  ℎ + 1 version
of the KB is re-built from scratch and comprises all the available annotations.</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>4. Implementation and Experiments</title>
      <p>
        Knowledge Base Construction. We use diferent resources to build the KB, which
increase with each subsequent iteration of the KB construction process. The considered
resources are CoMAGC [
        <xref ref-type="bibr" rid="ref25">25</xref>
        ], OncoSearch [
        <xref ref-type="bibr" rid="ref26">26</xref>
        ], BioXpress [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ], DisGeNET [27], and
PubMed.2 For CoMAGC, BioXpress, and OncoSearch (KBs 0–3) we revised the available
manual annotations to make them compliant with our annotation schema; for DisGeNET
(KBs 1–3) we divided its data into two batches to test versioning; and for PubMed (KB3)
we only considered the articles citing those stored within KB2. Table 2 reports statistics
for the resources used to build each KB version, while Table 3 reports the statistics about
each version of the generated KB.
      </p>
      <p>
        First, we can see that the ratio between the sentences stored in the KB (Table 3) and
the input ones (Table 2) decreases at each iteration. From the first iteration, where
the CORE system uses the 62% of the input sentences to build KB0, we move to the
52% to build KB1, 26% for KB2, and only 14% for KB3. Such a decrease reflects the
use of reliability tests and active learning, which make the system more selective and
accurate. In particular, active learning leads the CORE system to refine the RE methods
at each iteration, thus reducing false positives as well as unreliable facts. Secondly, the
large number of diferent genes and cancers in KB3 highlights the scalability of the
approach. In this regard, KB3 contains 21, 005 genes, which cover the 70% of the 30, 000
estimated genes in the human genome.3 On the other hand, through the integration
of DisGeNET data, KBs 1–3 contain most of the (known) cancer types involved in
gene expression-cancer associations. Combined, this large number of genes and cancer
types leads to more than 150, 000 reliable facts. Finally, compared to currently available
knowledge resources [
        <xref ref-type="bibr" rid="ref22 ref23 ref26">22, 23, 26</xref>
        ], KB3 represents the largest literature-derived KBs with
reliable fine-grained facts about gene expression-cancer associations.
      </p>
      <p>
        Knowledge Base Completion. We evaluate the efectiveness of the CORE system on a
KB completion task, in which we hold out a portion of an existing KB with associated
sentences and we assess CORE ability to recover it. To this end, we hold out from
3https://www.genome.gov/human-genome-project/
BioXpress [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ] the set of 9, 636 sentences annotated by DEXTER [
        <xref ref-type="bibr" rid="ref24">24</xref>
        ] – a state-of-the-art
text-mining system for gene expression-cancer associations based on pattern matching
– and we evaluate the CORE system on them. Note that such sentences are not part
of those used to train the CORE RE methods. Vice versa, we apply DEXTER on the
manually annotated subset of KB3 to evaluate its ability to generalize to heterogeneous
sentences, whose syntactic structure can difer from its predefined patterns.
      </p>
      <p>For BioXpress completion, we use the three versions of the CORE system obtained after
each (re-)training of the RE methods. Table 4 reports the CORE system performances
on the BioXpress completion task after each (re-)training of the RE methods, as well as
DEXTER performance on KB3.</p>
      <p>We can see that each CORE version consistently achieves performances above 0.95 for
each measure. In particular, CORE1 improves over CORE0 by about 2% and reaches
a performance plateau, as shown by CORE2 performance. The results highlight the
efectiveness of the CORE system in recovering BioXpress using a limited amount of
manual annotations to train the RE methods. On the other hand, the poor performance
of DEXTER on KB3 highlights a lack of flexibility that hampers its applicability to
heterogeneous sentences. To further support this intuition, we observe that between
precision and recall it is recall to have the worst performance, with a value of 0.3256.
This underlines the expert system nature of DEXTER which, although precise, fails to
generalize beyond its set of predefined patterns.</p>
    </sec>
    <sec id="sec-5">
      <title>5. Conclusions</title>
      <p>In this work we presented CORE, a KBC system based on the combination between
automated RE methods and domain experts. The reliability tests and the active learning
process make the system suited to iterative KB versioning. We used the CORE to
build one of the largest KBs about gene expression-cancer associations. We conducted
extensive experiments that (i) highlighted the ability of CORE to scale to large collections
of heterogeneous data with limited human annotations and (ii) showed its generalizability
and reliability compared to the current state-of-the-art.</p>
      <p>Acknowledgments. This work is partially supported by the HEREDITARY Project,
as part of the European Union’s Horizon Europe research and innovation programme
under grant agreement No GA 101137074.
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