{"id":19865,"date":"2021-02-15T12:54:56","date_gmt":"2021-02-15T07:09:56","guid":{"rendered":"https:\/\/www.revoscience.com\/en\/?p=19865"},"modified":"2021-02-15T13:17:19","modified_gmt":"2021-02-15T07:32:19","slug":"machine-learning-approach-to-finding-treatment-options-for-covid-19","status":"publish","type":"post","link":"https:\/\/www.revoscience.com\/en\/machine-learning-approach-to-finding-treatment-options-for-covid-19\/","title":{"rendered":"Machine-learning approach to finding treatment options for Covid-19"},"content":{"rendered":"\n<p><em><strong>Researchers develop a system to identify drugs that might be repurposed to fight the coronavirus in elderly patients.<\/strong><\/em><\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" sizes=\"auto, (max-width: 675px) 100vw, 675px\" src=\"https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-675x450.jpg\" alt=\"\" class=\"wp-image-19866\" width=\"585\" height=\"391\" title=\"\" srcset=\"https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-675x450.jpg 675w, https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-600x400.jpg 600w, https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-768x512.jpg 768w, https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-174x116.jpg 174w, https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press.jpg 900w\" \/><\/figure>\n\n\n\n<p>CAMBRIDGE, Mass.(MIT News office) &#8212;&nbsp;When the Covid-19 pandemic struck in early 2020, doctors and researchers rushed to find effective treatments. There was little time to spare. <\/p>\n\n\n\n<p>\u201cMaking new drugs takes forever,\u201d says Caroline Uhler, a computational biologist in MIT\u2019s Department of Electrical Engineering and Computer Science and the Institute for Data, Systems and Society, and an associate member of the Broad Institute of MIT and Harvard. \u201cReally, the only expedient option is to repurpose existing drugs.\u201d<\/p>\n\n\n\n<p>Uhler\u2019s team has now developed a machine learning-based approach to identify drugs already on the market that could potentially be repurposed to fight Covid-19, particularly in the elderly. <\/p>\n\n\n\n<p>The system accounts for changes in gene expression in lung cells caused by both the disease and aging. That combination could allow medical experts to more quickly seek drugs for clinical testing in elderly patients, who tend to experience more severe symptoms. The researchers pinpointed the protein RIPK1 as a promising target for Covid-19 drugs, and they identified three approved drugs that act on the expression of RIPK1.<\/p>\n\n\n\n<p>The research appears today in the journal&nbsp;<em>Nature Communications<\/em>. Co-authors include MIT PhD students Anastasiya Belyaeva, Adityanarayanan Radhakrishnan, Chandler Squires, and Karren Dai Yang, as well as PhD student Louis Cammarata of Harvard University and long-term collaborator G.V. Shivashankar of ETH Zurich in Switzerland.<\/p>\n\n\n\n<p>Early in the pandemic, it grew clear that Covid-19 harmed older patients more than younger ones, on average. Uhler\u2019s team wondered why. \u201cThe prevalent hypothesis is the aging immune system,\u201d she says. But Uhler and Shivashankar suggested an additional factor: \u201cOne of the main changes in the lung that happens through aging is that it&nbsp;<a href=\"http:\/\/mit.pr-optout.com\/Tracking.aspx?Data=HHL%3d8432A4-%3eLCE9%3b4%3b8%3f%26SDG%3c90%3a.&amp;RE=MC&amp;RI=4334046&amp;Preview=False&amp;DistributionActionID=94770&amp;Action=Follow+Link\" target=\"_blank\" rel=\"noreferrer noopener\">becomes stiffer<\/a>.\u201d<\/p>\n\n\n\n<p>The stiffening lung tissue shows different patterns of gene expression than in younger people, even in response to the same signal. \u201cEarlier work by the Shivashankar lab showed that if you stimulate cells on a stiffer substrate with a cytokine, similar to what the virus does, they actually turn on different genes,\u201d says Uhler. \u201cSo, that motivated this hypothesis. We need to look at aging together with SARS-CoV-2 \u2014 what are the genes at the intersection of these two pathways?\u201d To select approved drugs that might act on these pathways, the team turned to big data and artificial intelligence.<\/p>\n\n\n\n<p>The researchers zeroed in on the most promising drug repurposing candidates in three broad steps. First, they generated a large list of possible drugs using a machine-learning technique called an autoencoder. Next, they mapped the network of genes and proteins involved in both aging and SARS-CoV-2 infection. <\/p>\n\n\n\n<p>Finally, they used statistical algorithms to understand causality in that network, allowing them to pinpoint \u201cupstream\u201d genes that caused cascading effects throughout the network. In principle, drugs targeting those upstream genes and proteins should be promising candidates for clinical trials.<\/p>\n\n\n\n<p>To generate an initial list of potential drugs, the team\u2019s autoencoder relied on two key datasets of gene expression patterns. One dataset showed how expression in various cell types responded to a range of drugs already on the market, and the other showed how expression responded to infection with SARS-CoV-2. <\/p>\n\n\n\n<p>The autoencoder scoured the datasets to highlight drugs whose impacts on gene expression appeared to counteract the effects of SARS-CoV-2. \u201cThis application of autoencoders was challenging and required foundational insights into the working of these neural networks, which we developed in a paper recently published in&nbsp;<a href=\"http:\/\/mit.pr-optout.com\/Tracking.aspx?Data=HHL%3d8432A4-%3eLCE9%3b4%3b8%3f%26SDG%3c90%3a.&amp;RE=MC&amp;RI=4334046&amp;Preview=False&amp;DistributionActionID=94769&amp;Action=Follow+Link\" target=\"_blank\" rel=\"noreferrer noopener\">PNAS<\/a>,\u201d notes Radhakrishnan.