Cited 0 times in Scipus Cited Count

Association of TLR 9 gene polymorphisms with remission in patients with rheumatoid arthritis receiving TNF-α inhibitors and development of machine learning models

DC Field Value Language
dc.contributor.authorKim, W-
dc.contributor.authorKim, TH-
dc.contributor.authorOh, SJ-
dc.contributor.authorKim, HJ-
dc.contributor.authorKim, JH-
dc.contributor.authorKim, HA-
dc.contributor.authorJung, JY-
dc.contributor.authorChoi, IA-
dc.contributor.authorLee, KE-
dc.date.accessioned2023-01-10T00:39:20Z-
dc.date.available2023-01-10T00:39:20Z-
dc.date.issued2021-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/23940-
dc.description.abstractToll-like receptor (TLR)-4 and TLR9 are known to play important roles in the immune system, and several studies have shown their association with the development of rheumatoid arthritis (RA) and regulation of tumor necrosis factor alpha (TNF-α). However, studies that investigate the association between TLR4 or TLR9 gene polymorphisms and remission of the disease in RA patients taking TNF-α inhibitors have yet to be conducted. In this context, this study was designed to investigate the effects of polymorphisms in TLR4 and TLR9 on response to TNF-α inhibitors and to train various models using machine learning approaches to predict remission. A total of six single nucleotide polymorphisms (SNPs) were investigated. Logistic regression analysis was used to investigate the association between genetic polymorphisms and response to treatment. Various machine learning methods were utilized for prediction of remission. After adjusting for covariates, the rate of remission of T-allele carriers of TLR9 rs352139 was about 5 times that of the CC-genotype carriers (95% confidence interval (CI) 1.325–19.231, p = 0.018). Among machine learning algorithms, multivariate logistic regression and elastic net showed the best prediction with the area under the receiver-operating curve (AUROC) value of 0.71 (95% CI 0.597–0.823 for both models). This study showed an association between a TLR9 polymorphism (rs352139) and treatment response in RA patients receiving TNF-α inhibitors. Moreover, this study utilized various machine learning methods for prediction, among which the elastic net provided the best model for remission prediction.-
dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHAntirheumatic Agents-
dc.subject.MESHArthritis, Rheumatoid-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHGenetic Predisposition to Disease-
dc.subject.MESHGenotype-
dc.subject.MESHHumans-
dc.subject.MESHMachine Learning-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPolymorphism, Single Nucleotide-
dc.subject.MESHPrognosis-
dc.subject.MESHToll-Like Receptor 9-
dc.subject.MESHTumor Necrosis Factor-alpha-
dc.subject.MESHYoung Adult-
dc.titleAssociation of TLR 9 gene polymorphisms with remission in patients with rheumatoid arthritis receiving TNF-α inhibitors and development of machine learning models-
dc.typeArticle-
dc.identifier.pmid34635730-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8505487/-
dc.contributor.affiliatedAuthorJung, JY-
dc.type.localJournal Papers-
dc.identifier.doi10.1038/s41598-021-99625-x-
dc.citation.titleScientific reports-
dc.citation.volume11-
dc.citation.number1-
dc.citation.date2021-
dc.citation.startPage20169-
dc.citation.endPage20169-
dc.identifier.bibliographicCitationScientific reports, 11(1). : 20169-20169, 2021-
dc.identifier.eissn2045-2322-
dc.relation.journalidJ020452322-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Rheumatology
Files in This Item:
34635730.pdfDownload

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse