To install this package, start R (version “4.1”) and enter:

```
if (!requireNamespace("BiocManager", quietly = TRUE))
install.packages("BiocManager")
BiocManager::install("oppti")
```

For older versions of R, please refer to the appropriate Bioconductor release.

To view documentation for the version of this package installed in your system, start R and enter:

```
browseVignettes("oppti")
```

You can easily analyze outlying (dysregulated) markers for each sample in a cohort. Lets generate a toy proteomics data for a cohort of 30 disease samples, each quantifying 100 proteins.

```
set.seed(1)
cohort1.proteomes = as.data.frame(matrix(abs(rnorm(100*30)), 100, 30))
rownames(cohort1.proteomes) = paste('marker', 1:100, sep = '')
colnames(cohort1.proteomes) = paste('cohort1.sample', 1:30, sep = '')
```

Outlier analysis is run by the `oppti`

function:

```
library('oppti')
result = oppti(cohort1.proteomes)
```

The outlier scores of each marker in each sample are then returned in the first element of the result:

```
cohort1.outlier.scores = result[[1]]
```

Table: Example matrix of the outlier scores, displayed for the first 10 proteins (rows) and the first 4 samples (columns)

cohort1.sample1 | cohort1.sample2 | cohort1.sample3 | cohort1.sample4 | |
---|---|---|---|---|

marker1 | 0.13 | -0.28 | -0.29 | 0.13 |

marker2 | -0.12 | -0.28 | 0.29 | -0.10 |

marker3 | -0.12 | 0.16 | 0.48 | 0.53 |

marker4 | 0.73 | -0.60 | -0.73 | -0.15 |

marker5 | -0.16 | 0.10 | 1.62 | 0.77 |

marker6 | 0.07 | 0.38 | 0.75 | 0.55 |

marker7 | -0.01 | -0.29 | -0.02 | -0.44 |

marker8 | 0.17 | 0.29 | 0.00 | -0.01 |

marker9 | -0.18 | -0.46 | -0.77 | -0.01 |

marker10 | -0.29 | 0.69 | -0.36 | -0.55 |

In this toy example, marker5 has a (somewhat) elevated outlier score in sample3, suggesting a protruding expression in the disease state of sample3 relative to a normal state (i.e., the consensus co-expression network inferred for marker5). In contrast, a negative sign in the outlier score indicates a negative dysregulation event, i.e., relatively “lower” protein expression is expected in the observed disease state compared to the normal state. The landscape of these aberrant expressions analyzed for a cohort of individuals may serve for the discovery of personalized actionable targets.

The outlier scores correspond to deviations of the observed expressions from the estimated normal states. The estimated normals are given in the second element of the result:

```
cohort1.normal.states = result[[2]]
```

Table: Example matrix of the normal states

cohort1.sample1 | cohort1.sample2 | cohort1.sample3 | cohort1.sample4 | |
---|---|---|---|---|

marker1 | 0.16 | 0.89 | 0.59 | 0.56 |

marker2 | 0.50 | 0.61 | 0.85 | 0.94 |

marker3 | 0.85 | 0.52 | 0.77 | 1.11 |

marker4 | 0.70 | 0.83 | 1.43 | 0.31 |

marker5 | 0.04 | 0.24 | 0.39 | 1.31 |

marker6 | 0.31 | 1.23 | 1.69 | 0.51 |

marker7 | 0.00 | 2.08 | 0.74 | 0.15 |

marker8 | 0.52 | 0.58 | 0.52 | 0.59 |

marker9 | 0.36 | 0.62 | 0.54 | 0.92 |

marker10 | 0.25 | 1.18 | 1.03 | 1.06 |

You can evaluate markers by the odds of obtaining these deviations purely by chance. A Kolmogorov-Smirnov test is performed for each marker between its observed and estimated states, and the p-values are reported in the third element of the result:

```
cohort1.markers.tests = result[[3]]
```

