The identification of important proteins is critical for the medical diagnosis and prognosis of common diseases. Diverse sets of computational tools have been developed for omics data reduction and protein selection. However, standard statistical models with single-feature selection involve the multi-testing burden of low power with limited available samples. Furthermore, high correlations among proteins with high redundancy and moderate effects often lead to unstable selections and cause reproducibility issues. Ensemble feature selection in machine learning (ML) may identify a stable set of disease biomarkers that could improve the prediction performance of subsequent classification models and thereby simplify their interpretability. In this study, we developed a three-stage homogeneous ensemble feature selection (HEFS) approach for both identifying proteins and improving prediction accuracy. This approach was implemented and applied to ovarian cancer proteogenomics datasets comprising (1) binary putative homologous recombination deficiency (HRD)- positive or -negative samples; (2) multiple mRNA classes (differentiated, proliferative, immunoreactive, mesenchymal, and unknown samples). We conducted and compared various ML methods with HEFS including random forest (RF), support vector machine (SVM), and neural network (NN) for predicting both binary and multiple-class outcomes. The results indicated that the prediction accuracies varied for both binary and multiple-class classifications using various ML approaches with the proposed HEFS method. RF and NN provided better prediction accuracies than simple Naive Bayes or logistic models. For binary outcomes, with a sample size of 122 and nine selected prediction proteins using our proposed three-stage HEFS approach, the best ensemble ML (Treebag) achieved 83% accuracy, 85% sensitivity, and 81% specificity. For multiple (five)-class outcomes, the proposed HEFS-selected proteins combined with Principal Component Analysis (PCA) in NN resulted in prediction accuracies for multiple-class classifications ranging from 75% to 96% for each of the five classes. Despite the different prediction accuracies of the various models, HEFS identified consistent sets of proteins linked to the binary and multiple-class outcomes.
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