Biology subjects

Nadkarni, G.

Publications and source records attributed to Nadkarni, G..

7 recordsLinked to original sources

bioRxiv2026

Surrogate variables and the risk of overfitting in neuropsychiatric gene expression analyses

The reproducibility crisis in biomedical research calls for re-evaluation of how common analytic approaches affect results. One such approach, surrogate variable analysis (SVA), is widely used to adjust for unmeasured drivers of variation in transcriptomic differential expression analyses. We systematically quantified the impact of SVA using synthetic data with known ground truth and fourteen brain RNA-seq and microarray datasets spanning Alzheimer's disease, autism spectrum disorder, bipolar disorder, schizophrenia, and Parkinson's disease. In synthetic data, SVA usage frequently led to high false positive rates. This issue was not revealed by standard diagnostics nor resolved by strategies such as maximizing cross-dataset signal correlation. In real data, using SVA reduced cross-cohort reproducibility of differential expression signatures regardless of the number of surrogate variables included. These findings show that SVA risks inducing overfitting at realistic signal levels, advocating for a cautious, case-by-case application, with a preference for modeling known covariates.

bioinformatics↗

bioRxiv2024

Genetic polymorphisms of Leukocyte Immunoglobulin-Like Receptor B3 (LILRB3) gene in African American kidney transplant recipients are associated with post-transplant graft failure

BackgroundAfrican American (AA) kidney transplant recipients exhibit a higher rate of graft loss compared to other racial and ethnic populations, highlighting the need to identify causative factors underlying this disparity. MethodWe analyzed RNA sequences of pretransplant whole blood from subjects followed in three kidney transplant cohorts to identify single nucleotide polymorphisms (SNPs) associated with death censored graft loss (DCGL). We employed a meta-analysis to uncover key transcriptional signatures and pathways associated with the identified SNPs and used single cell RNA to define cellular specificity. We characterized SNP functions using in vitro immunological and survival assays and tested for associations between the identified SNPs and other immune-related diseases using a [~]30,100 subject, electronic health record (EHR)-linked database. ResultsWe uncovered a cluster of four consecutive missense SNPs in the Leukocyte Immunoglobulin-Like Receptor B3 (LILRB3, a negative immune response regulator) gene that strongly associated with DCGL. This LILRB3-4SNPs cluster encodes missense mutations at amino acids 617-618 proximal to a SHP-1/2 phosphatase-binding ITIM motif. LILRB3-4SNPs is specifically enriched within subjects of AA ancestry (8.6% prevalence vs 2.3% in Hispanic and 0.1% in European populations), is not linked to APOL1 G1/G2 alleles, and exhibited a strong association with DCGL. Analysis of PBMC and transplant biopsies from recipients with LILRB3-4SNPs showed evidence of enhanced adaptive immune responsiveness and ferroptosis-associated death in monocytes. Overexpression of the variant allele in THP-1 cells (macrophage line) induced augmented inflammation and ferroptosis, which were attenuated by a ferroptosis inhibitor, verifying a causal link. The LILRB3-4SNPs also associated with multiple systemic and organ-specific immune-related diseases in AAs, consistent with conferring a broadly relevant immune function. Conclusionthe LILRB3-4SNPs represent a functionally important, distinct genetic risk factor for kidney transplant outcome and development/severity of other immune-related diseases in patients of AA ancestry. Pharmacological targeting of ferroptosis should be tested to prevent or treat these disease processes in AA recipients carrying LILRB3-4SNPs.

genetics↗

bioRxiv2023

Correlating Deep Learning-Based Automated Reference Kidney Histomorphometry with Patient Demographics and Creatinine

