본문 바로가기
KERD
논문KCI 등재

Drug Toxicity Evaluation using Ordinal Logistic Regression with Multi-Features from ORd and To R – ORd In-silico Ventricular Cell Model

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Several drugs have been withdrawn from the market since their potential to cause Torsade de Pointes (TdP), a potentially fatal form of ventricular arrhythmia. To mitigate this risk, the Comprehensive in Vitro Proarrhythmia Assay (CiPA) proposes assessing the arrhythmogenic potential of drugs via in-silico simulations based on pharmacological data obtained in vitro. Various studies have utilized in-silico models with machine learning algorithms to classify TdP risks and yield promising results. In this study, we applied an ordinal logistic regression approach to assess TdP risk using 364 feature pairs derived from 14 features of the modified ORd and ToR-ORd models. This method allowed us to analyze drug-induced features and classify TdP risk levels. Ordinal logistic regression enabled us to explore complex relationships between these features and TdP risk levels. Notably, combining under the ToR-ORd model with under the ORd model achieved excellent performance, with Area Under the Curve (AUC values of 0.98 for high-risk and 0.92 for low-risk categories. These findings suggest that our approach can significantly enhance the understanding and assessment of TdP risk, contributing to developing safer drugs for clinical use.

Abstract

Several drugs have been withdrawn from the market since their potential to cause Torsade de Pointes (TdP), a potentially fatal form of ventricular arrhythmia. To mitigate this risk, the Comprehensive in Vitro Proarrhythmia Assay (CiPA) proposes assessing the arrhythmogenic potential of drugs via in-silico simulations based on pharmacological data obtained in vitro. Various studies have utilized in-silico models with machine learning algorithms to classify TdP risks and yield promising results. In this study, we applied an ordinal logistic regression approach to assess TdP risk using 364 feature pairs derived from 14 features of the modified ORd and ToR-ORd models. This method allowed us to analyze drug-induced features and classify TdP risk levels. Ordinal logistic regression enabled us to explore complex relationships between these features and TdP risk levels. Notably, combining under the ToR-ORd model with under the ORd model achieved excellent performance, with Area Under the Curve (AUC values of 0.98 for high-risk and 0.92 for low-risk categories. These findings suggest that our approach can significantly enhance the understanding and assessment of TdP risk, contributing to developing safer drugs for clinical use.

참고문헌 (24)

