=Paper= {{Paper |id=Vol-3805/ICBO-2022_paper_3877 |storemode=property |title=Coordinating Coronavirus Research: The Virus Infectious Disease Ontology |pdfUrl=https://ceur-ws.org/Vol-3805/ICBO-2022_paper_3877.pdf |volume=Vol-3805 |authors=John Beverley,Yongqun He,Barry Smith,Shane Babcock,Eric Merrell,Lindsay Cowell,Regina Hurley,Sebastian Deusing |dblpUrl=https://dblp.org/rec/conf/icbo/BeverleyH0BMCHD22 }} ==Coordinating Coronavirus Research: The Virus Infectious Disease Ontology == https://ceur-ws.org/Vol-3805/ICBO-2022_paper_3877.pdf
              Coordinating Coronavirus Research: The Virus Infectious Disease Ontology

              John Beverley1, Shane Babcock2, Barry Smith3, Yongqun He4, Eric Merrell1,3, Lindsay Cowell5,
              Regina Hurley6, Sebastian Deusing7
              1
                Johns Hopkins University Applied Physics Laboratory, Laurel, MD, USA
              2
                Department of Philosophy, Niagara University, Lewiston, NY, USA
              3
                Department of Philosophy, University at Buffalo, Buffalo, NY, USA
              4
                University of Michigan Medical School, Ann Arbor, MI, USA
              5
                University of Texas Southwestern Medical School, Dallas TX, USA
              6
                Department of Philosophy, Northwestern University, Evanston, IL, USA
              7
                Loyola University, Chicago, Il, USA

              Abstract
              The COVID-19 pandemic prompted immense work on the investigation of the SARS-CoV-2 virus. Ontologies –
              structured, controlled, vocabularies – are designed to support consistency of interpretation, and thereby to prevent
              the development of data silos. This paper describes how ontologies are serving this purpose in the virus research
              domain, following the principles of the Open Biological and Biomedical Ontology (OBO) Foundry and drawing on
              the resources of the Infectious Disease Ontology (IDO) Core. We report the development of the Virus Infectious
              Disease Ontology (VIDO), a reference ontology extending IDO Core covering viral infectious diseases. We examine
              newly minted terms, showcase ontology term reuse, and illustrate the use of VIDO by annotating selections from
              recent life science research on SAR-CoV-2, in the interest of supporting machine learning projects.

              Keywords
              Virus, SARS-CoV-2, coronavirus, COVID-19, applied ontology, infectious disease ontology, CIDO

              1. Introduction                                        entities and relations across disciplines using
                                                                     consensus terminologies – constitute a well-known
              The volume of data collected by life-science           solution to the formation of data silos. The need for
              researchers, the speed at which it is generated,       rapid analysis of evolving datasets representing
              range of its sources, quality, accuracy, and need for coronavirus research motivated the development of
              assessment of usefulness, results in complex,          the Virus Infectious Disease Ontology (VIDO)
              multidimensional datasets [1,2], often annotated       comprised of textual definitions for terms and
              using discipline- or institution-specific              relations and logical axioms supporting automated
              terminologies and coding systems that lead to data consistency checking, querying over datasets, and
              silos. These undermine interoperability, meta-data interoperability with other ontologies. VIDO is an
              analysis, pattern identification, and discovery across extension of the widely used Infectious Disease
              disciplines [3]. The value of cross-discipline meta- Ontology Core (IDO Core) [7], comprised of
              data analysis is evident during the present pandemic terminological content common to all investigations
              [4,5].                                                 of infectious disease. VIDO extends IDO with
                                                                     terms specific to the domain of infectious diseases
              Ontologies – interoperable, logically well-defined,
                                                                     caused by viruses and provides a foundation for
              controlled vocabularies representing common
                                                                     ontologies representing specific viral infectious
              ICBO 2022, September 25-28, 2022, Ann Arbor, MI, USA
              EMAIL: johnbeverley2021@u.northwestern.edu (A.1);
              babcock8@buffalo.edu (A.2); ifomis@gmail.com (A.3);
              yongqunh@med.umich.edu (A.4);
              Lindsay.Cowell@utsouthwestern.edu (A.5);
              ReginaHurley2023@u.northwestern.edu (A.6); sduesing@luc.edu
              (A.7)
              ORCID: 0000-0002-1118-1738 (A. 1); 0000-0003-0798-114X (A. 2);
              0000-0003-1384-116X (A. 3); 0000-0001-9189-9661 (A.4); 0000-
              0003-1617-8244 (A.5)
                                      2022 Copyright for this paper by its authors. Use permitted under Creative
                                    Commons License Attribution 4.0 International (CC BY 4.0).