BackgroundReference histomorphometric data of healthy human kidneys are largely lacking due to laborious quantitation requirements. Correlating histomorphometric features with clinical parameters through machine learning approaches can provide valuable information about natural population variance. To this end, we leveraged deep learning, computational image analysis, and feature analysis to investigate the relationship of histomorphometry with patient age, sex, and serum creatinine (SCr) in a multinational set of reference kidney tissue sections. MethodsA panoptic segmentation neural network was developed and used to segment viable and sclerotic glomeruli, cortical and medullary interstitia, tubules, and arteries/arterioles in the digitized images of 79 periodic acid-Schiff-stained human nephrectomy sections showing minimal pathologic changes. Simple morphometrics (e.g., area, radius, density) were quantified from the segmented classes. Regression analysis aided in determining the relationship of histomorphometric parameters with age, sex, and SCr. ResultsOur deep-learning model achieved high segmentation performance for all test compartments. The size and density of nephrons and arteries/arterioles varied significantly among healthy humans, with potentially large differences between geographically diverse patients. Nephron size was significantly dependent on SCr. Slight, albeit significant, differences in renal vasculature were observed between sexes. Glomerulosclerosis percentage increased, and cortical density of arteries/arterioles decreased, as a function of age. ConclusionsUsing deep learning, we automated precise measurements of kidney histomorphometric features. In the reference kidney tissue, several histomorphometric features demonstrated significant correlation to patient demographics and SCr. Deep learning tools can increase the efficiency and rigor of histomorphometric analysis. Significance statementAlthough the importance of kidney morphometry is well explored in disease contexts, the definition of variance in reference tissue is not. Advancements in digital and computational pathology have rendered quantitative analysis of unprecedented tissue volumes via the single press of a button. The authors leverage the unique benefits of panoptic segmentation to perform the largest ever quantitation of reference kidney morphometry. Regression analysis identified several kidney morphometric features that varied significantly with patient age and sex, and the results suggested that the set size of nephrons might depend more intricately on creatinine than previously thought.

cell biology↗

bioRxiv2021

Identification of Discriminative Gene-level and Protein-level Features Associated with Gain-of-Function and Loss-of-Function Mutations

Identifying whether a given genetic mutation results in a gene product with increased (gain-of-function; GOF) or diminished (loss-of-function; LOF) activity is an important step toward understanding disease mechanisms as they may result in markedly different clinical phenotypes. Here, we generated the first extensive database of all currently known germline GOF and LOF pathogenic mutations by employing natural language processing (NLP) on the available abstracts in the Human Gene Mutation Database. We then investigated various gene- and protein-level features of GOF and LOF mutations by applying machine learning and statistical analyses to identify discriminative features. We found that GOF mutations were enriched in essential genes, autosomal dominant inheritance, protein binding and interaction domains, whereas LOF mutations were enriched in singleton genes, protein-truncating variants, and protein core regions. We developed a user-friendly web-based interface that enables the extraction of selected subsets from the GOF/LOF database by a comprehensive set of annotated features, and downloading up-to-date versions (https://itanlab.shinyapps.io/goflof/). These results could ultimately improve our understanding of how mutations affect gene/protein function thereby guiding future treatment options.

genetics↗

bioRxiv2018

Comparison of Approaches to the identification of Symptom Burden in Hemodialysis Patients Utilizing Electronic Health Records

BackgroundIdentification of symptoms is challenging with surveys, which are time-intensive and low-throughput. Natural language processing (NLP) could be utilized to identify symptoms from narrative documentation in the electronic health record (EHR).\n\nMethodsWe utilized NLP to parse notes for maintenance hemodialysis (HD) patients from two EHR databases (BioMe and MIMIC-III) to identify fatigue, nausea/vomiting, anxiety, depression, cramping, itching, and pain. We compared NLP performance with International Classification of Diseases (ICD) codes and validated the performance of both NLP and codes against manual chart review in a representative subset.\n\nResultsWe identified 1034 and 929 HD patients from BioMe and MIMIC-III respectively. The most frequently identified symptoms by NLP from both cohorts were fatigue, pain, and nausea and/or vomiting. NLP was significantly more sensitive than ICD codes for nearly all symptoms. In the BioMe dataset, sensitivity for NLP ranged from 0.85-0.99 vs. 0.09-0.59 for ICD codes. In the MIMIC-III dataset, NLP sensitivity was 0.8-0.98 vs. 0.02-0.53 for ICD. ICD codes were significantly more specific for nausea and/or vomiting (NLP 0.57 vs. ICD 0.97, P=0.03) in BioMe and for depression (NLP 0.67 vs. ICD 0.99, P=0.002) in MIMIC-III. A majority of patients in both cohorts had ?4 symptoms. The more encounters available for a patient the more likely NLP was to identify a symptom.\n\nConclusionsNLP out performed ICD codes for identification of symptoms on several tests parameters including sensitivity for a majority of symptoms. NLP may be useful for the high-throughput identification of patient centered outcomes from EHR.\n\nSignificance StatementPatients on maintenance hemodialysis experience a high frequency of symptoms. However, symptoms have been measured utilizing time-intensive surveys. This paper compares natural language processing (NLP) to administrative codes for the identification of seven key symptoms from two cohorts with electronic health records and validation through manual chart review. NLP identified high rates of symptoms; the most common were fatigue, pain, and nausea and/or vomiting. A majority of patients had [≥]4 symptoms. NLP was significantly more sensitive at identifying symptoms compared to administrative codes for nearly all symptoms but specificity was not significantly different compared to codes. This paper demonstrates utility of a high throughput method of identifying symptoms from EHR which may advance the field of patient centered research in nephrology.

