Repurposing of drugs for combined treatment of COVID-19 cytokine storm using machine learning

© 2022 The Author(s)..

Severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) induced cytokine storm is the major cause of COVID-19 related deaths. Patients have been treated with drugs that work by inhibiting a specific protein partly responsible for the cytokines production. This approach provided very limited success, since there are multiple proteins involved in the complex cell signaling disease mechanisms. We targeted five proteins: Angiotensin II receptor type 1 (AT1R), A disintegrin and metalloprotease 17 (ADAM17), Nuclear Factor‑Kappa B (NF‑κB), Janus kinase 1 (JAK1) and Signal Transducer and Activator of Transcription 3 (STAT3), which are involved in the SARS‑CoV‑2 induced cytokine storm pathway. We developed machine-learning (ML) models for these five proteins, using known active inhibitors. After developing the model for each of these proteins, FDA-approved drugs were screened to find novel therapeutics for COVID‑19. We identified twenty drugs that are active for four proteins with predicted scores greater than 0.8 and eight drugs active for all five proteins with predicted scores over 0.85. Mitomycin C is the most active drug across all five proteins with an average prediction score of 0.886. For further validation of these results, we used the PyRx software to conduct protein-ligand docking experiments and calculated the binding affinity. The docking results support findings by the ML model. This research study predicted that several drugs can target multiple proteins simultaneously in cytokine storm-related pathway. These may be useful drugs to treat patients because these therapies can fight cytokine storm caused by the virus at multiple points of inhibition, leading to synergistically effective treatments.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Medicine in drug discovery - 17(2023) vom: 25. Feb., Seite 100148

Sprache:

Englisch

Beteiligte Personen:

Gantla, Maanaskumar R [VerfasserIn]
Tsigelny, Igor F [VerfasserIn]
Kouznetsova, Valentina L [VerfasserIn]

Links:

Volltext

Themen:

1D 2D 3D, one- two- three-dimensional
ADAM17, A disintegrin and metalloprotease 17
ARDS, acute respiratory distress syndrome
AT1R, Angiotensin II receptor type 1
AUROC, Area under receiver operator characteristic curve
COVID-19
COVID-19, coronavirus disease 2019
CRS, cytokine release syndrome
CXCL10, CXC-chemokine ligand 10
Docking
FDA, Food and Drug Administration
G-CSF, granulocyte colony stimulating factor
IC50, half maximal inhibitory concentration
ICU, intensive care unit
IL, interleukin
JAK1, Janus kinase 1
Journal Article
MCP1, monocyte chemoattractant protein-1
MIP1α, macrophage inflammatory protein 1
ML, machine learning
Machine learning
Multi-targeted drug discovery
NF-κB, Nuclear Factor-Kappa B
PDB, Protein Data Bank
PaDEL, Pharmaeutical data exploration laboratory
ROC, receiver operator characteristic curve
SARS-CoV-2
SMILES, Simplified Molecular-Input Line-Entry System
STAT3, signal transducer and activator of transcription 3
Screening of FDA-approved drugs
TNFα, tumor necrosis factor α
WEKA, Waikato Environment for Knowledge Analysis

Anmerkungen:

Date Revised 28.02.2023

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.medidd.2022.100148

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM349788731