Synergistic effects of complex drug combinations in colorectal cancer cells predicted by logical modelling

Drug combinations have been proposed to combat drug resistance in cancer, but due to the large number of possible drug targets, in vitro testing of all possible combinations of drugs is challenging. Computational models of a disease hold great promise as tools for prediction of response to treatment...

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Main Authors: Evelina Folkesson, B. Cristoffer Sakshaug, Andrea D. Hoel, Geir Klinkenberg, Åsmund Flobak
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Systems Biology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsysb.2023.1112831/full
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author Evelina Folkesson
B. Cristoffer Sakshaug
Andrea D. Hoel
Geir Klinkenberg
Åsmund Flobak
Åsmund Flobak
author_facet Evelina Folkesson
B. Cristoffer Sakshaug
Andrea D. Hoel
Geir Klinkenberg
Åsmund Flobak
Åsmund Flobak
author_sort Evelina Folkesson
collection DOAJ
description Drug combinations have been proposed to combat drug resistance in cancer, but due to the large number of possible drug targets, in vitro testing of all possible combinations of drugs is challenging. Computational models of a disease hold great promise as tools for prediction of response to treatment, and here we constructed a logical model integrating signaling pathways frequently dysregulated in cancer, as well as pathways activated upon DNA damage, to study the effect of clinically relevant drug combinations. By fitting the model to a dataset of pairwise combinations of drugs targeting MEK, PI3K, and TAK1, as well as several clinically approved agents (palbociclib, olaparib, oxaliplatin, and 5FU), we were able to perform model simulations that allowed us to predict more complex drug combinations, encompassing sets of three and four drugs, with potentially stronger effects compared to pairwise drug combinations. All predicted third-order synergies, as well as a subset of non-synergies, were successfully confirmed by in vitro experiments in the colorectal cancer cell line HCT-116, highlighting the strength of using computational strategies to rationalize drug testing.
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spelling doaj.art-d9ff8c0e77264f3ab637172d892f4cc12023-02-27T07:28:30ZengFrontiers Media S.A.Frontiers in Systems Biology2674-07022023-02-01310.3389/fsysb.2023.11128311112831Synergistic effects of complex drug combinations in colorectal cancer cells predicted by logical modellingEvelina Folkesson0B. Cristoffer Sakshaug1Andrea D. Hoel2Geir Klinkenberg3Åsmund Flobak4Åsmund Flobak5Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Biotechnology, SINTEF Materials and Chemistry, Trondheim, NorwayDepartment of Biotechnology, SINTEF Materials and Chemistry, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, NorwayThe Cancer Clinic, St Olav’s University Hospital, Trondheim, NorwayDrug combinations have been proposed to combat drug resistance in cancer, but due to the large number of possible drug targets, in vitro testing of all possible combinations of drugs is challenging. Computational models of a disease hold great promise as tools for prediction of response to treatment, and here we constructed a logical model integrating signaling pathways frequently dysregulated in cancer, as well as pathways activated upon DNA damage, to study the effect of clinically relevant drug combinations. By fitting the model to a dataset of pairwise combinations of drugs targeting MEK, PI3K, and TAK1, as well as several clinically approved agents (palbociclib, olaparib, oxaliplatin, and 5FU), we were able to perform model simulations that allowed us to predict more complex drug combinations, encompassing sets of three and four drugs, with potentially stronger effects compared to pairwise drug combinations. All predicted third-order synergies, as well as a subset of non-synergies, were successfully confirmed by in vitro experiments in the colorectal cancer cell line HCT-116, highlighting the strength of using computational strategies to rationalize drug testing.https://www.frontiersin.org/articles/10.3389/fsysb.2023.1112831/fullcolorectal cancerlogical modellingdrug combinationssynergyprediction
spellingShingle Evelina Folkesson
B. Cristoffer Sakshaug
Andrea D. Hoel
Geir Klinkenberg
Åsmund Flobak
Åsmund Flobak
Synergistic effects of complex drug combinations in colorectal cancer cells predicted by logical modelling
Frontiers in Systems Biology
colorectal cancer
logical modelling
drug combinations
synergy
prediction
title Synergistic effects of complex drug combinations in colorectal cancer cells predicted by logical modelling
title_full Synergistic effects of complex drug combinations in colorectal cancer cells predicted by logical modelling
title_fullStr Synergistic effects of complex drug combinations in colorectal cancer cells predicted by logical modelling
title_full_unstemmed Synergistic effects of complex drug combinations in colorectal cancer cells predicted by logical modelling
title_short Synergistic effects of complex drug combinations in colorectal cancer cells predicted by logical modelling
title_sort synergistic effects of complex drug combinations in colorectal cancer cells predicted by logical modelling
topic colorectal cancer
logical modelling
drug combinations
synergy
prediction
url https://www.frontiersin.org/articles/10.3389/fsysb.2023.1112831/full
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