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Artificial intelligence for antiviral drug discovery in low resourced settings: A perspective 人工智能在低资源环境下的抗病毒药物发现:一个视角
Pub Date : 2022-11-02 DOI: 10.3389/fddsv.2022.1013285
Cyril T. Namba-Nzanguim, Gemma Turon, C. V. Simoben, I. Tietjen, L. Montaner, S. M. Efange, Miquel Duran-Frigola, F. Ntie‐Kang
Current antiviral drug discovery efforts face many challenges, including development of new drugs during an outbreak and coping with drug resistance due to rapidly accumulating viral mutations. Emerging artificial intelligence and machine learning (AI/ML) methods can accelerate anti-infective drug discovery and have the potential to reduce overall development costs in Low and Middle-Income Countries (LMIC), which in turn may help to develop new and/or accessible therapies against communicable diseases within these countries. While the marketplace currently offers a plethora of data-driven AI/ML tools, most to date have been developed within the context of non-communicable diseases like cancer, and several barriers have limited the translation of existing tools to the discovery of drugs against infectious diseases. Here, we provide a perspective on the benefits, limitations, and pitfalls of AI/ML tools in the discovery of novel therapeutics with a focus on antivirals. We also discuss available and emerging data sharing models including intellectual property-preserving AI/ML. In addition, we review available data sources and platforms and provide examples for low-cost and accessible screening methods and other virus-based bioassays suitable for implementation of AI/ML-based programs in LMICs. Finally, we introduce an emerging AI/ML-based Center in Cameroon (Central Africa) which is currently developing methods and tools to promote local, independent drug discovery and represents a model that could be replicated among LMIC globally.
目前的抗病毒药物发现工作面临许多挑战,包括在疫情爆发期间开发新药,以及应对因病毒突变快速积累而产生的耐药性。新兴的人工智能和机器学习(AI/ML)方法可以加速抗感染药物的发现,并有可能降低中低收入国家的总体开发成本,这反过来可能有助于在这些国家开发新的和/或可获得的传染病疗法。虽然市场目前提供了大量数据驱动的AI/ML工具,但迄今为止,大多数工具都是在癌症等非传染性疾病的背景下开发的,一些障碍限制了现有工具的转化,使其无法发现抗传染病的药物。在这里,我们提供了一个关于AI/ML工具在发现新疗法中的好处、局限性和陷阱的视角,重点是抗病毒药物。我们还讨论了现有和新兴的数据共享模型,包括知识产权保护AI/ML。此外,我们审查了可用的数据源和平台,并提供了低成本和可访问的筛查方法以及其他适合在LMIC中实施基于AI/ML的程序的基于病毒的生物测定的示例。最后,我们介绍了位于喀麦隆(中非)的一个新兴的基于AI/ML的中心,该中心目前正在开发促进本地独立药物发现的方法和工具,并代表了一种可以在全球LMIC中复制的模式。
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引用次数: 1
Characterization of KLH-driven immune responses in clinical studies: A systematic review 临床研究中klh驱动免疫反应的表征:系统综述
Pub Date : 2022-10-25 DOI: 10.3389/fddsv.2022.992087
Mahdi Saghari, M. A. Jansen, H. Grievink, R. Rissmann, M. Moerland
The pharmacological activity assessment of novel immunomodulatory drugs in early-stage drug development is challenging as healthy volunteers do not express relevant immune biomarkers. Alternatively, the immune system can be challenged with keyhole limpet hemocyanin (KLH), a suitable antigen for studying adaptive immune responses. This report systemically reviews the KLH challenge in clinical studies focusing on the characterization of the KLH-driven systemic and local immune responses, identification of the KLH-induced biomarkers, and the evaluation of the effect of pharmacological interventions and diseases on the KLH response. A systematic literature review was carried out in PubMed spanning from 1967 to 2022. The systemic humoral KLH responses could be characterized by ELISA after 3 weeks following immunization. For the systemic cellular and molecular immune responses multiple KLH immunizations and the use of novel techniques such as flow cytometry and ELISpot yield optimal results. The objective evaluation of dermal KLH rechallenge allows for more accurate and sensitive quantification of the local response compared to subjective scoring. For the local cellular and molecular assays after KLH dermal rechallenge we also advocate the use of multiple KLH immunizations. Furthermore, oral KLH feeding, age, physical activity, alcohol consumption, stress, as well as certain auto-immune diseases also play a role in the KLH-induced immune response. Importantly, based on the KLH challenges, the effect of (novel) immunomodulatory drugs could be demonstrated in healthy volunteers, providing valuable information for the clinical development of these compounds. This review underlines the value of KLH challenges in clinical studies, but also the need for standardized and well-controlled methodology to induce and evaluate KLH responses. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42022335419
