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Search Algorithms as a Framework for the Optimization of Drug Combinations 英文参考文献
SearchAlgorithmsasaFrameworkfortheOptimization
ofDrugCombinations
DiegoCalzolari1.,StefaniaBruschi1.,LaurenceCoquin1,JenniferSchofield1,JacobD.Feala2,JohnC.
Reed1,AndrewD.McCulloch2,GiovanniPaternostro1,2*
1Burnham Institute for Medical Research, La Jolla, California, United States of America, 2Department of Bioengineering, University of California San Diego, La Jolla,
California,UnitedStatesofAmerica
Abstract
Combination therapies are often needed for effective clinical outcomes in the management of complex diseases, but
presently they are generally based on empirical clinical experience. Here we suggest a novel application of search
algorithms—originally developed for digital communication—modified to optimize combinations of therapeutic
interventions.Inbiologicalexperimentsmeasuringtherestorationofthedeclinewithageinheartfunctionandexercise
capacity in Drosophila melanogaster, we found that search algorithms correctly identified optimal combinations of four
drugsusingonlyone-thirdofthetestsperformedinafullyfactorialsearch.Inexperimentsidentifyingcombinationsofthree
doses of up to six drugs for selective killing of human cancer cells, search algorithms resulted in a highly significant
enrichmentofselectivecombinationscomparedwithrandomsearches.Insimulationsusinganetworkmodelofcelldeath,
wefoundthatthesearchalgorithmsidentifiedtheoptimalcombinationsof6–9interventionsin80–90%oftests,compared
with15–30%foranequivalentrandomsearch.Thesefindingssuggestthatmodifiedsearchalgorithmsfrominformation
theoryhavethepotentialtoenhancethediscoveryofnoveltherapeuticdrugcombinations.Thisreportalsohelpstoframe
abiomedicalproblemthatwillbenefitfromaninterdisciplinaryeffortandsuggestsageneralstrategyforitssolution.
Citation:CalzolariD,BruschiS,CoquinL,SchofieldJ,FealaJD,etal.(2008)SearchAlgorithmsasaFrameworkfortheOptimizationofDrugCombinations.PLoS
ComputBiol4(12):e1000249.doi:10.1371/journal.pcbi.1000249
Editor:GregTucker-Kellogg,LillySingaporeCentreforDrugDiscovery,Singapore
R
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