Last updated: 2026-03-04

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Knit directory: Serology Analysis/

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Load Packages

suppressPackageStartupMessages({

  # Data handling
  library(tidyverse)
  library(data.table)
  library(magrittr)
  library(janitor)
  library(here)
  library(scales)
  library(table1)
  library(tableone)
  library(flextable)
  library(gtsummary)
  library(openxlsx)
  library(writexl)
  library(readxl)
  # Visualization
  library(ggplot2)    
  library(ggpubr)
  library(ggrepel)
  library(ggbeeswarm)
  library(ggcorrplot)
  library(corrplot)
  library(pheatmap)
  library(ComplexHeatmap)
  library(circlize)
  library(RColorBrewer)
  library(EnhancedVolcano)
  library(plotly)
  library(patchwork)
  library(cowplot)
  library(gridExtra)
  library(grid)
  library(ggpattern)
  # Statistics
  library(rstatix)
  library(multcomp)
  library(car)
  library(Hmisc)
  library(MASS)       
  library(MuMIn)
  library(broom)
  library(glmnet)
  library(logistf)
  library(drc)
  library(caret)
  library(mice)
  library(pROC)
  # Clustering
  library(randomForest)
  library(factoextra)
  library(cluster)
  library(Rtsne)
  library(umap)
  library(dbscan)
  library(kernlab)
  library(Seurat)
  # Others
  library(ImmunoLogic)
  
})

Define Filepath

  basedir <- here()

Read Data (Healthy, Cohort 1, Cohort 2)

# Import BMP4 Data
  table_bmp4_healthy <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_BMP4_Healthy.xlsx"))

  table_bmp4_cohort1 <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_BMP4_Cohort1.xlsx")) 
  
  table_bmp4_cohort2 <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_BMP4_Cohort2.xlsx"))
  
# Combine Tables
  table_bmp4_myo_healthy <- rbind(table_bmp4_cohort1, table_bmp4_cohort2, table_bmp4_healthy)

# Import Serology Data
  table_clindat_healthy <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_Serology_Healthy.xlsx")) %>%
                           dplyr::select(Study_ID, Trop_I, NTproBNP, CRP)
   
  table_clindat_cohort1 <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_ClinicalData_Cohort1.xlsx")) %>%
                           dplyr::select(Study_ID, Trop_I, NTproBNP, CRP, LV_EF)

  table_clindat_cohort2 <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_ClinicalData_Cohort2.xlsx")) %>%
                           dplyr::select(Study_ID, Trop_I, NTproBNP, CRP, LV_EF)
  
# Combine tables
  table_clindat_myo_healthy <- rbind(table_clindat_cohort1 %>% dplyr::select(-LV_EF), 
                                     table_clindat_cohort2 %>% dplyr::select(-LV_EF), 
                                     table_clindat_healthy)

# Import Luminex Data
  table_lum_healthy <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_Lum_Healthy_DL_corr.xlsx")) %>%
                       dplyr::select(-RANTES)
   
  table_lum_cohort1 <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_Lum_Cohort1_DL_corr.xlsx")) %>%
                       dplyr::select(-RANTES) 
  
  table_lum_cohort2 <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_Lum_Cohort2_DL_corr.xlsx")) %>%
                       dplyr::select(-RANTES) 

# Combine tables
  table_lum_myo_healthy <- rbind(table_lum_cohort1, table_lum_cohort2, table_lum_healthy) %>%
                           dplyr::select(-Cohort)
  
# Combine all data tables
  table_all_myo_healthy <-  table_lum_myo_healthy %>%
                            left_join(table_bmp4_myo_healthy, by = "Study_ID") %>%
                            left_join(table_clindat_myo_healthy, by = "Study_ID")
  
  table_cohorts <- table_all_myo_healthy %>% 
                   dplyr::select(Study_ID, Cohort)

Multiple Imputation (all)

# Remove Cohort
  table_all_myo_healthy_01 <- table_all_myo_healthy %>% 
                              dplyr::select(-Cohort)

# Impute missing values
  imputed_data <- mice(table_all_myo_healthy_01, m = 5, method = 'pmm', maxit = 5, seed = 123)

 iter imp variable
  1   1  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  1   2  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  1   3  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  1   4  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  1   5  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  2   1  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  2   2  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  2   3  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  2   4  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  2   5  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  3   1  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  3   2  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  3   3  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  3   4  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  3   5  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  4   1  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  4   2  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  4   3  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  4   4  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  4   5  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  5   1  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  5   2  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  5   3  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  5   4  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
  5   5  EOTAXIN  BMP4  Grem_1  Trop_I  NTproBNP
# Check the imputed data
  densityplot(imputed_data, col=c("grey", "blue"), pch = c(1, 20))
Warning! The custom fig.path you set was ignored by workflowr.
# Create a data set with the observed and completed data
  table_imp <- complete(imputed_data, 1)
  
