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Leveraging population-scale proteomic data with deep learning for head and neck cancer detection in saliva

Lookup NU author(s): Dr Stephen McGough

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© The Author(s) 2026. Identifying robust biomarkers for early cancer detection remains challenging, particularly when working with limited or heterogeneous datasets. Here, we present a proof-of-concept deep learning framework for cancer classification using blood-based proteomic profiles. Our approach leverages sample type transfer and synthetic data augmentation to improve performance and generalization across sample types. Models were trained on plasma proteome data from 13,208 pan-cancer cases and 39,806 controls in the UK Biobank. To address class imbalance and enrich the feature space, a convolutional neural network (CNN-Synth) was trained to detect cancer cases using data augmented with synthetic pan-cancer samples generated via a variational autoencoder. Performance was evaluated in an independent saliva-based dataset from a head and neck cancer case-control study (n = 156). CNN-Synth (AUC = 0.88) surpassed models trained without synthetic data (AUC ≤ 0.77). SHapley Additive explanations identified well-known cancer markers as key features. These results highlight the use of sample type transfer and synthetic data augmentation, with further validation needed.


Publication metadata

Author(s): Shakeel A, Merriel SWD, Smith J, McGough AS, Suderman M, Abdallah ZS, Yousefi P

Publication type: Article

Publication status: Published

Journal: npj Digital Medicine

Year: 2026

Volume: 9

Print publication date: 08/07/2026

Online publication date: 02/05/2026

Acceptance date: 12/04/2026

Date deposited: 20/07/2026

ISSN (electronic): 2398-6352

Publisher: Springer Nature

URL: https://doi.org/10.1038/s41746-026-02658-7

DOI: 10.1038/s41746-026-02658-7

Data Access Statement: UKB data are available to access by application procedure detailed here: http://www.ukbiobank.ac.uk/using-the-resource/. SensOrPass data, study protocol, and data dictionary are available from the Head and Neck 5000 and Exeter 10,000 research resources. Full application details are available here: https://headandneck5000.org.uk/information-for-researchers/ and https://exetercrfnihr.org/about/exeter-10000/. The code for this study is publicly available on GitHub: https://github.com/MRCIEU/CNN-Synth-cancer-detection-using-deep-transfer-learning-and-data-synthesis. The repository contains the deep learning model for cancer classification using protein biomarkers, trained on UKB datasets. It includes scripts for model training, evaluation, and explainability, as well as the necessary dependencies specified in the requirements.txt file.


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Funding

Funder referenceFunder name
Cancer Research UK [C18281/A29019, EDDISA-Jan22/100003]
Medical Research Council Integrative Epidemiology Unit at the University of Bristol (MC_UU_00032/3, MC_UU_00032/4, MC_UU_00032/6)
National Institute for Health and Care Research (NIHR) Manchester Biomedical Research Centre (BRC) (NIHR203308)
National Institute for Health and Care Research Bristol Biomedical Research Centre
UK Medical Research Council and Wellcome (Grant ref: 217065/Z/19/Z)
University of Bristol

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