A Metagenomic Hybrid Classifier for Paediatric Inflammatory Bowel Disease

Abstract—Inflammatory bowel disease (IBD) is a group of inflammatory diseases of the human colon and small intestine. IBD symptoms are non-specific; diagnosis can be delayed becausean invasive colonoscopy is required for confirmation. Delayed diagnosis is linked to poor growth in children. Imbalances in the human intestinal microbiome - the community of microorganismsthat reside in the human gut - are thought to contribute to the development of IBD. Work done to date in classifying host health statuses from patterns in human micro biomes with supervised learning algorithms has focused on modelling what is present in the gut (i.e. a bacterial census) with the random forest algorithm. Metagenomic shotgun sequencing is required to understand what is occurring in the gut (i.e. gene functions) and is often cost prohibitive for hundreds of samples. However, gene functions can be predicted with the Phylogenetic Investigation ofCommunities by Reconstruction of Unobserved States (PiCRUSt) software package, which could represent a valuable source of new features. In this paper we investigate feature relevanceacross the feature set with the Boruta algorithm. We find that the majority of relevant features are from the predicted metagenome. Support vector machines (SVM) and multilayer perceptrons (MLP) are rarely used with macrobiotic datasets but offer several theoretical advantages. To determine if the new features and alternative algorithms are appropriate, we experiment with a range of machine learning and computational intelligence algorithms. With the best performing algorithms we also implement a conditional multiple classifier system that can identify IBD presence, IBD subtype, and IBD activity from a non-invasive stool sample.