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Using graph technology to
drive diabetes research
Dr. Alexander Jarasch

Head of data and knowledge management

German Center for Diabetes Research (DZD)
What is diabetes
diabetes
T1D diabetes
Gestational
diabetes 
special types
T2D diabetes
Numbers worldwide
1 in 11 adults has diabetes (425 million)

Since 1980 quadrupled
12% of global health expenditure is
spent on diabetes ($727 billion)
Over 1 million children and
adolescents have type 1 diabetesTwo-thirds of people with diabetes are of 

working age (327 million)
2017
Three quarters of people with diabetes 

live in low and middle income countries
1 in 2 adults with diabetes is 

undiagnosed (212 million)
International Diabetes Federation (IDF)
2017
Some numbers (USA and Germany)
30 million have diabetes (9.4 % of adults )1

+1‘500‘000 p.a.

84 mio. prediabetes2
$327 billion USD costs p.a.1

($237 bn. medical costs,

$90 bn. reduced productivity)2
16 billion
€ costs p.a.1
7 million have diabetes (7.4 % of adults)1

+500‘000 p.a.
~ 7 mio. prediabetes and undiagnozed
Overweight/obesity in the US
obese adults in the US (BMI* >= 30)
*BMI=30: 5”11 = 220,46 lbs (180cm = 100 kg)
Complications
kidney

Diabetic nephropathy
40 % of kidney failure/dialysis
feet
70 % of all foot
amputations
eyes

Diabetic retinopathy
30 % of loss of sight
brain

2-4 fold increased risk 

for stroke
acute cardiac death

Main reason of death of diabetic
patients
(33 % of all heart attacks)
nerves

Diabetic Neuropathy
Amputations of extremeties
Who we are
German Center for Diabetes Research
5 Partners, 5 associated partners – 400 researchers (basic research and university hospitals)
DZD bundles competencies so that those affected benefit more quickly from research results.
academic, non-profit
German Center for Diabetes Research
diabetes
treatment
diabetes
prevention
prevention of
complications
hospitals
prevention
nutrition / diet
beta cells
genetics
therapy
clinial studies
cohorts
basic researchhealthcare
Goal: Better Prevention and therapy
Precision prevention and therapy
identify and cluster diabetes subtypes
Precision treatment of subtypes
How do we use graph technology?
lipid metabolism
This is how data in biology actually looks like…
A zoom…
Hospitals
Basic

Research
Data

Analysis
“Patient“
64kg, 178cm, male
“drug“
Metformin
“Study“
T2D
insulin resistance
“Gene“
AAGCTTCACATGG
“Metabolite“
C6H12O6
cell
inactive
mice
prediabetic pig
“statistics“
microscope

image
complications
Why (the heck) is everything stored 

in relational data silos?
DZDconnect - a Neo4j graphDB
“Patient“
64kg, 178cm, male
“drug“
Metformin
“Study“
T2D
“statistics“
“Gene“
AAGCTTCACATGG
“Metabolite“
C6H12O6
insulin resistance
cell
inactive
mice
prediabetic pig
microscope

image
complications
For the public
What questions can we answer?
Goals:
1. Connect data from our clinical studies and biobanks
2. Researches can easily browse through measured parameters and available biosamples
3. Meta data of parameters helps to assess which samples are comparable
How many biosamples were aquired in visit 17 of ‘PLIS‘ and which
parameters were measured?
match (s:Study{name:’PLIS’})->[ ]->(v:Visit {no:17})-[:AQUIRED_BIOSAMPLE]->(b:BioSample)-[:MEASURED_PARAMETER]->(p:Parameter)



return count(b), p
Study
Person
Visit
BioSample
Experiment
Parameter
Query clinical parameters and biosamples
Mapping of molecules between species through metabolic pathways
genomics
transcriptomics
metabolomics
proteomics
Extend in-house knowledge
~800 mio. nodes
~800 mio. relationships

Mapping between human and prediabetic pig
SNPs
targeted
metabolomics
n=104
annotated: diabetes
genomics
transcriptomics
metabolomics
pathway analysis
DZD

experiments
GWAS cataloge
metabolite n=16
Biocrates

experim
ent
ENSEMBLE
gene IDs
KEGG
gene IDs
KEGG
protein IDs
KEGG metabolite IDs
metabolite
n=7 (of 16)

