PMID- 34320000 OWN - NLM STAT- MEDLINE DCOM- 20211104 LR - 20211104 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 16 IP - 7 DP - 2021 TI - Machine learning predicts treatment sensitivity in multiple myeloma based on molecular and clinical information coupled with drug response. PG - e0254596 LID - 10.1371/journal.pone.0254596 [doi] LID - e0254596 AB - Providing treatment sensitivity stratification at the time of cancer diagnosis allows better allocation of patients to alternative treatment options. Despite many clinical and biological risk markers having been associated with variable survival in cancer, assessing the interplay of these markers through Machine Learning (ML) algorithms still remains to be fully explored. Here, we present a Multi Learning Training approach (MuLT) combining supervised, unsupervised and self-supervised learning algorithms, to examine the predictive value of heterogeneous treatment outcomes for Multiple Myeloma (MM). We show that gene expression values improve the treatment sensitivity prediction and recapitulates genetic abnormalities detected by Fluorescence in situ hybridization (FISH) testing. MuLT performance was assessed by cross-validation experiments, in which it predicted treatment sensitivity with 68.70% of AUC. Finally, simulations showed numerical evidences that in average 17.07% of patients could get better response to a different treatment at the first line. FAU - Venezian Povoa, Lucas AU - Venezian Povoa L AUID- ORCID: 0000-0003-4002-4122 AD - Aeronautics Institute of Technology (ITA), Bioengineering Lab, Sao Jose dos Campos, Brazil. AD - Aeronautics Institute of Technology (ITA), Computer Science Division, Sao Jose dos Campos, Brazil. AD - AC Camargo Cancer Center (ACCCC), International Research and Educational Center, Sao Paulo, Brazil. AD - Federal Institute for Education, Science, and Technology of Sao Paulo (IFPS), Jacarei, Brazil. FAU - Ribeiro, Carlos Henrique Costa AU - Ribeiro CHC AUID- ORCID: 0000-0002-5760-8426 AD - Aeronautics Institute of Technology (ITA), Bioengineering Lab, Sao Jose dos Campos, Brazil. AD - Aeronautics Institute of Technology (ITA), Computer Science Division, Sao Jose dos Campos, Brazil. FAU - Silva, Israel Tojal da AU - Silva ITD AUID- ORCID: 0000-0002-4687-1499 AD - AC Camargo Cancer Center (ACCCC), International Research and Educational Center, Sao Paulo, Brazil. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210728 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antineoplastic Agents) SB - IM MH - Antineoplastic Agents/*therapeutic use MH - Area Under Curve MH - Gene Expression Regulation, Neoplastic MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Machine Learning MH - Multiple Myeloma/*drug therapy/genetics/mortality MH - ROC Curve MH - Survival Rate MH - Treatment Outcome PMC - PMC8318243 COIS- The authors declare no competing interests. EDAT- 2021/07/29 06:00 MHDA- 2021/11/05 06:00 PMCR- 2021/07/28 CRDT- 2021/07/28 17:22 PHST- 2020/10/26 00:00 [received] PHST- 2021/06/29 00:00 [accepted] PHST- 2021/07/28 17:22 [entrez] PHST- 2021/07/29 06:00 [pubmed] PHST- 2021/11/05 06:00 [medline] PHST- 2021/07/28 00:00 [pmc-release] AID - PONE-D-20-33606 [pii] AID - 10.1371/journal.pone.0254596 [doi] PST - epublish SO - PLoS One. 2021 Jul 28;16(7):e0254596. doi: 10.1371/journal.pone.0254596. eCollection 2021.