在药物开发的早期阶段,新型免疫调节药物的药理活性评估具有挑战性,因为健康志愿者不表达相关的免疫生物标志物。或者,免疫系统可以用锁孔帽贝血青素(KLH)挑战,这是一种适合研究适应性免疫反应的抗原。本报告系统地回顾了KLH在临床研究中的挑战,重点是KLH驱动的全身和局部免疫反应的表征,KLH诱导的生物标志物的鉴定,以及药物干预和疾病对KLH反应的影响的评估。在PubMed上进行了从1967年到2022年的系统文献综述。免疫后3周,可通过ELISA检测全身体液性KLH应答。对于系统的细胞和分子免疫应答,多次KLH免疫和使用新的技术,如流式细胞术和ELISpot产生最佳结果。与主观评分相比,皮肤KLH再挑战的客观评估可以更准确和敏感地量化局部反应。对于KLH真皮再挑战后的局部细胞和分子检测,我们也提倡使用多种KLH免疫。此外,口服KLH喂养、年龄、身体活动、饮酒、压力以及某些自身免疫性疾病也在KLH诱导的免疫反应中发挥作用。重要的是,基于KLH挑战,(新型)免疫调节药物的效果可以在健康志愿者中得到证明,为这些化合物的临床开发提供有价值的信息。这篇综述强调了KLH在临床研究中的价值,但也需要标准化和良好控制的方法来诱导和评估KLH反应。注册:https://www.crd.york.ac.uk/prospero/,编号CRD42022335419
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引用次数: 0
Network pharmacology and molecular docking to explore Siraitia grosvenorii’s potential mechanism in preventing and treating proliferative diabetic retinopathy 网络药理学和分子对接探索罗汉果防治增殖性糖尿病视网膜病变的潜在机制
Pub Date : 2022-10-25 DOI: 10.3389/fddsv.2022.1038224
Yehong Zhou, Fuxing Shu, S. Sarsaiya, Hu Jiang, Chengyan Jiang, Ting Qu, Ruixia Wang
Although Siraitia grosvenorii (abbreviated as S.g.) is frequently used to prevent and cure diabetes problems, the precise mechanism underlying its ability to do so remains unknown. Through network pharmacology and molecular docking techniques, we studied the early molecular mechanisms of S.g in the treating of proliferative diabetic retinopathy (PDR) in this study. The Traditional Chinese Medicine Systems Pharmacology (TCMSP) database was used to screen the active compounds and related targets of S.g. Oral bioavailability (OB) 30% and drug likeness (DL) 0.18 were used as screening criteria. The active compounds without knowledge of a probable target were excluded. The Uniprot database included converted symbols for the associated targets. GEO2R was used to explore several genes related to PDR. Using jvenn web service to intersect targets of S.g and PDR. The Xiantao Academic Online website was used to examine the expression patterns of intersect targets in PDR samples. The STRING database was used to create a protein-protein interaction (PPI) network of intersecting targets. Cytoscape software was used to show the PPI network, MCODE software was used to evaluate the network’s core proteins, and CytoHubba software was used to extract the important networks of the top three targets. Omicshare platform carried a functional analysis using the Gene Ontology (GO) and pathway enrichment analysis using the Kyoto Encyclopedia of Genes and Genomes (KEGG). Pymol, AutoDock Vina software, Schrödinger Software were used to conduct molecular docking experiments or pockets search on the top three targets. The results showed that 85 targets were matched to six active compounds of S.g. 18 intersect targets were found. Seven DEGs were up-regulated and eleven genes were down-regulated when these targets were divided into two groups. TNF, PTGS2, and CASP3 were the main targets, according to the PPI network. The intersect targets were mostly related to angiogenesis, cell proliferation, oxidative stress, inflammatory response, and metabolism. It was discovered that the core targets TNF, PTGS2, and CASP3 had various levels of affinity for their respective compounds. Interestingly, multiple good drug-forming pockets for CASP3 and PTGS2 targets were identified through Schrödinger software. In particular, six compounds bind to the top three core targets to inhibit IL-17 signaling pathway, AGE-RAGE signaling pathway in diabetic complications, Pathways in cancer and 14 other signaling pathways to inhibit inflammation, apoptosis, oxidative stress, arachidonic acid metabolism, and angiogenesis to prevent and treat PDR. The study’s findings, which served as a guide for the widespread use of S.g in PDR clinical practise, included multi-substances and targets of S.g to prevent and cure PDR.
