Tuerhanbayi, B. | bioRxiv Science

bioRxiv2026

High-Resolution Subtyping of Pediatric Low-Grade Glioma Using an Integrated Meta-Clustering Framework

Pediatric low-grade glioma (pLGG) is the most common type of brain tumor in children, accounting for approximately 30% of all central nervous system tumors in children. pLGG has multiple molecular subtypes that differ in disease progression, recurrence patterns, and treatment responses. Conventional wet lab approaches including molecular profiling and histopathological studies for pLGG characterization are time consuming, costly, and laborious. Recently, methods based on artificial intelligence (AI) or machine learning (ML) have been widely used for pLGG molecular categorization, but most of them can only identify two or three pLGG subtypes. To more comprehensively characterize the molecular subtypes of pLGG and their potential biological and therapeutic significance, we develop an integrated meta-clustering approach, namely Meta-pLGG, that can explore high resolution molecular subtypes and their transcriptional heterogeneity for pLGG. Specifically, we first performed multiple rounds of random projection (RP) to generate dimension-reduced feature vectors from pLGG transcriptomics data, each of which was subsequently clustered by different clustering algorithms including hierarchical clustering, K-means, Self-Organizing Maps (SOM), Non-negative Matrix Factorization (NMF), Gaussian Mixture Model (GMM), and Spectral Clustering, as base clustering methods. Then, to yield robust clustering performance, we integrated the clustering results of these RP based individual clustering algorithms by adopting a weighted meta-clustering (wMetaC) approach. Results based on 532 pLGG patients suggested that our proposed approach demonstrated superior stability and discriminative powers for higher resolution pLGG subtyping compared to conventional approaches. Based on consensus matrix analysis, we identified two major pLGG mega-subtypes, with one further subdivided into three subgroups and the other into two. Then, we performed cluster specific differential gene expression analysis, molecular pathway analysis, and gene-drug-disease association analysis. The results showed that the identified five subgroups exhibited significant subtype-specific transcriptomic heterogeneity. In summary, our meta-clustering approach demonstrated much higher performance and robustness in identifying higher resolution molecular subtypes of pLGG, revealing the molecular heterogeneity within pLGG and potentially providing new insights for more precise molecular subtyping and precision therapy.

bioinformatics↗

bioRxiv2026

MetaAMI: A Novel Meta-Learning Approach for Predicting In-Hospital Mortality in Acute Myocardial Infarction

Acute myocardial infarction (AMI) is one of the leading cardiovascular diseases worldwide and remains a major cause of mortality. Early risk prediction can help clinicians identify high risk patients shortly after admission and support timely monitoring and individualized treatment. Previous AMI risk assessment approaches predominantly rely on a single model structure or fixed feature representation, which may limit their ability to capture diverse risk related patterns and reduce predictive performance. To address these challenges, we propose MetaAMI, a random projection based meta-learning framework for AMI outcome prediction. Specifically, patients were selected based on ICD-9 and ICD-10 diagnostic codes for AMI from the Medical Information Mart for Intensive Care IV (MIMIC-IV) v3.1 database. Features were transformed through multiple random projections, with each random projection generating a distinct lower dimensional feature representation. Subsequently, baseline classifiers were trained on each lower dimension representation to predict in-hospital mortality among AMI patients. The predictions were aggregated to construct an integrated feature representation, which was used as input to a meta-learner architecture. By effectively integrating complementary information from diverse baseline models, the meta-learner refined the decision boundary and enhanced overall predictive performance. Survival analysis and SHapley Additive exPlanations (SHAP) analysis were further performed to evaluate clinical utility and interpret the model predictions. Benchmarking results based on MIMIC-IV dataset suggested that our MetaAMI consistently outperformed all the baseline classifiers across seven evaluation metrics including Accuracy, Area Under the Curve (AUC), F1 Score, G-Measure, Jaccard Index, Youden J, and Matthews Correlation Coefficient (MCC). In addition, feature importance analysis showed clinically relevant predictors of in-hospital mortality. In summary, MetaAMI provides an effective and robust solution for machine learning based AMI risk prediction. We anticipate that the application of MetaAMI will have a positive impact on clinical risk stratification and personalized treatment strategies for AMI.

bioinformatics↗