<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ntv</journal-id><journal-title-group><journal-title xml:lang="ru">Научно-технический вестник информационных технологий, механики и оптики</journal-title><trans-title-group xml:lang="en"><trans-title>Scientific and Technical Journal of Information Technologies, Mechanics and Optics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2226-1494</issn><issn pub-type="epub">2500-0373</issn><publisher><publisher-name>Университет ИТМО</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17586/2226-1494-2024-24-4-594-601</article-id><article-id custom-type="elpub" pub-id-type="custom">ntv-235</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КОМПЬЮТЕРНЫЕ СИСТЕМЫ И ИНФОРМАЦИОННЫЕ ТЕХНОЛОГИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>COMPUTER SCIENCE</subject></subj-group></article-categories><title-group><article-title>Предсказание связей «ген-болезнь» с помощью гетерогенной графовой нейронной сети</article-title><trans-title-group xml:lang="en"><trans-title>Predicting gene-disease associations using a heterogeneous graph neural network</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-0571-5192</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сидоренко</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sidorenko</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сидоренко Денис Александрович — аспирант</p><p>Санкт-Петербург, 197101</p></bio><bio xml:lang="en"><p>Denis A. Sidorenko — PhD Student</p><p>Saint Petersburg, 197101</p></bio><email xlink:type="simple">denisissveta@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2723-2077</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шалыто</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shalyto</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шалыто Анатолий Абрамович — доктор технических наук, профессор, главный научный сотрудник, профессор</p><p>Санкт-Петербург, 197101</p></bio><bio xml:lang="en"><p>Anatoly A. Shalyto — D.Sc., Full Professor, Chief Scientific Researcher</p><p>Saint Petersburg, 197101</p></bio><email xlink:type="simple">shalyto@mail.ifmo.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Университет ИТМО</institution><country>Россия</country></aff><aff xml:lang="en"><institution>ITMO University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>11</day><month>12</month><year>2024</year></pub-date><volume>24</volume><issue>4</issue><fpage>594</fpage><lpage>601</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сидоренко Д.А., Шалыто А.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Сидоренко Д.А., Шалыто А.А.</copyright-holder><copyright-holder xml:lang="en">Sidorenko D.A., Shalyto A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://ntv.elpub.ru/jour/article/view/235">https://ntv.elpub.ru/jour/article/view/235</self-uri><abstract><p>Введение. Представлены результаты разработки модели гетерогенной графовой нейронной сети для предсказания ассоциаций между генами и заболеваниями на основе имеющихся геномных и медицинских данных. Новизна предложенного подхода состоит в объединении концепций графовых нейронных сетей и гетерогенных информационных сетей для эффективной обработки структурированных данных и учета сложных взаимодействий между генами и патологиями. Метод. Предложенное решение представляет собой гетерогенную графовую нейронную сеть, которая использует гетерогенную графовую структуру для представления генов, болезней и их взаимосвязей. Основные результаты. Оценка точности разработанной модели проведена на наборах данных DisGeNET, LASTFM, YELP. На этих же данных выполнено сравнение результатов с наиболее сильными моделями. Показано превосходство предложенной модели по метрикам точности Average Precision (AP), F1-меры (F1@S), Hit@k, Area Under Receiver Operating Characteristic curve (AUROC) при предсказании ассоциаций «ген-болезнь». Обсуждение. Разработанная модель может использоваться как инструмент биоинформатического анализа и в качестве вспомогательного средства для исследователей и врачей при изучении генетических заболеваний. Такой подход может ускорить процесс открытия новых лекарственных мишеней и разработку персонализированной медицины.