epidemiology↗

bioRxiv2018

Unsupervised Machine learning to subtype Sepsis-Associated Acute Kidney Injury

ObjectiveAcute kidney injury (AKI) is highly prevalent in critically ill patients with sepsis. Sepsis-associated AKI is a heterogeneous clinical entity, and, like many complex syndromes, is composed of distinct subtypes. We aimed to agnostically identify AKI subphenotypes using machine learning techniques and routinely collected data in electronic health records (EHRs).\n\nDesignCohort study utilizing the MIMIC-III Database.\n\nSettingICUs from tertiary care hospital in the U.S.\n\nPatientsPatients older than 18 years with sepsis and who developed AKI within 48 hours of ICU admission.\n\nInterventionsUnsupervised machine learning utilizing all available vital signs and laboratory measurements.\n\nMeasurements and Main ResultsWe identified 1,865 patients with sepsis-associated AKI. Ten vital signs and 691 unique laboratory results were identified. After data processing and feature selection, 59 features, of which 28 were measures of intra-patient variability, remained for inclusion into an unsupervised machine-learning algorithm. We utilized k-means clustering with k ranging from 2 - 10; k=2 had the highest silhouette score (0.62). Cluster 1 had 1,358 patients while Cluster 2 had 507 patients. There were no significant differences between clusters on age, race or gender. We found significant differences in comorbidities and small but significant differences in several laboratory variables (hematocrit, bicarbonate, albumin) and vital signs (systolic blood pressure and heart rate). In-hospital mortality was higher in cluster 2 patients, 25% vs. 20%, p=0.008. Features with the largest differences between clusters included variability in basophil and eosinophil counts, alanine aminotransferase levels and creatine kinase values.\n\nConclusionsUtilizing routinely collected laboratory variables and vital signs in the EHR, we were able to identify two distinct subphenotypes of sepsis-associated AKI with different outcomes. Variability in laboratory variables, as opposed to their actual value, was more important for determination of subphenotypes. Our findings show the potential utility of unsupervised machine learning to better subtype AKI.

bioinformatics↗

bioRxiv2018

Trans-ethnic genome-wide association study provides insight into effector genes and molecular mechanisms for kidney function and highlights a causal effect on kidney-specific disease aetiologies

Chronic kidney disease (CKD) affects [~]10% of the global population, with considerable ethnic differences in prevalence and aetiology. We assembled genome-wide association studies (GWAS)1-3 of estimated glomerular filtration rate (eGFR), a measure of kidney function that defines CKD, in 312,468 individuals from four ancestry groups. We identified 93 loci (20 novel), which were delineated to 127 distinct association signals. These signals were homogenous across ancestries, and were enriched for protein-coding exons, kidney-specific histone modifications, and transcription factor binding sites for HDAC2 and EZH2. Fine-mapping revealed 40 high-confidence variants driving eGFR associations and highlighted potential causal genes with cell-type specific expression in glomerulus, and proximal and distal nephron. Mendelian randomisation (MR) supported causal effects of eGFR on overall and cause-specific CKD, kidney stone formation, diastolic blood pressure (DBP) and hypertension. These results define novel molecular mechanisms and effector genes for eGFR, offering insight into clinical outcomes and routes to CKD treatment development.

genetics↗