尽管罗汉果(缩写为S.g.)经常被用于预防和治疗糖尿病问题,但其能力的确切机制仍然未知。本研究通过网络药理学和分子对接技术,研究了S.g治疗增殖性糖尿病视网膜病变(PDR)的早期分子机制。利用中药系统药理学(TCMSP)数据库筛选S.g.口服生物利用度(OB)30%和药物相似性(DL)0.18的活性化合物和相关靶点。排除了不知道可能靶点的活性化合物。Uniprot数据库包括相关目标的转换符号。GEO2R用于探索与PDR相关的几个基因。使用jvenn web服务来交叉S.g和PDR的目标。利用仙桃学术在线网站对PDR样本中交叉靶标的表达模式进行了研究。STRING数据库用于创建交叉靶标的蛋白质-蛋白质相互作用(PPI)网络。Cytoscape软件用于显示PPI网络,MCODE软件用于评估网络的核心蛋白,CytoHubba软件用于提取前三个靶标的重要网络。Omicshare平台使用基因本体论(GO)进行了功能分析,并使用京都基因和基因组百科全书(KEGG)进行了途径富集分析。Pymol、AutoDock-Vina软件和Schrödinger软件用于对前三个目标进行分子对接实验或口袋搜索。结果表明,共有85个靶标与S.g.的6个活性化合物相匹配。共发现18个交叉靶标。当这些靶标被分为两组时,7个DEG被上调,11个基因被下调。根据PPI网络,TNF、PTGS2和CASP3是主要靶点。交叉靶点主要与血管生成、细胞增殖、氧化应激、炎症反应和代谢有关。发现核心靶标TNF、PTGS2和CASP3对它们各自的化合物具有不同水平的亲和力。有趣的是,通过Schrödinger软件确定了CASP3和PTGS2靶点的多个良好的药物形成口袋。特别是,六种化合物与前三个核心靶点结合,以抑制IL-17信号通路、糖尿病并发症中的AGE-RAGE信号通路、癌症中的通路和14种其他信号通路,以抑制炎症、细胞凋亡、氧化应激、花生四烯酸代谢和血管生成,从而预防和治疗PDR。该研究结果为s.g在PDR临床实践中的广泛使用提供了指导,包括s.g预防和治疗PDR的多种物质和靶点。
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引用次数: 0
A machine learning-based virtual screening for natural compounds capable of inhibiting the HIV-1 integrase 基于机器学习的抑制HIV-1整合酶天然化合物的虚拟筛选
Pub Date : 2022-10-21 DOI: 10.3389/fddsv.2022.954911
L. A. Machado, Eduardo Krempser, A. Guimarães
HIV-1 integrase is an essential enzyme for the HIV-1 replication cycle, and currently, integrase inhibitors are in the first line of treatment in many guidelines. Despite the discovery of new inhibitors, including a new class of molecules with different mechanisms of action, resistance is still a relevant problem, and adding new options to the therapeutic arsenal to fight viral resistance is a Sisyphean task. Because of the difficulty and cost of in vitro screenings, machine learning-driven ligand-based virtual screenings are an alternative that can not only cut costs but also use valuable information about active compounds with yet unknown mechanisms of action. In this work, we describe a thorough model exploration and hyperparameter tuning procedure in a dataset with class imbalance and show several models capable of distinguishing between compounds that are active or inactive against the HIV-1 integrase. The best of the models was then used to screen the natural product atlas for active compounds, resulting in a myriad of molecules that share features with known integrase inhibitors. Here we also explore the strengths and shortcomings of our models and discuss the use of the applicability domain to guide in vitro screenings and differentiate between the “predictable” and “unknown” regions of the chemical space.
