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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Relation Extraction for Drug-Drug Interactions using Ensemble Learning</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Philippe Thomas</string-name>
          <email>thomas@informatik.hu-berlin.de</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Mariana Neves</string-name>
          <email>neves@informatik.hu-berlin.de</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Ill´es Solt</string-name>
          <email>solt@tmit.bme.hu</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Domonkos Tikk</string-name>
          <email>tikk@tmit.bme.hu</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Ulf Leser</string-name>
          <email>leser@informatik.hu-berlin.de</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Budapest University of Technology and Economics, Department of Telecommunications and Media Informatics</institution>
          ,
          <addr-line>Magyar tud ́osok ko ̈ru ́tja 2, 1117 Budapest</addr-line>
          ,
          <country country="HU">Hungary</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Humboldt-Universita ̈t zu Berlin</institution>
          ,
          <addr-line>Knowledge Management in Bioinformatics, Unter den Linden 6, 10099 Berlin</addr-line>
          ,
          <country country="DE">Germany</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>We describe our approach for the extraction of drug-drug interactions from literature. The proposed method builds majority voting ensembles of contrasting machine learning methods, which exploit different linguistic feature spaces. We evaluated our approach in the context of the DDI Extraction 2011 challenge, where using document-wise crossvalidation, the best single classifier achieved an F1 of 57.3 % and the best ensemble achieved 60.6 %. On the held out test set, our best run achieved an F1 of 65.7 %.</p>
      </abstract>
      <kwd-group>
        <kwd>Text mining</kwd>
        <kwd>Relation extraction</kwd>
        <kwd>Machine learning</kwd>
        <kwd>Ensemble learning</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Introduction</title>
      <p>
        Most biomedical knowledge appears first as research results in scientific
publications before it is distilled into structured knowledge bases. For researchers
and database curators there is an urgent need to cope with the fast increase of
biomedical literature [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]. Biomedical text mining currently achieves good results
for named entity recognition (NER), e.g. gene/protein-names and recognition
of single nucleotide polymorphisms [
        <xref ref-type="bibr" rid="ref11 ref3">3, 11</xref>
        ]. A recent trend is the extraction of
simple or complex relations between entities [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ].
      </p>
      <p>In this work, we describe our approach for the extraction of drug-drug
interactions (DDI) from text that was also the core task of the DDI Extraction
2011 challenge1. DDIs describe the interference of one drug with another drug
and usually lead to an enhanced, reduced, neutralized, or even toxic drug effect.
For example: “Aspirin administered in combination with Warfarin can lead to
bleeding and has to be avoided.” DDI effects are thus crucial to decide when
(not) to administer specific drugs to patients.
1.1</p>
      <sec id="sec-1-1">
        <title>Problem definition</title>
        <p>The DDI challenge1 consisted of one task, namely the identification of
interactions between two drugs. This interaction is binary and undirected, as target and
agent roles are not labeled. In the challenge setting, recognition of drug names
was readily available.
2</p>
      </sec>
    </sec>
    <sec id="sec-2">
      <title>Methods</title>
      <p>Binary relation extraction is often tackled as a pair-wise classification problem
between all entities mentioned within one sentence. Thus a sentence with n
entities contains at most n2 interacting pairs.</p>
      <p>
        Corpus annotations have been made available in two different formats. (1)
contained only the documents with respective drug annotations in a format
previously used for protein-protein interactions (PPIs) [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ]. (2) additionally contained
linguistic information such as part-of-speech tags and shallow parses. Further
phrases were annotated with corresponding UMLS concepts. This information
has been automatically derived using MetaMap and incorporated by the
organizers. We exclusively used (1) and extended it with linguistic information as
described in the following subsection.
2.1
      </p>
      <sec id="sec-2-1">
        <title>Preprocessing</title>
        <p>
          Sentences have been parsed using Charniak–Lease parser [
          <xref ref-type="bibr" rid="ref8">8</xref>
          ] with a self-trained
re-ranking model augmented for biomedical texts [
          <xref ref-type="bibr" rid="ref10">10</xref>
          ]. Resulting constituent
parse trees have been converted into dependency graphs using the Stanford
converter [
          <xref ref-type="bibr" rid="ref4">4</xref>
          ]. In the last step we created an augmented XML following the
recommendations of [
          <xref ref-type="bibr" rid="ref2">2</xref>
          ]. This XML encompasses tokens with respective part-of-speech
tags, constituent parse tree, and dependency parse tree information. Properties
of the training and test corpora are shown in Table 1. Please note that the
number of positive and negative instances in the test set has been made available
after the end of the challenge. A more detailed description of the DDI corpus
can be found in [
          <xref ref-type="bibr" rid="ref14">14</xref>
          ].