# Add Cohort
  table_all_myo_healthy_imp <- merge (table_imp, table_cohorts, by = "Study_ID")

BMP4/Gremlin Axis in Healthy, Cohort 1 and Cohort 2

# Prepare data table 
   table_para <- table_all_myo_healthy_imp %>%
                 pivot_longer(cols = where(is.numeric),
                 names_to = "Parameter",
                 values_to = "Parameter_val")

# Order table
  table_para <- table_para %>%
                mutate(Cohort = factor(Cohort, levels = c("Healthy", "Cohort1", "Cohort2")))
  
# Calculate Stats
  # Kruskal–Wallis test
    stat.kruskal <- table_para %>%
                    group_by(Parameter) %>%
                    kruskal_test(Parameter_val ~ Cohort) %>%
                    add_significance()
  
  # Dunn post hoc test
    stat.dunn <-  table_para %>%
                  group_by(Parameter) %>%
                  dunn_test(Parameter_val ~ Cohort, p.adjust.method = "BH")
    
  # Calculate max y for positioning p-values
    max_y <-  table_para %>%
              group_by(Parameter) %>%
              summarise(max_val = max(Parameter_val, na.rm = TRUE))
    
  # Get min value per parameter (for y limits)
    min_y <- table_para %>%
             group_by(Parameter) %>%
             summarise(min_val = min(Parameter_val, na.rm = TRUE))
  
  # Combine with max_y info for plotting
    stat.test <-  stat.dunn %>%
                  left_join(max_y, by = "Parameter") %>%
                  mutate(y.position = max_val) %>%
                  group_by(Parameter) %>%
                  arrange(p.adj) 

# Create the loop to create a plot
  param <- c("BMP4", "Grem_1","Grem_2")
  y_settings <- list(BMP4 = list(NA, 1000),  breaks = c(1, 10, 100, 1000),
                     Grem_1 = list(limits = c(NA, 100000), breaks = c(10, 100, 1000, 10000, 100000)),
                     Grem_2 = list(limits = c(NA, 100000),  breaks = c(300, 1000, 3000, 10000, 30000, 100000)))
    
# Define axis labels for each biomarker
  biomarker_labels <- c("BMP4 (pg/ml)", "Gremlin-1 (pg/ml)", "Gremlin-2 (pg/ml)")
  names(biomarker_labels) <- param
  
# Create a list for all plots created in the loop
  plots_list <- list()
    
  for (param in param) 
      
      {
        # Filter for the data 
          temp_data <- table_para %>% 
                       filter(Parameter == param ) 
          
          temp_stat_test <- stat.test %>% 
                            filter(Parameter == param ) %>% 
                            mutate(p_adj_label = ifelse(p.adj < 0.001, "<0.001", sprintf("%.3f", p.adj)))
          
        # Axis settings
          y_lim <- y_settings[[param ]]$limits
          y_brk <- y_settings[[param ]]$breaks 

          plot_lum <-  ggplot(temp_data, aes(x = Cohort, y = Parameter_val)) +
                       geom_boxplot(aes(fill = Cohort), color = "black", outlier.shape = NA, 
                                     width = 0.6, alpha = 0.4) +
                       geom_point(shape = 21, size = 3, color = "black", aes(fill = Cohort),
                                 position = position_jitter(width = 0.2, height = 0)) +
                        scale_fill_manual(values = c("Healthy" = "grey", 
                                                     "Cohort1" = "royalblue4", 
                                                     "Cohort2" = "orange")) +
                        stat_pvalue_manual(temp_stat_test, label = "p_adj_label", 
                                           y.position = log10(temp_stat_test$y.position),
                                           step.increase = 0.01, tip.length = 0) +
                        scale_y_log10(labels = function(x) format(x, scientific = FALSE, trim = TRUE),
                                      limits = y_lim, breaks = y_brk, expand = expansion(mult = c(0.05, 0))) +
                        labs(x = NULL, y = biomarker_labels[[param]]) +
                        theme_classic()  +
                        theme(axis.title.x = element_blank(),
                              axis.text.x  = element_blank(),
                              axis.ticks.x = element_blank(),
                              legend.position = "none")
  
        plots_list[[param]] <- plot_lum
    }
    
# Combine plots to a panel
  panel <-  ggarrange(plotlist = plots_list,
                      ncol = 3, nrow = 1) 
  print(panel)
Warning! The custom fig.path you set was ignored by workflowr.

