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Title: Predicting nutrition and environmental factors associated with female reproductive disorders using a knowledge graph and random forests

Journal Article · · International Journal of Medical Informatics
ORCiD logo [1];  [2]; ORCiD logo [3]; ORCiD logo [4];  [5]; ORCiD logo [3]; ORCiD logo [6]; ORCiD logo [4];  [4];  [4];  [3];  [7];  [8]
  1. Oregon State University, Corvallis, OR (United States); University of Chicago, IL (United States)
  2. Università degli Studi di Milano (Italy); Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States); European Laboratory for Learning and Intelligent Systems (ELLIS)
  3. Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)
  4. National Institute of Environmental Health Sciences (NIEHS), Durham, NC (United States)
  5. University of Colorado Anschutz Medical Campus, Aurora, CO (United States)
  6. Università degli Studi di Milano (Italy); European Laboratory for Learning and Intelligent Systems (ELLIS)
  7. European Laboratory for Learning and Intelligent Systems (ELLIS); The Jackson Laboratory for Genomic Medicine, Farmington, CT (United States)
  8. University of North Carolina, Chapel Hill, NC (United States)

Female reproductive disorders (FRDs) are common health conditions that may present with significant symptoms. Diet and environment are potential areas for FRD interventions. We utilized a knowledge graph (KG) method to predict factors associated with common FRDs (for example, endometriosis, ovarian cyst, and uterine fibroids). We harmonized survey data from the Personalized Environment and Genes Study (PEGS) on internal and external environmental exposures and health conditions with biomedical ontology content. We merged the harmonized data and ontologies with supplemental nutrient and agricultural chemical data to create a KG. We analyzed the KG by embedding edges and applying a random forest for edge prediction to identify variables potentially associated with FRDs. We also conducted logistic regression analysis for comparison. Across 9765 PEGS respondents, the KG analysis resulted in 8535 significant or suggestive predicted links between FRDs and chemicals, phenotypes, and diseases. Amongst these links, 32 were exact matches when compared with the logistic regression results, including comorbidities, medications, foods, and occupational exposures. Mechanistic underpinnings of predicted links documented in the literature may support some of our findings. Our KG methods are useful for predicting possible associations in large, survey-based datasets with added information on directionality and magnitude of effect from logistic regression. These results should not be construed as causal but can support hypothesis generation. This investigation enabled the generation of hypotheses on a variety of potential links between FRDs and exposures. Future investigations should prospectively evaluate the variables hypothesized to impact FRDs.

Research Organization:
Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)
Sponsoring Organization:
USDOE; National Institutes of Health (NIH)
Grant/Contract Number:
AC02-05CH11231
OSTI ID:
2470921
Journal Information:
International Journal of Medical Informatics, Journal Name: International Journal of Medical Informatics Journal Issue: C Vol. 187; ISSN 1386-5056
Publisher:
ElsevierCopyright Statement
Country of Publication:
United States
Language:
English

References (46)

The Environmental Polymorphisms Registry: a DNA resource to study genetic susceptibility loci journal January 2008
CHIRPS: Explaining random forest classification journal June 2020
Endometriosis and infertility journal June 2010
A higher prevalence of endometriosis among Asian women does not contribute to poorer IVF outcomes journal April 2017
Functional ovarian cysts in premenopausal and gynecologically healthy women journal September 2002
Evaluation of the uterine cavity with magnetic resonance imaging, transvaginal sonography, hysterosonographic examination, and diagnostic hysteroscopy journal August 2001
Endometriosis is a chronic systemic disease: clinical challenges and novel innovations journal February 2021
Infertility and uterine fibroids journal July 2016
Adverse effects of phytoestrogens on reproductive health: A report of three cases journal May 2008
Functional endometrial polyps in infertile asymptomatic patients: a possible evolution of vascular changes secondary to endometritis journal September 2013
Associated ovarian endometrioma is a marker for greater severity of deeply infiltrating endometriosis journal August 2009
Is Endometriosis More Common and More Severe Than It Was 30 Years Ago? journal February 2020
Benign ovarian cysts journal September 2016
The impact of maternal lifestyle factors on periconception outcomes: a systematic review of observational studies journal January 2019
Antioxidant supplementation reduces endometriosis-related pelvic pain in humans journal March 2013
Laparoscopic surgery for large benign ovarian cysts journal January 2008
Random Forests journal January 2001
GRAPE for fast and scalable graph processing and random-walk-based embedding journal June 2023
The characterization of common ovarian cysts in premenopausal women journal February 2001
Disorders associated with Barrett's esophagus journal May 2015
Recent Advances in Uterine Fibroid Etiology journal March 2017
Uterine Fibroids journal April 2015
High cumulative incidence of uterine leiomyoma in black and white women: Ultrasound evidence journal January 2003
Factors Associated with Time to Endometriosis Diagnosis in the United States journal July 2017
Burden, Prevalence, and Treatment of Uterine Fibroids: A Survey of U.S. Women journal November 2018
Visible and non-visible endometriosis at laparoscopy in fertile and infertile women and in patients with chronic pelvic pain: a prospective study journal February 1996
Selected food intake and risk of endometriosis journal June 2004
The Human Phenotype Ontology in 2021 journal December 2020
The Gene Ontology resource: enriching a GOld mine journal December 2020
ChEBI in 2016: Improved services and an expanding collection of metabolites journal October 2015
Logistic Regression in Rare Events Data journal January 2001
Asymptomatic Mild Endometriosis in Infertile Women journal August 1991
Effect of Soy Isoflavones on Endometriosis journal May 2007
Laparoscopic Surgery for Endometriosis journal September 2009
Explainable Machine Learning for Early Assessment of COVID-19 Risk Prediction in Emergency Departments journal January 2020
Explainable Artificial Intelligence Methods in Combating Pandemics: A Systematic Review journal January 2023
Influence of race/ethnicity on prevalence and presentation of endometriosis: a systematic review and meta‐analysis journal April 2019
Regularization and variable selection via the elastic net journal April 2005
Comparison of transvaginal sonography, saline infusion sonography and hysteroscopy in the evaluation of uterine cavity pathologies journal February 2005
Uterine fibroids and incidence of depression, anxiety and self-directed violence: a cohort study journal July 2021
Prevalence, symptoms and management of uterine fibroids: an international internet-based survey of 21,746 women journal March 2012
The Effect of Using Nutritional and Herbal Supplements on Uterine Fibroids as an Alternative Community Based Management in Kisumu journal January 2017
Effects of lifestyle factors on fertility: practical recommendations for modification journal January 2021
Isoflavones in gynecology journal June 2018
The Influence of Plant Isoflavones Daidzein and Equol on Female Reproductive Processes journal April 2021
An Analysis of Health Benefits of Carrot journal February 2022