HIV-1整合酶是HIV-1复制周期的必需酶,目前,整合酶抑制剂在许多指南中处于治疗的第一线。尽管发现了新的抑制剂,包括一类具有不同作用机制的新分子,但耐药性仍然是一个相关的问题,为对抗病毒耐药性的治疗库增加新的选择是一项西西弗的任务。由于体外筛选的难度和成本,机器学习驱动的基于配体的虚拟筛选是一种替代方案,它不仅可以降低成本,还可以使用关于具有未知作用机制的活性化合物的有价值信息。在这项工作中,我们描述了在类别不平衡的数据集中进行的彻底的模型探索和超参数调整过程,并展示了几种能够区分对HIV-1整合酶有活性或无活性的化合物的模型。然后,使用最好的模型来筛选天然产物图谱中的活性化合物,从而产生与已知整合酶抑制剂具有相同特征的无数分子。在这里,我们还探讨了我们的模型的优点和缺点,并讨论了使用适用性领域来指导体外筛选,并区分化学空间的“可预测”和“未知”区域。
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引用次数: 1
Nine receptors and binding proteins, four drugs, and one woman: Historical and personal perspectives 九种受体和结合蛋白、四种药物和一名女性:历史和个人视角
Pub Date : 2022-10-21 DOI: 10.3389/fddsv.2022.1001487
D. Novick
In the era of bioinformatics and high-throughput techniques, it is tempting to forget the advantage of an old yet efficient and straightforward technique, ligand affinity chromatography, in the search for unknown proteins. This type of separation is based on an interaction between the target analyte potentially present in a crude mixture of proteins and a ligand coupled covalently to a resin. This process allows thousands-fold purification in a single step, which is crucial when using an extremely rich source of naturally occurring proteins such as human urine or plasma. Before the completion of The Genome Project, this method facilitated the rapid and reliable cloning of the corresponding gene based on the partial amino acid sequence of the isolated protein. Upon completion of this project, a partial protein sequence was enough to retrieve its complete mRNA and, hence, its complete protein sequence. Ligand affinity chromatography is indispensable for the isolation of both expected and unexpected binding proteins found by serendipity. My approach of combining a rich source of human proteins (1,000-fold concentrated human urine) together with this highly specific isolation method yielded proteins from both groups. The expected proteins included the two receptors for TNF (TBPI and TBPII), type I and type II interferon receptors (IFNα/βR, IFN-γR), and IL-6 and LDL receptors. The unexpected group of proteins included IL-18 binding protein (IL-18BP), IL-32 binding protein (Proteinase 3), and heparanase binding protein, the resistin. The discovery of the type I IFN receptor was a “eureka” moment in my life since it put an end to a 35-year worldwide search for this receptor. Using chemical purification methods, the TBPII might have never been discovered. Years later, TBPII was translated into the blockbuster drug Enbrel® to treat mainly rheumatoid arthritis. IFN-beta was translated into the blockbuster drug Rebif® to treat the autoimmune disease multiple sclerosis. IL-18BP translated into the drug Tadekinig alfa™ and is in a phase III clinical study for inflammatory and autoimmune pathologies. It has saved the lives of children born with mutations (NLRC4, XIAP) and is an example of personalized medicine. COVID-19 and CAR-T cytokine storms are the recent targets of IL-18BP.