                                    CEUR Workshop Proceedings (CEUR-WS.org)
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diseases such as the Coronavirus Infectious Disease   Biomedical and Biological Ontologies (OBO)
Ontology (CIDO), which is itself an extension of      Foundry was created to provide guidance for
VIDO covering coronavirus infectious diseases         ontology developers and promote alignment and
such as COVID-19. The most recent version of          interoperability. OBO Foundry design principles
VIDO can be found at the National Center for          require ontologies: use a well-specified syntax
Biomedical Ontology Bioportal [8].                    unambiguous with a common space of identifiers,
                                                      be openly available in the public domain, be
VIDO was developed in collaboration with relevant
                                                      modularly developed with a specified scope in a
domain experts and drawing on the expertise of the
                                                      collaboration with ontologists covering nearby
IDO developers to ensure alignment with OBO
                                                      domains and conform to a common top-level
Foundry principles [9], supporting interoperability
                                                      architecture. The OBO library consists of over 250
with Foundry ontologies [10]. Development of
                                                      ontologies, including some externally developed
VIDO is transparent, with discussions available on
                                                      ontologies such as the NCI Thesaurus [18] and the
GitHub [11]. VIDO term additions are driven by the
                                                      NCBI Taxonomy [19], and some constructed ab
needs of researchers investigating viruses and
                                                      initio to satisfy OBO principles. At its core is Basic
nearby domains, and so remains sensitive to
                                                      Formal Ontology (BFO), a top-level ontology
evolving knowledge.
                                                      covering general classes such as material entity,
2. Methods                                            quality, process, and role [20,21,22], which
                                                      provides the architecture referred to in the last
VIDO and is formally represented in OWL 2 Web Foundry principle. BFO is, moreover, an ISO/IEC
Ontology Language. VIDO was developed using           approved standard 21838-2 [23].
the Protégé-OWL editor and tested against
                                                      Where BFO is domain-neutral, OBO Foundry
automated reasoners such as HermiT and Pellet
                                                      ontologies represent types of entities in more
[12,13]. Axioms underwriting VIDO were
                                                      specific domains, using terms such as disease, cell
translated into a decidable fragment of first-order
                                                      division, surgical procedure, and so forth. Each
logic readable by the Mace4 [14] model checker,
                                                      domain ontology is constructed using a
which allowed for manual graphical inspection of
                                                      methodology for formulating definitions through a
classes of models constrained by the asserted
                                                      process of downward population from BFO. The
axioms. An automated proof-checker Prover9
                                                      resulting alignment with BFO, and the conformance
bundled with Mace4 was used to validate expected
                                                      to OBO Foundry principles, fosters integration
theorems while refining axiom models.
                                                      across ontologies. VIDO was designed with
2.1 OBO Foundry Alignment                             alignment and conformance in mind. Development
                                                      followed metadata conventions adopted by many
Ontologies are widely used in bioinformatics,         OBO Foundry ontologies. These conventions
supporting data standardization, integration,         require that every term introduced into the ontology
sharing, reproducibility, and automated reasoning. has a unique IRI, textual definitions, definition
The Gene Ontology (GO), for example, maintains        source, designation of term editor(s), and preferred
species-neutral annotations of gene products and      term label. In the interest of coordinating
functions, and – since its inception in 1998 – has    development with existing OBO ontologies, VIDO
inspired an explosion of biomedical ontologies        developers imported terms where possible from
covering all domains of the life sciences [15,16,17]. OBO library ontologies and constructed logical
These early developments led to worries, however, definitions using imported terms. Development was
that data silos – the very problem ontologies were    guided by best practices for definition construction
designed to address – might reemerge as               [24]. New terms were introduced when needed,
researchers developed ontologies using concepts       after consultation with domain experts, relevant
local to their discipline. By 2007, the Open          literature, and examination of the OBO library.


