ArticleNew microbes and new infections2026
PlasmidRiskNet: An explainable machine-learning framework for antimicrobial resistance plasmid risk stratification.
Article in New microbes and new infections, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Plasmids are the principal vehicles of horizontal antimicrobial resistance (AMR) gene transfer, yet risk analyses rarely combine gene content, mobility, and network topology. We asked whether explainable machine learning over these dimensions can stratify plasmid dissemination risk, and tested rigorously where it succeeds and fails. Methods: From 72,556 PLSDB 2025 plasmids we integrated 251,138 AMRFinderPlus gene records with CARD v3 ontology and MOBsuite typing, built a co-resistance network, and derived a composite PlasmidRisk score from five features. Three classifiers were evaluated by five-fold cross-validation; external validation used WHO and ECDC 2024 to 2025 carbapenemase designations as a feature-independent reference. We added length- and host-adjusted burden models, phylum-normalized enrichment, and feature-category ablation. Results: AMR genes occurred in 41.0% of plasmids across 85 drug classes. The network (29,758 nodes) was heterogeneous rather than scale-free. Internal cross-validation AUCs exceeded 0.999, but because labels derived from the scored features this reflects internal consistency, not generalization. The feature-independent external AUC was modest (0.607): strong for the metallo-beta-lactamases Conclusions: PlasmidRiskNet offers a useful pre-screening layer for MBL-bearing plasmids but not for the compact serine-carbapenemase backbones (
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