Using AI for accurately predicting synergistic cancer drug combinations

 

A research team led by a scholar from City University of Hong Kong (CityU) has recently developed a novel artificial intelligence (AI) framework that can make synergistic anti-cancer drug combination predictions on both the therapeutic and toxic effects. The study revealed the potential of applying AI and machine learning to discover effective combinations in therapies for cancer and other complex diseases.

The research team was led by Dr Zhang Qingpeng, Associate Professor from CityU’s School of Data Science. The findings have been published in the Journal of the American Medical Informatics Association (JAMIA), with the title of “GraphSynergy: a network-inspired deep learning model for anticancer drug combination prediction”.

Applying AI in cancer therapies

To achieve the best therapeutic effect, multiple types of drugs are commonly prescribed by doctors to treat complex diseases like cancers and HIV/AIDS. However, the knowledge of the best combinations of drugs is usually based on clinical experience and judgements.

In recent years, AI and data science have become increasingly important in cancer treatment and drug discovery because of the capability to process large-scale complex biological and clinical data. As their first attempt at using AI in cancer drug discovery, Dr Zhang’s research group, whose research focus is data science, successfully developed “Graph Convolutional Network for Drug Synergy (GraphSynergy)”. It is a novel AI framework that can make synergistic chemotherapy drug combination predictions.

GraphSynergy
Blue and green circles in this figure represent proteins that are targeted by two drugs respectively. Orange circles represent proteins associated with cancer cell lines, and the black dots represent other human proteins. Credit: Jiannan Yang, et al. / DOI number: 10.1093/jamia/ocab162

By analysing the relations between the protein modules targeted by drugs and the protein modules associated with cancer cell lines in the human protein-protein-interaction network (PPI), and the interrelations among the protein modules, this deep-learning-based algorithm can identify synergistic drug combinations that yield effective therapy with less toxicity.

Analysing the human protein-protein-interaction network

Dr Zhang explained that the human body is a complex system, in which proteins in cells have numerous interactions and form a complex PPI network. Cancer cells are usually associated with multiple proteins, which have direct and indirect interrelations among each other and with other proteins in the PPI network. “How to mix and match multiple drugs to treat cancer is therefore very challenging. considering the complexity of the PPI network. So, we used AI to analyse the proteins that are targeted by drugs and the cancer cells, as well as the interrelations among the proteins, to help predict synergistic cancer drug combinations accurately,” said Dr Zhang.

He emphasised that the predictions are made by examining not only the directly targeted proteins by drugs and the cancer cells, but also the relations between the proteins, thus yielding a superior performance in identifying the best synergistic anti-cancer drug combination of low toxicity.

The research team compared the prediction performance of GraphSynergy with conventional prediction models and the latest drug combination prediction algorithms such as “DeepSynergy.” They found that GraphSynergy’s prediction performance is better in identifying synergistic drug combinations of low toxicity.

To verify the predictions made by GraphSynergy, the team selected clinically verified synergistic drug combinations to run the algorithm. And GraphSynergy predicted such combination is synergistic too.

Pivotal proteins identified
GraphSynergy can identify the pivotal proteins, benefiting cancer drug development. Dots with numbers in the figure represent cancer cell lines, while dots without numbers represent cancer drugs. This figure shows the relations among the proteins, and also the interrelations among proteins, drugs and cancer cell lines. Credit: Jiannan Yang, et al. / DOI number: 10.1093/jamia/ocab162

 

According to the public dataset that the team obtained, the therapeutic effect of one of the drug combinations is considered not so significant. However, GraphSynergy predicted it as pharmacologically effective. The team further investigated that drug combination by reviewing the literature. It turned out that its effectiveness is recently verified in a clinical trial study. Dr Zhang believed that this illustrated the forecast and prediction capability of AI algorithms.

Dr Zhang added that GraphSynergy could identify the pivotal proteins that play a role in making the cancer drugs effective. Such insight helps healthcare professionals to understand the predictions and provide guidance in future drug development.

Co-incubated by HK Tech 300 and HKSTP

COMPASS Health Technology
To explore the translation of research into an application, core members of the team, Yang Jiannan (middle), a PhD student in CityU’s School of Data Science, and Dr Xu Zhongzhi (right), Dr Zhang Qingpeng’s former PhD student (now works in HKU), established “COMPASS Health Technology” with another member Tian Lue (left). “COMPASS Health Technology” is co-incubated by HK Tech 300, the CityU’s flagship innovation and entrepreneurship programme, and HKSTP. Credit: City University of Hong Kong

“Our AI framework has the potential of optimising cancer treatment at a low cost. We hope that it can provide grounds for doctors and patients to make medical decisions. Our next step will be applying the framework in drug development for cancer and other diseases,” concluded Dr Zhang.

To explore the translation of their research into an actual application, core members of the research team has established “COMPASS Health Technology”, which is one of the start-up teams co-incubated by HK Tech 300, the CityU’s flagship innovation and entrepreneurship programme, and Hong Kong Science and Technology Parks Corporation (HKSTP).

 

Dr Zhang Qingpeng
Dr Zhang Qingpeng, Associate Professor from CityU’s School of Data Science, led a team and developed a novel AI framework that can make synergistic anti-cancer drug combination predictions. Credit: City University of Hong Kong

Dr Zhang is the corresponding author of the paper. The first author is Yang Jiannan, a PhD student supervised by Dr Zhang in the School of Data Science. Other co-authors are from the University of Hong Kong, The Chinese University of Hong Kong, and Tongji Hospital, Huazhong University of Science and Technology.

This research was supported by the National Natural Science Foundation of China, the Health and Medical Research Fund of the Food and Health Bureau of Hong Kong, the Innovation and Technology Fund of Innovation and Technology Commission of Hong Kong, and the National Key R&D Program of China.

DOI number: 10.1093/jamia/ocab162

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