European Journal of Pediatrics,
Journal Year:
2024,
Volume and Issue:
183(9), P. 4057 - 4062
Published: July 3, 2024
Abstract
Duchenne
muscular
dystrophy
is
life-limiting.
Cardiomyopathy,
which
mostly
ensues
in
the
second
decade
of
life,
main
cause
death.
Treatment
options
are
still
limited.
The
TAMDMD
(NCT03354039)
trial
assessed
motor
function,
muscle
strength
and
structure,
laboratory
biomarkers,
safety
79
ambulant
boys
with
genetically
confirmed
dystrophy,
6.5–12
years
age,
receiving
either
daily
tamoxifen
20
mg
or
placebo
for
48
weeks.
In
this
post-hoc
analysis,
available
echocardiographic
data
patients
recruited
at
one
study
centre
were
retrieved
compared
before
after
treatment.
Data
from
14
patients,
median
11
(interquartile
range,
IQR,
11–12)
age
was
available.
Baseline
demographic
characteristics
similar
participants
assigned
to
(
n
=
7)
7).
Left
ventricular
end-diastolic
diameter
group
(median
IQR)
39
(38–41)
mm
baseline
43
(38–44)
end,
while
it
44
(41–46)
41
(37–46)
treatment
group.
fractional
shortening
35%
(32–38%)
33%
(32–36%)
treatment,
34%
(33–34%)
(33–35%)
end.
No
signals
detected.
Conclusion
:
This
hypothesis-generating
analysis
suggests
that
over
weeks
well
tolerated
may
help
preserving
cardiac
structure
function
dystrophy.
Further
studies
justified.
ClinicalTrials.gov
Identifier
EudraCT
2017–004554–42,
NCT03354039
What
known:
•
(DMD)
Cardiomyopathy
life
Tamoxifen
reduced
fibrosis
mice
improved
cardiomyocyte
human-induced
pluripotent
stem
cell-derived
cardiomyocytes.
new:
among
boys,
treated
weeks,
well-tolerated.
A
visual
trend
left-ventricular
dimensions
better
systolic
preservation
generates
hypothesis
a
potential
beneficial
effect
DMD
cardiomyopathy.
Signal Transduction and Targeted Therapy,
Journal Year:
2022,
Volume and Issue:
7(1)
Published: Dec. 29, 2022
Sirtuins
(SIRTs)
are
nicotine
adenine
dinucleotide(+)-dependent
histone
deacetylases
regulating
critical
signaling
pathways
in
prokaryotes
and
eukaryotes,
involved
numerous
biological
processes.
Currently,
seven
mammalian
homologs
of
yeast
Sir2
named
SIRT1
to
SIRT7
have
been
identified.
Increasing
evidence
has
suggested
the
vital
roles
members
SIRT
family
health
disease
conditions.
Notably,
this
protein
plays
a
variety
important
cellular
biology
such
as
inflammation,
metabolism,
oxidative
stress,
apoptosis,
etc.,
thus,
it
is
considered
potential
therapeutic
target
for
different
kinds
pathologies
including
cancer,
cardiovascular
disease,
respiratory
other
Moreover,
identification
modulators
exploring
functions
these
prompted
increased
efforts
discover
new
small
molecules,
which
can
modify
activity.
Furthermore,
several
randomized
controlled
trials
indicated
that
interventions
might
affect
expression
human
samples,
supplementation
diverse
impact
on
physiological
function
participants.
In
review,
we
introduce
history
structure
family,
discuss
molecular
mechanisms
elaborate
regulatory
SIRTs
summarize
inhibitors
activators,
review
related
clinical
studies.
Nature Medicine,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 25, 2024
Drug
repurposing-identifying
new
therapeutic
uses
for
approved
drugs-is
often
a
serendipitous
and
opportunistic
endeavour
to
expand
the
use
of
drugs
diseases.
The
clinical
utility
drug-repurposing
artificial
intelligence
(AI)
models
remains
limited
because
these
focus
narrowly
on
diseases
which
some
already
exist.
Here
we
introduce
TxGNN,
graph
foundation
model
zero-shot
drug
repurposing,
identifying
candidates
even
with
treatment
options
or
no
existing
drugs.
Trained
medical
knowledge
graph,
TxGNN
neural
network
metric
learning
module
rank
as
potential
indications
contraindications
17,080
When
benchmarked
against
8
methods,
improves
prediction
accuracy
by
49.2%
35.1%
under
stringent
evaluation.
