Abstract

Understanding the relationship between the genome of a cell and its phenotype is a central problem in precision medicine. Nonetheless, genotype-to-phenotype prediction comes with great challenges for machine learning algorithms that limit their use in this setting. The high dimensionality of the data tends to hinder generalization and challenges the scalability of most learning algorithms. Additionally, most algorithms produce models that are complex and difficult to interpret. We alleviate these limitations by proposing strong performance guarantees, based on sample compression theory, for rule-based learning algorithms that produce highly interpretable models. We show that these guarantees can be leveraged to accelerate learning and improve model interpretability. Our approach is validated through an application to the genomic prediction of antimicrobial resistance, an important public health concern. Highly accurate models were obtained for 12 species and 56 antibiotics, and their interpretation revealed known resistance mechanisms, as well as some potentially new ones. An open-source disk-based implementation that is both memory and computationally efficient is provided with this work. The implementation is turnkey, requires no prior knowledge of machine learning, and is complemented by comprehensive tutorials.

Highlights

  • The relationship between the genome of a cell and its phenotype is central to precision medicine

  • 107 binary classification datasets were extracted, each consisting of discriminating isolates that are resistant or susceptible to an antimicrobial agent, based on their genome, in a given species

  • Predicting phenotypes from genotypes is a problem of high significance for biology that comes with great challenges for learning algorithms

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Summary

Introduction

The relationship between the genome of a cell and its phenotype is central to precision medicine. Two algorithms that learn rule-based models are explored: (i) Classification and Regression Trees[8] (CART) and (ii) Set Covering Machines[9] (SCM). The former learns decision trees, which are hierarchical arrangements of rules and the latter learns conjunctions (logical-AND) and disjunctions (logical-OR), which are simple logical combinations of rules. Their accuracy and interpretability are demonstrated with an application to the prediction of antimicrobial resistance (AMR) in bacteria, a global public health concern of high significance.

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