Moingeon P
Centre d'innovation thérapeutique maladies immuno-inflammatoires, Servier, 50, rue Carnot, 92284 Suresnes cedex, France.
Ann Pharm Fr. 2021 Sep;79(5):566-571. doi: 10.1016/j.pharma.2021.01.008. Epub 2021 Jan 30.
Artificial intelligence (AI) encompasses technologies recapitulating four dimensions of human intelligence, i.e. sensing, thinking, acting and learning. The convergence of technological advances in those fields allows to integrate massive data and build probabilistic models of a problem. The latter can be continuously updated by incorporating new data to inform decision-making and predict the future. In support of drug discovery and development, AI allows to generate disease models using data obtained following extensive molecular profiling of patients. Given its superior computational power, AI can integrate those big multimodal data to generate models allowing: (i) to represent patient heterogeneity; and (ii) identify therapeutic targets with inferences of causality in the pathophysiology. Additional computational analyses can help identifying and optimizing drugs interacting with these targets, or even repurposing existing molecules for a new indication. AI-based modeling further supports the identification of biomarkers of efficacy, the selection of appropriate combination therapies and the design of innovative clinical studies with virtual placebo groups. The convergence of biotechnologies, drug sciences and AI is fostering the emergence of a computational precision medicine predicted to yield therapies or preventive measures precisely tailored to patient characteristics in terms of their physiology, disease features and environmental risk exposure.
人工智能(AI)涵盖了概括人类智能四个维度的技术,即感知、思考、行动和学习。这些领域的技术进步融合在一起,使得整合海量数据并构建问题的概率模型成为可能。通过纳入新数据,可以不断更新后者,为决策提供信息并预测未来。在支持药物发现和开发方面,人工智能能够利用对患者进行广泛分子分析后获得的数据生成疾病模型。鉴于其卓越的计算能力,人工智能可以整合这些大量的多模态数据,生成能够:(i)表征患者异质性;以及(ii)在病理生理学中通过因果推断识别治疗靶点的模型。额外的计算分析有助于识别和优化与这些靶点相互作用的药物,甚至将现有分子重新用于新的适应症。基于人工智能的建模进一步支持疗效生物标志物的识别、合适联合疗法的选择以及具有虚拟安慰剂组的创新临床研究的设计。生物技术、药物科学和人工智能的融合正在催生一种计算精准医学,预计这种医学将产生根据患者的生理特征、疾病特征和环境风险暴露精确量身定制的治疗方法或预防措施。