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Updated: Jan 26, 2026

A Knowledge Graph Approach to Elucidate the Role of Organellar Pathways in Disease via Biomedical Reports
Published on: October 13, 2023
Drug prioritization using the semantic properties of a knowledge graph
Tareq B Malas1, Wytze J Vlietstra2, Roman Kudrin3
1Department of Human Genetics, Leiden University Medical Center, 2300 RC, Leiden, The Netherlands.
This study ranks drug repurposing candidates using knowledge graphs and machine learning. Mozavaptan is predicted as a promising candidate for Autosomal Dominant Polycystic Kidney Disease (ADPKD).
Area of Science:
- Biomedical Informatics
- Pharmacology
- Computational Biology
Background:
- Drug repurposing leverages existing drugs for new therapeutic indications.
- Biomedical knowledge is distributed across diverse literature and databases.
- Knowledge graphs integrate heterogeneous biological information to represent complex relationships.
Purpose of the Study:
- To develop a computational method for prioritizing drug repurposing candidates.
- To utilize semantic information from a comprehensive knowledge graph for feature extraction.
- To predict novel drug-disease associations for clinical development.
Main Methods:
- Extracted semantic features between drug and disease concepts from a knowledge graph integrating 200 sources.
- Trained a random forest classifier using the RepoDB database of drug-disease combinations.
- Evaluated classifier performance using 10-fold cross-validation, achieving a 92.2% AUC.
Main Results:
- Prioritized 21 preclinical drug repurposing candidates for Autosomal Dominant Polycystic Kidney Disease (ADPKD).
- Identified Mozavaptan, a vasopressin V2 receptor antagonist, as the top candidate for clinical approval.
- Mozavaptan belongs to the same drug class as tolvaptan, the sole approved ADPKD treatment.
Conclusions:
- Semantic properties within knowledge graphs are valuable for prioritizing drug repurposing.
- This approach can accelerate the identification of effective treatments for diseases like ADPKD.
- Computational methods enhance the efficiency of drug discovery and development pipelines.
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