Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI Study

Exposures constitute a dense network of the environment: exposome. Here, we argue for embracing the exposome paradigm to investigate the sum of nongenetic "risk" and show how predictive modeling approaches can be used to construct an exposome score (ES; an aggregated score of exposures) fo...

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Autores: Pries, LK, Lage-Castellanos, A, Delespaul, P, Kenis, G, Luykx, JJ, Lin, BD, Richards, AL, Akdede, B, Binbay, T, Altinyazar, V, Yalincetin, B, Gumus-Akay, G, Cihan, B, Soygur, H, Ulas, H, Cankurtaran, ES, Kaymak, SU, Mihaljevic, MM, Petrovic, SA, Mirjanic, T, Bernardo, M, Cabrera, B, Bobes, J, Saiz, PA, Garcia-Portilla, MP, Sanjuan, J, Aguilar, EJ, Santos, JL, Jimenez-Lopez, E, Arrojo, M, Carracedo, A, Lopez, G, Gonzalez-Penas, J, Parellada, M, Maric, NP, Atbasoglu, C, Ucok, A, Alptekin, K, Saka, MC, Arango, C, O'Donovan, M, Rutten, BPF, van Os, J, Guloksuz, S, Alizadeh, BZ, van Amelsvoort, T, Bruggeman, R, Cahnm, W, de Haan, L, van Winkel, R, Genetic Risk Outcome Psychosis Grp
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p15803
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/15803
Access Level:acceso abierto
Palabra clave:schizophrenia
psychosis
predictive modeling
machine learning
risk score
environment
childhood trauma
cannabis
winter birth
hearing impairment
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spelling Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI StudyPries, LKLage-Castellanos, ADelespaul, PKenis, GLuykx, JJLin, BDRichards, ALAkdede, BBinbay, TAltinyazar, VYalincetin, BGumus-Akay, GCihan, BSoygur, HUlas, HCankurtaran, ESKaymak, SUMihaljevic, MMPetrovic, SAMirjanic, TBernardo, MCabrera, BBobes, JSaiz, PAGarcia-Portilla, MPSanjuan, JAguilar, EJSantos, JLJimenez-Lopez, EArrojo, MCarracedo, ALopez, GGonzalez-Penas, JParellada, MMaric, NPAtbasoglu, CUcok, AAlptekin, KSaka, MCArango, CO'Donovan, MRutten, BPFvan Os, JGuloksuz, SAlizadeh, BZvan Amelsvoort, TBruggeman, RCahnm, Wde Haan, Lvan Winkel, RGenetic Risk Outcome Psychosis Grpschizophreniapsychosispredictive modelingmachine learningrisk scoreenvironmentchildhood traumacannabiswinter birthhearing impairmentExposures constitute a dense network of the environment: exposome. Here, we argue for embracing the exposome paradigm to investigate the sum of nongenetic "risk" and show how predictive modeling approaches can be used to construct an exposome score (ES; an aggregated score of exposures) for schizophrenia. The training dataset consisted of patients with schizophrenia and controls, whereas the independent validation dataset consisted of patients, their unaffected siblings, and controls. Binary exposures were cannabis use, hearing impairment, winter birth, bullying, and emotional, physical, and sexual abuse along with physical and emotional neglect. We applied logistic regression (LR), Gaussian Naive Bayes (GNB), the least absolute shrinkage and selection operator (LASSO), and Ridge penalized classification models to the training dataset. ESs, the sum of weighted exposures based on coefficients from each model, were calculated in the validation dataset. In addition, we estimated ES based on meta-analyses and a simple sum score of exposures. Accuracy, sensitivity, specificity, area under the receiver operating characteristic, and Nagelkerke's R-2 were compared. The ESMeta-analyses performed the worst, whereas the sum score and the ESGNB were worse than the ESLR that performed similar to the ESLASSO and ESRIDGE. The ESLR distinguished patients from controls (odds ratio [OR] = 1.94, P < .001), patients from siblings (OR = 1.58, P < .001), and siblings from controls (OR = 1.21, P= .001). An increase in ESLR was associated with a gradient increase of schizophrenia risk. In reference to the remaining fractions, the ESLR at top 30%, 20%, and 10% of the control distribution yielded ORs of 3.72, 3.74, and 4.77, respectively. Our findings demonstrate that predictive modeling approaches can be harnessed to evaluate the exposome.OXFORD UNIV PRESS2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/15803SCHIZOPHRENIA BULLETINISSN: 05867614ISSNe: 17451701reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p158032026-06-07T16:35:31Z
dc.title.none.fl_str_mv Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI Study
title Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI Study
spellingShingle Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI Study
Pries, LK
schizophrenia
psychosis
predictive modeling
machine learning
risk score
environment
childhood trauma
cannabis
winter birth
hearing impairment
title_short Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI Study
title_full Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI Study
title_fullStr Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI Study
title_full_unstemmed Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI Study
title_sort Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI Study
dc.creator.none.fl_str_mv Pries, LK