Roc Curves BMP4/Gremlin axis

# Combine AM Cohorts
  table_all_myo_healthy_imp_01 <- table_all_myo_healthy_imp %>%
                                  mutate(Cohort = ifelse(Cohort == "Healthy", "Healthy", "Myocarditis"))

# Data preparation
  table_roc <- table_all_myo_healthy_imp_01 %>%
               mutate(outcome = factor(Cohort, levels = c("Healthy", "Myocarditis")),
                      outcome_binary = ifelse(outcome == "Myocarditis", 1, 0),
                      r_Grem1_BMP4 = Grem_1 / BMP4,
                      r_Grem1_Grem2 = Grem_1 / Grem_2)

# Select predictors
  param <- c("r_Grem1_Grem2", "r_Grem1_BMP4")
  biomarker_labels <- c("Gremlin-1/Gremlin-2", "Gremlin-1/BMP4")
  names(biomarker_labels) <- param
  
# Initialize storage
  roc_list <- list()

# Loop through each predictor
  for (p in param) 
    
  {
    roc_obj <- roc(response = table_roc$outcome_binary,
                   predictor = table_roc[[p]],
                   levels = c(0, 1),
                   direction = "auto",
                   ci = TRUE,
                   legacy.axes = TRUE)
    
    roc_list[[p]] <- roc_obj
  }
  
# AUC & CI values
  auc_vals <- sapply(roc_list[1:2], function(x) as.numeric(auc(x)))
  auc_ci   <- lapply(roc_list[1:2], function(x) ci.auc(x))
  
# Create Legend
  legend_text <- mapply(function(pred, auc, ci) 
                {
                 paste0(pred," (AUC = ", round(auc, 2),", 95% CI: ", round(ci[1], 2), "–", round(ci[3], 2), ")")
                }, 
                biomarker_labels[param], auc_vals, auc_ci)

# Combine ROC curves into ggplot
  roc_plot <- ggroc(roc_list, legacy.axes = TRUE) +
              geom_abline(intercept = 0, slope = 1, linetype = "dashed", color = "grey") +
              scale_color_manual(values = c("red", "darkred"),
                                 labels = legend_text) +
              theme_classic() +
              theme(panel.border = element_rect(color = "black", fill = NA, linewidth = 1),
                    legend.position = "bottom",
                    legend.direction = "vertical") +
              labs(x = "1 - Specificity", 
                   y = "Sensitivity",
                   color = "Legend") +
              coord_equal()
  
  print(roc_plot)
Warning! The custom fig.path you set was ignored by workflowr.

Correlation Plots

# Rename Datatables
  table_corr <- table_all_myo_healthy_imp_01
                      
# Define biomarkers
  biomarkers <- c("CXCL10", "CXCL9")
  x_settings <- list(CXCL10 = list(limits = c(NA, 3000), breaks = c(30, 100, 300, 1000, 3000)),
                     CXCL9  = list(limits = c(NA, 10000),  breaks = c(100, 300, 1000, 3000, 10000)))

# Define axis labels for each biomarker
  biomarker_labels <- c("CXCL10 (pg/ml)", "CXCL9 (pg/ml)")
  names(biomarker_labels) <- biomarkers

# Fixed variable
  fixed_param <- "Grem_2"

# Create list for plots
  plots_list <- list()

# Loop Correlation Plot
  for (p in biomarkers) 
    
    {
  
      # Compute Spearman correlation
        cor_test <- cor.test(table_corr[[fixed_param]], table_corr[[p]], method = "spearman")
        