                                                      2
2.2 Hub and Spokes Approach                                 disorder =def Material entity that is a clinically
                                                            abnormal part of an extended organism.
VIDO follows the “hub and spokes” methodology
[25] for ontology development. VIDO is a spoke            A part of a material entity is “clinically abnormal”
ontology, extending from the Infectious Disease           if it is not expected in the life plan for entities of the
Ontology Core (IDO Core) as its hub. IDO Core is          relevant type and is causally linked to elevated risk
an OBO ontology consisting of terms, relations,           – that is, risk exceeding some threshold – of illness,
natural language definitions and associated logical       death, or disfunction [32]. Organism is imported
axioms representing phenomena common across               from OBI:
infectious diseases research [26]. IDO Core has             organism =def Object that is an individual living
long provided a base from which more specific               system, such as animal, plant, bacteria, or virus,
infectious disease ontologies extend and has been           that is capable of replicating or reproducing,
recently updated to keep pace with scientific and           growth and maintenance in the right environment.
top-level architecture changes [27]. Extensions of          An organism may be unicellular or made up, like
IDO Core covering specific infectious diseases are          humans, of many billions of cells divided into
created, first, by importing needed terms from IDO          specialized tissues and organs.
Core and other OBO Foundry ontologies, and
second, by constructing the domain-specific terms   Here we run into the first of several ontological
where needed to adequately characterize entities in puzzles that emerged while developing VIDO. On
the relevant domain. Examples include the           the one hand, this definition aligns with common
Brucellosis Infectious Disease Ontology (IDOBRU)    use of the term “organism” among researchers
the Influenza Infectious Disease Ontology           insofar as instances are cellular entities [33,34]. On
(IDOFLU), and more recently the Coronavirus         the other hand, the textual definition includes
Infectious Disease Ontology (CIDO), each            viruses among instances, which are in every case
semantically interoperable with other OBO library   acellular. Debates [35] among ontology developers
ontologies [28,29,30].                              over organism have resulted in deprecation of the
                                                    OBI term in favor of a term from the Common
VIDO was designed to occupy the ontological         Anatomy Reference Ontology [36]: organism or
space between such virus-specific ontologies and    virus or viroid. This avoids the preceding worries
IDO Core. As a result, more specific virus-related  but reveals two more. First, introducing disjunctive
ontologies such as CIDO and IDOFLU are being        classes suggests closure over instances. We should,
curated to extend directly from VIDO, rather than   however, avoid suggesting that classes – especially
IDO Core.                                           in biological domains – are settled results of
                                                    scientific discoveries. Second, this disjunctive class
3. Results                                          leads naturally to debates over whether viruses are
VIDO takes IDO Core as its starting point, but also alive, since it classifies viruses alongside
imports terms relevant to the domain of viruses     paradigmatic living entities. Decades of discussion
from other OBO Foundry ontologies, such as GO,      have not resolved this question [37,38,39], and it is
the Ontology for General Medical Science (OGMS) not obvious we need an answer for the purposes of
and the Ontology for Biomedical Investigation       ontological modelling. Rather than introduce an ad
(OBI) [31].                                         hoc disjunctive class, IDO Core and VIDO
                                                    developers collaborated to add the following
3.1 Virus                                           disjoint sibling class of organism to IDO Core:

Like IDO Core, VIDO imports from OGMS:                      acellular structure =def Object consisting of an
                                                            arrangement of interrelated acellular parts