Lage-Castellanos, A
Delespaul, P
Kenis, G
Luykx, JJ
Lin, BD
Richards, AL
Akdede, B
Binbay, T
Altinyazar, V
Yalincetin, B
Gumus-Akay, G
Cihan, B
Soygur, H
Ulas, H
Cankurtaran, ES
Kaymak, SU
Mihaljevic, MM
Petrovic, SA
Mirjanic, T
Bernardo, M
Cabrera, B
Bobes, J
Saiz, PA
Garcia-Portilla, MP
Sanjuan, J
Aguilar, EJ
Santos, JL
Jimenez-Lopez, E
Arrojo, M
Carracedo, A
Lopez, G
Gonzalez-Penas, J
Parellada, M
Maric, NP
Atbasoglu, C
Ucok, A
Alptekin, K
Saka, MC
Arango, C
O'Donovan, M
Rutten, BPF
van Os, J
Guloksuz, S
Alizadeh, BZ
van Amelsvoort, T
Bruggeman, R
Cahnm, W
de Haan, L
van Winkel, R
Genetic Risk Outcome Psychosis Grp
author Pries, LK
author_facet Pries, LK
Lage-Castellanos, A
Delespaul, P
Kenis, G
Luykx, JJ
Lin, BD
Richards, AL
Akdede, B
Binbay, T
Altinyazar, V
Yalincetin, B
Gumus-Akay, G
Cihan, B
Soygur, H
Ulas, H
Cankurtaran, ES
Kaymak, SU
Mihaljevic, MM
Petrovic, SA
Mirjanic, T
Bernardo, M
Cabrera, B
Bobes, J
Saiz, PA
Garcia-Portilla, MP
Sanjuan, J
Aguilar, EJ
Santos, JL
Jimenez-Lopez, E
Arrojo, M
Carracedo, A
Lopez, G
Gonzalez-Penas, J
Parellada, M
Maric, NP
Atbasoglu, C
Ucok, A
Alptekin, K
Saka, MC
Arango, C
O'Donovan, M
Rutten, BPF
van Os, J
Guloksuz, S
Alizadeh, BZ
van Amelsvoort, T
Bruggeman, R
Cahnm, W
de Haan, L
van Winkel, R
Genetic Risk Outcome Psychosis Grp
author_role author
author2 Lage-Castellanos, A
Delespaul, P
Kenis, G
Luykx, JJ
Lin, BD
Richards, AL
Akdede, B
Binbay, T
Altinyazar, V
Yalincetin, B
Gumus-Akay, G
Cihan, B
Soygur, H
Ulas, H
Cankurtaran, ES
Kaymak, SU
Mihaljevic, MM
Petrovic, SA
Mirjanic, T
Bernardo, M
Cabrera, B
Bobes, J
Saiz, PA
Garcia-Portilla, MP
Sanjuan, J
Aguilar, EJ
Santos, JL
Jimenez-Lopez, E
Arrojo, M
Carracedo, A
Lopez, G
Gonzalez-Penas, J
Parellada, M
Maric, NP
Atbasoglu, C
Ucok, A
Alptekin, K
Saka, MC
Arango, C
O'Donovan, M
Rutten, BPF
van Os, J
Guloksuz, S
Alizadeh, BZ
van Amelsvoort, T
Bruggeman, R
Cahnm, W
de Haan, L
van Winkel, R
Genetic Risk Outcome Psychosis Grp
author2_role author
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author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
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author
author
author
author
author
author
author
author
author
author
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author
author
dc.subject.none.fl_str_mv schizophrenia
psychosis
predictive modeling
machine learning
risk score
environment
childhood trauma
cannabis
winter birth
hearing impairment
topic schizophrenia
psychosis
predictive modeling
machine learning
risk score
environment
childhood trauma
cannabis
winter birth
hearing impairment
description Exposures constitute a dense network of the environment: exposome. Here, we argue for embracing the exposome paradigm to investigate the sum of nongenetic "risk" and show how predictive modeling approaches can be used to construct an exposome score (ES; an aggregated score of exposures) for schizophrenia. The training dataset consisted of patients with schizophrenia and controls, whereas the independent validation dataset consisted of patients, their unaffected siblings, and controls. Binary exposures were cannabis use, hearing impairment, winter birth, bullying, and emotional, physical, and sexual abuse along with physical and emotional neglect. We applied logistic regression (LR), Gaussian Naive Bayes (GNB), the least absolute shrinkage and selection operator (LASSO), and Ridge penalized classification models to the training dataset. ESs, the sum of weighted exposures based on coefficients from each model, were calculated in the validation dataset. In addition, we estimated ES based on meta-analyses and a simple sum score of exposures. Accuracy, sensitivity, specificity, area under the receiver operating characteristic, and Nagelkerke's R-2 were compared. The ESMeta-analyses performed the worst, whereas the sum score and the ESGNB were worse than the ESLR that performed similar to the ESLASSO and ESRIDGE. The ESLR distinguished patients from controls (odds ratio [OR] = 1.94, P < .001), patients from siblings (OR = 1.58, P < .001), and siblings from controls (OR = 1.21, P= .001). An increase in ESLR was associated with a gradient increase of schizophrenia risk. In reference to the remaining fractions, the ESLR at top 30%, 20%, and 10% of the control distribution yielded ORs of 3.72, 3.74, and 4.77, respectively. Our findings demonstrate that predictive modeling approaches can be harnessed to evaluate the exposome.
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/15803
url https://incliva.portalinvestigacion.com/publicaciones/15803
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv OXFORD UNIV PRESS
publisher.none.fl_str_mv OXFORD UNIV PRESS
dc.source.none.fl_str_mv SCHIZOPHRENIA BULLETIN
ISSN: 05867614
ISSNe: 17451701
reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname:INCLIVA
instname_str INCLIVA
reponame_str r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
collection r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
repository.name.fl_str_mv
repository.mail.fl_str_mv
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