      # Axis settings
        x_lim <- x_settings[[p]]$limits
        x_brk <- x_settings[[p]]$breaks 
  
      # Scatter plot with regression line
        plot <- ggplot(table_corr, aes_string(x = table_corr[[p]], y = fixed_param)) +
                  geom_point(shape = 21, size = 3, color = "black", aes(fill = Cohort),
                             position = position_jitter(width = 0.05, height = 0)) +
                  geom_smooth(method = "lm", se = TRUE, color = "black") +
                  scale_fill_manual(values = c("Myocarditis" = "darkred", "Healthy" = "grey")) +
                scale_x_log10(labels = function(x) format(x, scientific = FALSE, trim = TRUE),
                                  limits = x_lim, breaks = x_brk, expand = expansion(mult = c(0.05, 0))) +
                scale_y_log10(labels = function(x) format(x, scientific = FALSE, trim = TRUE),
                                 limits = c(NA, 100000), breaks = c(100, 300, 1000, 3000, 10000, 30000, 100000),
                                 expand = expansion(mult = c(0.05, 0), add = c(0,0))) +
                theme_classic() +
                labs(x = biomarker_labels[[p]], y = "Gremlin-2 (pg/ml)") +
                annotate("text", x = min(table_corr[[p]], na.rm = TRUE),
                                 y = max(table_corr[[fixed_param]], na.rm = TRUE),
                                label = paste0("r = ", round(cor_test$estimate, 2),
                                        "\np = ", ifelse(cor_test$p.value < 0.001, "< 0.001",signif(cor_test$p.value, 3))),
                         hjust = 0, vjust = 1, size = 6)
        
      # Store each plot
      plots_list[[p]] <- plot

  }

# Combine plots to a panel
  panel <-  ggarrange(plotlist = plots_list,
                      ncol = 2, nrow = 1,
                      common.legend = TRUE)
      
  print(panel)
Warning! The custom fig.path you set was ignored by workflowr.

Correlation Plot Hospitalisation

# Read data
  table_hosp <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_ClinicalData_Cohort1.xlsx")) %>%
                dplyr::select(Study_ID, date_admission, date_discharge)

# Calculate days of hospitalization
  table_hosp$hosp_time <- (as.Date(table_hosp$date_discharge, format = "%Y-%m-%d") - 
                           as.Date(table_hosp$date_admission, format = "%Y-%m-%d"))

  table_hosp <- table_hosp %>%
                mutate(hosp_time = as.numeric(hosp_time)) %>%
                dplyr::select(-date_discharge, -date_admission)

# Extract Cohort1
  table_all_cohort1 <- table_all_myo_healthy_imp %>%
                       filter (Cohort == "Cohort1")
  
# Merge data
  table_corr_cohort1 <- table_all_cohort1 %>%
                        left_join(table_hosp, by = "Study_ID")
  
# Define biomarkers
  biomarkers <- c("NTproBNP", "HGF", "Grem_2")
  y_settings <- list(HGF = list(limits = c(NA, 15000), breaks = c(150, 1500, 15000)),
                     NTproBNP  = list(limits = c(NA, 100000),  breaks = c(10, 100, 1000, 10000, 100000)),
                     Grem_2  = list(limits = c(NA, 100000),  breaks = c(300, 1000, 3000, 10000, 30000, 100000)))

# Define axis labels for each biomarker
  biomarker_labels <- c("HGF (pg/ml)", "NT-proBNP (ng/l)", "Gremlin-2 (pg/ml)")
  names(biomarker_labels) <- biomarkers

# Fixed variable
  fixed_param <- "hosp_time"

# Create list for plots
  plots_list <- list()

# Loop Correlation Plot
  for (p in biomarkers) 
    
    {
  
      # Compute Spearman correlation
        cor_test <- cor.test(table_corr_cohort1[[fixed_param]], table_corr_cohort1[[p]], method = "spearman")
        
      # Axis settings
        y_lim <- x_settings[[p]]$limits
        y_brk <- x_settings[[p]]$breaks 
  
      # Scatter plot with regression line
        plot <- ggplot(table_corr_cohort1, aes_string(x = fixed_param, y = table_corr_cohort1[[p]])) +
                  geom_point(shape = 21, size = 3, color = "black", aes(fill = Cohort),
                             position = position_jitter(width = 0.05, height = 0)) +
                  geom_smooth(method = "lm", se = TRUE, color = "black") +
                  scale_fill_manual(values = c("Cohort1" = "royalblue4")) +
                scale_y_log10(labels = function(x) format(x, scientific = FALSE, trim = TRUE),
                                  limits = x_lim, breaks = x_brk, expand = expansion(mult = c(0.05, 0))) +
                scale_x_log10(labels = function(x) format(x, scientific = FALSE, trim = TRUE),
                                  limits = c(NA, 30), breaks = c(3, 10, 30),
                                  expand = expansion(mult = c(0.05, 0), add = c(0, 0))) +
                theme_classic() +
                labs(x = "Time of hospitalisation (days)", y = biomarker_labels[[p]]) +
                annotate("text", x = min(table_corr_cohort1[[p]], na.rm = TRUE),
                                 y = max(table_corr_cohort1[[fixed_param]], na.rm = TRUE),
                                label = paste0("r = ", round(cor_test$estimate, 2),
                                        "\np = ", ifelse(cor_test$p.value < 0.001, "< 0.001",signif(cor_test$p.value, 3))),
                         hjust = 0, vjust = 1, size = 6)
        
