Evidence map›Paper›PMID 35780211›Full record

ArticleNature communications2022

A convolutional neural network highlights mutations relevant to antimicrobial resistance in Mycobacterium tuberculosis.

Anna G Green, Chang Ho Yoon, Michael L Chen, Yasha Ektefaie, Mack Fina, Luca Freschi, Matthias I Gröschel, Isaac Kohane, Andrew Beam, Maha Farhat

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

39 citing papers in PubMed, 77 citations in OpenAlex.

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  16. A simplified pyrazinamidase test forJournal of clinical microbiology · 2024
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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

10 authors at 2 institutions in 2 countries.

Anna G Green *Department of Biomedical Informatics, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.ORCID 0000-0001-7548-3682
Chang Ho Yoon *Department of Biomedical Informatics, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.ORCID 0000-0003-1356-0392
Michael L ChenDepartment of Biomedical Informatics, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
Yasha EktefaieDepartment of Biomedical Informatics, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
Mack FinaHarvard College, Cambridge, MA, 02138, USA.
Luca FreschiDepartment of Biomedical Informatics, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
Matthias I GröschelDepartment of Biomedical Informatics, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.ORCID 0000-0002-2509-3034
Isaac KohaneDepartment of Biomedical Informatics, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
Andrew Beam *Department of Biomedical Informatics, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA. Andrew_Beam@hms.harvard.edu.
Maha Farhat *Department of Biomedical Informatics, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA. Maha_Farhat@hms.harvard.edu.ORCID 0000-0002-3871-5760
Harvard University · USHarvard College Observatory · US

Funding

RESEARCH TRAINING-MEDICAL INFORMATICS 90T15LM007092 · NLM · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Nils Gehlenborg · 1992 to 2026
$32.8M
Investigating bacterial contributions to TB treatment response: a focus on in-host pathogen dynamicsR01AI155765 · NIAID · HARVARD MEDICAL SCHOOL · PI FARHAT, MAHA · 2020 to 2024
$3.7M
Orchestra: A high performance biomedical supercomputing collaborativeS10RR028832 · NCRR · HARVARD MEDICAL SCHOOL · PI DANUSER, GAUDENZ · 2010 to 2010
$3.7M
Predicting Pulmonary and Cardiac Morbidity in Preterm Infants with Deep LearningK01HL141771 · NHLBI · HARVARD SCHOOL OF PUBLIC HEALTH · PI BEAM, ANDREW L. · 2019 to 2023
$832k
Integrating protein structure and genomic data to predict antibiotic resistance in Mycobacterium tuberculosisF32AI161793 · NIAID · HARVARD MEDICAL SCHOOL · PI GREEN, ANNA GUSTAFSON · 2021 to 2022
$139k
NCRR NIH HHS S10 RR028832NIAID NIH HHS F32 AI161793NIAID NIH HHS R01 AI155765NLM NIH HHS T15 LM007092
6 · The paper itself

Abstract

Long diagnostic wait times hinder international efforts to address antibiotic resistance in M. tuberculosis. Pathogen whole genome sequencing, coupled with statistical and machine learning models, offers a promising solution. However, generalizability and clinical adoption have been limited by a lack of interpretability, especially in deep learning methods. Here, we present two deep convolutional neural networks that predict antibiotic resistance phenotypes of M. tuberculosis isolates: a multi-drug CNN (MD-CNN), that predicts resistance to 13 antibiotics based on 18 genomic loci, with AUCs 82.6-99.5% and higher sensitivity than state-of-the-art methods; and a set of 13 single-drug CNNs (SD-CNN) with AUCs 80.1-97.1% and higher specificity than the previous state-of-the-art. Using saliency methods to evaluate the contribution of input sequence features to the SD-CNN predictions, we identify 18 sites in the genome not previously associated with resistance. The CNN models permit functional variant discovery, biologically meaningful interpretation, and clinical applicability.

Indexed as

Mycobacterium tuberculosisTuberculosisAnti-Bacterial AgentsDrug Resistance, BacterialHumansMutationNeural Networks, ComputerAnti-Bacterial Agents

Identifiers

PMID35780211
PMCPMC9250494
OpenAlexW4283781398

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.