癌症药物组合发现的预测方法。
Predictive approaches for drug combination discovery in cancer.
机构信息
Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.
出版信息
Brief Bioinform. 2018 Mar 1;19(2):263-276. doi: 10.1093/bib/bbw104.
Drug combinations have been proposed as a promising therapeutic strategy to overcome drug resistance and improve efficacy of monotherapy regimens in cancer. This strategy aims at targeting multiple components of this complex disease. Despite the increasing number of drug combinations in use, many of them were empirically found in the clinic, and the molecular mechanisms underlying these drug combinations are often unclear. These challenges call for rational, systematic approaches for drug combination discovery. Although high-throughput screening of single-agent therapeutics has been successfully implemented, it is not feasible to test all possible drug combinations, even for a reduced subset of anticancer drugs. Hence, in vitro and in vivo screening of a large number of drug combinations are not practical. Therefore, devising computational methods to efficiently explore the space of drug combinations and to discover efficacious combinations has attracted a lot of attention from the scientific community in the past few years. Nevertheless, in the absence of consensus regarding the computational approaches used to predict efficacious drug combinations, a plethora of methods, techniques and hypotheses have been developed to date, while the research field lacks an elaborate categorization of the existing computational methods and the available data sources. In this manuscript, we review and categorize the state-of-the-art computational approaches for drug combination prediction, and elaborate on the limitations of these methods and the existing challenges. We also discuss about the recent pan-cancer drug combination data sets and their importance in revising the available methods or developing more performant approaches.
药物联合治疗已被提议作为一种有前途的治疗策略,以克服耐药性并提高癌症单药治疗方案的疗效。该策略旨在针对这种复杂疾病的多个组成部分进行靶向治疗。尽管目前使用的药物联合治疗方案数量不断增加,但其中许多方案是在临床上凭经验发现的,而且这些药物联合治疗方案的分子机制往往不清楚。这些挑战需要合理、系统的方法来发现药物联合治疗方案。虽然已经成功实施了针对单一药物治疗的高通量筛选,但即使是对一组减少的抗癌药物,也不可能测试所有可能的药物联合治疗方案。因此,对大量药物联合治疗方案进行体外和体内筛选是不切实际的。因此,设计计算方法来有效地探索药物联合治疗方案的空间并发现有效的联合治疗方案,在过去几年中引起了科学界的广泛关注。然而,由于缺乏用于预测有效药物联合治疗方案的计算方法的共识,迄今为止已经开发了大量的方法、技术和假设,而研究领域缺乏对现有计算方法和可用数据源的精心分类。在本文中,我们回顾和分类了用于药物联合预测的最先进的计算方法,并详细说明了这些方法的局限性和现有挑战。我们还讨论了最近的泛癌药物联合治疗数据集及其在修改现有方法或开发更具性能的方法方面的重要性。