                                                      3
  forming an acellular biological unit that is able to       exhaustive classes based on genetic structure. For
  initiate replication of the structure in a host.           example, a subclass of virus:
Imported to VIDO as the parent class of the term               positive-sense single-stranded RNA virus =def
virus. The term virus is imported from the                     Virus with genetic material encoded in single-
NCBITaxon [40], alongside other terms                          stranded RNA that can be translated directly into
representing entities investigated by virologists,             proteins.
such as prion, viroid, and satellite.
                                                     Which provides the parent class for:
The NCBITaxon provides an exhaustive list of life
                                                       coronavirus =def Positive-sense single-stranded
science terms but has its limitations. First, with
                                                       RNA virus with a helically symmetrical
respect to virus terms NCBITaxon appears to align
                                                       nucleocapsid, lipid bilayer viral envelope, and
with the International Committee on Taxonomy of
                                                       surface spike peplomers.
Viruses (ICTV). The ICTV, however, lacks
systematic classification criteria and consequently  Figure 1 illustrates how the Baltimore
leaves several viruses unclassified [41,42]. Second, Classification appears in the Protégé visualization
when NCBITaxon is combined with automated            of the class positive-sense single-stranded RNA
importing tools such as Ontofox [43], ontology       virus, supplemented by a textbook image of the
developers (for example, the developers of the       seven viral replication pathways underwritten by
Schistosomiasis Ontology [27]) sometimes import virus genetic differences.
entire ICTV hierarchies –from kingdom to species –
resulting in large, unwieldy, taxonomies obscuring
classes of interest. Third, NCBITaxon provides few
textual definitions for terms. To align with OBO
Foundry metadata conventions and best practices,
definitions are needed for virus and its subclasses.
Standard definitions of “virus” provide a starting
point, but caution is needed. Viruses are often
described as obligate pathogens [44,45], since virus         Figure 1: Baltimore Classification in Protégé Editor
replication requires host machinery for production
                                                             By incorporating the Baltimore Classification,
and assembly of viral components. However,
                                                             VIDO provides developers of more specific virus
defining a class virus solely in terms of what
                                                             classes within a succinct, navigable, ontological
viruses typically do runs the risk of overlooking
                                                             structure which refers to viral replication pathways,
what viruses are, materially speaking. Compare:
                                                             and so to virus pathogenicity.
Homo sapiens are obligate aerobes, but this is no
definition of the class. Insofar as we are defining          VIDO subclasses of virus include those common in
the material entity virus, better to attend to genetic       virology research, such as bacteriophage – viruses
and structural components common to all viruses,             that infect bacteria – virophage – viruses that infect
and best to define the material entity in a way that         viruses – oncovirus – viruses that cause cancer –
captures obligate pathogenicity. VIDO defines:               and mycovirus – viruses that infect fungi. One
                                                             subclass of virus imported from NCBITaxon is the
  virus =def Acellular structure with RNA or DNA
                                                             VIDO term:
  genetic material which uses host metabolic
  resources for RNA or DNA replication.                        virion =def Virus that is in its assembled state
                                                               consisting of genomic material (DNA or RNA)
Subclasses of virus in VIDO are imported from
                                                               surrounded by coating molecules.
NCBITaxon in alignment with the Baltimore
Classification [46], which groups viruses into seven

                                                         4
Some researchers use “virion” and “virus”              The term “pathogen” is indexed to species or to
synonymously [47]. Some define “virion” so that        stages in the developmental cycle of a species. A
instances only exist outside host cells [48] or        given virus may engage in mutual symbiosis with
distinguish virions outside host cells from those      one species, while exhibiting pathogenic behavior
inside host cells, calling the former “mature          towards others [55,56]. Mature plants are often
virions.” Some claim “virion” is best understood as susceptible to different pathogens than developing
analogous to a sperm cell [49,50]. Ontologically       plants [57,58]. We capture virus pathogenicity in
speaking, one might model the relationship between VIDO in steps. From IDO Core, we import
a virus and its virion in a variety of ways: virion is dispositions borne by pathogens and infectious
to a virus as human infant is to human, or as human agents, as follows:
student is to human, or as human gamete is to
                                                         pathogenic disposition =def Disposition borne by a
human. Treating virions as akin to gametes is
                                                         material entity to establish localization in or
uncommon among researchers. Between the
                                                         produce toxins that can be transmitted to an
remaining options, we adopt the first, treating virion
                                                         organism or acellular structure, either of which
as a type of virus, since adopting the alternative
                                                         may form disorder in the entity or
would suggest a virion is just a virus in a specific
                                                         immunocompetent members of the entity’s
context, with a specific role.
                                                         species.
Some viruses do not replicate faithfully, perhaps
                                                         infectious disposition =def Pathogenic disposition
resulting in genetically distinct mutants or – in
                                                         borne by a pathogen to be transmitted to a host
extreme cases – an inactive aggregate of virion
                                                         and then become part of an infection in that host
components. Virus mutations may undermine host
                                                         or immunocompetent members of the same
immune system recognition of viral threats, as
                                                         species as the host.
evidenced by the difficulty in developing vaccines
for certain influenza strains. Too many mutations,     The class infectious agent in IDO Core is a subclass
however, and a virus may lose its ability to           of organism, and so cannot include instances of
replicate, an observation used in development of       virus. To address this issue, the term infectious
treatments for polio and hepatitis C which             structure was developed to parallel the IDO Core
exacerbate respective virus mutations [51,52].         term infectious agent and is a logically defined
VIDO provides the term:                                subclass of acellular structure. The term infectious
                                                       disposition bridges infectious acellular structures
  disordered virus =def Acellular structure having
                                                       and infectious organisms since instances of each
  some clinically abnormal arrangement of viral
                                                       bear an infectious disposition. Moreover, the logical
  components (e.g. viral capsid, viral DNA/RNA)
                                                       definitions of infectious structure and infectious
Viruses falling in this class may be associated with agent are such that, though the former is a defined
diseases much different from those of the clinically subclass of acellular structure and the latter a
normal variety. Terms for viral components are         subclass of organism, they are both inferred
imported to VIDO. From GO, VIDO imports viral subclasses of pathogen.
nucleocapsid, viral capsid, capsomere, from the
                                                       Establishment of localization used in pathogenic
Chemical Entities of Biological Interest (ChEBI)
                                                       disposition is characterized using the GO term
ontology [53] the terms nucleic acid and ribonucleic
                                                       establishment of localization in host representing
acid, and from the Protein Ontology [54] the terms
                                                       tethering or adhesion to a host, while “formation of
protein and viral protein are imported.
                                                       disorder” abbreviates two imported IDO Core
3.2 Infectious Structure                               terms: appearance of disorder, which is a process
                                                       that results in formation of a disorder. The
                                                       definition of pathogenic disposition is meant to


