A network paradigm predicts drug synergistic effects using downstream protein–protein interactions

Abstract In some cases, drug combinations affect adverse outcome phenotypes by binding the same protein; however, drug‐binding proteins are associated through protein–protein interaction (PPI) networks within the cell, suggesting that drug phenotypes may result from long‐range network effects. We fi...

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Main Authors: Jennifer L. Wilson, Ethan Steinberg, Rebecca Racz, Russ B. Altman, Nigam Shah, Kevin Grimes
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:CPT: Pharmacometrics & Systems Pharmacology
Online Access:https://doi.org/10.1002/psp4.12861
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author Jennifer L. Wilson
Ethan Steinberg
Rebecca Racz
Russ B. Altman
Nigam Shah
Kevin Grimes
author_facet Jennifer L. Wilson
Ethan Steinberg
Rebecca Racz
Russ B. Altman
Nigam Shah
Kevin Grimes
author_sort Jennifer L. Wilson
collection DOAJ
description Abstract In some cases, drug combinations affect adverse outcome phenotypes by binding the same protein; however, drug‐binding proteins are associated through protein–protein interaction (PPI) networks within the cell, suggesting that drug phenotypes may result from long‐range network effects. We first used PPI network analysis to classify drugs based on proteins downstream of their targets and next predicted drug combination effects where drugs shared network proteins but had distinct binding proteins (e.g., targets, enzymes, or transporters). By classifying drugs using their downstream proteins, we had an 80.7% sensitivity for predicting rare drug combination effects documented in gold‐standard datasets. We further measured the effect of predicted drug combinations on adverse outcome phenotypes using novel observational studies in the electronic health record. We tested predictions for 60 network‐drug classes on seven adverse outcomes and measured changes in clinical outcomes for predicted combinations. These results demonstrate a novel paradigm for anticipating drug synergistic effects using proteins downstream of drug targets.
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spelling doaj.art-40b2b23cd4074e4bb96082a9c2d0926e2022-12-22T03:38:57ZengWileyCPT: Pharmacometrics & Systems Pharmacology2163-83062022-11-0111111527153810.1002/psp4.12861A network paradigm predicts drug synergistic effects using downstream protein–protein interactionsJennifer L. Wilson0Ethan Steinberg1Rebecca Racz2Russ B. Altman3Nigam Shah4Kevin Grimes5Department of Bioengineering University of California Los Angeles Los Angeles California USACenter for Biomedical Informatics Research Stanford University Palo Alto California USADivision of Applied Regulatory Science US Food and Drug Administration Silver Spring Maryland USADepartment of Bioengineering Stanford University Palo Alto California USACenter for Biomedical Informatics Research Stanford University Palo Alto California USADepartment of Chemical and Systems Biology Stanford University Palo Alto California USAAbstract In some cases, drug combinations affect adverse outcome phenotypes by binding the same protein; however, drug‐binding proteins are associated through protein–protein interaction (PPI) networks within the cell, suggesting that drug phenotypes may result from long‐range network effects. We first used PPI network analysis to classify drugs based on proteins downstream of their targets and next predicted drug combination effects where drugs shared network proteins but had distinct binding proteins (e.g., targets, enzymes, or transporters). By classifying drugs using their downstream proteins, we had an 80.7% sensitivity for predicting rare drug combination effects documented in gold‐standard datasets. We further measured the effect of predicted drug combinations on adverse outcome phenotypes using novel observational studies in the electronic health record. We tested predictions for 60 network‐drug classes on seven adverse outcomes and measured changes in clinical outcomes for predicted combinations. These results demonstrate a novel paradigm for anticipating drug synergistic effects using proteins downstream of drug targets.https://doi.org/10.1002/psp4.12861
spellingShingle Jennifer L. Wilson
Ethan Steinberg
Rebecca Racz
Russ B. Altman
Nigam Shah
Kevin Grimes
A network paradigm predicts drug synergistic effects using downstream protein–protein interactions
CPT: Pharmacometrics & Systems Pharmacology
title A network paradigm predicts drug synergistic effects using downstream protein–protein interactions
title_full A network paradigm predicts drug synergistic effects using downstream protein–protein interactions
title_fullStr A network paradigm predicts drug synergistic effects using downstream protein–protein interactions
title_full_unstemmed A network paradigm predicts drug synergistic effects using downstream protein–protein interactions
title_short A network paradigm predicts drug synergistic effects using downstream protein–protein interactions
title_sort network paradigm predicts drug synergistic effects using downstream protein protein interactions
url https://doi.org/10.1002/psp4.12861
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