AI coupled to pharmacometric modelling to tailor malaria and tuberculosis treatment in Africa

AI coupled to pharmacometric modelling to tailor malaria and tuberculosis treatment in Africa

Publication date: Nov 06, 2024

Africa’s vast genetic diversity poses challenges for optimising drug treatments in the continent, which is exacerbated by the fact that drug discovery and development efforts have historically been performed outside Africa. This has led to suboptimal therapeutic outcomes in African populations and overall scarcity of relevant pharmacogenetic data, including characteristic genotypes as well as drugs prescribed in the continent to treat infectious diseases. Here, we propose a general approach to identify drug-gene pairs with potential pharmacogenetic interest. Furthermore, we delve deeper into the analysis of malaria and tuberculosis therapies, many of which remain uncharacterised from a pharmacogenetic perspective. Our pipeline leverages artificial intelligence and the latest advances in knowledge embedding techniques to exploit currently available biomedical data and subsequently prioritise pharmacogenes for each drug. Predicted pharmacogenes are then incorporated into pharmacometric modelling to hypothesise which ones might be of clinical interest, and which dose adjustments could be made to provide better treatment outcomes for the African population.

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Concepts Keywords
Literature20 Adme
Malaria Afr
Pharmacogenomics Africa
Software3738 African
Triplets Drug
Drugs
Figure
Interactions
Medrxiv
Pgx
Pharmacogenes
Pharmgkb
Preprint
Specific
Variants

Semantics

Type Source Name
disease MESH malaria
pathway KEGG Malaria
disease MESH tuberculosis
pathway KEGG Tuberculosis
disease MESH infectious diseases
drug DRUGBANK Tropicamide
drug DRUGBANK Epoprostenol
disease IDO protein
drug DRUGBANK Flunarizine
drug DRUGBANK Artemether
drug DRUGBANK Rifampicin
pathway REACTOME Infectious disease
disease IDO infectious disease
disease MESH non communicable diseases
drug DRUGBANK Clavulanic acid
drug DRUGBANK Moxifloxacin
drug DRUGBANK Ribavirin
drug DRUGBANK Voriconazole
drug DRUGBANK Tenofovir
drug DRUGBANK Pyrazinamide
pathway REACTOME Metabolism
disease MESH drug side effects
disease IDO entity
pathway REACTOME Drug ADME
disease IDO assay
drug DRUGBANK Rifapentine
drug DRUGBANK Sulfadoxine
drug DRUGBANK Bedaquiline
disease IDO host
pathway KEGG ABC transporters
drug DRUGBANK Amodiaquine
drug DRUGBANK Isoniazid
drug DRUGBANK Primaquine
disease IDO disposition
disease MESH drug interactions
disease IDO process
drug DRUGBANK Huperzine B
drug DRUGBANK Pidolic Acid
disease IDO algorithm
disease IDO role

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