Developing a Systems Biology Platform for Predicting Drug Toxicity and Safety - Project Summary
Adverse drug reactions (ADRs), more commonly known as drug side effects, are estimated to cause over
100,000 deaths in the US annually, are responsible for 6.5% of all hospital admissions, and 28% of clinical trial
failures. Current pharmacological modeling efforts that are commonly used in the pharma industry (such as
PK/PD) are generally empirical at the biomolecular level, meaning simplified mathematical terms are used to
represent complex physiology. These modeling approaches are used to quantitatively understand therapeutic
exposure-response relationships for clinical dosing, but have been less commonly applied to describe
toxicological exposure-response relationships, with a few exceptions, as they lack the power to predict
systemic cellular effects of pharmaceuticals that underlie ADRs. Elucidating the downstream and systemic
effects of pharmaceuticals is critical to understanding ADR pathogenesis. Drugs can affect multiple proteins
and each protein that they modulate may play roles in multiple cellular processes. Understanding this multi-
factorial physiological response using systems biology methods will ultimately aid in better predicting ADRs
before clinical trials using in vitro data. With the increasing emphasis on amassing large datasets, there is
more and more publically available knowledge on pharmaceuticals, and their effects on cells, organs, and
patients. However throughout all biomedical fields, analyzing complex datasets in a biologically coherent
fashion has been a difficult challenge. The goal of this program is to develop a predictive computational
platform analyzing gene-expression data sets from drug perturbed in vitro cell lines with metabolic and protein
interaction networks for better understanding the systemic effects of over 700 approved pharmaceuticals with
known ADRs. The platform, named ADR Predict, will use statistical machine learning approaches to identify
network perturbation signatures that are highly predictive of specific ADRs. Developing ADR Predict has
significant implications for the pharmaceutical industry. The initial commercialization opportunity of ADR
Predict will is through service partnerships with pharmaceutical companies for accelerating and improving the
drug development pipeline by mitigating risk of clinical trial safety failures. Further, this proposal will elucidate
mechanisms of ADR pathogenesis that will be subsequently experimentally validated in Phase 2.