                                                     5
reflect a temporal ordering between establishment       counts as a human infant pathogen. Nevertheless,
of localization and appearance of disorder. This is     because C. botulinum is not itself disposed to
reflected explicitly in the logical axioms associated invade or be transmitted to human infants, we do
with the class. Similarly, in the definition of         not say the bacterium is infectious [62]. Being part
infectious disposition there is an intended temporal of an infection is not itself sufficient to be counted
ordering between transmission to a host –               as infectious. Pathogens bearing an infectious
represented by pathogen transmission process            disposition must be disposed to both transmit and
imported from the Pathogen Transmission Ontology become part of an infection. Many opportunistic
[59] – and becoming part of an infection –              pathogens are not infectious.
represented by the IDO Core process of establishing
                                                        The immunocompetence and species membership
an infection. A pathogen bearing an infectious
                                                        clauses in the respective definitions of infectious
disposition that generates disorder in a host will
                                                        disposition and pathogenic disposition are included
have been transmitted to the host prior to
                                                        in IDO Core to address instances where mutations
establishing localization in the host and will have
                                                        in hosts may block realization of disorder or
established an infection prior to the appearance of
                                                        infection. In such cases, an infectious pathogen may
disorder.
                                                        nevertheless be transmissible and cause disorder or
The complexity of the definitions of pathogenic         infection in others. For example, HIV-1 is a
disposition and infectious disposition reflect the      pathogen that may localize in a host with CCR-5
variety of pathogen examples in contemporary            mutations [63] that block the virus from attaching to
literature. Consider S. aureus, an opportunistic        host cells, and so block pathogenesis to AIDS.
pathogen [60] in humans. We count S. aureus as a        Similarly, P. falciparum may be transmitted to a
pathogen, even when it does not realize disorder in host with a sickle-cell trait that blocks manifestation
a host, since it is nevertheless disposed to localize   of the disease malaria [64,65]. However, P.
in a human host and generate disorder if given the      falciparum and HIV-1 count as pathogens even if
opportunity. This is a disposition of S. aureus in      they do not result in the formation of disorders for
BFO terms because it is an “internally-grounded”        hosts with a sickle-cell trait or CCR-5 mutation,
property of the entity [61]. That is, it is part of the respectively. Each pathogen may be transmitted to
material basis of S. aureus to generate disorder in     immunocompetent members of the same species as
human hosts if given the chance. This is analogous the host, and so counts as bearing instances of
to the way salt has a disposition to dissolve, based    infectious disposition and pathogenic disposition.
on its lattice structure, independently of whether it Note, that P. falciparum and HIV-1 do not result in
ever realizes this disposition. Opportunistic           the formation of disorders in hosts with sickle-cell
pathogens are not pathogens because of an               traits or CCR-5 mutations should not suggest there
opportunity; they are pathogens because they are        are no clinical abnormalities associated with these
disposed to localize and cause disorder in a host.      traits or mutations. Individuals with, say, CCR-5
                                                        mutations may exhibit clinical abnormalities [66],
Consider now, C. botulinum, a pathogen which
                                                        and so do exhibit disorders. But these disorders are
produces toxin spores sometimes ingested by
                                                        due to the CCR-5 mutation rather than the HIV-1
humans. This bacterium is a pathogen for adult
                                                        infection.
humans since the toxins often result in disorder
when ingested. Furthermore, C. botulinum may            3.3 Host
cause infection in human infants if, say honey
colonized by C. botulinum is ingested. The sugar        IDO Core and VIDO prioritize neither host nor
content of honey inhibits C. botulinum growth, but pathogen in representation of pathogens and
in the low-oxygen, low-acid intestines of human         associated diseases, adopting the Damage Response
infants, spores can localize, grow, and produce         Framework (DRF) for guidance in development of
toxins resulting in disorder. Thus, C. botulinum        relevant terms [67,68]. According to the DRF,

