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A Genetics-guided Integrative Framework for Drug Repurposing: Identifying Anti-hypertensive Drug Telmisartan for Type 2 Diabetes.

作者信息

Zhong Xue, Wei Qiang, Tiwari Anshul, Wang Quan, Tan Yuting, Chen Rui, Yan Yan, Cox Nancy J, Li Bingshan

机构信息

Division of Genetic Medicine, Department of Medicine, Vanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN.

Department of Molecular Physiology and Biophysics, Vanderbilt Genetics Institute, Vanderbilt University, Nashville, TN.

出版信息

medRxiv. 2025 Mar 23:2025.03.22.25324223. doi: 10.1101/2025.03.22.25324223.


DOI:10.1101/2025.03.22.25324223
PMID:40166562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11957187/
Abstract

Drug development is a long and costly process, and repurposing existing drugs for use toward a different disease or condition may serve as a cost-effective alternative. As drug targets with genetic support have a doubled success rate, genetics-informed drug repurposing holds promise in translating genetic findings into therapeutics. In this study, we developed a Genetics Informed Network-based Drug Repurposing via in silico Perturbation (GIN-DRIP) framework and applied the framework to repurpose drugs for type-2 diabetes (T2D). In GIN-DRIP for T2D, it integrates multi-level omics data to translate T2D GWAS signals into a genetics-informed network that simultaneously encodes gene importance scores and a directional effect (up/down) of risk genes for T2D; it then bases on the GIN to perform signature matching with drug perturbation experiments to identify drugs that can counteract the effect of T2D risk alleles. With this approach, we identified 3 high-confidence FDA-approved candidate drugs for T2D, and validated telmisartan, an anti-hypertensive drug, in our EHR data with over 3 million patients. We found that telmisartan users were associated with a reduced incidence of T2D compared to users of other anti-hypertensive drugs and non-users, supporting the therapeutic potential of telmisartan for T2D. Our framework can be applied to other diseases for translating GWAS findings to aid drug repurposing for complex diseases.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978a/11957187/6688ee4d31ec/nihpp-2025.03.22.25324223v1-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978a/11957187/2c886d3dea4c/nihpp-2025.03.22.25324223v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978a/11957187/ae4c08deb710/nihpp-2025.03.22.25324223v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978a/11957187/18baddc626c5/nihpp-2025.03.22.25324223v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978a/11957187/6688ee4d31ec/nihpp-2025.03.22.25324223v1-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978a/11957187/2c886d3dea4c/nihpp-2025.03.22.25324223v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978a/11957187/ae4c08deb710/nihpp-2025.03.22.25324223v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978a/11957187/18baddc626c5/nihpp-2025.03.22.25324223v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/978a/11957187/6688ee4d31ec/nihpp-2025.03.22.25324223v1-f0004.jpg

相似文献

[1]
A Genetics-guided Integrative Framework for Drug Repurposing: Identifying Anti-hypertensive Drug Telmisartan for Type 2 Diabetes.

medRxiv. 2025-3-23

[2]
Artificial intelligence framework identifies candidate targets for drug repurposing in Alzheimer's disease.

Alzheimers Res Ther. 2022-1-10

[3]
Shared genetics between breast cancer and predisposing diseases identifies novel breast cancer treatment candidates.

Hum Genomics. 2024-11-14

[4]
Shared genetics between breast cancer and predisposing diseases identifies novel breast cancer treatment candidates.

Res Sq. 2024-6-21

[5]
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Res Sq. 2024-10-14

[6]
Multi-omics characterization of type 2 diabetes associated genetic variation.

medRxiv. 2024-7-15

[7]
A genetically based computational drug repurposing framework for rapid identification of candidate compounds: application to COVID-19.

medRxiv. 2025-1-14

[8]
Genome-wide meta-analysis of genetic susceptible genes for Type 2 Diabetes.

BMC Syst Biol. 2012

[9]
Interpretable deep learning translation of GWAS and multi-omics findings to identify pathobiology and drug repurposing in Alzheimer's disease.

Cell Rep. 2022-11-29

[10]
Exploring the repurposing potential of telmisartan drug in breast cancer: an in-silico and in-vitro approach.

Anticancer Drugs. 2023-11-1

本文引用的文献

[1]
Refining the impact of genetic evidence on clinical success.

Nature. 2024-5

[2]
Decline in HbA1c during the first year of elexacaftor/tezacaftor/ivacaftor treatment in the Danish cystic fibrosis cohort: Short title: Decline in HbA1c after elexacaftor/tezacaftor/ivacaftor treatment.

J Cyst Fibros. 2024-1

[3]
Causal Inference in Transcriptome-Wide Association Studies with Invalid Instruments and GWAS Summary Data.

J Am Stat Assoc. 2023

[4]
Integrating genetics with single-cell multiomic measurements across disease states identifies mechanisms of beta cell dysfunction in type 2 diabetes.

Nat Genet. 2023-6

[5]
Comparator choices in pharmacoepidemiology studies of Alzheimer's disease.

Nat Aging. 2023-7

[6]
KEGG for taxonomy-based analysis of pathways and genomes.

Nucleic Acids Res. 2023-1-6

[7]
Human genetics evidence supports two-thirds of the 2021 FDA-approved drugs.

Nat Rev Drug Discov. 2022-8

[8]
Endophenotype-based in silico network medicine discovery combined with insurance record data mining identifies sildenafil as a candidate drug for Alzheimer's disease.

Nat Aging. 2021-12

[9]
Genetics of Type 2 Diabetes: Implications from Large-Scale Studies.

Curr Diab Rep. 2022-5

[10]
Core concepts in pharmacoepidemiology: Confounding by indication and the role of active comparators.

Pharmacoepidemiol Drug Saf. 2022-3

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