在生物信息学和高通量技术的时代,人们很容易忘记一种古老但高效且简单的技术,即配体亲和层析法,在寻找未知蛋白质方面的优势。这种类型的分离是基于目标分析物之间的相互作用,目标分析物可能存在于蛋白质的粗混合物和与树脂共价偶联的配体之间。这个过程可以在一个步骤中进行数千倍的纯化,这在使用极其丰富的天然蛋白质来源(如人类尿液或血浆)时至关重要。在the Genome Project完成之前,该方法可以根据分离蛋白的部分氨基酸序列快速、可靠地克隆出相应的基因。在这个项目完成后,一个部分的蛋白质序列就足以检索其完整的mRNA,从而获得其完整的蛋白质序列。配体亲和层析是不可缺少的分离预期和意外发现的结合蛋白。我将丰富的人类蛋白质来源(1000倍浓缩的人类尿液)与这种高度特异性的分离方法结合在一起,从两组中产生了蛋白质。预期蛋白包括TNF的两种受体(TBPI和TBPII), I型和II型干扰素受体(IFNα/βR, IFN-γR), IL-6和LDL受体。这组意想不到的蛋白包括IL-18结合蛋白(IL-18BP)、IL-32结合蛋白(蛋白酶3)和肝素酶结合蛋白(抵抗素)。I型IFN受体的发现是我生命中的一个“尤里卡”时刻,因为它结束了35年来全球对这种受体的寻找。使用化学纯化方法,TBPII可能永远不会被发现。多年后,TBPII被转化为重磅药物Enbrel®,主要用于治疗类风湿性关节炎。ifn - β被转化为重磅药物Rebif®,用于治疗自身免疫性疾病多发性硬化症。IL-18BP被转化为药物tadekiniing alfa™,目前正处于炎症和自身免疫性病理的III期临床研究中。它挽救了天生携带突变(NLRC4, XIAP)的儿童的生命,是个性化医疗的一个例子。COVID-19和CAR-T细胞因子风暴是IL-18BP的最新靶点。
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引用次数: 3
From drugs to targets: Reverse engineering the virtual screening process on a proteomic scale 从药物到靶点:蛋白质组学规模的虚拟筛选过程逆向工程
Pub Date : 2022-10-20 DOI: 10.3389/fddsv.2022.969983
Gustavo Schottlender, Juan Manuel Prieto, Miranda C. Palumbo, Florencia A Castello, F. Serral, E. Sosa, A. Turjanski, M. Marti, D. A. Fernández Do Porto
Phenotypic screening is a powerful technique that allowed the discovery of antimicrobials to fight infectious diseases considered deadly less than a century ago. In high throughput phenotypic screening assays, thousands of compounds are tested for their capacity to inhibit microbial growth in-vitro. After an active compound is found, identifying the molecular target is the next step. Knowing the specific target is key for understanding its mechanism of action, and essential for future drug development. Moreover, this knowledge allows drug developers to design new generations of drugs with increased efficacy and reduced side effects. However, target identification for a known active compound is usually a very difficult task. In the present work, we present a powerful reverse virtual screening strategy, that can help researchers working in the drug discovery field, to predict a set of putative targets for a compound known to exhibit antimicrobial effects. The strategy combines chemical similarity methods, with target prioritization based on essentiality data, and molecular-docking. These steps can be tailored according to the researchers’ needs and pathogen’s available information. Our results show that using only the chemical similarity approach, this method is capable of retrieving potential targets for half of tested compounds. The results show that even for a low chemical similarity threshold whenever domains are retrieved, the correct domain is among those retrieved in more than 80% of the queries. Prioritizing targets by an essentiality criteria allows us to further reduce, up to 3–4 times, the number of putative targets. Lastly, docking is able to identify the correct domain ranked in the top two in about two thirds of cases. Bias docking improves predictive capacity only slightly in this scenario. We expect to integrate the presented strategy in the context of Target Pathogen database to make it available for the wide community of researchers working in antimicrobials discovery.