                                                     6
pathogenesis results from interactions between both           circle to the term disorder introduced above, since
host and pathogen interacting primarily through               clinical abnormality is associated with disorder.
host damage, which is a function of the intensity             When that disorder stems from infection it counts as
and degree of host response and pathogen factors.             an:
Host and pathogen interactions thus influence
                                                                infectious disorder =def Disorder that is part of an
manifestations of signs, symptoms, and disease.
                                                                extended organism which has an infectious
IDO Core defines terms reflecting the DRF:
                                                                pathogen part, that exists as a result of a process
  host role=def Role borne by an acellular structure            of formation of disorder initiated by the infectious
  containing a distinct material entity, or organism            pathogen.
  whose extended organism contains a distinct
                                                              And when the adverted pathogen is a virus, it falls
  material entity, realized in use of that structure or
                                                              in the VIDO class:
  organism as a site of reproduction or replication.
                                                                virus disorder =def Infectious disorder that exists
  pathogen host role =def Host role borne by an
                                                                as a result of a process of formation of disorder
  organism having a pathogen as part of its
                                                                initiated by a virus.
  extended organism.
                                                      Medical researchers draw a distinction between
Symptomatic cases of virus infection can be
                                                      symptoms and signs, which OBO Foundry
represented by importing terms from the Symptom
                                                      ontologies respect (from OGMS):
Ontology, such as dry cough, fever, taste alteration,
smell alteration, among others [69]. Given the          symptom =def Process experienced by the patient
importance of asymptomatic carriers in viral            which can only be experienced by the patient, that
infection spread, moreover, attention is also given     is hypothesized to be clinically relevant.
to:
                                                        qualitative sign =def Abnormal observable quality
  symptomatic carrier role =def Pathogen host role      of a part of a patient that is hypothesized to be
  borne by an organism whose extended organism          clinically relevant.
  contains a pathogen bearing an infectious
  disposition towards the host, and the host has        processual sign =def Abnormal processual entity
  manifested symptoms of the infectious disease         occurring in a patient that is hypothesized to be
  caused by the pathogen.                               clinically relevant.

  asymptomatic carrier role =def Pathogen host role           An asymptomatic carrier infected with SARS-CoV-
  borne by an organism whose extended organism                2 likely exhibits signs indicating that the infection is
  contains a pathogen bearing an infectious                   clinically abnormal, such as ground-glass opacities
  disposition towards the host, and the host has no           or positive PCR test results. Such asymptomatic
  symptoms of the infectious disease caused by the            carriers exhibit an instance of the VIDO class virus
  pathogen.                                                   disorder which is the material basis of a viral
                                                              disease:
  subclinical infection =def Infection that is part of
  an asymptomatic carrier.                                      infectious disease =def Disease whose physical
                                                                basis is an infectious disorder.
The term subclinical infection reflects standard – if
somewhat obscure – use of the terms “subclinical”               viral disease =def Infectious disease inhering in a
and “asymptomatic” while allowing for cases of                  virus disorder that is a disorder due to the
clinically abnormal infections without symptoms.                presence of the virus.
VIDO defines subclinical virus infection as an                This result aligns with the CDC’s case criteria
infection caused by some virus part of an                     adopted on April 5, 2020 which indicate that the
asymptomatic carrier. These remarks bring us full