Xxaa C11:0

Xxaa C11:1
Xxaa C11:2

Xxaa C11:3
Xxaa C11:4

Xxaa C11:5
Xxaa C11:6
ENSEMBL
gene
n=97
m
apping
KEGG gene
n=96
m
apping
KEGG
enzyme
n=16
translated
in
KEGG
metabolite
n=63
connected to
KEGG
metabolite
n=31
mapping
Incorporating external knowledge to our in-house data
Natural language processing
Abstract
Identification of genetic elements in metabolism by high-throughput mouse phenotyping.
Metabolic diseases are a worldwide problem but the underlying
genetic factors and their relevance to metabolic disease remain
incompletely understood. Genome-wide research is needed to
characterize so-far unannotated mammalian metabolic genes.
Here, we generate and analyze metabolic phenotypic data
of 2016 knockout mouse strains under the aegis of the
International Mouse Phenotyping Consortium (IMPC) and find 974
gene knockouts with strong metabolic phenotypes. 429 of those
had no previous link to metabolism and 51 genes remain functionally completely unannotated.
We compared human orthologues of these uncharacterized genes in
five GWAS consortia and indeed 23 candidate genes, like ABC1, XYZ2, are associated
with metabolic disease. We further identify common regulatory elements in promoters of
candidate genes. As each regulatory element is composed of several transcription factor
binding sites, our data reveal an extensive metabolic phenotype-associated network of co-
regulated genes.
Our systematic mouse phenotype analysis thus paves the way for full functional annotation of
the genome. Metabolic disorders, including obesity and type 2 diabetes mellitus, are major
challenges for public health.
Rozman and Hrabe de Angelis, Nat Commun. 2018
NLP method by GraphAware
Keywords Abstracts
Find connections to 

other diseases
Alzheimer‘s
cancer
cardio
vascular
diseases
diabetes
Lung
diseases
infectious
diseases
Take home message
From 2D data representation to graphs!
Across locations, disciplines and species (diseases)
Enabling a new level of data analysis

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Neo4j GraphTalk Basel - Using Graph Technology to drive Diabetes Reserach

  • 1. Using graph technology to drive diabetes research Dr. Alexander Jarasch
 Head of data and knowledge management German Center for Diabetes Research (DZD)
  • 4. Numbers worldwide 1 in 11 adults has diabetes (425 million)
 Since 1980 quadrupled 12% of global health expenditure is spent on diabetes ($727 billion) Over 1 million children and adolescents have type 1 diabetesTwo-thirds of people with diabetes are of 
 working age (327 million) 2017 Three quarters of people with diabetes 
 live in low and middle income countries 1 in 2 adults with diabetes is 
 undiagnosed (212 million) International Diabetes Federation (IDF) 2017
  • 5. Some numbers (USA and Germany) 30 million have diabetes (9.4 % of adults )1
 +1‘500‘000 p.a.
 84 mio. prediabetes2 $327 billion USD costs p.a.1
 ($237 bn. medical costs,
 $90 bn. reduced productivity)2 16 billion € costs p.a.1 7 million have diabetes (7.4 % of adults)1
 +500‘000 p.a. ~ 7 mio. prediabetes and undiagnozed
  • 6. Overweight/obesity in the US obese adults in the US (BMI* >= 30) *BMI=30: 5”11 = 220,46 lbs (180cm = 100 kg)
  • 7. Complications kidney
 Diabetic nephropathy 40 % of kidney failure/dialysis feet 70 % of all foot amputations eyes
 Diabetic retinopathy 30 % of loss of sight brain
 2-4 fold increased risk 
 for stroke acute cardiac death
 Main reason of death of diabetic patients (33 % of all heart attacks) nerves
 Diabetic Neuropathy Amputations of extremeties
  • 9. German Center for Diabetes Research 5 Partners, 5 associated partners – 400 researchers (basic research and university hospitals) DZD bundles competencies so that those affected benefit more quickly from research results. academic, non-profit
  • 10. German Center for Diabetes Research diabetes treatment diabetes prevention prevention of complications hospitals prevention nutrition / diet beta cells genetics therapy clinial studies cohorts basic researchhealthcare
  • 11. Goal: Better Prevention and therapy Precision prevention and therapy identify and cluster diabetes subtypes Precision treatment of subtypes
  • 12. How do we use graph technology?
  • 13. lipid metabolism This is how data in biology actually looks like…
  • 15. Hospitals Basic
 Research Data
 Analysis “Patient“ 64kg, 178cm, male “drug“ Metformin “Study“ T2D insulin resistance “Gene“ AAGCTTCACATGG “Metabolite“ C6H12O6 cell inactive mice prediabetic pig “statistics“ microscope
 image complications Why (the heck) is everything stored 
 in relational data silos?
  • 16. DZDconnect - a Neo4j graphDB “Patient“ 64kg, 178cm, male “drug“ Metformin “Study“ T2D “statistics“ “Gene“ AAGCTTCACATGG “Metabolite“ C6H12O6 insulin resistance cell inactive mice prediabetic pig microscope
 image complications
  • 18. What questions can we answer?
  • 19. Goals: 1. Connect data from our clinical studies and biobanks 2. Researches can easily browse through measured parameters and available biosamples 3. Meta data of parameters helps to assess which samples are comparable How many biosamples were aquired in visit 17 of ‘PLIS‘ and which parameters were measured? match (s:Study{name:’PLIS’})->[ ]->(v:Visit {no:17})-[:AQUIRED_BIOSAMPLE]->(b:BioSample)-[:MEASURED_PARAMETER]->(p:Parameter)
 
