Cited by 294Advanced Graph Neural NetworksBioinformatics and Genomic NetworksComputational Drug Discovery Methods

The DOI matches its Crossref record; 200 of the 218 references it cites were found in a registry or an index; 3 of the 169 sources its claims cite were checked for support.

Graph representation learning in biomedicine and healthcare

Open access
Li, Michelle M., Huang, Kexin, Zitnik, Marinka·2022·Nature Biomedical Engineering

Abstract

Networks—or graphs—are universal descriptors of systems of interacting elements. In biomedicine and healthcare, they can represent, for example, molecular interactions, signalling pathways, disease co-morbidities or healthcare systems. In this Perspective, we posit that representation learning can realize principles of network medicine, discuss successes and current limitations of the use of representation learning on graphs in biomedicine and healthcare, and outline algorithmic strategies that leverage the topology of graphs to embed them into compact vectorial spaces. We argue that graph representation learning will keep pushing forward machine learning for biomedicine and healthcare applications, including the identification of genetic variants underlying complex traits, the disentanglement of single-cell behaviours and their effects on health, the assistance of patients in diagnosis and treatment, and the development of safe and effective medicines. This Perspective outlines the successes and limitations of graph deep learning for biomedical and healthcare applications.

Overview

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TL;DR

This review argues that long-standing systems biology and medicine principles—such as the local hypothesis, shared components hypothesis, disease module hypothesis, and network parsimony—provide conceptual grounding for graph representation learning in biomedicine. It surveys shallow embeddings, graph neural networks, and generative graph models across molecular, genomic, therapeutic, and healthcare applications.

Key findings

  • Graph representation learning learns compact vector embeddings in which nodes with similar network neighborhoods are placed close together, and it can be viewed as a differentiable engine of network biomedicine principles including the local hypothesis, shared components hypothesis, disease module hypothesis, and network parsimony.
  • The reviewed methods span shallow graph embeddings (e.g., DeepWalk, node2vec, LINE, knowledge graph embeddings), graph neural networks with message passing, neighborhood aggregation, and representation updates, and deep generative graph models using variational autoencoders, generative adversarial networks, junction trees, and sequential node/edge sampling.
  • Biomedical applications covered include protein structure, protein interactions, and protein function; gene expression, single-cell RNA sequencing, and spatial molecular profiling; drug-target, drug-drug, and drug-disease prediction; and patient-specific networks from histopathology images and electronic health records.
  • No primary numerical results or benchmark performance numbers are reported in this review.

Methods

  • Design: narrative review/survey, not a primary empirical study; it synthesizes graph representation learning approaches and biomedical applications.
  • Data or sample: no new dataset is analyzed; the paper discusses published methods and application areas across molecular, genomic, therapeutic, and healthcare domains.
  • Main analysis: conceptual synthesis linking graph representation learning to systems biology and medicine principles, organized into shallow graph embedding approaches, graph neural networks, and generative graph models.

Limitations

  • Stated in the paper: graphs contain complex topographical structure, have no fixed node ordering or reference points, and comprise many different entity and edge types, which classic deep learning methods are unable to handle directly.
  • Stated in the paper: biomedical networks are often incomplete or limited—for example, PPI networks are limited in nodes and edges due to experimental and resource constraints, gene expression data can be noisy and variational, and PPI networks cannot capture all gene regulatory activities.
  • Evident from the text: as a review, it provides no empirical benchmark, systematic search protocol, or quantitative comparison; it also notes that explainability, fairness, and robustness of graph representations remain essential but unresolved needs in clinical applications.

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Integrity signals

Registry

Crossref · 10.1038/s41551-022-00942-x

Cites

200 of 200 references verified0 citation errors · 0 not checkable

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Claims the paper makes

96 Not checked yet · 23 No basis given · 12 Own interpretation · 1 Partly supported · accuracy not yet measured

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  • Probably not a substantial claim. 42
  • It may state two separate claims as one. 27
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  • The paper relies on this without support.

    A predominant approach to analyze single-cell RNA sequencing datasets is to transform them into gene similarity networks or cell similarity networks by correlating gene expression readouts across individual cells.

    “In particular, a predominant approach to analyze scRNA-seq datasets is to transform them into gene similarity networks, such as gene co-expression networks, or cell similarity networks by correlating gene expression readouts across individual cells.”
  • The paper relies on this without support.

    Cross-domain expertise is necessary to develop a drug with optimal binding affinity and specificity to biomarkers, maximal therapy efficacy, and minimal adverse effects.

    “However, cross-domain expertise is necessary to develop a drug with the optimal binding affinity and specificity to biomarkers, maximal therapy efficacy, and minimal adverse effects.”
  • The paper relies on this without support.

    It is critical to integrate chemical structure information, protein interactions, and clinically relevant data into predictive models for drug discovery and repurposing.

    “As a result, it is critical to integrate chemical structure information, protein interactions, and clinically relevant data (e.g., indications and reported side effects) into predictive models for drug discovery and repurposing.”
  • The paper relies on this without support.

    The hierarchical information inherent to ICD codes naturally lends itself to creating a rich network of medical knowledge.

    “The hierarchical information inherent to ICD codes (medical ontologies) naturally lend itself to creating a rich network of medical knowledge.”
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Citations

Cites

Show all 218 references

Research works printed but not linked: 39

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Metadata

Authors
Li, M. M., Huang, K., & Zitnik, M.
Affiliations
Harvard University (US)
Venue
Nature Biomedical Engineering
Published
2022-10-31
Volume
6
Issue
12
Pages
1353-1369
ISSN
2157-846X (ISSN-L)
OpenAlex
W4307717106
Cited by
294
References
218
Citations by year
2026: 66 · 2025: 85 · 2024: 93 · 2023: 42 · 2022: 8
FWCI
4.00
Type
journal article
Language
en
Open access
Locations
  • Nature Biomedical Engineering (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • arXiv (Cornell University) (submittedVersion)
  • arXiv (Cornell University) (cc-by)
Funders
  • National Science Foundation (2030459, 2033384)
  • AstraZeneca
  • U.S. Air Force (FA8702‐15‐D‐0001)
  • Harvard Data Science Initiative, Harvard University
  • National Human Genome Research Institute (T32HG002295)
Topics
  • Physical Sciences › Computer Science › Artificial Intelligence › Advanced Graph Neural Networks
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bioinformatics and Genomic Networks
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Drug Discovery › Computational Drug Discovery Methods
Keywords
graph representation learning, network medicine, biomedical networks, graph embedding, molecular interaction networks, signaling pathways, health care system, genetic variant identification, complex traits, diagnosis and treatment, drug development
MeSH terms
Machine Learning, Delivery of Health Care, Humans

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