</p></abstract><trans-abstract xml:lang="en"><p>The research presents the development of a heterogeneous graph neural network model for predicting gene-disease using existing genomic and medical data. The novelty of the approach is in integrating the principles of graph neural networks and heterogeneous information networks for efficient processing of structured data and consideration of complex genepathology interactions. The solution proposed is a heterogeneous graph neural network which utilizes a heterogeneous graph structure for representing genes, diseases, and their relationships. The performance of the developed model was evaluated on the DisGeNET, LASTFM, YELP datasets. On these datasets, a comparison was made with current SOTA models. The comparison results demonstrated that the proposed model outperforms other models in terms of Average Precision (AP), F1-measure (F1@S), Hit@k, Area Under Receiver Operating Characteristic curve (AUROC) in predicting “gene-disease” associations. The model developed serves as a tool for bioinformatics analysis and can aid researchers and doctors in studying genetic diseases. This could expedite the discovery of new drug targets and the advancement of personalized medicine.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>машинное обучение</kwd><kwd>графовые нейронные сети</kwd><kwd>гетерогенные информационные сети</kwd><kwd>биоинформатика</kwd><kwd>генетика</kwd><kwd>предсказание «ген-болезнь» ассоциаций</kwd></kwd-group><kwd-group xml:lang="en"><kwd>machine learning</kwd><kwd>graph neural networks</kwd><kwd>heterogeneous information networks</kwd><kwd>bioinformatics</kwd><kwd>genetics</kwd><kwd>“gene-disease” prediction associations</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Henaff M., Bruna J., LeCun Y. Deep convolutional networks on graph-structured data // arXiv. 2015. arXiv:1506.05163. https://doi.org/10.48550/arXiv.1506.05163</mixed-citation><mixed-citation xml:lang="en">Henaff M., Bruna J., LeCun Y. Deep convolutional networks on graph-structured data. arXiv, 2015, arXiv:1506.05163. https://doi.org/10.48550/arXiv.1506.05163</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Wang X., Bo D., Shi C., Fan S., Ye Y., Yu P.S. A survey on heterogeneous graph embedding: methods, techniques, applications and sources // IEEE Transactions on Big Data. 2023. V. 9. N 2. P. 415–436. https://doi.org/10.1109/TBDATA.2022.3177455</mixed-citation><mixed-citation xml:lang="en">Wang X., Bo D., Shi C., Fan S., Ye Y., Yu P.S. A survey on heterogeneous graph embedding: methods, techniques, applications and sources. IEEE Transactions on Big Data, 2023, vol. 9, no. 2, pp. 415–436. https://doi.org/10.1109/TBDATA.2022.3177455</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Shao B., Li X., Bian G. A survey of research hotspots and frontier trends of recommendation systems from the perspective of knowledge graph // Expert Systems with Applications. 2021. V. 165. P. 113764. https://doi.org/10.1016/j.eswa.2020.113764</mixed-citation><mixed-citation xml:lang="en">Shao B., Li X., Bian G. A survey of research hotspots and frontier trends of recommendation systems from the perspective of knowledge graph. Expert Systems with Applications, 2021, vol. 165, pp. 113764. https://doi.org/10.1016/j.eswa.2020.113764</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">László L. Random walks on graphs: a survey // Combinatorics. V. 2. 1993. P. 1–46.</mixed-citation><mixed-citation xml:lang="en">László L. Random walks on graphs: a survey. Combinatorics. V. 2. 1993, pp. 1–46.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Li L., Wang Y., An L., Kong X., Huang T. A network-based method using a random walk with restart algorithm and screening tests to identify novel genes associated with Menière’s disease // PLOS ONE. 2017. V. 12. N 8. P. e0182592. https://doi.org/10.1371/journal.pone.0182592</mixed-citation><mixed-citation xml:lang="en">Li L., Wang Y., An L., Kong X., Huang T. A network-based method using a random walk with restart algorithm and screening tests to identify novel genes associated with Menière’s disease. PLOS ONE, 2017, vol. 12, no. 8, pp. e0182592. https://doi.org/10.1371/journal.pone.0182592</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Muslu Ö., Hoyt C.T., Lacerda M., Hofmann-Apitius M., Frohlich H. GuiltyTargets: Prioritization of novel therapeutic targets with network representation learning // IEEE/ACM Transactions on Computational Biology and Bioinformatics. 2022. V. 19. N 1. P. 491–500. https://doi.org/10.1109/TCBB.2020.3003830</mixed-citation><mixed-citation xml:lang="en">Muslu Ö., Hoyt C.T., Lacerda M., Hofmann-Apitius M., Frohlich H. GuiltyTargets: Prioritization of novel therapeutic targets with network representation learning. IEEE/ACM Transactions on Computational Biology and Bioinformatics, 2022, vol. 19, no. 1, pp. 491–500. https://doi.org/10.1109/TCBB.2020.3003830</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Li Y., Kuwahara H., Yang P., Song L., Gao X. PGCN: Disease gene prioritization by disease and gene embedding through graph convolutional neural networks // biorxiv.org. 2019. https://doi.org/10.1101/532226</mixed-citation><mixed-citation xml:lang="en">Li Y., Kuwahara H., Yang P., Song L., Gao X. PGCN: Disease gene prioritization by disease and gene embedding through graph convolutional neural networks. biorxiv.org, 2019. https://doi.org/10.1101/532226</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Dutta A., Alcaraz J., TehraniJamsaz A., Cesar E., Sikora A., Jannesari A. Performance optimization using multimodal modeling and heterogeneous GNN // arXiv. 