To
facilitate
interpretation,
TxGNN's
Explainer
offers
transparent
insights
into
multi-hop
paths
that
form
predictive
rationales.
Human
evaluation
showed
predictions
explanations
perform
encouragingly
multiple
axes
performance
beyond
accuracy.
Many
align
well
off-label
prescriptions
clinicians
previously
made
in
large
healthcare
system.
are
accurate,
consistent
use,
can
be
investigated
human
experts
through
interpretable
Frontiers in Aging Neuroscience,
Journal Year:
2023,
Volume and Issue:
15
Published: April 18, 2023
Alzheimer’s
disease
(AD)
is
a
progressive,
neurodegenerative
disorder
that
affects
memory,
thinking,
behavior,
and
other
cognitive
functions.
Although
there
no
cure,
detecting
AD
early
important
for
the
development
of
therapeutic
plan
care
may
preserve
function
prevent
irreversible
damage.
Neuroimaging,
such
as
magnetic
resonance
imaging
(MRI),
computed
tomography
(CT),
positron
emission
(PET),
has
served
critical
tool
in
establishing
diagnostic
indicators
during
preclinical
stage.
However,
neuroimaging
technology
quickly
advances,
challenge
analyzing
interpreting
vast
amounts
brain
data.
Given
these
limitations,
great
interest
using
artificial
Intelligence
(AI)
to
assist
this
process.
AI
introduces
limitless
possibilities
future
diagnosis
AD,
yet
still
resistance
from
healthcare
community
incorporate
clinical
setting.
The
goal
review
answer
question
whether
should
be
used
conjunction
with
AD.
To
question,
possible
benefits
disadvantages
are
discussed.
main
advantages
its
potential
improve
accuracy,
efficiency
radiographic
data,
reduce
physician
burnout,
advance
precision
medicine.
include
generalization
data
shortage,
lack
vivo
gold
standard,
skepticism
medical
community,
bias,
concerns
over
patient
information,
privacy,
safety.
challenges
present
fundamental
must
addressed
when
time
comes,
it
would
unethical
not
use
if
can
health
outcome.
Communications Chemistry,
Journal Year:
2024,
Volume and Issue:
7(1)
Published: May 9, 2024
Abstract
Estimating
protein
targets
of
compounds
based
on
the
similarity
principle
—similar
molecules
are
likely
to
show
comparable
bioactivity—is
a
long-standing
strategy
in
drug
research.
Having
previously
quantified
this
principle,
we
present
here
large-scale
evaluation
its
predictive
power
for
inferring
macromolecular
by
reverse
screening
an
unprecedented
vast
external
test
set
more
than
300,000
active
small
against
another
bioactivity
500,000
compounds.
We
that
machine-learning
can
predict
correct
targets,
with
highest
probability
among
2069
proteins,
51%
molecules.
The
strong
enrichment
thus
obtained
demonstrates
usefulness
supporting
phenotypic
screens,
polypharmacology,
or
repurposing.
Moreover,
impact
knowledge
available
proteins
terms
number
and
diversity
actives.
Finally,
advise
developers
such
approaches
follow
application-oriented
benchmarking
use
large,
high-quality,
non-overlapping
datasets
as
provided
here.
Proceedings of the National Academy of Sciences,
Journal Year:
2024,
Volume and Issue:
121(5)
Published: Jan. 24, 2024
Fibroblasts
are
essential
regulators
of
extracellular
matrix
deposition
following
cardiac
injury.
These
cells
exhibit
highly
plastic
responses
in
phenotype
during
fibrosis
response
to
environmental
stimuli.
Here,
we
test
whether
and
how
candidate
anti-fibrotic
drugs
differentially
regulate
measures
fibroblast
phenotype,
which
may
help
identify
treatments
for
fibrosis.
We
conducted
a
high-content
microscopy
screen
human
fibroblasts
treated
with
13
clinically
relevant
the
context
TGFβ
and/or
IL-1β,
measuring
across
137
single-cell
features.
used
phenotypic
data
from
our
imaging
train
logic-based
mechanistic
machine
learning
model
(LogiMML)
signaling.
The
predicted
pirfenidone
Src
inhibitor
WH-4-023
reduce
actin
filament
assembly
actin–myosin
stress
fiber
formation,
respectively.
Validating
LogiMML
prediction
that
PI3K
partially
mediates
effects
inhibition,
found
inhibition
reduces
formation
procollagen
I
production
fibroblasts.