 return count(b), p
  • 21. Mapping of molecules between species through metabolic pathways
  • 23. Mapping between human and prediabetic pig SNPs targeted metabolomics n=104 annotated: diabetes genomics transcriptomics metabolomics pathway analysis DZD
 experiments GWAS cataloge metabolite n=16 Biocrates
 experim ent ENSEMBLE gene IDs KEGG gene IDs KEGG protein IDs KEGG metabolite IDs metabolite n=7 (of 16)
 Xxaa C11:0
 Xxaa C11:1 Xxaa C11:2
 Xxaa C11:3 Xxaa C11:4
 Xxaa C11:5 Xxaa C11:6 ENSEMBL gene n=97 m apping KEGG gene n=96 m apping KEGG enzyme n=16 translated in KEGG metabolite n=63 connected to KEGG metabolite n=31 mapping
  • 24. Incorporating external knowledge to our in-house data
  • 25. Natural language processing Abstract Identification of genetic elements in metabolism by high-throughput mouse phenotyping. Metabolic diseases are a worldwide problem but the underlying genetic factors and their relevance to metabolic disease remain incompletely understood. Genome-wide research is needed to characterize so-far unannotated mammalian metabolic genes. Here, we generate and analyze metabolic phenotypic data of 2016 knockout mouse strains under the aegis of the International Mouse Phenotyping Consortium (IMPC) and find 974 gene knockouts with strong metabolic phenotypes. 429 of those had no previous link to metabolism and 51 genes remain functionally completely unannotated. We compared human orthologues of these uncharacterized genes in five GWAS consortia and indeed 23 candidate genes, like ABC1, XYZ2, are associated with metabolic disease. We further identify common regulatory elements in promoters of candidate genes. As each regulatory element is composed of several transcription factor binding sites, our data reveal an extensive metabolic phenotype-associated network of co- regulated genes. Our systematic mouse phenotype analysis thus paves the way for full functional annotation of the genome. Metabolic disorders, including obesity and type 2 diabetes mellitus, are major challenges for public health. Rozman and Hrabe de Angelis, Nat Commun. 2018 NLP method by GraphAware Keywords Abstracts
  • 26. Find connections to 
 other diseases Alzheimer‘s cancer cardio vascular diseases diabetes Lung diseases infectious diseases
  • 27. Take home message From 2D data representation to graphs! Across locations, disciplines and species (diseases) Enabling a new level of data analysis