        </p>
        <sec id="sec-2-1-1">
          <title>Corpus</title>
        </sec>
        <sec id="sec-2-1-2">
          <title>Sentences</title>
        </sec>
        <sec id="sec-2-1-3">
          <title>Pairs</title>
        </sec>
        <sec id="sec-2-1-4">
          <title>Positive Negative</title>
        </sec>
        <sec id="sec-2-1-5">
          <title>Total</title>
          <p>
            Training
Test
Tikk et al. [
            <xref ref-type="bibr" rid="ref17">17</xref>
            ] systematically analyzed 9 different machine learning approaches
for the extraction of undirected binary protein-protein interactions. In their
analysis, three kernel have been identified of being superior to the remaining six
approaches, namely all-paths graph (APG) [
            <xref ref-type="bibr" rid="ref2">2</xref>
            ], k -band shortest path spectrum
(kBSPS) [
            <xref ref-type="bibr" rid="ref17">17</xref>
            ], and the shallow linguistic (SL) [
            <xref ref-type="bibr" rid="ref5">5</xref>
            ] kernel. The SL kernel uses only
shallow linguistic features, i.e. word, stem, part-of-speech tag and morphologic
properties of the surrounding words. kBSPS builds a classifier on the shortest
dependency path connecting the two entities. It further allows for variable
mismatches and also incorporates all nodes within distance k from the shortest
path. APG builds a classifier using surface features and a weighting scheme for
dependency parse tree features. For a more detailed description of the kernel
we refer to the original publications. The advantage of these three methods has
been replicated and validated in a follow up experiment during the i2b2
relation extraction challenge [
            <xref ref-type="bibr" rid="ref15">15</xref>
            ]. In the current work we also focus on these three
methods.
          </p>
          <p>Experiments have been done using an open-source relation extraction
framework.2 Entities were blinded by replacing the entity name with a generic string
to ensure the generality of the approach. Without entity blinding a classifier
uses drug names as features, which clearly affects its generalization abilities on
unseen entity pairs.
2.3</p>
        </sec>
      </sec>
      <sec id="sec-2-2">
        <title>Case-based reasoning</title>
        <p>
          In addition to kernel classifiers, we also used a customized version of Moara, an
improvement of the system that participated in the BioNLP’09 Event
Extraction Challenge [
          <xref ref-type="bibr" rid="ref12">12</xref>
          ]. It uses case-based reasoning (CBR) for classifying the drug
pairs. CBR [
          <xref ref-type="bibr" rid="ref1">1</xref>
          ] is a machine learning approach that represents data with a set of
features. In the training step, first the cases from the training data are learned
and then saved in a knowledge base. During the testing step, the same
representation of cases is used for the input data, the documents are converted to cases
and the system searches the base for cases most similar to the case-problem.
        </p>
        <p>Each drug pair corresponds to one case. This case is represented by the local
context, i.e., the tokens between a drug pair. We have limited the size of the
context to 20 tokens (pairs separated by more tokens are treated as false). The
features may be related to the context as a whole or to each of the tokens that
is part of the context. Features may be set as mandatory or optional, here no
feature was defined as mandatory. As features we considered part-of-speech tag,
role and lemma.</p>
        <p>
          The part-of-speech tag is the one obtained during the pre-processing of the
corpus. The role of the token is set to DRUG in case that the token is annotated
as drug that takes part in the interaction. No role is set to drugs which are part
of the context and are not part of the interaction pair, as well as the remaining
2 http://informatik.hu-berlin.de/forschung/gebiete/wbi/ppi-benchmark
tokens. The lemma feature is only assigned for the non-role tokens using the
Dragon toolkit [
          <xref ref-type="bibr" rid="ref18">18</xref>
          ], otherwise the feature is not set. See Table 2 for an example.