      # Store each plot
      plots_list[[p]] <- plot

  }

# Combine plots to a panel
  panel <-  ggarrange(plotlist = plots_list,
                      ncol = 3, nrow = 1,
                      common.legend = TRUE)
      
  print(panel)
Warning! The custom fig.path you set was ignored by workflowr.

session info

sessionInfo()
R version 4.4.3 (2025-02-28)
Platform: aarch64-apple-darwin20
Running under: macOS 26.3

Matrix products: default
BLAS:   /Library/Frameworks/R.framework/Versions/4.4-arm64/Resources/lib/libRblas.0.dylib 
LAPACK: /Library/Frameworks/R.framework/Versions/4.4-arm64/Resources/lib/libRlapack.dylib;  LAPACK version 3.12.0

locale:
[1] en_US.UTF-8/en_US.UTF-8/en_US.UTF-8/C/en_US.UTF-8/en_US.UTF-8

time zone: Europe/Zurich
tzcode source: internal

attached base packages:
[1] grid      stats     graphics  grDevices utils     datasets  methods  
[8] base     

other attached packages:
 [1] ImmunoLogic_0.0.0.9000 Seurat_5.3.1           SeuratObject_5.2.0    
 [4] sp_2.2-0               kernlab_0.9-33         dbscan_1.2-0          
 [7] umap_0.2.10.0          Rtsne_0.17             cluster_2.1.8         
[10] factoextra_1.0.7       randomForest_4.7-1.2   pROC_1.19.0.1         
[13] mice_3.18.0            caret_7.0-1            lattice_0.22-6        
[16] drc_3.0-1              logistf_1.26.1         glmnet_4.1-10         
[19] Matrix_1.7-2           broom_1.0.11           MuMIn_1.48.11         
[22] Hmisc_5.2-3            car_3.1-3              carData_3.0-5         
[25] multcomp_1.4-28        TH.data_1.1-4          MASS_7.3-65           
[28] survival_3.8-3         mvtnorm_1.3-3          rstatix_0.7.3         
[31] ggpattern_1.2.1        gridExtra_2.3          cowplot_1.2.0         
[34] patchwork_1.3.2        plotly_4.11.0          EnhancedVolcano_1.24.0
[37] RColorBrewer_1.1-3     circlize_0.4.16        ComplexHeatmap_2.22.0 
[40] pheatmap_1.0.12        corrplot_0.95          ggcorrplot_0.1.4.1    
[43] ggbeeswarm_0.7.2       ggrepel_0.9.6          ggpubr_0.6.2          
[46] readxl_1.4.5           writexl_1.5.0          openxlsx_4.2.5.2      
[49] gtsummary_2.4.0        flextable_0.9.6        tableone_0.13.2       
[52] table1_1.4.3           scales_1.4.0           here_1.0.2            
[55] janitor_2.2.0          magrittr_2.0.4         data.table_1.17.8     
[58] lubridate_1.9.4        forcats_1.0.1          stringr_1.6.0         
[61] dplyr_1.1.4            purrr_1.2.0            readr_2.1.6           
[64] tidyr_1.3.1            tibble_3.3.0           ggplot2_4.0.1         
[67] tidyverse_2.0.0       

