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Updated: Jul 10, 2026

Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro
Published on: January 31, 2022
Context-Aware Multilevel Classification of Semantic Relations in Drug-Adverse Drug Reaction (ADR) Networks-Predicting
Rein Vos1, Erik M van Mulligen1, Jan A Kors1
1Department of Medical Informatics, Erasmus University Medical Center, Rotterdam 3015 GD The Netherlands.
This study introduces a novel knowledge graph model to predict drug-induced liver injury (DILI), a type of adverse drug reaction (ADR). The model accurately identifies DILI risk, improving patient safety and drug discovery efforts.
Area of Science:
- * Computational toxicology
- * Bioinformatics
- * Drug safety science
Background:
- * Adverse drug reactions (ADRs), particularly drug-induced liver injury (DILI), pose significant risks to public health and patient safety.
- * Computational models, including deep learning and knowledge graphs, are crucial for understanding the complex biological mechanisms underlying drug toxicity.
- * Existing knowledge graphs offer valuable data but require sophisticated methods to effectively model biological systems and predict toxic effects.
Purpose of the Study:
- * To develop and evaluate a hierarchical, context-aware knowledge graph model for detecting ADRs, using DILI as a specific case study.
- * To integrate diverse life-science data sources into a comprehensive knowledge graph for enhanced predictive capabilities.
- * To assess the model's performance using established classification metrics and compare it with existing computational approaches.
Main Methods:
- * Construction of a knowledge graph integrating data from over 200 life-science databases, publications, and patents.
- * Application of combined translation- and path-based methods to identify two-hop paths linking drugs to ADRs via intermediate biological concepts (genes, proteins, pathways).
- * Utilization of multilevel statistical modeling on path bundle probabilities to predict DILI risk, accounting for contextual dependencies.
Main Results:
- * The four-level knowledge graph model achieved high performance in DILI prediction, with an AUC of 0.850 and an MCC of 0.639.
- * The model demonstrated good separation in prediction probabilities between DILI-positive (0.641) and DILI-negative (0.402) drugs.
- * A cascaded Quantitative Structure-Activity Relationship (QSAR) and knowledge graph approach successfully reclassified 29 out of 37 misclassified drugs from a previous QSAR study and rescued additional DILI-positive cases from a deep learning model.
Conclusions:
- * The developed hierarchical, context-aware knowledge graph model provides a robust framework for predicting drug-induced liver injury (DILI).
- * Integrating knowledge graphs with QSAR or deep learning methods enhances the accuracy and reliability of adverse drug reaction (ADR) prediction.
- * This approach offers significant potential for improving drug safety assessments and mitigating risks in drug discovery.
Related Concept Videos
Drug Toxicity: Overview
Drug Toxicity: Risk factors
Drug toxicity: Idiosyncratic Reactions
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test
Drug Toxicity: Dose-Dependent Reactions
Pharmacovigilance
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