        </p>
        <sec id="sec-2-2-1">
          <title>Context</title>
        </sec>
        <sec id="sec-2-2-2">
          <title>Lemma</title>
          <p>Buprenorphine drug
is be
metabolized metabolized
to to
norbuprenorphine norbuprenorphine
by by
cytochrome drug</p>
        </sec>
        <sec id="sec-2-2-3">
          <title>Features POS NN VBZ</title>
          <p>VBN
TO
NN
IN
NN</p>
        </sec>
        <sec id="sec-2-2-4">
          <title>Role</title>
        </sec>
        <sec id="sec-2-2-5">
          <title>DRUG</title>
          <p>–
–
–
–
–
DRUG</p>
          <p>
            During the searching step, Moara uses a filtering strategy in which it looks
for a case with exactly the same values for the features, i.e., it tries to find
cases with exactly the same values for the mandatory features and matching
as many optional features as possible. For the case retrieved in this step, a
similarity between those and the original case is calculated by comparing the
values of the corresponding features using a global alignment. This methodology
was proposed as part of the CBR algorithm for biomedical term classification
in the MaSTerClass system [
            <xref ref-type="bibr" rid="ref16">16</xref>
            ]. By default, for any feature, the insertion and
deletion costs are 1 (one) and the substitution cost is 0 (zero) for equal features
with equal values, and 1 (one) otherwise. However, we have also defined specific
costs for the part-of-speech tag feature which were based on the ones used in the
MaSTerClass system. We decided to select those cases whose global alignment
score is below a certain threshold, automatically defined as proposed in [
            <xref ref-type="bibr" rid="ref16">16</xref>
            ]. The
final solution, i.e., whether the predicted category is “positive” or “negative”, is
given by a voting scheme among the similar cases. When no similar case if found
for a determined pair, or if the pair was not analyzed at all due to its length
(larger than 20), the “negative” category is assigned by default.
2.4
          </p>
        </sec>
      </sec>
      <sec id="sec-2-3">
        <title>Ensemble learning</title>
        <p>
          Previous extraction challenges showed that combinations of classifiers may achieve
better results than any single classifier itself [
          <xref ref-type="bibr" rid="ref7 ref9">7, 9</xref>
          ]. Thus we experimented with
different combinations of classifiers by using a majority voting scheme.
        </p>
        <p>Relation Extraction for Drug-Drug Interactions using Ensemble Learning</p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>Results</title>
      <sec id="sec-3-1">
        <title>Cross validation</title>
        <p>
          In order to compare the different approaches, we performed document-wise
10-fold cross validation on the training set (see Table 3). It has been shown
that such a setting provides more realistic performance estimates than
instancewise cross validation [
          <xref ref-type="bibr" rid="ref2">2</xref>
          ]. All approaches have been tested using the same splits
to ensure comparability. For APG, kBSPS, and SL; we followed the parameter
optimization strategy described in [
          <xref ref-type="bibr" rid="ref17">17</xref>
          ].
        </p>
        <sec id="sec-3-1-1">
          <title>Method Type</title>
        </sec>
        <sec id="sec-3-1-2">
          <title>Name</title>
        </sec>
        <sec id="sec-3-1-3">
          <title>Kernel</title>
        </sec>
        <sec id="sec-3-1-4">
          <title>Ensemble</title>
          <p>Case-based reasoning Moara
APG
kBSPS
SL</p>
        </sec>
        <sec id="sec-3-1-5">
          <title>Performance P R</title>
          <p>F1
For the test set we submitted results for APG, SL, Moara, and the two majority
voting ensembles. Results for kBSPS have been excluded, as only 5 submissions
were permitted and kBSPS and Moara achieve similar results in F1. The official
results achieved on the test set are shown Table 4.</p>
          <p>Run</p>
        </sec>
        <sec id="sec-3-1-6">
          <title>Method</title>
          <p>WBI-2 APG
WBI-1 SL
WBI-3 Moara
WBI-5 APG/Moara/SL 60.5
WBI-4 APG/kBSPS/SL 61.4
P
55.0
49.6
46.8</p>
          <p>R
75.2
76.2
42.3
71.9
70.1</p>
          <p>F1
63.4
60.1
44.4
65.7
65.5
4
4.1</p>
        </sec>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>Discussion</title>
      <sec id="sec-4-1">
        <title>Cross-validation</title>
        <p>
          The document-wise cross-validation results show that SL and APG outperform
the remaining methods. kBSPS and Moara are on a par with each other but F1 is
about 15 percentage points (pp) inferior to SL or APG. Even though the results
of kBSPS and Moara are inferior, as ensemble members they are capable of
improving F1 on the training corpus. The combination APG/Moara/SL performs
about 2.3 pp better in F1 than the APG/kBSPS/SL ensemble and yields an
overall improvement of 3.3 pp in comparison to the best single classifier (APG).
Single method results are in line with previously published results using these
kernel for other domains [
          <xref ref-type="bibr" rid="ref15 ref17">15, 17</xref>
          ]. Again the SL kernel, which uses only shallow
linguistic information, achieves considerably good results. This indicates that
shallow information is often sufficient for relation extraction.
