Predicting response to short-acting bronchodilator medication using Bayesian networks

Pharmacogenomics. 2009 Sep;10(9):1393-412. doi: 10.2217/pgs.09.93.

Abstract

Aims: Bronchodilator response tests measure the effect of beta(2)-agonists, the most commonly used short-acting reliever drugs for asthma. We sought to relate candidate gene SNP data with bronchodilator response and measure the predictive accuracy of a model constructed with genetic variants.

Materials & methods: Bayesian networks, multivariate models that are able to account for simultaneous associations and interactions among variables, were used to create a predictive model of bronchodilator response using candidate gene SNP data from 308 Childhood Asthma Management Program Caucasian subjects.

Results: The model found that 15 SNPs in 15 genes predict bronchodilator response with fair accuracy, as established by a fivefold cross-validation area under the receiver-operating characteristic curve of 0.75 (standard error: 0.03).

Conclusion: Bayesian networks are an attractive approach to analyze large-scale pharmacogenetic SNP data because of their ability to automatically learn complex models that can be used for the prediction and discovery of novel biological hypotheses.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Asthma / drug therapy*
  • Asthma / genetics*
  • Asthma / physiopathology
  • Bayes Theorem
  • Bronchodilator Agents / therapeutic use*
  • Child
  • Data Interpretation, Statistical
  • Female
  • Genetic Variation
  • Genotype
  • Humans
  • Logistic Models
  • Male
  • Neural Networks, Computer
  • Pharmacogenetics
  • Polymorphism, Single Nucleotide
  • Predictive Value of Tests
  • Reproducibility of Results
  • Respiratory Function Tests

Substances

  • Bronchodilator Agents