Evidence map›Paper›PMID 30545403›Full record

ArticleClinical epigenetics2018

Machine learning selected smoking-associated DNA methylation signatures that predict HIV prognosis and mortality.

Xinyu Zhang, Ying Hu, Bradley E Aouizerat, Gang Peng, Vincent C Marconi, Michael J Corley, Todd Hulgan, Kendall J Bryant, Hongyu Zhao, John H Krystal and 2 more

Open access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 11% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  17. Epigenetic Age Acceleration Markers Are Associated With Physiologic Frailty and All-Cause Mortality in People With Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
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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

12 authors at 8 institutions in 1 country.

Xinyu ZhangDepartment of Psychiatry, Yale School of Medicine, 300 George Street, 950 Campbell Ave, West Haven, New Haven, CT, 06511, USA.
Ying HuCenter for Biomedical Bioinformatics, National Cancer Institute, Rockville, MD, 20852, USA.
Bradley E AouizeratBluestone Center for Clinical Research, New York University, New York, NY, 10010, USA.
Gang PengDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, 065116, USA.
Vincent C MarconiDivision of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, 30303, USA.
Michael J CorleyDepartment of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawaii, Suite 1016B, Honolulu, 96813, USA.
Todd HulganSchool of Medicine, Vanderbilt University, Nashville, TN, 37232, USA.
Kendall J BryantNational Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, 20852, USA.
Hongyu ZhaoDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, 065116, USA.
John H KrystalDepartment of Psychiatry, Yale School of Medicine, 300 George Street, 950 Campbell Ave, West Haven, New Haven, CT, 06511, USA.
Amy C JusticeVA Connecticut Healthcare System, 950 Campbell Ave, West Haven, CT, 06516, USA.
Ke XuDepartment of Psychiatry, Yale School of Medicine, 300 George Street, 950 Campbell Ave, West Haven, New Haven, CT, 06511, USA. ke.xu@yale.edu.
Yale University · USVA Connecticut Healthcare System · USEmory University · USNational Cancer Institute · USNational Institute on Alcohol Abuse and Alcoholism · USNew York University · USUniversity of Hawaiʻi at Mānoa · USVanderbilt University · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
TRPA1 Physiology in Diabetes, Metabolic Syndrome, and MetabolismP20GM113134 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI Michael A. Ortega · 2017 to 2026
$21.5M
Enhancing Discovery of HIV Host Genetics using Drug Abuse and other InteractionsR01DA038632 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI JOHNSON, ERIC OTTO · 2014 to 2018
$3.7M
Feature selection of DNA methylation biosignatures for neuropathy with comorbid drug abuse in the setting of HIV infectionR01DA047820 · NIDA · YALE UNIVERSITY · PI AOUIZERAT, BRADLEY E, XU, KE · 2018 to 2022
$2.9M
Defining the impact of injection drug use on antiretroviral therapy and HIV treatment outcomes: an (epi)genomic approachR01DA047063 · NIDA · YALE UNIVERSITY · PI AOUIZERAT, BRADLEY E, XU, KE · 2018 to 2022
$2.4M
Methylome-wide and mQTL analysis of HIV progression in the context of cocaine useR01DA042691 · NIDA · YALE UNIVERSITY · PI XU, KE · 2016 to 2019
$1.6M
The role of epigenetic transcriptional memory in monocyte-macrophage cells and cardiovascular disease riskK01HL140271 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI CORLEY, MICHAEL JAY · 2018 to 2022
$788k
Genome-wide DNA methylation in HIV infected drug usersR03DA039745 · NIDA · YALE UNIVERSITY · PI XU, KE · 2015 to 2016
$260k
NHLBI NIH HHS K01 HL140271NIAID NIH HHS P30 AI050409NIDA NIH HHS R01 DA038632NIDA NIH HHS R01 DA042691NIDA NIH HHS R01 DA047063NIDA NIH HHS R01 DA047820NIDA NIH HHS R03 DA039745NIGMS NIH HHS P20 GM113134
6 · The paper itself

Abstract

backgroundThe effects of tobacco smoking on epigenome-wide methylation signatures in white blood cells (WBCs) collected from persons living with HIV may have important implications for their immune-related outcomes, including frailty and mortality. The application of a machine learning approach to the analysis of CpG methylation in the epigenome enables the selection of phenotypically relevant features from high-dimensional data. Using this approach, we now report that a set of smoking-associated DNA-methylated CpGs predicts HIV prognosis and mortality in an HIV-positive veteran population.

resultsWe first identified 137 epigenome-wide significant CpGs for smoking in WBCs from 1137 HIV-positive individuals (p < 1.70E-07). To examine whether smoking-associated CpGs were predictive of HIV frailty and mortality, we applied ensemble-based machine learning to build a model in a training sample employing 408,583 CpGs. A set of 698 CpGs was selected and predictive of high HIV frailty in a testing sample [(area under curve (AUC) = 0.73, 95%CI 0.63~0.83)] and was replicated in an independent sample [(AUC = 0.78, 95%CI 0.73~0.83)]. We further found an association of a DNA methylation index constructed from the 698 CpGs that were associated with a 5-year survival rate [HR = 1.46; 95%CI 1.06~2.02, p = 0.02]. Interestingly, the 698 CpGs located on 445 genes were enriched on the integrin signaling pathway (p = 9.55E-05, false discovery rate = 0.036), which is responsible for the regulation of the cell cycle, differentiation, and adhesion.

conclusionWe demonstrated that smoking-associated DNA methylation features in white blood cells predict HIV infection-related clinical outcomes in a population living with HIV.

Indexed as

DNA MethylationAdultCpG IslandsEpigenesis, GeneticFemaleFrailtyGenome-Wide Association StudyHIV InfectionsHumansMachine LearningMaleMiddle AgedMortalityPrognosisSignal TransductionSmokingDNA methylationEnsemble machine learningHIV frailtyMortalityTobacco smoking

Identifiers

PMID30545403
PMCPMC6293604
OpenAlexW2904265522

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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.