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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. In biological experiments measuring the restoration of the decline with age in heart function and exercise capacity in Drosophila melanogaster, we found that search algorithms correctly identified optimal combinations of four drugs using only one-third of the tests performed in a fully factorial search. In experiments identifying combinations of three doses of up to six drugs for selective killing of human cancer cells, search algorithms resulted in a highly significant enrichment of selective combinations compared with random searches. In simulations using a network model of cell death, we found that the search algorithms identified the optimal combinations of 6-9 interventions in 80-90% of tests, compared with 15-30% for an equivalent random search. These findings suggest that modified search algorithms from information theory have the potential to enhance the discovery of novel therapeutic drug combinations. This report also helps to frame a biomedical problem that will benefit from an interdisciplinary effort and suggests a general strategy for its solution.

Details

1009240
Title
Search Algorithms as a Framework for the Optimization of Drug Combinations: e1000249
Publication title
Volume
4
Issue
12
Pages
e1000249
Publication year
2008
Publication date
Dec 2008
Section
Research Article
Publisher
Public Library of Science
Place of publication
San Francisco
Country of publication
United States
Publication subject
ISSN
1553734X
e-ISSN
15537358
Source type
Scholarly Journal
Language of publication
English
Document type
Journal Article
Accession number
19112483
ProQuest document ID
1312444485
Document URL
https://www.proquest.com/scholarly-journals/search-algorithms-as-framework-optimization-drug/docview/1312444485/se-2?accountid=208611
Copyright
© 2008 Calzolari et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Calzolari D, Bruschi S, Coquin L, Schofield J, Feala JD, et al. (2008) Search Algorithms as a Framework for the Optimization of Drug Combinations. PLoS Comput Biol 4(12): e1000249. doi:10.1371/journal.pcbi.1000249
Last updated
2024-10-04
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