表型筛查是一项强大的技术,它发现了对抗不到一个世纪前被认为是致命的传染病的抗菌药物。在高通量表型筛选试验中,测试了数千种化合物在体外抑制微生物生长的能力。在发现活性化合物后,识别分子靶标是下一步。了解具体的靶点是了解其作用机制的关键,也是未来药物开发的关键。此外,这些知识使药物开发人员能够设计出新一代的药物,提高疗效,减少副作用。然而,已知活性化合物的靶标识别通常是一项非常困难的任务。在目前的工作中,我们提出了一种强大的反向虚拟筛选策略,可以帮助药物发现领域的研究人员预测一种已知具有抗菌作用的化合物的一组假定靶点。该策略结合了化学相似性方法、基于重要性数据的目标优先级以及分子对接。这些步骤可以根据研究人员的需求和病原体的可用信息进行定制。我们的结果表明,仅使用化学相似性方法,该方法就能够检索一半测试化合物的潜在靶标。结果表明,即使在任何时候检索域的化学相似性阈值较低的情况下,在80%以上的查询中,正确的域也是检索到的。通过重要性标准对目标进行优先排序,我们可以将假定目标的数量进一步减少3-4倍。最后,在大约三分之二的情况下,对接能够识别排名前两位的正确域。在这种情况下,偏置对接仅略微提高了预测能力。我们希望将所提出的策略整合到目标病原体数据库的背景下,使其可供从事抗菌药物发现的广大研究人员使用。
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引用次数: 1
Plasma brain injury markers are associated with volume status but not muscle health in heart failure patients 心力衰竭患者血浆脑损伤标志物与容量状态相关,但与肌肉健康无关
Pub Date : 2022-10-18 DOI: 10.3389/fddsv.2022.1042737
S. Lahiri, Mitra Mastali, J. V. Van Eyk, T. Hitzeman, C. Bresee, K. Raedschelders, P. Lyden, R. Gottlieb, J. Fang, R. Shaw, T. Hong
Background: Neurofilament light chain protein (NfL) and tau are plasma biomarkers of neuronal injury which can be elevated in patients with neurodegenerative diseases. N-terminal pro-brain natriuretic peptide (NT-proBNP) is an established marker of volume status in patients with heart failure (HF) and plasma cBIN1 score (CS) is an emerging biomarker of cardiac muscle health. It is not known if, in HF patients, there is a correlation between cardiac markers and brain injury markers. Methods: We studied ambulatory HF patients with either preserved and reduced ejection fraction (N = 50 with 25 HFrEF and 25 HFpEF) and age and sex matched healthy controls (N = 50). Plasma NT-proBNP and CS were determined using commercial kits. A bead-based ELISA assay was used to quantify femtomolar concentrations of plasma neuronal markers NfL and total tau. Results: Plasma levels of NT-proBNP and CS in heart failure patients were significantly higher than those from healthy controls. In both patients with HFrEF and HFpEF, we found independent and direct correlations between the volume status marker NT-proBNP, but not the cardiomyocyte origin muscle health marker CS, with NfL (r = 0.461, p = 0.0007) and tau (r = 0.333, p = 0.0183). Conclusion: In patients with HF with or without preserved ejection fraction, plasma levels of NfL and tau correlate with volume status rather than muscle health, indicating volume overload-associated neuronal injury.
背景:神经丝轻链蛋白(NfL)和tau是神经元损伤的血浆生物标志物,在神经退行性疾病患者中可能升高。N-末端脑钠肽前体(NT-proBNP)是心力衰竭(HF)患者体积状态的一种已确定的标志物,血浆cBIN1评分(CS)是心肌健康的一种新兴生物标志物。目前尚不清楚HF患者的心脏标志物和脑损伤标志物之间是否存在相关性。方法:我们研究了射血分数保持和降低的门诊HF患者(N=50,25 HFrEF和25 HFpEF)和年龄和性别匹配的健康对照组(N=50)。使用商业试剂盒测定血浆NT-proBNP和CS。使用基于珠的ELISA测定来量化血浆神经元标记物NfL和总τ的股骨极浓度。结果:心力衰竭患者血浆NT-proBNP和CS水平明显高于健康对照组。在HFrEF和HFpEF患者中,我们发现体积状态标志物NT-proBNP(而不是心肌细胞来源的肌肉健康标志物CS)与NfL(r=0.461,p=0.0007)和tau(r=0.333,p=0.0183)之间存在独立且直接的相关性,NfL和tau的血浆水平与体积状态而非肌肉健康相关,表明体积过载相关的神经元损伤。
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引用次数: 1
Current and potential therapeutic strategies for transthyretin cardiac amyloidosis 转甲状腺素型心脏淀粉样变性的当前和潜在治疗策略
Pub Date : 2022-10-12 DOI: 10.3389/fddsv.2022.1015545
M. A. C. Williams, B. Shankar, J. Vaishnav, M. Ranek
