Abstract

BackgroundMutations in an enzyme target are one of the most common mechanisms whereby antibiotic resistance arises. Identification of the resistance mutations in bacteria is essential for understanding the structural basis of antibiotic resistance and design of new drugs. However, the traditionally used experimental approaches to identify resistance mutations were usually labor-intensive and costly.ResultsWe present a machine learning (ML)-based classifier for predicting rifampicin (Rif) resistance mutations in bacterial RNA Polymerase subunit β (RpoB). A total of 186 mutations were gathered from the literature for developing the classifier, using 80% of the data as the training set and the rest as the test set. The features of the mutated RpoB and their binding energies with Rif were calculated through computational methods, and used as the mutation attributes for modeling. Classifiers based on five ML algorithms, i.e. decision tree, k nearest neighbors, naïve Bayes, probabilistic neural network and support vector machine, were first built, and a majority consensus (MC) approach was then used to obtain a new classifier based on the classifications of the five individual ML algorithms. The MC classifier comprehensively improved the predictive performance, with accuracy, F-measure and AUC of 0.78, 0.83 and 0.81for training set whilst 0.84, 0.87 and 0.83 for test set, respectively.ConclusionThe MC classifier provides an alternative methodology for rapid identification of resistance mutations in bacteria, which may help with early detection of antibiotic resistance and new drug discovery.

Highlights

  • Mutations in an enzyme target are one of the most common mechanisms whereby antibiotic resistance arises

  • Mutations that confer bacterial resistance against antibiotics are referred to as positive mutations, while those do not induce any changes in bacterial resistance phenotype are assigned as negative mutations

  • Rif resistance mutations primarily occur within Rif resistance-determining regions (RRDRs, Additional file 1: Table S1) of RNA Polymerase subunit β (RpoB) that are involved in the formation of the Rif-binding pocket (Fig. 1a) [18]

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Summary

Introduction

Mutations in an enzyme target are one of the most common mechanisms whereby antibiotic resistance arises. Identification of the resistance mutations in bacteria is essential for understanding the structural basis of antibiotic resistance and design of new drugs. Pathogens with antibiotic resistance add difficulty to deal with infections and lead to increasing mortality. As stated by the United Nations in 2019 [1], at least 700 thousands of deaths are caused by infections of resistant pathogens every year, and this number will soar to 10 million annually by 2050 if no action is taken. Among the ever-growing resistant pathogens, Mycobacterium tuberculosis (MTB) is of. There has been an increasing occurrence of Rif resistance in MTB, raising emerging health concerns [2, 3]. It was estimated that approximately 484,000 new cases of Rif-resistant tuberculosis and 214,000 Rif-resistant tuberculosis related deaths occurred in 2018 [4]

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