        </p>
        <p>We estimated the effect of entity blinding by temporarily disabling it. This
experiment has been performed for SL exclusively and yielded an increase of
1.7 pp in F1. This effect was accompanied by an increase of 3.6 pp in precision and
a decrease of 3 pp in recall. We did not disable entity blinding for the submitted
runs, as such classifiers would be biased towards known DDIs and less capable
of finding novel DDIs, the ultimate goal of DDI extraction.
4.2</p>
      </sec>
      <sec id="sec-4-2">
        <title>Test dataset</title>
        <p>For the challenge all four classifier have been retrained using the whole training
corpus using the parameter setting yielding the highest F1in the training phase.
Our best run achieved 65.7 % in F1.</p>
        <p>Between training and test results we observe a perfect correlation for F1
(Kendall’s tau (τ ) of 1.0). Thus the evaluation corpus affirms the general ranking
of methods determined on the training corpus. The effect of ensemble learning
is less pronounced on the test set but with 2.3 pp still notable.
4.3</p>
      </sec>
      <sec id="sec-4-3">
        <title>Error analysis</title>
        <p>To have an impression about the errors generated by these classifiers, we
manually analyzed drug mention pairs that were not correctly classified by any method
(APG, kBSPS, Moara, and SL). Performing cross-validation, the DDI training
corpus contained 442 (1.85 %) such pairs, examples are given in Figure 1.</p>
        <p>We identified a few situations that may have caused difficulties: issues with
the annotated corpus and linguistic constructs not or incorrectly handled by
our methods. Annotation inconsistencies we encountered include dubious drug
entity annotations (B1, B6 in Figure 1), and ground truth annotations that were
either likely incorrect (B3) or could not be verified without the context (A4,
B4). As for linguistic constructs, our methods lack co-reference resolution (A1,
B5) and negation detection (A6, B7), and they also fail to recognize complex
formulations (A5, B2). As a special case, conditional constructs belong to both
/
&amp;'</p>
        <p>Relation Extraction for Drug-Drug Interactions using Ensemble Learning
A1 Probenecid interferes with renal tubular secretion of ciprofloxacin and produces an increase in the level of
ciprofloxacin in serum.</p>
        <p>A2 Drugs which may enhance the neuromuscular blocking action of TRACRIUM include: enflurane;
A3 While not systematically studied, certain drugs may induce the metabolism of bupropion (e.g.,
carbamazepine, phenobarbital, phenytoin).</p>
        <p>A4 Auranofin should not be used together with penicillamine (Depen, Cuprimine), another arthritis medication.
A5 These drugs in combination with very high doses of quinolones have been shown to provoke convulsions
A6 Diclofenac interferes minimally or not at all with the protein binding of salicylic acid (20% decrease in
binding), tolbutamide, prednisolone (10% decrease in binding), or warfarin.</p>
        <p>(a) False negatives
B1 Dofetilide is eliminated in the kidney by cationic secretion.</p>
        <p>B2 Use of sulfapyridine with these medicines may increase the chance of side effects of these medicines.
B3 Haloperidol blocks dopamine receptors, thus inhibiting the central stimulant effects of amphetamines.
B4 This interaction should be given consideration in patients taking NSAIDs concomitantly with ACE inhibitors.
B5 No dose adjustment of bosentan is necessary, but increased effects of bosentan should be considered.
B6 Epirubicin is extensively metabolized by the liver.</p>
        <p>B7 Gabapentin is not appreciably metabolized nor does it interfere with the metabolism of commonly
coadministered antiepileptic drugs.</p>
        <p>(b) False positives
groups, they are nor consistently annotated nor consistently classified by our
methods (A2, A3, B2). Furthermore, we found several examples that are not
affected by any of the above situations.
5</p>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>Conclusion</title>
      <p>In this paper we presented our approach for the DDI Extraction 2011 challenge.
Primarily, we investigated the re-usability of methods previously proven efficient
for relation extraction in other biomedical sub-domains, notably protein-protein
interaction (PPI) extraction. In comparison to PPI extraction corpora, the
training corpus is substantially larger and also exhibits a higher class imbalance
towards negative instances. Furthermore, we experimented with basic ensembles
to increase overall performance and conducted a manual error analysis to
pinpoint weaknesses in the applied methods. Our best result consisted of a majority
voting ensemble of three methodically different classifiers.</p>
    </sec>
    <sec id="sec-6">
      <title>Acknowledgments</title>
      <p>PT was supported by German Federal Ministry of Education and Research (grant
No 0315417B), MN by German Research Foundation, and DT by Alexander von
Humboldt Foundation.</p>
      <p>Philippe Thomas, Mariana Neves, Ill´es Solt, Domonkos Tikk, and Ulf Leser</p>
    </sec>
  </body>
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