Biologically Disentangled Multi-Omic Modeling Reveals Mechanistic Insights into Pan-Cancer Immunotherapy Resistance

Fuente: arXiv
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Auteurs principaux: Tariq, Ifrah, Fraenkel, Ernest
Format: Preprint
Publié: 2025
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author Tariq, Ifrah
Fraenkel, Ernest
author_facet Tariq, Ifrah
Fraenkel, Ernest
contents Immune checkpoint inhibitors (ICIs) have transformed cancer treatment, yet patient responses remain highly variable, and the biological mechanisms underlying resistance are poorly understood. While machine learning models hold promise for predicting responses to ICIs, most existing methods lack interpretability and do not effectively leverage the biological structure inherent to multi-omics data. Here, we introduce the Biologically Disentangled Variational Autoencoder (BDVAE), a deep generative model that integrates transcriptomic and genomic data through modality- and pathway-specific encoders. Unlike existing rigid, pathway-informed models, BDVAE employs a modular encoder architecture combined with variational inference to learn biologically meaningful latent features associated with immune, genomic, and metabolic processes. Applied to a pan-cancer cohort of 366 patients across four cancer types treated with ICIs, BDVAE accurately predicts treatment response (AUC-ROC = 0.94 on unseen test data) and uncovers critical resistance mechanisms, including immune suppression, metabolic shifts, and neuronal signaling. Importantly, BDVAE reveals that resistance spans a continuous biological spectrum rather than strictly binary states, reflecting gradations of tumor dysfunction. Several latent features correlate with survival outcomes and known clinical subtypes, demonstrating BDVAE's capability to generate interpretable, clinically relevant insights. These findings underscore the value of biologically structured machine learning in elucidating complex resistance patterns and guiding precision immunotherapy strategies.
format Preprint
id arxiv_https___arxiv_org_abs_2508_18638
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Biologically Disentangled Multi-Omic Modeling Reveals Mechanistic Insights into Pan-Cancer Immunotherapy Resistance
Tariq, Ifrah
Fraenkel, Ernest
Machine Learning
Quantitative Methods
Immune checkpoint inhibitors (ICIs) have transformed cancer treatment, yet patient responses remain highly variable, and the biological mechanisms underlying resistance are poorly understood. While machine learning models hold promise for predicting responses to ICIs, most existing methods lack interpretability and do not effectively leverage the biological structure inherent to multi-omics data. Here, we introduce the Biologically Disentangled Variational Autoencoder (BDVAE), a deep generative model that integrates transcriptomic and genomic data through modality- and pathway-specific encoders. Unlike existing rigid, pathway-informed models, BDVAE employs a modular encoder architecture combined with variational inference to learn biologically meaningful latent features associated with immune, genomic, and metabolic processes. Applied to a pan-cancer cohort of 366 patients across four cancer types treated with ICIs, BDVAE accurately predicts treatment response (AUC-ROC = 0.94 on unseen test data) and uncovers critical resistance mechanisms, including immune suppression, metabolic shifts, and neuronal signaling. Importantly, BDVAE reveals that resistance spans a continuous biological spectrum rather than strictly binary states, reflecting gradations of tumor dysfunction. Several latent features correlate with survival outcomes and known clinical subtypes, demonstrating BDVAE's capability to generate interpretable, clinically relevant insights. These findings underscore the value of biologically structured machine learning in elucidating complex resistance patterns and guiding precision immunotherapy strategies.
title Biologically Disentangled Multi-Omic Modeling Reveals Mechanistic Insights into Pan-Cancer Immunotherapy Resistance
topic Machine Learning
Quantitative Methods
url https://arxiv.org/abs/2508.18638