                                                          7
presence of the SARS-CoV-2 genome or relevant                needed to characterize transporters are imported
antigens in an individual is sufficient to count as a        from IDO Core:
case of COVID-19, asymptomatic or not [70,71].
                                                               pathogen transporter role =def Role borne by a
3.4 Viral Pathogenesis                                         material entity in or on which a pathogen is
                                                               located, from which the pathogen may be
Accurately representing viral pathogenesis is of               transmitted to a new host.
great importance, in particular, as researchers are
still working to understand how SARS-CoV-2                   A subclass – fomite role, roughly, a pathogen
infections cause such a wide range of signs and              transporter role borne by non-living entities – plays
symptoms across demographics. Representing                   an important function in virus transmission.
disease pathogenesis is aided by importing terms       Viral pathogenesis involves replication in a host.
from relevant OBO Foundry ontologies, to define:       The term virus replication is defined in VIDO as a
viral pathogenesis =def Pathogenesis process           subclass of the IDO Core term replication,
realization of an infectious disposition inhering in a specifically:
virus or virus population, having at least the proper    virus replication =def Replication process in which
process parts:                                           a virus containing some portion of genetic
  (1) pathogen transmission,                             material inherited from a parent virus is
  (2) establishment of localization in host,             replicated.
  (3) process of establishing an infection, and
  (4) appearance of a virus disorder.                  Instances of virus pathogenesis have virus
                                                       replication parts. Viral replication typically occurs
Where pathogenesis is imported from GO:                within an:
  pathogenesis =def Process that generates the ability         incubation process =def Process beginning with the
  of a pathogen to induce disorder in an organism.             establishing of an infection in a host and ending
As defined, pathogenesis is a success term, in that it         with the onset of symptoms by the host during
encompasses formation of disorder in an entity.                which pathogens are multiplying in the host.
This is reflected in (1)-(4) of the viral pathogenesis Which occupies an incubation interval and may
definition and motivated by the GO Consortium          precede a communicability interval. The
focus on canonical biological processes [72]. This is corresponding process during which viral hosts bear
not to say all virus infections result in successful   a contagiousness disposition has proper part some
pathogenesis. An individual may be infected by a       latency process which itself has an eclipse process
virus without a relevant disorder. Absent the          part:
disorder, there is no material basis for the
associated disease. Consequently, this would not         communicability interval =def One-dimensional
count as an instance of viral pathogenesis.              temporal region during which a pathogen host
                                                         bears a contagiousness disposition.
Viral pathogenesis involves transmission of virions.
From PTRANS [59] is imported:                            latency process =def Process beginning with the
                                                         establishing of an infection in a host and ending
  pathogen transmission process =def Process during      when the host becomes contagious, during which
  which a pathogen is transmitted directly or            pathogens are multiplying in the host.
  indirectly to a new host.
                                                         eclipse process =def Process beginning with the
Role terms – reflecting “externally-grounded”            establishment of a virus in a host and ending with
realizable entities acquired based on circumstance,      the first appearance of a virion following viral
such as the role a student takes on in university –


                                                         8
  release, during which an infecting virus is        vaccines. Several members of both the IDO Core
  uncoating to begin genome replication.             and the VIDO development teams are members of
                                                     the CIDO development team working to ensure
The last being specific to viruses, so specific to
                                                     alignment among these ontologies. Terms reflecting
VIDO. The remaining terms are found in IDO Core.
                                                     common features of coronaviruses can be imported
Viral dormancy is a virus-specific term from VIDO
                                                     from OBO ontologies to characterize features of
occurring over a:
                                                     coronaviruses, such as the viral genome including a
  viral dormancy interval =def One-dimensional       five-prime nucleotide cap, or the common
  temporal region on which a virus is no longer      glycoprotein spikes found in the viral envelope
  replicating but remains within a host cell and     [76,77]. Some terms are specializations of terms
  which may be reactivated to begin replication      from the Protein Ontology [54], including
  again.                                             membrane protein (SARS-CoV-2) and spike
                                                     glycoprotein (SARS-CoV-2). Worth noting is that
With participants found from familiar viruses such while CIDO is not the only ontology developed to
as varicella zoster and herpes simplex.              support curation of COVID-19 data [78,79,80,81],
Generative stage is imported from IDO Core,          most alternatives are stand-alone initiatives, and so
defined as a temporal subdivision of a               subject to the silo problems typically found in
developmental process, as well as:                   ontologies developed outside the scope of the OBO
                                                     Foundry and with no attention to its principles.
  virus generative stage =def Infectious structure
  generative stage that is a temporal subdivision of 3.6 Annotations
  a virus developmental process.
                                                     The extent of coverage in VIDO and related
Subclasses of which include the stages through       ontologies can be illustrated by annotation of
which viruses may proceed during replication:        coronavirus research articles.
  virus attachment stage =def Virus generative stage
  during which a virion protein binds to molecules
  on the host surface or host cell surface projection.
  virus penetration stage =def Virus generative stage
  during which a virion or viral nucleic acid
  breaches the barriers of a host.