<\/p>\n\n\n\n<p>Next, the researchers narrowed the list of potential drugs by homing in on key genetic pathways. They mapped the interactions of proteins involved in the aging and Sars-CoV-2 infection pathways. Then they identified areas of overlap among the two maps. That effort pinpointed the precise gene expression network that a drug would need to target to combat Covid-19 in elderly patients.<\/p>\n\n\n\n<p>\u201cAt this point, we had an undirected network,\u201d says Belyaeva, meaning the researchers had yet to identify which genes and proteins were \u201cupstream\u201d (i.e. they have cascading effects on the expression of other genes) and which were \u201cdownstream\u201d (i.e. their expression is altered by prior changes in the network). An ideal drug candidate would target the genes at the upstream end of the network to minimize the impacts of infection.<\/p>\n\n\n\n<p>\u201cWe want to identify a drug that has an effect on all of these differentially expressed genes downstream,\u201d says Belyaeva. So the team used algorithms that infer causality in interacting systems to turn their undirected network into a causal network. <\/p>\n\n\n\n<p>The final causal network identified RIPK1 as a target gene\/protein for potential Covid-19 drugs, since it has numerous downstream effects. The researchers identified a list of the approved drugs that act on RIPK1 and may have potential to treat Covid-19. Previously these drugs have been approved for the use in cancer. Other drugs that were also identified, including ribavirin and quinapril, are already in clinical trials for Covid-19.<\/p>\n\n\n\n<p>Uhler plans to share the team\u2019s findings with pharmaceutical companies. She emphasizes that before any of the drugs they identified can be approved for repurposed use in elderly Covid-19 patients, clinical testing is needed to determine efficacy.<\/p>\n\n\n\n<p> While this particular study focused on Covid-19, the researchers say their framework is extendable. \u201cI\u2019m really excited that this platform can be more generally applied to other infections or diseases,\u201d says Belyaeva. Radhakrishnan emphasizes the importance of gathering information on how various diseases impact gene expression. \u201cThe more data we have in this space, the better this could work,\u201d he says.<\/p>\n\n\n\n<p>This research was supported, in part, by the Office of Naval Research, the National Science Foundation, the Simons Foundation, IBM, and the MIT Jameel Clinic for Machine Learning and Health.<\/p>\n<div class=\"newspaper-x-tags\"><strong>TAGS: <\/strong><span><a href=\"https:\/\/www.revoscience.com\/en\/tag\/research-news\/\" rel=\"tag\">research news<\/a> <\/div>","protected":false},"excerpt":{"rendered":"<p>When the Covid-19 pandemic struck in early 2020, doctors and researchers rushed to find effective treatments. There was little time to spare. <\/p>\n","protected":false},"author":2,"featured_media":19866,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[43,17],"tags":[120],"class_list":["post-19865","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-computer-science","category-research","tag-research-news"],"featured_image_urls":{"full":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press.jpg",900,600,false],"thumbnail":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-200x200.jpg",200,200,true],"medium":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-600x400.jpg",600,400,true],"medium_large":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-768x512.jpg",750,500,true],"large":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-675x450.jpg",675,450,true],"1536x1536":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press.jpg",900,600,false],"2048x2048":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press.jpg",900,600,false],"ultp_layout_landscape_large":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press.jpg",900,600,false],"ultp_layout_landscape":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press.jpg",855,570,false],"ultp_layout_portrait":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press.jpg",600,400,false],"ultp_layout_square":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press.jpg",600,400,false],"newspaper-x-single-post":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-760x490.jpg",760,490,true],"newspaper-x-recent-post-big":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-550x360.jpg",550,360,true],"newspaper-x-recent-post-list-image":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press-95x65.jpg",95,65,true],"web-stories-poster-portrait":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press.jpg",640,427,false],"web-stories-publisher-logo":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press.jpg",96,64,false],"web-stories-thumbnail":["https:\/\/www.revoscience.com\/en\/wp-content\/uploads\/2021\/02\/Health-at-Scale-press.jpg",150,100,false]},"author_info":{"info":["RevoScience"]},"category_info":"<a href=\"https:\/\/www.revoscience.com\/en\/category\/computer-science\/\" rel=\"category tag\">Computer Science<\/a> <a href=\"https:\/\/www.revoscience.com\/en\/category\/news\/research\/\" rel=\"category tag\">Research<\/a>","tag_info":"Research","comment_count":"0","_links":{"self":[{"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/posts\/19865","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/comments?post=19865"}],"version-history":[{"count":0,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/posts\/19865\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/media\/19866"}],"wp:attachment":[{"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/media?parent=19865"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/categories?post=19865"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.revoscience.com\/en\/wp-json\/wp\/v2\/tags?post=19865"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}