2023. arXiv.2304.12568. https://doi.org/10.48550/arXiv.2304.12568</mixed-citation><mixed-citation xml:lang="en">Dutta A., Alcaraz J., TehraniJamsaz A., Cesar E., Sikora A., Jannesari A. Performance optimization using multimodal modeling and heterogeneous GNN. arXiv, 2023, arXiv.2304.12568. https://doi.org/10.48550/arXiv.2304.12568</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Thanapalasingam T., van Berkel L., Bloem P., Groth P. Relational graph convolutional networks: Closer Look // PeerJ Computer Science. 2022. V. 8. P. e1073. https://doi.org/10.7717/PEERJ-CS.1073</mixed-citation><mixed-citation xml:lang="en">Thanapalasingam T., van Berkel L., Bloem P., Groth P. Relational graph convolutional networks: Closer Look. PeerJ Computer Science, 2022, vol. 8, pp. e1073. https://doi.org/10.7717/PEERJ-CS.1073</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Wang X., Ji H., Shi C., Wang B., Ye Y., Cui P., Yu P.S. Heterogeneous graph attention network // Proc. of the WWW ‘19: The World Wide Web Conference. 2019. P. 2022–2032. https://doi.org/10.1145/3308558.3313562</mixed-citation><mixed-citation xml:lang="en">Wang X., Ji H., Shi C., Wang B., Ye Y., Cui P., Yu P.S. Heterogeneous graph attention network. Proc. of the WWW ‘19: The World Wide Web Conference, 2019, pp. 2022–2032. https://doi.org/10.1145/3308558.3313562</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Ali A., Bagchi A. An overview of protein-protein interaction // Current Chemical Biology. 2015. V. 9. N 1. P. 53–65. https://doi.org/10.2174/221279680901151109161126</mixed-citation><mixed-citation xml:lang="en">Ali A., Bagchi A. An overview of protein-protein interaction. Current Chemical Biology, 2015, vol. 9, no. 1, pp. 53–65. https://doi.org/10.2174/221279680901151109161126</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Malone J., Holloway E., Adamusiak T., Kapushesky M., Zheng J., Kolesnikov N., Zhukova A., Brazma A., Parkinson H. Modeling sample variables with an experimental factor ontology // Bioinformatics. 2010. V. 26. N 8. P. 1112–1118. https://doi.org/10.1093/bioinformatics/btq099</mixed-citation><mixed-citation xml:lang="en">Malone J., Holloway E., Adamusiak T., Kapushesky M., Zheng J., Kolesnikov N., Zhukova A., Brazma A., Parkinson H. Modeling sample variables with an experimental factor ontology. Bioinformatics, 2010, vol. 26, no. 8, pp. 1112–1118. https://doi.org/10.1093/bioinformatics/btq099</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Lee J., Yoon W., Kim S., Kim D., Kim S., So C.H., Kang J. BioBERT: a pre-trained biomedical language representation model for biomedical text mining // Bioinformatics. 2020. V. 36. N 4. P. 1234– 1240. https://doi.org/10.1093/bioinformatics/btz682</mixed-citation><mixed-citation xml:lang="en">Lee J., Yoon W., Kim S., Kim D., Kim S., So C.H., Kang J. BioBERT: a pre-trained biomedical language representation model for biomedical text mining. Bioinformatics, 2020, vol. 36, no. 4, pp. 1234–1240. https://doi.org/10.1093/bioinformatics/btz682</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Zhang X., Zou Y., Shi W. Dilated convolution neural network with LeakyReLU for environmental sound classification // Proc. of the 22nd International Conference on Digital Signal Processing (DSP). 2017. https://doi.org/10.1109/ICDSP.2017.8096153</mixed-citation><mixed-citation xml:lang="en">Zhang X., Zou Y., Shi W. Dilated convolution neural network with LeakyReLU for environmental sound classification. Proc. of the 22nd International Conference on Digital Signal Processing (DSP), 2017. https://doi.org/10.1109/ICDSP.2017.8096153</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Piñero J., Queralt-Rosinach N., Bravo A., Deu-Pons J., Bauer- Mehren A., Baron M., Sanz F., Furlong L.I. DisGeNET: A discovery platform for the dynamical exploration of human diseases and their genes // Database. 2015. V. 2015. https://doi.org/10.1093/database/bav028</mixed-citation><mixed-citation xml:lang="en">Piñero J., Queralt-Rosinach N., Bravo A., Deu-Pons J., Bauer-Mehren A., Baron M., Sanz F., Furlong L.I. DisGeNET: A discovery platform for the dynamical exploration of human diseases and their genes. Database, 2015, vol. 2015. https://doi.org/10.1093/database/bav028</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Alam M., Cevallos B., Flores O., Lunetto R., Yayoshi K., Woo J. Yelp Dataset Analysis using Scalable Big Data // arXiv. 