loaded via a namespace (and not attached):
  [1] IRanges_2.40.1          nnet_7.3-20             goftest_1.2-3          
  [4] vctrs_0.6.5             spatstat.random_3.4-3   digest_0.6.39          
  [7] png_0.1-8               shape_1.4.6.1           git2r_0.36.2           
 [10] alabama_2023.1.0        deldir_2.0-4            httpcode_0.3.0         
 [13] parallelly_1.45.1       fontLiberation_0.1.0    reshape2_1.4.5         
 [16] httpuv_1.6.16           foreach_1.5.2           BiocGenerics_0.52.0    
 [19] withr_3.0.2             xfun_0.54               crul_1.4.2             
 [22] emmeans_1.10.4          systemfonts_1.3.1       ragg_1.5.0             
 [25] zoo_1.8-14              GlobalOptions_0.1.3     gtools_3.9.5           
 [28] pbapply_1.7-4           Formula_1.2-5           promises_1.5.0         
 [31] otel_0.2.0              httr_1.4.7              globals_0.18.0         
 [34] fitdistrplus_1.2-4      rstudioapi_0.17.1       pan_1.9                
 [37] miniUI_0.1.2            generics_0.1.4          base64enc_0.1-3        
 [40] curl_7.0.0              S4Vectors_0.44.0        mitools_2.4            
 [43] polyclip_1.10-7         quadprog_1.5-8          xtable_1.8-4           
 [46] doParallel_1.0.17       evaluate_1.0.5          hms_1.1.4              
 [49] irlba_2.3.5.1           colorspace_2.1-2        polynom_1.4-1          
 [52] ROCR_1.0-11             reticulate_1.44.1       spatstat.data_3.1-9    
 [55] lmtest_0.9-40           snakecase_0.11.1        later_1.4.4            
 [58] spatstat.geom_3.6-1     future.apply_1.20.0     scattermore_1.2        
 [61] survey_4.4-2            matrixStats_1.5.0       RcppAnnoy_0.0.22       
 [64] class_7.3-23            pillar_1.11.1           nlme_3.1-167           
 [67] iterators_1.0.14        compiler_4.4.3          RSpectra_0.16-2        
 [70] stringi_1.8.7           gower_1.0.2             jomo_2.7-6             
 [73] tensor_1.5.1            minqa_1.2.8             plyr_1.8.9             
 [76] crayon_1.5.3            abind_1.4-8             orthopolynom_1.0-6.1   
 [79] sandwich_3.1-1          codetools_0.2-20        textshaping_1.0.4      
 [82] basefun_1.2-4           recipes_1.3.1           openssl_2.3.4          
 [85] bslib_0.9.0             GetoptLong_1.0.5        mime_0.13              
 [88] splines_4.4.3           Rcpp_1.1.0              fastDummies_1.7.5      
 [91] coneproj_1.20           variables_1.1-2         cellranger_1.1.0       
 [94] knitr_1.50              clue_0.3-66             lme4_1.1-38            
 [97] fs_1.6.6                listenv_0.10.0          checkmate_2.3.3        
[100] Rdpack_2.6.4            ggsignif_0.6.4          estimability_1.5.1     
[103] tzdb_0.5.0              pkgconfig_2.0.3         tools_4.4.3            
[106] cachem_1.1.0            rbibutils_2.4           numDeriv_2016.8-1.1    
[109] viridisLite_0.4.2       DBI_1.2.3               fastmap_1.2.0          
[112] rmarkdown_2.30          ica_1.0-3               tram_1.2-4             
[115] sass_0.4.10             officer_0.6.6           coda_0.19-4.1          
[118] dotCall64_1.2           RANN_2.6.2              rpart_4.1.24           
[121] farver_2.1.2            reformulas_0.4.2        mgcv_1.9-1             
[124] yaml_2.3.11             workflowr_1.7.2         foreign_0.8-88         
[127] cli_3.6.5               stats4_4.4.3            lifecycle_1.0.4        
[130] uwot_0.2.4              askpass_1.2.1           lava_1.8.0             
[133] backports_1.5.0         mlt_1.6-6               timechange_0.3.0       
[136] gtable_0.3.6            rjson_0.2.23            ggridges_0.5.7         
[139] progressr_0.18.0        parallel_4.4.3          jsonlite_2.0.0         
[142] RcppHNSW_0.6.0          mitml_0.4-5             qrng_0.0-10            
[145] spatstat.utils_3.2-0    zip_2.3.1               jquerylib_0.1.4        
[148] spatstat.univar_3.1-5   timeDate_4051.111       lazyeval_0.2.2         
[151] shiny_1.12.0            htmltools_0.5.9         sctransform_0.4.2      
[154] glue_1.8.0              gfonts_0.2.0            BB_2019.10-1           
[157] spam_2.11-1             gdtools_0.3.7           rprojroot_2.1.1        
[160] boot_1.3-31             igraph_2.2.1            R6_2.6.1               
[163] labeling_0.4.3          ipred_0.9-15            nloptr_2.2.1           
[166] tidyselect_1.2.1        vipor_0.4.7             plotrix_3.8-4          
[169] htmlTable_2.4.3         operator.tools_1.6.3    xml2_1.5.1             
[172] fontBitstreamVera_0.1.1 future_1.68.0           ModelMetrics_1.2.2.2   
[175] KernSmooth_2.23-26      S7_0.2.1                fontquiver_0.2.1       
[178] htmlwidgets_1.6.4       rlang_1.1.6             spatstat.sparse_3.1-0  
[181] spatstat.explore_3.6-0  uuid_1.2-1              formula.tools_1.7.1    
[184] hardhat_1.4.1           beeswarm_0.4.0          prodlim_2023.08.28     
date()
[1] "Wed Mar  4 15:27:10 2026"

sessionInfo()
R version 4.4.3 (2025-02-28)
Platform: aarch64-apple-darwin20
Running under: macOS 26.3

