Type 2 Diabetes Subtyping via Phenotype and Genotype Co-Learning.

Journal: Studies in health technology and informatics
Published Date:

Abstract

Interpreting and subtyping type 2 diabetes (T2D) is challenging yet essential for achieving fine-grained pathophysiological insights and precise clinical stratification. Previous studies have primarily relied on a small number of pre-selected risk factors and biomarkers, neglecting the integration of multimodality data (e.g., phenotypic and genetic features) for more comprehensive analyses. In this study, we select a cohort of 42,256 participants from the National Institutes of Health's All of Us Research Program, where our hypergraph framework achieves an AUROC of 89.64% on predicting T2D when integrating phenotypic and genetic features. The proposed pipeline performs subtyping by clustering clinical concepts, genetic variants, and individuals in an end-to-end manner. Further analysis using genetic risk scores reveals distinct genetic profiles between T2D subtypes and highlights the potential applications of our solution in precision medicine.

Authors

  • Ziyang Zhang
    School of Chinese Materia Medica, Guangzhou University of Chinese Medicine, Guangzhou, China.
  • Lily Wang
    Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.
  • Weimin Meng
    Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA.
  • Chang Liu
    Key Lab of Cell Differentiation and Apoptosis of Ministry of Education, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Hui Shao
    Department of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, Gainesville, FL, United States of America.
  • Yan V Sun
    Rollins School of Public Health, Emory University, USA.
  • Jingchuan Guo
    Department of Pharmaceutical Outcomes and Policy, University of Florida, Gainesville, FL.
  • Jiang Bian
    Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, United States of America.
  • Rui Yin
    Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, College of Medicine, FL, USA. Electronic address: ruiyin@ufl.edu.
  • Carl Yang
    Department of Computer Science, Emory University, Atlanta, United States.