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Comparison of methods to identify aberrant expression patterns in individual patients: augmenting our toolkit for precision medicine

Title: Comparison of methods to identify aberrant expression patterns in individual patients: augmenting our toolkit for precision medicine
Authors: Bottomly, Daniel; Ryabinin, Peter A; Tyner, Jeffrey W; Chang, Bill H; Loriaux, Marc M; Druker, Brian J; McWeeney, Shannon K; Wilmot, Beth
Source: Genome Medicine, vol 5, iss 11
Publisher Information: eScholarship, University of California
Publication Year: 2013
Collection: University of California: eScholarship
Description: Background Patient-specific aberrant expression patterns in conjunction with functional screening assays can guide elucidation of the cancer genome architecture and identification of therapeutic targets. Since most statistical methods for expression analysis are focused on differences between experimental groups, the performance of approaches for patient-specific expression analyses are currently less well characterized. A comparison of methods for the identification of genes that are dysregulated relative to a single sample in a given set of experimental samples, to our knowledge, has not been performed. Methods We systematically evaluated several methods including variations on the nearest neighbor based outlying degree method, as well as the Zscore and a robust variant for their suitability to detect patient-specific events. The methods were assessed using both simulations and expression data from a cohort of pediatric acute B lymphoblastic leukemia patients. Results We first assessed power and false discovery rates using simulations and found that even under optimal conditions, high effect sizes (>4 unit differences) were necessary to have acceptable power for any method (>0.9) though high false discovery rates (>0.1) were pervasive across simulation conditions. Next we introduced a technical factor into the simulation and found that performance was reduced for all methods and that using weights with the outlying degree could provide performance gains depending on the number of samples and genes affected by the technical factor. In our use case that highlights the integration of functional assays and aberrant expression in a patient cohort (the identification of gene dysregulation events associated with the targets from a siRNA screen), we demonstrated that both the outlying degree and the Zscore can successfully identify genes dysregulated in one patient sample. However, only the outlying degree can identify genes dysregulated across several patient samples. Conclusion Our results show ...
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: qt6pp1b7zk; https://escholarship.org/uc/item/6pp1b7zk; https://escholarship.org/content/qt6pp1b7zk/qt6pp1b7zk.pdf
DOI: 10.1186/gm509
Availability: https://escholarship.org/uc/item/6pp1b7zk; https://escholarship.org/content/qt6pp1b7zk/qt6pp1b7zk.pdf; https://doi.org/10.1186/gm509
Rights: public
Accession Number: edsbas.A5E495F4
Database: BASE