Graph in Graph (GiG): A novel graph AI framework for integrating and interpreting medical and omics data.

Medical records and omics data are rapidly becoming standard in healthcare settings, which characterize the whole-person from dysfunctional molecules to phenotypes, and thus offer potential for precise disease diagnosis and target discovery. Whereas, it remains an open problem to systematically integrate and interprete medical record and omics data of individual patients. In this study, for the first time, we propose a novel graph AI model framework, Graph in Graph (GiG), to integrate and interpret the whole-person medical and omic datasets. Specifically, the medical record data is modeled using a person-phenotype graph, followed by omics signaling graphs of invidival patients, which enables the integration of information learned from omic-signaling graph and medical phenotype features to characterize individual patients and to prioritize important omic biomarkers and phenotypes. As an exploratory study, we applied and evaluated the GiG model to study the type 2 diabetes (T2D) and pre-T2D vs healthy using the Long Life Family Study (LLFS) cohort, which enrolls families with exceptional longevity to uncover biological mechanisms of healthy aging with medical and omics data. The evaluation results showed that GiG not only achieve a high prediction but also can interpret the prediction by ranking the essential clinical and omic biomarkers. The GiG framework can be applied to other studies by effectively integrating and interpreting medical and omic datasets for disease diagnosis and pathogenesis discovery.