Motivation: Unsupervised learning approaches are frequently employed to identify patient subgroups and biomarkers such as disease-associated genes. Thus, clustering and biclustering are powerful techniques often used with expression data, but are usually not suitable to unravel molecular mechanisms along with patient subgroups. To alleviate this, we developed the network-constrained biclustering approach BiCoN (Biclustering Constrained by Networks) which (i) restricts biclusters to functionally related genes connected in molecular interaction networks and (ii) maximizes the difference in gene expression between two subgroups of patients. Results: Our analyses of non-small cell lung and breast cancer gene expression data demonstrate that BiCoN clusters patients in agreement with known cancer subtypes while discovering gene subnetworks pointing to functional differences between these subtypes. Furthermore, we show that BiCoN is robust to noise and batch effects and can distinguish between high and low load of tumor-infiltrating leukocytes while identifying subnetworks related to immune cell function. In summary, BiCoN is a powerful new systems medicine tool to stratify patients while elucidating the responsible disease mechanism. Availability: PyPI package: https://pypi.org/project/bicon Web interface: https://exbio.wzw.tum.de/bicon Contact: email@example.com ### Competing Interest Statement The authors have declared no competing interest.
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