학술논문

Artificial intelligence guided discovery of a barrier-protective therapy in inflammatory bowel disease
Document Type
article
Source
Nature Communications. 12(1)
Subject
Digestive Diseases
Inflammatory Bowel Disease
Autoimmune Disease
5.1 Pharmaceuticals
Development of treatments and therapeutic interventions
Oral and gastrointestinal
Good Health and Well Being
AMP-Activated Protein Kinases
Animals
Artificial Intelligence
Cohort Studies
Colitis
Dextran Sulfate
Disease Models
Animal
Gene Expression Regulation
Humans
Inflammatory Bowel Diseases
Intestinal Mucosa
Likelihood Functions
Machine Learning
Mice
Mice
Inbred C57BL
Mice
Knockout
Molecular Targeted Therapy
Multigene Family
Organoids
Reproducibility of Results
Treatment Outcome
Language
Abstract
Modeling human diseases as networks simplify complex multi-cellular processes, helps understand patterns in noisy data that humans cannot find, and thereby improves precision in prediction. Using Inflammatory Bowel Disease (IBD) as an example, here we outline an unbiased AI-assisted approach for target identification and validation. A network was built in which clusters of genes are connected by directed edges that highlight asymmetric Boolean relationships. Using machine-learning, a path of continuum states was pinpointed, which most effectively predicted disease outcome. This path was enriched in gene-clusters that maintain the integrity of the gut epithelial barrier. We exploit this insight to prioritize one target, choose appropriate pre-clinical murine models for target validation and design patient-derived organoid models. Potential for treatment efficacy is confirmed in patient-derived organoids using multivariate analyses. This AI-assisted approach identifies a first-in-class gut barrier-protective agent in IBD and predicted Phase-III success of candidate agents.