Dataset Information

Gut health in multiple joint osteoarthritis: a multimodal investigation in humans and pet dogs

ABSTRACT: Gut health in multiple joint osteoarthritis: a multimodal investigation in humans and pet dogs

PROVIDER: PRJNA1242815 | ENA |

REPOSITORIES: ENA

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			Action	DRS
	SRR32894100_1.fastq.gz	Fastqsanger.gz
	SRR32894100_2.fastq.gz	Fastqsanger.gz
	SRR32894101_1.fastq.gz	Fastqsanger.gz
	SRR32894101_2.fastq.gz	Fastqsanger.gz
	SRR32894102_1.fastq.gz	Fastqsanger.gz

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Project description:Background: Primary knee osteoarthritis (KOA) is a heterogeneous disease with clinical and molecular contributors. Biofluids contain microRNAs and metabolites that can be measured by omic technologies. Deep learning captures complex non-linear associations within multimodal data but, to date, has not been used for multi-omic-based endotyping of KOA patients. We developed a novel multimodal deep learning framework for clustering of multi-omic data from three subject-matched biofluids to identify distinct KOA endotypes and classify one-year post-total knee arthroplasty (TKA) pain/function responses. Materials and Methods: In 414 KOA patients, subject-matched plasma, synovial fluid and urine were analyzed by microRNA sequencing or metabolomics. Integrating 4 high-dimensional datasets comprising metabolites from plasma (n=151 features), along with microRNAs from plasma (n=421), synovial fluid (n=930), or urine (n=1225), a multimodal deep learning variational autoencoder architecture with K-means clustering was employed. Features influencing cluster assignment were identified and pathway analyses conducted. An integrative machine learning framework combining 4 molecular domains and a clinical domain was then used to classify WOMAC pain/function responses post-TKA within each cluster. Findings: Multimodal deep learning-based clustering of subjects across 4 domains yielded 3 distinct patient clusters. Feature signatures comprising microRNAs and metabolites across biofluids included 30, 16, and 24 features associated with Clusters 1-3, respectively. Pathway analyses revealed distinct pathways associated with each cluster. Integration of 4 multi-omic domains along with clinical data improved response classification performance, with Cluster 3 achieving AUC=0·879 for subject pain response classification and Cluster 2 reaching AUC=0·808 for subject function response, surpassing individual domain classifications by 12% and 15% respectively. Interpretation: We have developed a deep learning-based multimodal clustering model capable of integrating complex multi-fluid, multi-omic data to assist in KOA patient endotyping and test outcome response to TKA surgery.

Dataset Information

Gut health in multiple joint osteoarthritis: a multimodal investigation in humans and pet dogs

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