2021. arXiv.2104.08396v1. https://doi.org/10.48550/arXiv.2104.08396</mixed-citation><mixed-citation xml:lang="en">Alam M., Cevallos B., Flores O., Lunetto R., Yayoshi K., Woo J. Yelp Dataset Analysis using Scalable Big Data. arXiv, 2021, arXiv.2104.08396v1. https://doi.org/10.48550/arXiv.2104.08396</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Li Y., Guo X., Lin W., Zhong M., Li Q., Liu Z., Zhong W., Zhu Z. Learning dynamic user interest sequence in knowledge graphs for click-through rate prediction // IEEE Transactions on Knowledge and Data Engineering. 2023. V. 35. N 1. P. 647–657. https://doi.org/10.1109/TKDE.2021.3073717</mixed-citation><mixed-citation xml:lang="en">Li Y., Guo X., Lin W., Zhong M., Li Q., Liu Z., Zhong W., Zhu Z. Learning dynamic user interest sequence in knowledge graphs for click-through rate prediction. IEEE Transactions on Knowledge and Data Engineering, 2023, vol. 35, no. 1, pp. 647–657. https://doi.org/10.1109/TKDE.2021.3073717</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Kuo Y., Wang R., Liu G., Shu Z., Wang N., Zhang R., Yu J., Chen J., Li X., Zhou X. HerGePred: Heterogeneous network embedding representation for disease gene prediction // IEEE Journal of Biomedical and Health Informatics. 2019. V. 23. N 4. P. 1805–1815. https://doi.org/10.1109/JBHI.2018.2870728</mixed-citation><mixed-citation xml:lang="en">Kuo Y., Wang R., Liu G., Shu Z., Wang N., Zhang R., Yu J., Chen J., Li X., Zhou X. HerGePred: Heterogeneous network embedding representation for disease gene prediction. IEEE Journal of Biomedical and Health Informatics, 2019, vol. 23, no. 4, pp. 1805– 1815. https://doi.org/10.1109/JBHI.2018.2870728</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Grover A., Leskovec J. node2vec: Scalable feature learning for networks // Proc. of the KDD’16 . International Conference on Knowledge Discovery &amp; Data Mining. 2016. P. 855–864. https://doi.org/10.1145/2939672.2939754</mixed-citation><mixed-citation xml:lang="en">Grover A., Leskovec J. node2vec: Scalable feature learning for networks. Proc. of the KDD’16 . International Conference on Knowledge Discovery &amp; Data Mining, 2016, pp. 855–864. https://doi.org/10.1145/2939672.2939754</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Yuxiao D., Chawla N., Swami A. metapath2vec: Scalable representation learning for heterogeneous networks // Proc. of the KDD’17 . International Conference on Knowledge Discovery &amp; Data Mining. 2017. P 135–144. https://doi.org/10.1145/3097983.3098036</mixed-citation><mixed-citation xml:lang="en">Yuxiao D., Chawla N., Swami A. metapath2vec: Scalable representation learning for heterogeneous networks. Proc. of the KDD’17 . International Conference on Knowledge Discovery &amp; Data Mining, 2017, pp 135–144. https://doi.org/10.1145/3097983.3098036</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Mikolov T., Chen K., Corrado G., Dean J. Efficient estimation of word representations in vector space // Proc. of the Workshop ICLR. 2013.</mixed-citation><mixed-citation xml:lang="en">Mikolov T., Chen K., Corrado G., Dean J. Efficient Estimation of Word Representations in Vector Space. Proc. of the Workshop ICLR, 2013.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Perozzi B., Al-Rfou R., Skiena S. DeepWalk: Online learning of social representations // Proc. of the KDD’14. 20th ACM SIGKDD International Conference on Knowledge Discovery and Data Mining. 2014. P. 701–710. https://doi.org/10.1145/2623330.2623732</mixed-citation><mixed-citation xml:lang="en">Perozzi B., Al-Rfou R., Skiena S. DeepWalk: Online learning of social representations. Proc. of the KDD’14. 20th ACM SIGKDD International Conference on Knowledge Discovery and Data Mining, 2014, pp. 701–710. https://doi.org/10.1145/2623330.2623732</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Hu Z., Dong Y., Wang K., Sun Y. Heterogeneous graph transformer // Proc. of the WWW ’20. The Web Conference. 2020. P. 2704–2710. https://doi.org/10.1145/3366423.3380027</mixed-citation><mixed-citation xml:lang="en">Hu Z., Dong Y., Wang K., Sun Y. Heterogeneous graph transformer. Proc. of the WWW ’20. The Web Conference, 2020, pp. 2704–2710. https://doi.org/10.1145/3366423.3380027</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">He M., Huang C., Liu B., Wang Y., Li J. Factor graph-aggregated heterogeneous network embedding for disease-gene association prediction // BMC Bioinformatics. 2021. V. 22. P. 165. https://doi.org/10.1186/s12859-021-04099-3</mixed-citation><mixed-citation xml:lang="en">He M., Huang C., Liu B., Wang Y., Li J. Factor graph-aggregated heterogeneous network embedding for disease-gene association prediction. BMC Bioinformatics, 2021, vol. 22, pp. 165. https://doi.org/10.1186/s12859-021-04099-3</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