Cardiac amyloidosis is a progressive disorder caused by the deposition of amyloid, abnormal proteins that aggregate to form insoluble plaques in the myocardium resulting in restrictive cardiomyopathy. The two most common subtypes of cardiac amyloidosis are immunoglobulin light chain (AL) and transthyretin (TTR) amyloid cardiomyopathy (ATTR-CM). ATTR-CM can further be subdivided into two main categories, wild-type or hereditary TTR. TTR is a homotetrameric protein complex that is synthesized in the liver and is secreted into the circulation for retinol and vitamin A transfer. Genetic mutations in the TTR gene can disrupt the thermodynamic stability of the homotetrameric complex causing dissociation into monomers that, when taken up by the myocardium, will aggregate to form insoluble fibers. Though the mechanism of wild-type TTR is not fully elucidated, it is thought to be an age-related process. Myocardial uptake and aggregation of TTR monomeric subunits result in cytotoxicity, impaired cardiac function, and eventually heart failure. Historically, ATTR-CM had a poor prognosis, with no therapeutics available to specifically target ATTR-CM and treatment focused on managing symptoms and disease-related complications. In 2019, the FDA approved the first-in-class TTR stabilizer for ATTR-CM, which has led to improved outcomes. In recent years, several promising novel therapies have emerged which aim to target various points of the ATTR-CM amyloidogenic cascade. In this review, we discuss the mechanistic underpinnings of ATTR-CM, review current FDA-approved strategies for treatment, and highlight ongoing research efforts as potential therapeutic options in the future.
心脏淀粉样变性是一种由淀粉样蛋白沉积引起的进行性疾病,淀粉样蛋白是一种异常蛋白质,在心肌中聚集形成不溶性斑块,导致限制性心肌病。心脏淀粉样变性最常见的两种亚型是免疫球蛋白轻链(AL)和转甲状腺素(TTR)淀粉样心肌病(ATTR-CM)。ATTR-CM可以进一步细分为两个主要类别,野生型或遗传性TTR。TTR是一种同源四聚体蛋白复合物,在肝脏中合成,并分泌到循环中用于视黄醇和维生素a的转移。TTR基因的遗传突变会破坏同源四聚体复合物的热力学稳定性,导致分解成单体,当被心肌吸收时,这些单体会聚集形成不溶性纤维。尽管野生型TTR的机制尚未完全阐明,但它被认为是一个与年龄相关的过程。心肌摄取和TTR单体亚基的聚集导致细胞毒性、心功能受损,最终导致心力衰竭。从历史上看,ATTR-CM预后不佳,没有专门针对ATTR-CM的治疗方法,治疗重点是控制症状和疾病相关并发症。2019年,美国食品药品监督管理局批准了第一种用于ATTR-CM的TTR稳定剂,这改善了疗效。近年来,出现了几种有前景的新疗法,旨在靶向ATTR-CM淀粉样蛋白级联反应的各个点。在这篇综述中,我们讨论了ATTR-CM的机制基础,回顾了目前美国食品药品监督管理局批准的治疗策略,并强调了正在进行的研究工作是未来潜在的治疗选择。
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引用次数: 1
Chemically induced phenotypes during the blood stage development of Plasmodium falciparum as indicators of the drug mode of action 在恶性疟原虫血液阶段发育期间化学诱导表型作为药物作用方式的指标
Pub Date : 2022-10-12 DOI: 10.3389/fddsv.2022.920850
K. Reghunandanan, Rajesh Chandramohanadas
Malaria remains a health and economic burden, particularly in marginalized populations worldwide. The current strategies for combating malaria rely on eliminating the mosquito vector, using insecticide-treated nets, and other management policies or through the administration of small molecule drugs to perturb the intra-erythrocytic development of the parasite. However, resistance against commonly used drugs such as artemisinin has recently become a concern necessitating the identification of novel pharmacophores with unique mechanisms of action. This review summarizes the various life-stage events of the malaria parasite, Plasmodium falciparum, during the in vitro development, which can be targeted by different classes of small molecules. We also describe various chemically induced phenotypes and methods to ascertain and validate drug-induced changes to derive early insights into which cellular mechanisms are affected.
