[HTML][HTML] A nasal brush-based classifier of asthma identified by machine learning analysis of nasal RNA sequence data

G Pandey, OP Pandey, AJ Rogers, ME Ahsen… - Scientific reports, 2018 - nature.com
Scientific reports, 2018nature.com
Asthma is a common, under-diagnosed disease affecting all ages. We sought to identify a
nasal brush-based classifier of mild/moderate asthma. 190 subjects with mild/moderate
asthma and controls underwent nasal brushing and RNA sequencing of nasal samples. A
machine learning-based pipeline identified an asthma classifier consisting of 90 genes
interpreted via an L2-regularized logistic regression classification model. This classifier
performed with strong predictive value and sensitivity across eight test sets, including (1) a …
Abstract
Asthma is a common, under-diagnosed disease affecting all ages. We sought to identify a nasal brush-based classifier of mild/moderate asthma. 190 subjects with mild/moderate asthma and controls underwent nasal brushing and RNA sequencing of nasal samples. A machine learning-based pipeline identified an asthma classifier consisting of 90 genes interpreted via an L2-regularized logistic regression classification model. This classifier performed with strong predictive value and sensitivity across eight test sets, including (1) a test set of independent asthmatic and control subjects profiled by RNA sequencing (positive and negative predictive values of 1.00 and 0.96, respectively; AUC of 0.994), (2) two independent case-control cohorts of asthma profiled by microarray, and (3) five cohorts with other respiratory conditions (allergic rhinitis, upper respiratory infection, cystic fibrosis, smoking), where the classifier had a low to zero misclassification rate. Following validation in large, prospective cohorts, this classifier could be developed into a nasal biomarker of asthma.
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