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Updated: May 26, 2026

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BioMADE: Predicting Torsades de Pointes from molecular structures through biologically informed representations.

Jose Miguel Acitores Cortina1,2,3, Martijn C Schut3, Nicholas P Tatonetti1,2

  • 1Department of Computational Biomedicine, Cedars-Sinai, West Hollywood, California, USA.

Biorxiv : the Preprint Server for Biology
|May 25, 2026
PubMed
Summary
This summary is machine-generated.

BioMADE, a new machine learning framework, predicts drug-induced arrhythmias like Torsades de Pointes (TdP) by analyzing protein activity. This biology-informed approach improves drug safety assessment in development.

Keywords:
ADEArrhythmiasMLTorsades de Pointes

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Area of Science:

  • Computational toxicology
  • Pharmacology
  • Machine learning in drug discovery

Background:

  • Drug-induced arrhythmias, especially Torsades de Pointes (TdP), are a significant safety concern in drug development.
  • Current in silico methods often lack sufficient biological context, relying on chemical properties or complex simulations.
  • Machine learning (ML) offers potential for analyzing complex datasets to predict cardiotoxicity.

Purpose of the Study:

  • To introduce BioMADE, a novel ML framework for predicting TdP risk.
  • To leverage small-molecule-protein activity profiles for TdP prediction without extensive mechanistic data.
  • To develop a biology-informed ML approach for enhanced drug safety assessment.

Main Methods:

  • Utilized ChEMBL activity data to train gene-specific ML models.
  • Constructed a latent biological embedding (BioMADE embedding) for molecules using arrhythmia-relevant genes.
  • Employed a support vector machine classifier with BioMADE embeddings to predict TdP risk.

Main Results:

  • BioMADE embeddings showed superior classification performance for biological elements (e.g., ATC3 class) compared to Molformer and MACCS.
  • BioMADE achieved an AUROC of 0.89 in internal validation for TdP prediction.
  • BioMADE demonstrated competitive performance against state-of-the-art models, reaching an AUROC of 0.74 on an external dataset.

Conclusions:

  • BioMADE offers a scalable, biology-informed, and generalizable method for predicting drug-induced toxicities.
  • Integrating protein activity profiles is crucial for accurate adverse drug reaction prediction.
  • This framework highlights the importance of human biology in toxicology modeling, complementing chemical descriptors.