Title
Diversity And Complexity Of Hiv-1 Drug Resistance: A Bioinformatics Approach To Predicting Phenotype From Genotype
Abstract
Drug resistance testing has been shown to be beneficial for clinical management of HIV type 1 infected patients. Whereas phenotypic assays directly measure drug resistance, the commonly used genotypic assays provide only indirect evidence of drug resistance, the major challenge being the interpretation of the sequence information. We analyzed the significance of sequence variations in the protease and reverse transcriptase genes for drug resistance and derived models that predict phenotypic resistance from genotypes. For 14 antiretroviral drugs, both genotypic and phenotypic resistance data from 471 clinical isolates were analyzed with a machine learning approach. Information profiles were obtained that quantify the statistical significance of each sequence position for drug resistance. For the different drugs, patterns of varying complexity were observed, including between one and nine sequence positions with substantial information content. Based on these information profiles, decision tree classifiers were generated to identify genotypic patterns characteristic of resistance or susceptibility to the different drugs. We obtained concise and easily interpretable models to predict drug resistance from sequence information. The prediction quality of the models was assessed in leave-one-out experiments in terms of the prediction error. We found prediction errors of 9.6-15.5% for all drugs except for zalcitabine, didanosine, and stavudine, with prediction errors between 25.4% and 32.0%. A prediction service is freely available at http://cartan.gmd.de/geno2pheno.html.
Year
DOI
Venue
2002
10.1073/pnas.112177799
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA
Keywords
Field
DocType
reverse transcriptase,prediction error,statistical significance,decision tree classifier,drug resistance,information content,machine learning
Genotype,Gene,Biology,Reverse transcriptase,Drug resistance,Genetic variation,Zalcitabine,Bioinformatics,Stavudine,Genetics,Didanosine
Journal
Volume
Issue
ISSN
99
12
0027-8424
Citations 
PageRank 
References 
52
17.97
3
Authors
8
Name
Order
Citations
PageRank
Niko Beerenwinkel1696102.47
Barbara Schmidt26926.57
Hauke Walter315240.07
Rolf Kaiser421347.27
Thomas Lengauer53155605.03
Daniel Hoffmann627143.71
Klaus Korn715240.07
Joachim Selbig877293.34