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Network-based approach to prediction and population-based validation of in silico drug repurposing
Cheng, Feixiong ; Desai, Rishi J. ; Handy, Diane E. ; Wang, Ruisheng ; Schneeweiss, Sebastian ; Barabási, Albert László ; Loscalzo, Joseph
Cheng, Feixiong
Desai, Rishi J.
Handy, Diane E.
Wang, Ruisheng
Schneeweiss, Sebastian
Barabási, Albert László
Loscalzo, Joseph
Title / Series / Name
Nature Communications
Publication Volume
9
Publication Issue
1
Pages
Editors
Keywords
General Chemistry
General Biochemistry,Genetics and Molecular Biology
Multidisciplinary
General Physics and Astronomy
SDG 3 - Good Health and Well-being
General Biochemistry,Genetics and Molecular Biology
Multidisciplinary
General Physics and Astronomy
SDG 3 - Good Health and Well-being
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Barabasi_Laszlo_2018.pdf
Adobe PDF, 1.01 MB
URI
https://hdl.handle.net/20.500.14018/28886
Abstract
Here we identify hundreds of new drug-disease associations for over 900 FDA-approved drugs by quantifying the network proximity of disease genes and drug targets in the human (protein-protein) interactome. We select four network-predicted associations to test their causal relationship using large healthcare databases with over 220 million patients and state-of-the-art pharmacoepidemiologic analyses. Using propensity score matching, two of four network-based predictions are validated in patient-level data: carbamazepine is associated with an increased risk of coronary artery disease (CAD) [hazard ratio (HR) 1.56, 95% confidence interval (CI) 1.12-2.18], and hydroxychloroquine is associated with a decreased risk of CAD (HR 0.76, 95% CI 0.59-0.97). In vitro experiments show that hydroxychloroquine attenuates pro-inflammatory cytokine-mediated activation in human aortic endothelial cells, supporting mechanistically its potential beneficial effect in CAD. In summary, we demonstrate that a unique integration of protein-protein interaction network proximity and large-scale patient-level longitudinal data complemented by mechanistic in vitro studies can facilitate drug repurposing.
Topic
Publisher
Place of Publication
Type
Journal article
Date
2018-07-12
Language
ISBN
Identifiers
10.1038/s41467-018-05116-5