Matrix products: default
BLAS:   /Library/Frameworks/R.framework/Versions/4.4-arm64/Resources/lib/libRblas.0.dylib 
LAPACK: /Library/Frameworks/R.framework/Versions/4.4-arm64/Resources/lib/libRlapack.dylib;  LAPACK version 3.12.0

locale:
[1] en_US.UTF-8/en_US.UTF-8/en_US.UTF-8/C/en_US.UTF-8/en_US.UTF-8

time zone: Europe/Zurich
tzcode source: internal

attached base packages:
[1] grid      stats     graphics  grDevices utils     datasets  methods  
[8] base     

other attached packages:
 [1] ImmunoLogic_0.0.0.9000 Seurat_5.3.1           SeuratObject_5.2.0    
 [4] sp_2.2-0               kernlab_0.9-33         dbscan_1.2-0          
 [7] umap_0.2.10.0          Rtsne_0.17             cluster_2.1.8         
[10] factoextra_1.0.7       randomForest_4.7-1.2   pROC_1.19.0.1         
[13] mice_3.18.0            caret_7.0-1            lattice_0.22-6        
[16] drc_3.0-1              logistf_1.26.1         glmnet_4.1-10         
[19] Matrix_1.7-2           broom_1.0.11           MuMIn_1.48.11         
[22] Hmisc_5.2-3            car_3.1-3              carData_3.0-5         
[25] multcomp_1.4-28        TH.data_1.1-4          MASS_7.3-65           
[28] survival_3.8-3         mvtnorm_1.3-3          rstatix_0.7.3         
[31] ggpattern_1.2.1        gridExtra_2.3          cowplot_1.2.0         
[34] patchwork_1.3.2        plotly_4.11.0          EnhancedVolcano_1.24.0
[37] RColorBrewer_1.1-3     circlize_0.4.16        ComplexHeatmap_2.22.0 
[40] pheatmap_1.0.12        corrplot_0.95          ggcorrplot_0.1.4.1    
[43] ggbeeswarm_0.7.2       ggrepel_0.9.6          ggpubr_0.6.2          
[46] readxl_1.4.5           writexl_1.5.0          openxlsx_4.2.5.2      
[49] gtsummary_2.4.0        flextable_0.9.6        tableone_0.13.2       
[52] table1_1.4.3           scales_1.4.0           here_1.0.2            
[55] janitor_2.2.0          magrittr_2.0.4         data.table_1.17.8     
[58] lubridate_1.9.4        forcats_1.0.1          stringr_1.6.0         
[61] dplyr_1.1.4            purrr_1.2.0            readr_2.1.6           
[64] tidyr_1.3.1            tibble_3.3.0           ggplot2_4.0.1         
[67] tidyverse_2.0.0       