In
this
study,
establish
modeling
approach
combining
strengths
network
models
regularized
regression
models.
apply
predict
mechanisms
mediate
differential
on
fibroblasts,
revealing
acting
via
as
potential
therapy
Frontiers in Bioengineering and Biotechnology,
Journal Year:
2025,
Volume and Issue:
12
Published: Jan. 8, 2025
Artificial
vascular
scaffolds
can
mimic
the
structure
of
natural
blood
vessels
and
replace
damaged
by
implanting
them
at
injury
site
to
perform
corresponding
functions.
Electrospinning
technology
perfectly
combine
biological
signals
topographical
cues
synergistically
induce
directed
cell
migration
growth.
In
this
study,
poly
(caprolactone)
(PCL)
nanofibers,
PCL
nanofibers
uniformly
coated
with
extracellular
matrix
derived
from
endothelial
cells
(ECd),
bi-directional
linear
gradient
ECd-coated
were
prepared
electrospinning
electrospray
techniques
evaluate
their
effects
on
proliferation
Human
umbilical
vein
(HUVECs)
rapid
endothelialization.
The
results
showed
that
HUVECs
could
successfully
adhere
surface
these
three
maintain
high
viability.
indicated
bidirectional
coating
accelerate
endothelialization
process.
On
basis,
types
bionic
scaffolds,
including
scaffold,
uniform
further
prepared.
topology
signal
scaffold
promoted
more
effectively.
This
provides
a
new
way
clinically
promote
structural
functional
recovery
develop
personalized
or
universal
artificial
which
is
great
importance
in
cardiovascular
regenerative
medicine.
Proceedings of the National Academy of Sciences,
Journal Year:
2025,
Volume and Issue:
122(10)
Published: March 4, 2025
Cardiomyocyte
hypertrophy
is
a
key
clinical
predictor
of
heart
failure.
High-throughput
and
AI-driven
screens
have
the
potential
to
identify
drugs
downstream
pathways
that
modulate
cardiomyocyte
hypertrophy.
Here,
we
developed
LogiRx,
logic-based
mechanistic
machine
learning
method
predicts
drug-induced
pathways.
We
applied
LogiRx
discover
how
discovered
in
previous
compound
screen
attenuate
experimentally
validated
predictions
neonatal
cardiomyocytes,
adult
mice,
two
patient
databases.
Using
predicted
antihypertrophic
for
seven
currently
used
treat
noncardiac
disease.
escitalopram
(Lexapro)
mifepristone
inhibit
cultured
cardiomyocytes
contexts.
The
model
prevents
through
an
“off-target”
serotonin
receptor/PI3Kγ
pathway,
mechanistically
using
additional
investigational
drugs.
Further,
reduced
mouse
fibrosis.
Finally,
mining
both
FDA
University
Virginia
databases
showed
patients
with
depression
on
lower
incidence
cardiac
than
those
prescribed
other
reuptake
inhibitors
do
not
target
receptor.
Mechanistic
by
discovers
drug
perturb
cell
states,
which
may
enable
repurposing
limit
remodeling
off-target
Nature Cardiovascular Research,
Journal Year:
2023,
Volume and Issue:
2(6), P. 550 - 571
Published: June 8, 2023
Abstract
The
development
of
new
immunotherapies
to
treat
the
inflammatory
mechanisms
that
sustain
atherosclerotic
cardiovascular
disease
(ASCVD)
is
urgently
needed.
Herein,
we
present
a
path
drug
repurposing
identify
for
ASCVD.
integration
time-of-flight
mass
cytometry
and
RNA
sequencing
identified
unique
signatures
in
peripheral
blood
mononuclear
cells
stimulated
with
ASCVD
plasma.
By
comparing
these
large-scale
gene
expression
data
from
LINCS
L1000
dataset,
drugs
could
reverse
this
response.
Ex
vivo
screens,
using
human
samples,
showed
saracatinib—a
phase
2a-ready
SRC
ABL
inhibitor—reversed
responses
induced
by
In
Apoe
−/−
mice,
saracatinib
reduced
atherosclerosis
progression
reprogramming
reparative
macrophages.
rabbit
model
advanced
atherosclerosis,
plaque
inflammation
measured
[
18
F]fluorodeoxyglucose
positron
emission
tomography–magnetic
resonance
imaging.
Here
show
systems
immunology-driven
preclinical
validation
strategy
aid
immunotherapies.