Table 3.
Event | Genes | Data | AUC | Sens | Spec |
---|---|---|---|---|---|
TCMR | All genes | Training data | 0.96 (0.92–1.00) | 0·85 | 0·89 |
Cross-validation | 0.80 (0.75–0.83) | 0.67 (0.59–0.70) | 0.81 (0.71–0.88) | ||
TCMR | IFNG, IP-10, ITGA4, MARCH8, RORc, | Training data | 0.95 (0.91–1.00) | 0.85 | 0.93 |
SEMA7A, WDR40A | Cross-validation | 0.84 (0.77–0.88) | 0.67 (0.59–0.74) | 0.85 (0.75–0.89) | |
BKVN | All genes | Training data | 0.93 (0.85–1.00) | 0.71 | 0.93 |
Cross-validation | 0.68 (0.64–0.73) | 0 (0–0.25) | 0.91 (0.85–0.94) | ||
BKVN | IL-15, IL1R2, MARCH8, PDCD1, | Training data | 0.95 (0.90–1.00) | 0.71 | 0.91 |
TGFB, WDR40A | Cross-validation | 0.73 (0.66–0.80) | 0.43 (0·29–0.57) | 0.89 (0.83–0.91) |
Signature-development (training) data comprised the following groups of patients defined according to the criteria in Table 1: Rejectors (n = 27) with T-cell mediated rejection providing a single sample per patient, collected between zero and nine days (median three days) prior to the date of the diagnostic biopsy; Stable (n = 27) patients providing a summary (median) of the predicted probabilities for all samples from a given patient (10 to 20 samples per patient, median 12, total 335 samples); BKVN (n = 7) patients with biopsy-proven BK-virus nephropathy providing a single sample per patient collected within seven days before or after a diagnostic biopsy (median zero days); Gene-expression signatures resulted from gene selection based on penalised logistic regression with elastic net penalty (Supplementary Fig. S5 and Fig. S11); AUC – area under the receiver operating characteristics (ROC) curve with 95% DeLong confidence interval; Sens – sensitivity; Spec – specificity; Cut-offs for Sens and Spec– probability of TCMR 0·5, probability of BKVN 0·2; Cross-validation – summary of model performance measures based on the predicted probabilities for unseen data obtained in each of 50 repeats of seven-fold cross-validation cycles – median (2.5th – 97.5th centile).
Highlighted in bold the most relevant AUC.