Abstract

BackgroundDrug-induced liver injury (DILI) is an adverse reaction caused by the intake of drugs of common use that produces liver damage. The impact of DILI is estimated to affect around 20 in 100,000 inhabitants worldwide each year. Despite being one of the main causes of liver failure, the pathophysiology and mechanisms of DILI are poorly understood. In the present study, we developed an ensemble learning approach based on different features (CMap gene expression, chemical structures, drug targets) to predict drugs that might cause DILI and gain a better understanding of the mechanisms linked to the adverse reaction.ResultsWe searched for gene signatures in CMap gene expression data by using two approaches: phenotype-gene associations data from DisGeNET, and a non-parametric test comparing gene expression of DILI-Concern and No-DILI-Concern drugs (as per DILIrank definitions). The average accuracy of the classifiers in both approaches was 69%. We used chemical structures as features, obtaining an accuracy of 65%. The combination of both types of features produced an accuracy around 63%, but improved the independent hold-out test up to 67%. The use of drug-target associations as feature obtained the best accuracy (70%) in the independent hold-out test.ConclusionsWhen using CMap gene expression data, searching for a specific gene signature among the landmark genes improves the quality of the classifiers, but it is still limited by the intrinsic noise of the dataset. When using chemical structures as a feature, the structural diversity of the known DILI-causing drugs hampers the prediction, which is a similar problem as for the use of gene expression information. The combination of both features did not improve the quality of the classifiers but increased the robustness as shown on independent hold-out tests. The use of drug-target associations as feature improved the prediction, specially the specificity, and the results were comparable to previous research studies.

Highlights

  • Drug-induced liver injury (DILI) is an adverse reaction caused by the intake of drugs of common use that produces liver damage

  • L1000 connectivity map data hints at transcriptomic heterogeneity of DILI compounds Connectivity Map (CMap) collects gene expression signatures obtained from cell lines upon treatments with different drug concentrations and durations

  • This produced a final set of samples with a single dose-time point from 51, 87, and 37 drugs annotated as No-DILIConcern, Less-DILI-Concern, and Most-DILI-Concern, respectively

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Summary

Introduction

Drug-induced liver injury (DILI) is an adverse reaction caused by the intake of drugs of common use that produces liver damage. The impact of DILI is estimated to affect around 20 in 100,000 inhabitants worldwide each year. Despite being one of the main causes of liver failure, the pathophysiology and mechanisms of DILI are poorly understood. Drug-induced liver injury ( named DILI) is an adverse reaction caused by the intake of drugs of common use that produces liver damage. DILI has a relatively high incidence rate, estimated to affect around 20 in 100,000 inhabitants worldwide each year [5]. Despite DILI being one of the leading causes of acute liver failure, the pathophysiology and etiology of DILI is poorly understood and pinpointing the toxicity of compounds in human liver remains a non-trivial task [7]

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