Osteoarthritis

Peripheral Blood DNA Methylation–Based Machine Learning Models for Prediction of Knee Osteoarthritis Progression: Biologic Specimens and Data From the Osteoarthritis Initiative and Johnston County Osteoarthritis Project

Arthritis RheumatolPublished Prognostic model development and validation study

Authors' conclusion

Our data suggest that pain and structural progression share similar early systemic immune epigenotypes.

Study context

Population
Individuals from the Osteoarthritis Biomarkers Consortium (OABC); validation in Johnston County Osteoarthritis Project and Osteoarthritis InitiativeOABC
Participants
554 individuals
Comparison
Full models vs Parsimonious models
Outcome
Classification of future knee OA progression (pain, radiographic, pain plus radiographic, any progression)
Methodological detailsmachine learning, genome-wide DNA methylation (Illumina Infinium MethylationEPIC 850K arrays), development and validation sets, external validation in independent cohorts
  • Machine learning
  • Genome-wide DNA methylation (Illumina Infinium MethylationEPIC 850K arrays)
  • Development and validation sets
  • External validation in independent cohorts

Performance

As reported in the abstract

Classification of future knee OA progression (OABC)
Full models, radiographic-only progression: mean ± SEM accuracy; AUC
87 ± 0.8%; 0.94 ± 0.004
Full models, pain-only progression: accuracy; AUC
89 ± 0.9%; 0.97 ± 0.004
Full models, pain plus radiographic progression: accuracy; AUC
72 ± 0.7%; 0.79 ± 0.006
Full models, any progression: accuracy; AUC
78 ± 0.4%; 0.86 ± 0.004
Pain-only vs radiographic-only progressors not distinguishable: mean ± SEM accuracy; AUC
58 ± 1%; 0.62 ± 0.001

Further findings

Parsimonious models, radiographic progression in validation cohorts

JoCo osteoarthritis (OA) Project: mean ± SEM accuracy; AUC
80 ± 0.3%; 0.88 ± 0.003
Previous Osteoarthritis Initiative (OAI) data: accuracy; AUC
80 ± 0.8%; 0.89 ± 0.002
Parsimonious models showed similar performance to full models

Original publication

Peripheral Blood DNA Methylation–Based Machine Learning Models for Prediction of Knee Osteoarthritis Progression: Biologic Specimens and Data From the Osteoarthritis Initiative and Johnston County Osteoarthritis Project. Arthritis Rheumatol. Published 21 November 2022. doi:10.1002/art.42316

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