AI-driven drug discovery and repurposing using multi-omics for myocardial infarction and heart failure

Ziad Sabry1,2, Harkirat Singh Arora3, Sriram Chandrasekaran2,3,4

  • 1Cellular and Molecular Biology Program, University of Michigan, Ann Arbor, MI 48109, USA.

Exploration of Medicine
|January 12, 2026
PubMed

Insights

Artificial intelligence (AI) and explainable AI (XAI) offer new ways to analyze complex multi-omics data for cardiovascular diseases (CVDs). This approach can accelerate the discovery of new drugs and therapies for conditions like myocardial infarction and heart failure.

Area of Science:

  • Cardiovascular research
  • Computational biology
  • Drug discovery

Background:

  • Cardiovascular diseases (CVDs) are a major global health burden, with drug discovery hindered by complex pathologies.
  • Existing drug discovery methods struggle with the heterogeneity of CVDs.
  • Artificial intelligence (AI), especially explainable AI (XAI), shows promise for analyzing multi-omics data in this field.

Purpose of the Study:

  • To review the potential of integrating AI with multi-omics data for cardiovascular drug discovery.
  • To explore AI's role in identifying novel therapeutic targets and repurposing drugs for myocardial infarction (MI) and heart failure (HF).
  • To highlight current challenges and future directions for AI in CVD drug development.

Main Methods:

  • Review of current literature on AI and XAI applications in cardiovascular research.
  • Analysis of multi-omics datasets (genomic, transcriptomic, epigenomic, proteomic, metabolomic) using AI-driven methods.
  • Discussion of emerging approaches combining AI with mechanistic models.

Main Results:

  • AI and XAI can analyze complex multi-omics data to unravel CVD pathologies and identify therapeutic targets.
  • AI can enhance the precision of biomarker discovery and drug response prediction.
  • Integration of AI with multi-omics data shows potential for accelerating drug discovery for MI and HF.

Conclusions:

  • AI and XAI hold significant promise for advancing cardiovascular drug discovery, despite current limitations.
  • Addressing challenges like data heterogeneity and model interpretability is crucial for clinical translation.
  • Future research should focus on combining AI with mechanistic models for improved biological relevance and therapeutic outcomes in CVDs.

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