Abstract

Predicting the toxicity of a compound preclinically enables better decision making, thereby reducing development costs and increasing patient safety. It is a complex issue, but in vitro assays and physicochemical properties of compounds can be used to predict clinical toxicity. Neural networks (NNs) are a popular predictive tool due to their flexibility and ability to model non-linearities, but they are prone to overfitting and therefore are not recommended for small data sets. Furthermore, they do not quantify uncertainty in the predictions. Bayesian neural networks (BNNs) are able to avoid these pitfalls by using prior distributions on the parameters of a NN model and representing uncertainty about the predictions in the form of a distribution. We model the severity of drug-induced liver injury (DILI) to provide an example of a BNN performing better than a traditional but less flexible proportional odds logistic regression (POLR) model. We use appropriate metrics to evaluate predictions of the ordinal data type. To demonstrate the effect of a hierarchical prior for BNNs as an alternative to hyperparameter optimisation for NNs, we compare the performance of a BNN against NNs with dropout or penalty regularisation. We reduce the task to multiclass classification in order to be able to perform this comparison. A BNN trained for the multiclass classification produces poorer results than a BNN that captures the order. The current work lays a foundation for more complex models built on larger datasets, but can already be adopted by safety pharmacologists for risk quantification.

Highlights

  • Drug-induced liver injury (DILI) is the most frequent cause of acute liver failure in most Western countries [1] and may require discontinuation of treatment or hospitalisation

  • Mean and median train and test Brier Skill Score (BSS) are larger for Bayesian neural networks (BNNs) showing that BNN is performing better than proportional odds logistic regression (POLR) when both models are compared to the model predicting class frequencies

  • balanced accuracy (BA) is higher for BNN for train and test sets, reflecting the quality of class-specific predictions

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Summary

Introduction

Drug-induced liver injury (DILI) is the most frequent cause of acute liver failure in most Western countries [1] and may require discontinuation of treatment or hospitalisation. Predicting clinical hepatotoxicity is difficult due to its multi-mechanistic nature: drugs are taken up from circulation into the liver, where they can be metabolised by cytochrome P450-mediated enzymatic reactions. These reactions can produce reactive metabolites that can bind to and alter the function of proteins, or form haptens, which can initiate an immune response. Both of these processes can contribute to liver injury. Drug-induced cellular changes can lead to hepatocyte death or promote an immune response, leading to liver injury. Chemical properties of the drug and unknown contributors within the biology of patients play a role

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