Network-based in silico drug efficacy screening

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Abstract

The increasing cost of drug development together with a significant drop in the number of new drug approvals raises the need for innovative approaches for target identification and efficacy prediction. Here, we take advantage of our increasing understanding of the network-based origins of diseases to introduce a drug-disease proximity measure that quantifies the interplay between drugs targets and diseases. By correcting for the known biases of the interactome, proximity helps us uncover the therapeutic effect of drugs, as well as to distinguish palliative from effective treatments. Our analysis of 238 drugs used in 78 diseases indicates that the therapeutic effect of drugs is localized in a small network neighborhood of the disease genes and highlights efficacy issues for drugs used in Parkinson and several inflammatory disorders. Finally, network-based proximity allows us to predict novel drug-disease associations that offer unprecedented opportunities for drug repurposing and the detection of adverse effects.

Figures

  • Figure 1 | Network-based drug-disease proximity. (a) Illustration of the closest distance (dc) of a drug Twith targets t1 and t2 to the proteins s1, s2 and s3 associated with disease S. To measure the relative proximity (zc), we compare the distance dc between T and S to a reference distribution of distances observed if the drug targets and disease proteins are randomly chosen from the interactome. The obtained proximity zc quantifies whether a particular dc is smaller than expected by chance. To account for the heterogeneous degree distribution of the interactome and differences in the number of drug targets and disease proteins, we preserve the number and degrees of the randomized targets and disease proteins. (b) The shortest paths between drug targets and disease proteins for two known drug-disease associations: Gliclazide, a T2D drug with two targets and daunorubicin, a drug used for AML that also has two targets in the interactome. The subnetwork shows the shortest paths connecting each drug target to the nearest disease proteins. Proteins are
  • Figure 2 | Validating drug-disease proximity. (a) AUC is shown for relative proximity, z, calculated using five different distance measures. The closest measure, dc, considers the shortest path length from each target to the closest disease protein, the shortest measure, ds averages over all shortest path lengths to the disease proteins. See the text for the definition of the kernel (dk), centre (dcc) and separation (dss) measures. (b) Average shortest path length between drug targets and disease proteins versus average drug-target degree for known drug-disease pairs. (c) Drug-disease proximity versus
  • Figure 3 | Known drug-disease associations. For each known drug-disease association, we connect the drug to the disease it is used for, the link style indicating whether the drug is proximal (solid) or distant (dashed) to the disease. The line colour represents the number of overlapping proteins between drug targets and disease proteins (0, grey; 6, dark green). Node shape distinguishes drugs (triangles) from diseases (circles). The node size scales with the number of proteins associated with the disease and with the number of targets of the drug.
  • Figure 4 | Drug-disease proximity and efficacy. (a) The distribution of RE scores calculated using FDA Adverse Event Reporting System for palliative (n¼ 50), non-palliative (n¼ 219) and off-label (n¼ 133) drug-disease pairs annotated based on DailyMed description. A drug-disease pair is marked
  • Figure 5 | Anatomic therapeutic chemical (ATC) classification of proximal and distant drug-disease pairs. The number of proximal (dark blue) and distant (light brown) drugs in each ATC category among known drug-disease associations. The ATC codes are sorted in descending order with respect to the difference of the number of proximal and distant drugs.
  • Table 1 | Proximity values for several repurposed and failed drugs.

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CITATION STYLE

APA

Guney, E., Menche, J., Vidal, M., & Barábasi, A. L. (2016). Network-based in silico drug efficacy screening. Nature Communications, 7. https://doi.org/10.1038/ncomms10331

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