Predictive approaches for drug combination discovery in cancer
Seyed Ali Madani Tonekaboni1,2, Laleh Soltan Ghoraie1,2, Venkata Satya Kumar Manem1,2
1Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Abstract:
Drug combinations have been proposed as a promising therapeutic strategy to overcome drug resistance and improve efficacy of monotherapy regimens in cancer. This strategy aims at targeting multiple components of this complex disease. Despite the increasing number of drug combinations in use, many of them were empirically found in the clinic, and the molecular mechanisms underlying these drug combinations are often unclear. These challenges call for rational, systematic approaches for drug combination discovery. Although high-throughput screening of single-agent therapeutics has been successfully implemented, it is not feasible to test all possible drug combinations, even for a reduced subset of anticancer drugs. Hence, in vitro and in vivo screening of a large number of drug combinations are not practical. Therefore, devising computational methods to efficiently explore the space of drug combinations and to discover efficacious combinations has attracted a lot of attention from the scientific community in the past few years. Nevertheless, in the absence of consensus regarding the computational approaches used to predict efficacious drug combinations, a plethora of methods, techniques and hypotheses have been developed to date, while the research field lacks an elaborate categorization of the existing computational methods and the available data sources. In this manuscript, we review and categorize the state-of-the-art computational approaches for drug combination prediction, and elaborate on the limitations of these methods and the existing challenges. We also discuss about the recent pan-cancer drug combination data sets and their importance in revising the available methods or developing more performant approaches.
Insights
Computational methods are crucial for discovering effective cancer drug combinations, addressing limitations in empirical approaches and high-throughput screening. This review categorizes existing computational strategies and highlights the need for systematic approaches and robust datasets for improved drug combination prediction.
Area of Science:
- Computational biology
- Pharmacology
- Oncology
Background:
- Drug combinations offer a promising strategy to enhance cancer therapy efficacy and overcome drug resistance by targeting multiple disease pathways.
- Current drug combinations are often discovered empirically, leading to unclear molecular mechanisms and limiting rational therapeutic design.
- High-throughput screening for drug combinations is infeasible due to the vast number of potential pairings.
Purpose of the Study:
- To review and categorize state-of-the-art computational approaches for predicting efficacious drug combinations in cancer.
- To elaborate on the limitations and challenges associated with current computational drug combination prediction methods.
- To discuss the significance of recent pan-cancer drug combination datasets for method development and refinement.
Main Methods:
- Systematic literature review and categorization of computational methods for drug combination prediction.
- Analysis of existing data sources and their impact on predictive model performance.
- Discussion of challenges in computational drug combination discovery, including lack of consensus and methodological standardization.
Main Results:
- A wide array of computational methods, techniques, and hypotheses have been developed for drug combination prediction.
- The field currently lacks a clear consensus on preferred computational approaches and comprehensive data categorization.
- Recent advancements in pan-cancer drug combination datasets are crucial for advancing predictive accuracy and developing more robust methods.
Conclusions:
- There is a critical need for systematic and rational computational approaches to guide the discovery of effective cancer drug combinations.
- Further development and standardization of computational methods, coupled with the utilization of comprehensive datasets, are essential for improving drug combination prediction.
- Addressing the current limitations and challenges will accelerate the translation of computational predictions into clinical applications for enhanced cancer therapy.
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