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NetMoST: A network-based machine learning approach for subtyping schizophrenia using polygenic haplotype biomarkers. (arXiv:2302.00104v1 [q-bio.MN]) arxiv.org/abs/2302.00104

NetMoST: A network-based machine learning approach for subtyping schizophrenia using polygenic haplotype biomarkers

Subtyping neuropsychiatric disorders like schizophrenia remains one of the most important albeit challenging themes for improving the diagnosis and treatment efficacy of complex diseases. At the root of the difficulty of this problem are the polygenicity and genetic heterogeneity of schizophrenia that render the standard diagnosis based on behavioral and cognitive indicators notoriously inaccurate. We developed a novel network-based machine-learning approach, netMoST, to subtyping psychiatric disorders. NetMoST identifies modules of polygenic haplotype biomarkers (PHBs) from genome-wide genotyping data as features for disease subtyping. We applied netMoST to subtype a cohort of schizophrenia subjects (n = 141) into three distinct biotypes with differentiable genetic and functional characteristics. The PHBs of the first biotype (28.4% of all patients) were found to have an enrichment of associations with neuro-immunity, the PHBs of the second biotype (36.9%) were related to neurodevelopment and decreased cognitive measures, and the PHBs of the third biotype (34.7%) were found to have associations with the transport of calcium ions and neurotransmitters. Neuroimaging patterns provided further support for these findings, with unique regional homogeneity (ReHo) patterns observed in the brains of each biotype compared with HCs, and statistically significant differences in ReHo observed between the biotypes. Our findings demonstrate the ability of netMoST to uncover novel biotypes in complex diseases such as schizophrenia via the analysis of genotyping data. The results also demonstrated the power of exploring polygenic allelic patterns that transcend the conventional GWAS approaches.

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