  1. Dutta, S., "Optimization of an in silico cardiac cell model for proarrhythmia risk assessment", Front. Physiol (2017)[DOI]
  2. Eisner, D. A., "Calcium and Excitation-Contraction Coupling in the Heart", Circ. Res, 121, pp.181~195 (2017)[DOI]
  3. Fuadah, Y. N., "Machine learning approach to evaluate TdP risk of drugs using cardiac electrophysiological model including inter-individual variability", Front. Physiol, 14 (2023)[DOI]
  4. Gambardella, J., "Advances in Experimental Medicine and Biology", pp.373~385 (2018), Springer
  5. Han, X., "A general procedure to select calibration drugs for lab-specific validation and calibration of proarrhythmia risk prediction models: An illustrative example using the CiPA model", J. Pharmacol. Toxicol. Methods, 105 (2020)[DOI]
  6. Jeong, D. U., "Validation of in silico biomarkers for drug screening through ordinal logistic regression", Front. Physiol, 13 (2022)[DOI]
  7. Jeong, D. U., "qInward variability-based in-silico proarrhythmic risk assessment of drugs using deep learning model", Front. Physiol, 13 (2022)[DOI]
  8. Kramer, J., "MICE models: Superior to the HERG model in predicting torsade de pointes", Sci. Rep, 3 (2013)[DOI]
  9. Lancaster, M. C., "Improved Prediction of Drug-Induced Torsades de Pointes Through Simulations of Dynamics and Machine Learning Algorithms", Clin. Pharmacol. Ther., pp.371~379 (2016)[DOI]
  10. Li, Z., "Improving the in silico assessment of proarrhythmia risk by combining hERG (Human Ether-à-go-go-Related Gene) channel-drug binding kinetics and multichannel pharmacology", Circ. Arrhythmia Electrophysiol, 10 (2017)[DOI]
  11. Li, Z., "Assessment of an In Silico Mechanistic Model for Proarrhythmia Risk Prediction Under the CiPA Initiative", Clin. Pharmacol. Ther, 105, pp.466~475 (2019)[DOI]
  12. Llopis-Lorente, J., "In silico classifiers for the assessment of drug proarrhythmicity", J. Chem. Inf. Model, 60, pp.5172~5187 (2020)[DOI]
  13. Mahardika T, N. Q., "Evaluation of cardiac pro-arrhythmic risks using the artificial neural network with ToR–ORd in silico model output", Front. Physiol, 15, pp.1374355~ (2024)[DOI]
  14. O’Hara, T., "Simulation of the undiseased human cardiac ventricular action potential: Model formulation and experimental validation", PLoS Comput. Biol, 7 (2011)[DOI]
  15. Parikh, J., "Novel two-step classifier for Torsades de Pointes risk stratification from direct features", Front. Pharmacol, 8 (2017)[DOI]
  16. Polak, S., "Quantitative approach for cardiac risk assessment and interpretation in tuberculosis drug development", J. Pharmacokinet. Pharmacodyn, 45, pp.457~467 (2018)[DOI]
  17. "Early after-depolarizations and torsade de pointes: implications for the control of cardiac arrhythmias by prolonging repolarization" (1993)[URL]
  18. Sager, P. T., "Rechanneling the cardiac proarrhythmia safety paradigm : A meeting report from the Cardiac Safety Research Consortium", Am. Heart J, 167, pp.292~300 (2014)[DOI]
  19. Sharifi, M., "Computational approaches to understand the adverse drug effect on potassium, sodium and calcium channels for predicting TdP cardiac arrhythmias", J. Mol. Graph. Model, 76, pp.152~160 (2017)[DOI]
  20. Strauss, D. G., "Comprehensive In Vitro Proarrhythmia Assay(CiPA)Update from a Cardiac Safety Research Consortium", Health and Environmental Sciences Institute, Ther. Innov. Regul. Sci, pp.2019, 53[DOI]
  21. Tomek, J., "Development, calibration, and validation of a novel human ventricular myocyte model in health, disease, and drug block", Elife, 8 (2019)[DOI]
  22. Vo, A. H., "An Overview of Machine Learning and Big Data for Drug Toxicity Evaluation", Chem. Res. Toxicol, 33, pp.20~37 (2020)[DOI]
  23. Wenzel-Seifert, K., "Psychopharmakaassoziierte QTc-intervall-verlängerung und torsade de pointes", Dtsch. Arztebl, 108, pp.687~693 (2011)[DOI]
  24. Yoo, Y., "Assessment of Drug Proarrhythmicity Using Artificial Neural Networks With in silico Deterministic Model Outputs", Front. Physiol, 12, pp.1~7 (2021)[DOI]

관련 논문AI추천

심근 세포의 전기생리학적 특징을 이용한 인공 신경망 기반 약물의 심장독성 평가유예담, 임기무, 정다운, Aroli Marcellinus대한의용생체공학회 · 의공학회지2021 · 제42권 제6호약물의 염전성 부정맥 유발 예측 지표로서 심장의 전기생리학적 특징 값들의 검증유예담, 임기무, 정다운, Aroli Marcellinus대한의용생체공학회 · 의공학회지2022 · 제43권 제1호Comprehensive in vitro Proarrhythmia Assay (CiPA) 기반 Torsade Metric Score (TMS)를 이용한 TdP 발생 약물의 위험군 분류 성능 평가강현수, 김기석, 김배환, 남유리, 박성준, 유예담, 윤승현, 임기무, 정다운한국동물실험대체법학회 · 한국동물실험대체법학회지2021 · 제15권 제1호Comparison of Cardiac Action Potential between Human Pluripotent Stem Cell-Derived Cardiomyocytes(hPSC-CM) and CiPA (Comprehensive in vitro proarrhythmic assay)-based In Silico Simulation김기광, 김기석, 이현이한국동물실험대체법학회 · 한국동물실험대체법학회지2024 · 제18권 제2호다형 심실빈맥의 예측을 위한 dVm/dtMax_repol의 이온채널 전도도에 대한 민감도 분석유예담, 임기무, 정다운, Aroli Marcellinus대한의용생체공학회 · 의공학회지2022 · 제43권 제5호토끼 심장에서 단상활동전위의 TRIaD 분석을 이용한 약물에 대한 심장 안전성 평가김기석, 남대환, 박순현, 한종탁한국동물실험대체법학회 · 한국동물실험대체법학회지2017 · 제11권 제1호

이 간행물의 다른 논문 (6건)