loaded via a namespace (and not attached):
  [1] IRanges_2.40.1          nnet_7.3-20             goftest_1.2-3          
  [4] vctrs_0.6.5             spatstat.random_3.4-3   digest_0.6.39          
  [7] png_0.1-8               shape_1.4.6.1           git2r_0.36.2           
 [10] alabama_2023.1.0        deldir_2.0-4            httpcode_0.3.0         
 [13] parallelly_1.45.1       fontLiberation_0.1.0    reshape2_1.4.5         
 [16] httpuv_1.6.16           foreach_1.5.2           BiocGenerics_0.52.0    
 [19] withr_3.0.2             xfun_0.54               crul_1.4.2             
 [22] emmeans_1.10.4          systemfonts_1.3.1       ragg_1.5.0             
 [25] zoo_1.8-14              GlobalOptions_0.1.3     gtools_3.9.5           
 [28] pbapply_1.7-4           Formula_1.2-5           promises_1.5.0         
 [31] otel_0.2.0              httr_1.4.7              globals_0.18.0         
 [34] fitdistrplus_1.2-4      rstudioapi_0.17.1       pan_1.9                
 [37] miniUI_0.1.2            generics_0.1.4          base64enc_0.1-3        
 [40] curl_7.0.0              S4Vectors_0.44.0        mitools_2.4            
 [43] polyclip_1.10-7         quadprog_1.5-8          xtable_1.8-4           
 [46] doParallel_1.0.17       evaluate_1.0.5          hms_1.1.4              
 [49] irlba_2.3.5.1           colorspace_2.1-2        polynom_1.4-1          
 [52] ROCR_1.0-11             reticulate_1.44.1       spatstat.data_3.1-9    
 [55] lmtest_0.9-40           snakecase_0.11.1        later_1.4.4            
 [58] spatstat.geom_3.6-1     future.apply_1.20.0     scattermore_1.2        
 [61] survey_4.4-2            matrixStats_1.5.0       RcppAnnoy_0.0.22       
 [64] class_7.3-23            pillar_1.11.1           nlme_3.1-167           
 [67] iterators_1.0.14        compiler_4.4.3          RSpectra_0.16-2        
 [70] stringi_1.8.7           gower_1.0.2             jomo_2.7-6             
 [73] tensor_1.5.1            minqa_1.2.8             plyr_1.8.9             
 [76] crayon_1.5.3            abind_1.4-8             orthopolynom_1.0-6.1   
 [79] sandwich_3.1-1          codetools_0.2-20        textshaping_1.0.4      
 [82] basefun_1.2-4           recipes_1.3.1           openssl_2.3.4          
 [85] bslib_0.9.0             GetoptLong_1.0.5        mime_0.13              
 [88] splines_4.4.3           Rcpp_1.1.0              fastDummies_1.7.5      
 [91] coneproj_1.20           variables_1.1-2         cellranger_1.1.0       
 [94] knitr_1.50              clue_0.3-66             lme4_1.1-38            
 [97] fs_1.6.6                listenv_0.10.0          checkmate_2.3.3        
[100] Rdpack_2.6.4            ggsignif_0.6.4          estimability_1.5.1     
[103] tzdb_0.5.0              pkgconfig_2.0.3         tools_4.4.3            
[106] cachem_1.1.0            rbibutils_2.4           numDeriv_2016.8-1.1    
[109] viridisLite_0.4.2       DBI_1.2.3               fastmap_1.2.0          
[112] rmarkdown_2.30          ica_1.0-3               tram_1.2-4             
[115] sass_0.4.10             officer_0.6.6           coda_0.19-4.1          
[118] dotCall64_1.2           RANN_2.6.2              rpart_4.1.24           
[121] farver_2.1.2            reformulas_0.4.2        mgcv_1.9-1             
[124] yaml_2.3.11             workflowr_1.7.2         foreign_0.8-88         
[127] cli_3.6.5               stats4_4.4.3            lifecycle_1.0.4        
[130] uwot_0.2.4              askpass_1.2.1           lava_1.8.0             
[133] backports_1.5.0         mlt_1.6-6               timechange_0.3.0       
[136] gtable_0.3.6            rjson_0.2.23            ggridges_0.5.7         
[139] progressr_0.18.0        parallel_4.4.3          jsonlite_2.0.0         
[142] RcppHNSW_0.6.0          mitml_0.4-5             qrng_0.0-10            
[145] spatstat.utils_3.2-0    zip_2.3.1               jquerylib_0.1.4        
[148] spatstat.univar_3.1-5   timeDate_4051.111       lazyeval_0.2.2         
[151] shiny_1.12.0            htmltools_0.5.9         sctransform_0.4.2      
[154] glue_1.8.0              gfonts_0.2.0            BB_2019.10-1           
[157] spam_2.11-1             gdtools_0.3.7           rprojroot_2.1.1        
[160] boot_1.3-31             igraph_2.2.1            R6_2.6.1               
[163] labeling_0.4.3          ipred_0.9-15            nloptr_2.2.1           
[166] tidyselect_1.2.1        vipor_0.4.7             plotrix_3.8-4          
[169] htmlTable_2.4.3         operator.tools_1.6.3    xml2_1.5.1             
[172] fontBitstreamVera_0.1.1 future_1.68.0           ModelMetrics_1.2.2.2   
[175] KernSmooth_2.23-26      S7_0.2.1                fontquiver_0.2.1       
[178] htmlwidgets_1.6.4       rlang_1.1.6             spatstat.sparse_3.1-0  
[181] spatstat.explore_3.6-0  uuid_1.2-1              formula.tools_1.7.1    
[184] hardhat_1.4.1           beeswarm_0.4.0          prodlim_2023.08.28