PMID- 38006387 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231128 IS - 2045-7022 (Print) IS - 2045-7022 (Electronic) IS - 2045-7022 (Linking) VI - 13 IP - 11 DP - 2023 Nov TI - A robust mRNA signature obtained via recursive ensemble feature selection predicts the responsiveness of omalizumab in moderate-to-severe asthma. PG - e12306 LID - 10.1002/clt2.12306 [doi] LID - e12306 AB - BACKGROUND: Not being well controlled by therapy with inhaled corticosteroids and long-acting beta2 agonist bronchodilators is a major concern for severe-asthma patients. The current treatment option for these patients is the use of biologicals such as anti-IgE treatment, omalizumab, as an add-on therapy. Despite the accepted use of omalizumab, patients do not always benefit from it. Therefore, there is a need to identify reliable biomarkers as predictors of omalizumab response. METHODS: Two novel computational algorithms, machine-learning based Recursive Ensemble Feature Selection (REFS) and rule-based algorithm Logic Explainable Networks (LEN), were used on open accessible mRNA expression data from moderate-to-severe asthma patients to identify genes as predictors of omalizumab response. RESULTS: With REFS, the number of features was reduced from 28,402 genes to 5 genes while obtaining a cross-validated accuracy of 0.975. The 5 responsiveness predictive genes encode the following proteins: Coiled-coil domain- containing protein 113 (CCDC113), Solute Carrier Family 26 Member 8 (SLC26A), Protein Phosphatase 1 Regulatory Subunit 3D (PPP1R3D), C-Type lectin Domain Family 4 member C (CLEC4C) and LOC100131780 (not annotated). The LEN algorithm found 4 identical genes with REFS: CCDC113, SLC26A8 PPP1R3D and LOC100131780. Literature research showed that the 4 identified responsiveness predicting genes are associated with mucosal immunity, cell metabolism, and airway remodeling. CONCLUSION AND CLINICAL RELEVANCE: Both computational methods show 4 identical genes as predictors of omalizumab response in moderate-to-severe asthma patients. The obtained high accuracy indicates that our approach has potential in clinical settings. Future studies in relevant cohort data should validate our computational approach. CI - (c) 2023 The Authors. Clinical and Translational Allergy published by John Wiley & Sons Ltd on behalf of European Academy of Allergy and Clinical Immunology. FAU - Kidwai, Sarah AU - Kidwai S AUID- ORCID: 0000-0002-6457-2011 AD - Division of Pharmacology, Utrecht Institute for Pharmaceutical Science, Faculty of Science, Utrecht University, Utrecht, The Netherlands. FAU - Barbiero, Pietro AU - Barbiero P AD - Department of Computer Science and Technology, University of Cambridge, Cambridge, UK. FAU - Meijerman, Irma AU - Meijerman I AD - Division of Pharmacology, Utrecht Institute for Pharmaceutical Science, Faculty of Science, Utrecht University, Utrecht, The Netherlands. FAU - Tonda, Alberto AU - Tonda A AD - UMR 518 MIA, INRAE, Universite Paris-Saclay, Paris, France. FAU - Perez-Pardo, Paula AU - Perez-Pardo P AD - Division of Pharmacology, Utrecht Institute for Pharmaceutical Science, Faculty of Science, Utrecht University, Utrecht, The Netherlands. FAU - Lio, Pietro AU - Lio P AD - Department of Computer Science and Technology, University of Cambridge, Cambridge, UK. FAU - van der Maitland-Zee, Anke H AU - van der Maitland-Zee AH AD - Department of Pulmonary Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. FAU - Oberski, Daniel L AU - Oberski DL AD - Department of Data Science, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Kraneveld, Aletta D AU - Kraneveld AD AD - Division of Pharmacology, Utrecht Institute for Pharmaceutical Science, Faculty of Science, Utrecht University, Utrecht, The Netherlands. FAU - Lopez-Rincon, Alejandro AU - Lopez-Rincon A AD - Division of Pharmacology, Utrecht Institute for Pharmaceutical Science, Faculty of Science, Utrecht University, Utrecht, The Netherlands. AD - Department of Data Science, University Medical Center Utrecht, Utrecht, The Netherlands. LA - eng PT - Journal Article PL - England TA - Clin Transl Allergy JT - Clinical and translational allergy JID - 101576043 PMC - PMC10655633 OTO - NOTNLM OT - anti-IgE OT - asthma OT - biomarker OT - machine-learning OT - omalizumab COIS- All authors of the manuscript declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/11/26 07:42 MHDA- 2023/11/26 07:43 PMCR- 2023/11/17 CRDT- 2023/11/25 09:52 PHST- 2023/09/01 00:00 [revised] PHST- 2023/04/07 00:00 [received] PHST- 2023/10/11 00:00 [accepted] PHST- 2023/11/26 07:43 [medline] PHST- 2023/11/26 07:42 [pubmed] PHST- 2023/11/25 09:52 [entrez] PHST- 2023/11/17 00:00 [pmc-release] AID - CLT212306 [pii] AID - 10.1002/clt2.12306 [doi] PST - ppublish SO - Clin Transl Allergy. 2023 Nov;13(11):e12306. doi: 10.1002/clt2.12306.