Inference of Cancer Progression Models with Biological Noise

Many applications in translational medicine require the understanding of how diseases progress through the accumulation of persistent events. Specialized Bayesian networks called monotonic progression networks offer a statistical framework for modeling this sort of phenomenon. Current machine learning tools to reconstruct Bayesian networks from data are powerful but not suited to progression models. We combine the technological advances in machine learning with a rigorous philosophical theory of causation to produce Polaris, a scalable algorithm for learning progression networks that accounts for causal or biological noise as well as logical relations among genetic events, making the resulting models easy to interpret qualitatively. We tested Polaris on synthetically generated data and showed that it outperforms a widely used machine learning algorithm and approaches the performance of the competing special-purpose, albeit clairvoyant algorithm that is given a priori information about the model parameters. We also prove that under certain rather mild conditions, Polaris is guaranteed to converge for sufficiently large sample sizes. Finally, we applied Polaris to point mutation and copy number variation data in Prostate cancer from The Cancer Genome Atlas (TCGA) and found that there are likely three distinct progressions, one major androgen driven progression, one major non-androgen driven progression, and one novel minor androgen driven progression.