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CTD should not have "Treats" #978

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cbizon opened this issue Nov 9, 2024 · 4 comments
Open

CTD should not have "Treats" #978

cbizon opened this issue Nov 9, 2024 · 4 comments
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@cbizon
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cbizon commented Nov 9, 2024

The question is "What treats polymyositis?" in PROD
PK = 7aa99faa-37e6-4a63-a604-7d3e73b908d3

image

That treats edge seems to be coming from CTD via BTE:

image

CTD doesn't really report "Treats" as we understand it. It looks like it's coming via molepro. And I'm seeing the same edge in CI.

@cbizon
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cbizon commented Nov 9, 2024

@mbrush

@vdancik
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vdancik commented Nov 12, 2024

@cbizon CTD provides "therapeutic" flag for chemicals:

image

@cbizon
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cbizon commented Nov 12, 2024

That's true, but I don't think that CTD's "Therapeutic" rises to the level of treats in biolink:

‘ Treats’ edges should be asserted (knowledge_level: assertion) only in cases where there
is strong supporting evidence - i.e. in some population(s) the intervention is approved for
the condition, passed phase 3 or in phase 4 trials for the condition, or is an otherwise
established treatment in the medical community (e.g. a widely-accepted or formally recommended
off-label use). In the absence of such evidence, weaker predicates should be used in
asserted edges (e.g. ‘in clinical trials for’ or ‘beneficial in models of’).

I think a mapping of treats_or_studied_or_applied_to_treat would be more appropriate (and is how we ingest CTD in robokop).

@mbrush
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mbrush commented Nov 12, 2024

That was also my recommendation based on what you told me about the provenance of CTD 'T' annotations, and the level of confidence we have that they represent true 'treatments' that fit our definition and implementation guidance around the 'treats' predicate. @vdancik if you think differently (i.e. that CTD 'T' annotations are strong enough to warrant a 'treats' assertion), happy to have a conversation about this.

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