Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Miami, FL, USA.
Department of Molecular and Cellular Pharmacology, University of Miami School of Medicine, Miami, FL, USA.
Semin Cancer Biol. 2021 Jan;68:132-142. doi: 10.1016/j.semcancer.2019.12.011. Epub 2020 Jan 3.
Knowledge of the underpinnings of cancer initiation, progression and metastasis has increased exponentially in recent years. Advanced "omics" coupled with machine learning and artificial intelligence (deep learning) methods have helped elucidate targets and pathways critical to those processes that may be amenable to pharmacologic modulation. However, the current anti-cancer therapeutic armamentarium continues to lag behind. As the cost of developing a new drug remains prohibitively expensive, repurposing of existing approved and investigational drugs is sought after given known safety profiles and reduction in the cost barrier. Notably, successes in oncologic drug repurposing have been infrequent. Computational in-silico strategies have been developed to aid in modeling biological processes to find new disease-relevant targets and discovering novel drug-target and drug-phenotype associations. Machine and deep learning methods have especially enabled leaps in those successes. This review will discuss these methods as they pertain to cancer biology as well as immunomodulation for drug repurposing opportunities in oncologic diseases.
近年来,人们对癌症发生、发展和转移的基础的认识呈指数级增长。先进的“组学”加上机器学习和人工智能(深度学习)方法,有助于阐明对这些过程至关重要的靶点和途径,这些靶点和途径可能适合药物调节。然而,目前的抗癌治疗手段仍然滞后。由于开发新药的成本仍然高得令人望而却步,因此人们一直在寻求现有已批准和正在研究的药物的再利用,因为这些药物具有已知的安全性和降低成本的优势。值得注意的是,肿瘤药物再利用的成功案例并不多见。已经开发了计算模拟策略来辅助建模生物过程,以找到新的与疾病相关的靶点,并发现新的药物靶点和药物表型关联。机器和深度学习方法尤其使这些成功有了飞跃。本文将讨论这些方法在癌症生物学以及肿瘤疾病免疫调节中的药物再利用机会方面的应用。
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