Evidence map›Paper›PMID 28293424›Full record

ArticleBiomarker research2017

Application of penalized linear regression methods to the selection of environmental enteropathy biomarkers.

Miao Lu, Jianhui Zhou, Caitlin Naylor, Beth D Kirkpatrick, Rashidul Haque, William A Petri, Jennie Z Ma

Registry-linked trialAbstract read
In one paragraph

Article in Biomarker research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01375647 (Exploration of the Biologic Basis for Underperformance of Oral Polio and Rotavirus Vaccines in Bangladesh), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01375647 phase3completednot on this map

Exploration of the Biologic Basis for Underperformance of Oral Polio and Rotavirus Vaccines in Bangladesh

TypeinterventionalSponsorUniversity of VermontRan2011 to 2014Enrolled700ConditionsRotavirus Diarrhea, Vaccine Virus Shedding, Tropical EnteropathyArmsIPV (inactivated polio vaccine), Rotarix
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
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  13. Robust sparse accelerated failure time model for survival analysis.Technology and health care : official journal of the European Society for Engineering and Medicine · 2018
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Miao LuDepartment of Statistics, University of Virginia, Charlottesville, USA.
Jianhui ZhouDepartment of Statistics, University of Virginia, Charlottesville, USA.
Caitlin NaylorDivision of Infectious Diseases, School of Medicine, University of Virginia, Charlottesville, USA.
Beth D KirkpatrickDepartment of Medicine and Vaccine Testing Center, University of Vermont College of Medicine, Burlington, USA.
Rashidul HaqueThe International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
William A PetriDivision of Infectious Diseases, School of Medicine, University of Virginia, Charlottesville, USA.
Jennie Z MaDivision of Biostatistics, Department of Public Health Sciences, University of Virginia, Charlottesville, USA.

Funding

FIELD STUDIES OF IMMUNITY TO AMEBIASIS IN BANGLADESHR01AI043596 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI CAROL A GILCHRIST, William A Petri · 1998 to 2026
$7.7M
NIAID NIH HHS R01 AI043596
6 · The paper itself

Abstract

backgroundEnvironmental Enteropathy (EE) is a subclinical condition caused by constant fecal-oral contamination and resulting in blunting of intestinal villi and intestinal inflammation. Of primary interest in the clinical research is to evaluate the association between non-invasive EE biomarkers and malnutrition in a cohort of Bangladeshi children. The challenges are that the number of biomarkers/covariates is relatively large, and some of them are highly correlated.

methodsMany variable selection methods are available in the literature, but which are most appropriate for EE biomarker selection remains unclear. In this study, different variable selection approaches were applied and the performance of these methods was assessed numerically through simulation studies, assuming the correlations among covariates were similar to those in the Bangladesh cohort. The suggested methods from simulations were applied to the Bangladesh cohort to select the most relevant biomarkers for the growth response, and bootstrapping methods were used to evaluate the consistency of selection results.

resultsThrough simulation studies, SCAD (Smoothly Clipped Absolute Deviation), Adaptive LASSO (Least Absolute Shrinkage and Selection Operator) and MCP (Minimax Concave Penalty) are the suggested variable selection methods, compared to traditional stepwise regression method. In the Bangladesh data, predictors such as mother weight, height-for-age z-score (HAZ) at week 18, and inflammation markers (Myeloperoxidase (MPO) at week 12 and soluable CD14 at week 18) are informative biomarkers associated with children's growth.

conclusionsPenalized linear regression methods are plausible alternatives to traditional variable selection methods, and the suggested methods are applicable to other biomedical studies. The selected early-stage biomarkers offer a potential explanation for the burden of malnutrition problems in low-income countries, allow early identification of infants at risk, and suggest pathways for intervention.

trial registrationThis study was retrospectively registered with ClinicalTrials.gov, number NCT01375647, on June 3, 2011.

Indexed as

Biomarker selectionCorrelated covariatesEnvironmental enteropathyMalnutritionPenalized linear regression

Identifiers

PMID28293424
PMCPMC5345248

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.