疟疾仍然是一个健康和经济负担,特别是在世界各地的边缘人群中。目前防治疟疾的战略依赖于消灭蚊子媒介、使用经杀虫剂处理的蚊帐和其他管理政策,或通过使用小分子药物来干扰寄生虫的红细胞内发育。然而,对常用药物(如青蒿素)的耐药性最近已成为一个问题,需要鉴定具有独特作用机制的新型药效团。本文综述了恶性疟原虫(Plasmodium falciparum)在体外发育过程中的各种生命阶段事件,这些事件可以被不同类型的小分子靶向治疗。我们还描述了各种化学诱导的表型和方法,以确定和验证药物诱导的变化,以获得对哪些细胞机制受到影响的早期见解。
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引用次数: 1
Artificial intelligence platform, RADR®, aids in the discovery of DNA damaging agent for the ultra-rare cancer Atypical Teratoid Rhabdoid Tumors 人工智能平台,RADR®,帮助发现超罕见癌症非典型畸胎瘤样横纹肌瘤的DNA损伤剂
Pub Date : 2022-10-11 DOI: 10.3389/fddsv.2022.1033395
J. McDermott, D. Sturtevant, Umesh Kathad, S. Varma, Jianli Zhou, A. Kulkarni, Neha Biyani, Caleb Schimke, W. Reinhold, Fathi Elloumi, Peter Carr, Y. Pommier, K. Bhatia
Over the last decade the next-generation sequencing and ‘omics techniques have become indispensable tools for medicine and drug discovery. These techniques have led to an explosion of publicly available data that often goes under-utilized due to the lack of bioinformatic expertise and tools to analyze that volume of data. Here, we demonstrate the power of applying two novel computational platforms, the NCI’s CellMiner Cross Database and Lantern Pharma’s proprietary artificial intelligence (AI) and machine learning (ML) RADR® platform, to identify biological insights and potentially new target indications for the acylfulvene derivative drugs LP-100 (Irofulven) and LP-184. Analysis of multi-omics data of both drugs within CellMinerCDB generated discoveries into their mechanism of action, gene sets uniquely enriched to each drug, and how these drugs differed from existing DNA alkylating agents. Data from CellMinerCDB suggested that LP-184 and LP-100 were predicted to be effective in cancers with chromatin remodeling deficiencies, like the ultra-rare and fatal childhood cancer Atypical Teratoid Rhabdoid Tumors (ATRT). Lantern’s AI and ML RADR® platform was then utilized to build a model to test, in silico, if LP-184 would be efficacious in ATRT patients. In silico, RADR® aided in predicting that, indeed, ATRT would be sensitive to LP-184, which was then validated in vitro and in vivo. Applying computational tools and AI, like CellMinerCDB and RADR®, are novel and efficient translational approaches to drug discovery for rare cancers like ATRT.
在过去的十年里,下一代测序和组学技术已经成为医学和药物发现不可或缺的工具。这些技术导致了公开可用数据的激增,由于缺乏生物信息学专业知识和分析大量数据的工具,这些数据往往被低估。在这里,我们展示了应用两个新的计算平台的能力,NCI的CellMiner Cross Database和Lantern Pharma的专有人工智能(AI)和机器学习(ML)RADR®平台,来识别酰基富烯衍生物药物LP-100(Irofuven)和LP-184的生物学见解和潜在的新靶点适应症。在CellMinerCDB中对这两种药物的多组学数据进行分析,发现了它们的作用机制、每种药物独特富集的基因集,以及这些药物如何与现有的DNA烷基化剂不同。CellMinerCDB的数据表明,LP-184和LP-100被预测对染色质重塑缺陷的癌症有效,如超射线和致命的儿童癌症非典型Teratoid Rhabdoid肿瘤(ATRT)。Lantern的AI和ML RADR®平台随后被用于建立一个模型,以在计算机上测试LP-184是否对ATRT患者有效。在计算机上,RADR®有助于预测ATRT确实对LP-184敏感,然后在体外和体内进行了验证。应用计算工具和人工智能,如CellMinerCDB和RADR®,是发现ATRT等罕见癌症药物的新颖有效的转化方法。
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引用次数: 1
期刊
Frontiers in drug discovery
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