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Modeling polypharmacy side effects with graph convolutional networks.

Marinka Zitnik1, Monica Agrawal1, Jure Leskovec1,2

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Polypharmacy, the use of multiple drugs, increases adverse side effects. Decagon, a new graph convolutional neural network, accurately predicts these polypharmacy side effects by modeling complex drug interactions.

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Area of Science:

  • Computational biology
  • Pharmacogenomics
  • Artificial intelligence in medicine

Background:

  • Polypharmacy is common for complex diseases but increases the risk of adverse drug events due to drug-drug interactions.
  • Predicting these interactions is challenging due to their rarity and limited observation in clinical trials, impacting patient morbidity and mortality.

Purpose of the Study:

  • To present Decagon, a novel approach for modeling and predicting polypharmacy side effects.
  • To accurately identify specific side effects associated with drug combinations.

Main Methods:

  • Constructed a multimodal graph integrating protein-protein interactions, drug-protein targets, and drug-drug interactions representing side effects.
  • Developed a graph convolutional neural network tailored for multirelational link prediction in multimodal networks.

Main Results:

  • Decagon accurately predicts polypharmacy side effects, outperforming existing methods by up to 69%.
  • The model learns representations of side effects and effectively models those with a molecular basis.
  • Achieved good performance on non-molecular side effects through parameter sharing.

Conclusions:

  • Decagon offers a powerful tool for predicting polypharmacy side effects, improving patient safety.
  • Enables leveraging large-scale pharmacogenomic and patient data to identify and prioritize potential adverse drug events for further study.