Abstract

There is growing interest in applying detailed mathematical models of the heart for ion-channel related cardiac toxicity prediction. However, a debate as to whether such complex models are required exists. Here an assessment in the predictive performance between two established large-scale biophysical cardiac models and a simple linear model Bnet was conducted. Three ion-channel data-sets were extracted from literature. Each compound was designated a cardiac risk category using two different classification schemes based on information within CredibleMeds. The predictive performance of each model within each data-set for each classification scheme was assessed via a leave-one-out cross validation. Overall the Bnet model performed equally as well as the leading cardiac models in two of the data-sets and outperformed both cardiac models on the latest. These results highlight the importance of benchmarking complex versus simple models but also encourage the development of simple models.

Highlights

  • There is a growing belief within the pharmaceutical industry that in order to improve predictions of future experiments more detailed mathematical models of biology are required (Peterson & Riggs, 2015; Knight-Schrijver et al, 2016)

  • The objective of this study is to look at this issue within the field of drug induced ion-channel cardiac toxicity

  • This prolongation is due to delayed repolarisation of cardiac cells within the ventricular wall, which is due to the drugs effect on the hERG ion-channel

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Summary

Introduction

There is a growing belief within the pharmaceutical industry that in order to improve predictions of future experiments more detailed mathematical models of biology are required (Peterson & Riggs, 2015; Knight-Schrijver et al, 2016). The objective of this study is to look at this issue within the field of drug induced ion-channel cardiac toxicity. This area has a well-defined question relating to prediction where a debate about the complexity of the model needed is ongoing. Prior to observing drug induced TdeP, prolongation of the QT interval is commonly seen within a patient. This prolongation is due to delayed repolarisation of cardiac cells within the ventricular wall, which is due to the drugs effect on the hERG ion-channel.

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