3.5 Bridge to CIDO
                                                             Figure 2: Relationships in the VIDO ecosystem
VIDO serves as a bridge between IDO Core and the
IDO extension ontologies representing specific viral Consider the following overview of SARS-CoV-2
diseases. An extension of importance during the      pathogenesis (color coded as in Figure 5):
pandemic is the recently developed Coronavirus
                                                       Following replication, cell lysis of SARS-
Infectious Disease Ontology (CIDO). CIDO
                                                       CoV-2 coronavirus virions causes host cells
provides semantic resources needed for
                                                       to release molecules which function to warn
representing coronavirus genome, surveillance,         nearby cells. When recognized by epithelial
vaccine, and host data. The ontology has been used     cells, endothelial, and alveolar macrophages,
to annotate data pertaining to 136 known anti-         proteins such as IL-6, IP-10, and MCPI, are
coronavirus drugs [73], to identify 110 candidate      released which attract T cells, macrophages,
drugs for potential COVID-19 drug repurposing          and monocytes to the site of infection,
[74,75], and to provide input to machine learning      promoting inflammation. In disordered
efforts [4] in identifying potential COVID-19          immune systems, immune cells accumulate

                                                         9
  in the lungs, then propagate to and damage               challenges, however. Often, terms were developed
  other organs. In normal immune systems,                  then presented to domain specialists for vetting,
  inflammation attracts T cells which                      after which they were refined through discussion.
  neutralize the virus at the site of infection.           As in the case of all scientific ontologies,
  Antibodies circulate, preventing SARS-CoV-               refinement will continue as research advances, and
  2 infection, and alveolar macrophages                    further collaborators are welcome and necessary.
  recognize SARS-CoV-2 and eliminate virions
  via phagocytosis [82].                               The existence of IDO Core extensions covering
                                                       infectious disease-causing entities other than
In more a more ontologically oriented language, we viruses suggests a need for the creation of reference
speak of the relevant part of a host’s immune          ontology extensions of IDO covering bacteria,
response as being disposed to manifest a response      fungi, and parasites. The methodology illustrated in
that eliminates SARS-CoV-2 infection, while            the development of VIDO provides a recipe for
SARS-CoV-2 has a disposition to block                  such reference ontology creation. Additionally, the
manifestation of this immune system response.          methodology illustrated in the development of
Consider next a color-coded selection from the         coronavirus-specific terms outlined above provides
Lancet [83] concerning SARS-CoV-2:                     a recipe for the creation of novel virus-specific
  “The viral loads in throat swabs and sputum          ontologies, namely, by extending them from
  samples peaked at around 5-6 days after              existing virus ontologies such as CIDO where
  symptom onset, ranging from around 10^4 to           possible. Adoption of these methodologies by
  10^7 copies per mL during this time.”                developers during ontology construction will
                                                       significantly reduce the labor involved in ontology
SARS-CoV-2 infected hosts contain the highest          creation.
concentration of SARS-CoV-2 virions – the viral
load – during the incubation interval [84]. Viral      VIDO represents a substantial effort to characterize
load is a common measurement of the proportion of viruses in a collaborative, computationally tractable
virions to fluid, and for SARS-CoV-2 is frequently manner. Ontologies like these are crucial in the
measured from host sputum. VIDO also provides          contemporary Big Data era and will provide
resources for annotating virus quantification:         researchers needed resources for gathering and
                                                       coordinating increasingly important life science
  viral load =def Quality inhering in a portion of     data.
  fluid that is the proportion of virions to volume of
  that portion of fluid.                                   5. Acknowledgments
Our color-coding of this passage models term reuse         JB, SB supported by NIH/NLM T15LM012495-01
across existing ontologies. For example, developers        Buffalo Research Innovation in Genomic and
can use VIDO terms alongside terms from the                Healthcare Technology (BRIGHT) Education
Common Core Ontology [85] such as is measured              Training Programs, 2020-2021. BS’s contributions
by, measurement information content entity, has            were supported by the NIH under NCATS
integer value, uses measurement unit, and milliliter       1UL1TR001412 (Buffalo Clinical and Translational
measurement unit. Other virus quantification metric        Research Center). VIDO is available under the
terms, such as multiplicity of viral infection - the       Creative Commons Attribution 4.0 license and an
ratio of virions to susceptible cells in a target area –   up-to-date version of the ontology.
can be found in VIDO as well.
                                                           Many thanks to Asiyah Yu Lin for assistance in
    4. Discussion                                          VIDO development; to Darren Natale for helpful
                                                           critical feedback on an earlier draft. Figures were
VIDO enables extensive representation of virus-            designed by or in consultation with Rain Yuan.
related research. The very scope of VIDO provides

                                                       10
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