Table: Statistical significance of outlying markers

x | |
---|---|

marker1 | 0.8080 |

marker2 | 0.0346 |

marker3 | 0.3929 |

marker4 | 0.3929 |

marker5 | 0.2391 |

marker6 | 0.1350 |

marker7 | 0.9988 |

marker8 | 0.0709 |

marker9 | 0.3929 |

marker10 | 0.9578 |

For pan-cancer analyses, the normalized proteomics data from different cohorts
can be supplied to `oppti`

in a list object. Lets generate another toy
proteomics data for a separate cohort of 20 disease samples, each quantifying
80 proteins (say, 50 of which are overlapping with those quantified in the
first cohort).

```
cohort2.proteomes = as.data.frame(matrix(abs(rnorm(80*20)), 80, 20))
rownames(cohort2.proteomes) = paste('marker', 51:130, sep = '')
colnames(cohort2.proteomes) = paste('cohort2.sample', 31:50, sep = '')
```

To run `oppti`

for both cohorts, the data are simply fed in a single list
object:

```
result = oppti(list(cohort1.proteomes,cohort2.proteomes))
```

Again, the outlier scores of each marker in each sample are returned in the first element of the result.

```
outlier.scores = result[[1]]
```

However, this object is a list of 2 elements per se, corresponding to two cohorts. To obtain the outlier scores of the first cohort:

```
cohort1.outlier.scores = outlier.scores[[1]]
```

Table: Example outlier scores in cohort1

cohort1.sample1 | cohort1.sample2 | cohort1.sample3 | cohort1.sample4 | |
---|---|---|---|---|

marker1 | 0.13 | -0.28 | -0.29 | 0.13 |

marker2 | -0.12 | -0.28 | 0.29 | -0.10 |

marker3 | -0.12 | 0.16 | 0.48 | 0.53 |

marker4 | 0.73 | -0.60 | -0.73 | -0.15 |

marker5 | -0.16 | 0.10 | 1.62 | 0.77 |

marker6 | 0.07 | 0.38 | 0.75 | 0.55 |

marker7 | -0.01 | -0.29 | -0.02 | -0.44 |

marker8 | 0.17 | 0.29 | 0.00 | -0.01 |

marker9 | -0.18 | -0.46 | -0.77 | -0.01 |

marker10 | -0.29 | 0.69 | -0.36 | -0.55 |

Similarly, for the second cohort the outlier scores are obtained by:

```
cohort2.outlier.scores = outlier.scores[[2]]
```

Table: Example outlier scores in cohort2

cohort2.sample31 | cohort2.sample32 | cohort2.sample33 | cohort2.sample34 | |
---|---|---|---|---|

marker51 | -0.40 | 0.00 | 0.82 | -0.01 |

marker52 | -0.13 | -0.02 | -0.21 | 0.11 |

marker53 | -0.20 | -0.43 | 0.07 | 0.09 |

marker54 | -0.61 | 0.00 | -0.54 | -0.65 |

marker55 | 0.54 | -0.11 | 0.06 | -0.32 |

marker56 | -0.41 | -0.04 | 0.56 | -0.32 |

marker57 | -0.22 | 0.53 | -0.09 | 0.02 |

marker58 | -0.52 | 1.52 | -0.15 | 0.82 |

marker59 | 0.06 | -0.24 | 0.06 | 0.01 |

marker60 | -0.21 | -0.17 | 0.27 | -0.17 |

You can evaluate the markers in terms of outlying events they exhibit across
the cohort by using the `draw.sc.plots`

flag. The outlier samples will be
marked on a scatter plot displaying disease (observed) vs normal (estimated)
expressions. Note that you can always set `panel.markers`

parameter to restrict
your analysis to a specific set of markers.

```
result = oppti(list(cohort1.proteomes,cohort2.proteomes), draw.sc.plots = TRUE,
panel.markers = rownames(cohort1.proteomes)[46:55])
```

To display the summary results of the markers' outlying events across cohorts
you can use `draw.ou.plots`

:

```
result = oppti(list(cohort1.proteomes,cohort2.proteomes), draw.ou.plots = TRUE,
panel.markers = rownames(cohort1.proteomes)[46:55])
```

To narrow down the summary results to a number of markers
you can use `draw.ou.markers`

:

```
result = oppti(list(cohort1.proteomes,cohort2.proteomes),
draw.ou.markers = c('marker50', 'marker55'),
panel.markers = rownames(cohort1.proteomes)[46:55])
```