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Updated: Apr 16, 2026

High-throughput Identification of Synergistic Drug Combinations by the Overlap2 Method
Published on: May 21, 2018
Systems biology approaches for advancing the discovery of effective drug combinations
Karen A Ryall1, Aik Choon Tan2
1Translational Bioinformatics and Cancer Systems Biology Laboratory, Division of Medical Oncology, Department of Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, 12801 E.17th Ave., L18-8116, Aurora, CO 80045 USA.
Abstract:
Complex diseases like cancer are regulated by large, interconnected networks with many pathways affecting cell proliferation, invasion, and drug resistance. However, current cancer therapy predominantly relies on the reductionist approach of one gene-one disease. Combinations of drugs may overcome drug resistance by limiting mutations and induction of escape pathways, but given the enormous number of possible drug combinations, strategies to reduce the search space and prioritize experiments are needed. In this review, we focus on the use of computational modeling, bioinformatics and high-throughput experimental methods for discovery of drug combinations. We highlight cutting-edge systems approaches, including large-scale modeling of cell signaling networks, network motif analysis, statistical association-based models, identifying correlations in gene signatures, functional genomics, and high-throughput combination screens. We also present a list of publicly available data and resources to aid in discovery of drug combinations. Integration of these systems approaches will enable faster discovery and translation of clinically relevant drug combinations. Graphical abstractSpectrum of Systems Biology Approaches for Drug Combinations.
Insights
Discovering effective cancer drug combinations is crucial for overcoming resistance. This review highlights systems biology approaches, computational modeling, and high-throughput screening to accelerate the identification of clinically relevant combination therapies.
Area of Science:
- Oncology
- Systems Biology
- Bioinformatics
Background:
- Cancer complexity involves interconnected networks regulating cell proliferation, invasion, and drug resistance.
- Current cancer therapy often uses a reductionist one gene-one disease approach, which can lead to drug resistance.
- Identifying optimal drug combinations is challenging due to the vast number of possibilities.
Purpose of the Study:
- To review computational modeling, bioinformatics, and high-throughput experimental methods for discovering cancer drug combinations.
- To highlight systems biology approaches for prioritizing drug combination experiments and reducing the search space.
- To provide a list of resources for facilitating drug combination discovery.
Main Methods:
- Large-scale modeling of cell signaling networks
- Network motif analysis and statistical association-based models
- Functional genomics and high-throughput combination screening
Main Results:
- Systems approaches offer strategies to overcome drug resistance by limiting mutations and escape pathways.
- Integration of diverse systems biology methods enables faster discovery of drug combinations.
- Publicly available data and resources can aid in the discovery process.
Conclusions:
- Systems biology approaches are essential for advancing cancer therapy beyond reductionist models.
- Combining computational and experimental methods accelerates the identification of effective drug combinations.
- Faster discovery and translation of clinically relevant drug combinations are achievable through integrated systems approaches.
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