دورية أكاديمية
A deep learning platform to assess drug proarrhythmia risk.
العنوان: | A deep learning platform to assess drug proarrhythmia risk. |
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المؤلفون: | Serrano R; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, CA 94305, USA., Feyen DAM; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, CA 94305, USA., Bruyneel AAN; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, CA 94305, USA., Hnatiuk AP; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, CA 94305, USA., Vu MM; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, CA 94305, USA., Amatya PL; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, CA 94305, USA., Perea-Gil I; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Cardiothoracic Surgery, Stanford University, Stanford, CA 94305, USA., Prado M; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Cardiothoracic Surgery, Stanford University, Stanford, CA 94305, USA., Seeger T; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, CA 94305, USA., Wu JC; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, CA 94305, USA., Karakikes I; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Cardiothoracic Surgery, Stanford University, Stanford, CA 94305, USA., Mercola M; Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA; Department of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, CA 94305, USA. Electronic address: mmercola@stanford.edu. |
المصدر: | Cell stem cell [Cell Stem Cell] 2023 Jan 05; Vol. 30 (1), pp. 86-95.e4. Date of Electronic Publication: 2022 Dec 22. |
نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: Cell Press Country of Publication: United States NLM ID: 101311472 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1875-9777 (Electronic) Linking ISSN: 18759777 NLM ISO Abbreviation: Cell Stem Cell Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Cambridge, MA : Cell Press |
مواضيع طبية MeSH: | Deep Learning* , Torsades de Pointes*/chemically induced , Induced Pluripotent Stem Cells*/physiology, Humans ; Arrhythmias, Cardiac/chemically induced ; Action Potentials ; Myocytes, Cardiac/physiology |
مستخلص: | Drug safety initiatives have endorsed human iPSC-derived cardiomyocytes (hiPSC-CMs) as an in vitro model for predicting drug-induced cardiac arrhythmia. However, the extent to which human-defined features of in vitro arrhythmia predict actual clinical risk has been much debated. Here, we trained a convolutional neural network classifier (CNN) to learn features of in vitro action potential recordings of hiPSC-CMs that are associated with lethal Torsade de Pointes arrhythmia. The CNN classifier accurately predicted the risk of drug-induced arrhythmia in people. The risk profile of the test drugs was similar across hiPSC-CMs derived from different healthy donors. In contrast, pathogenic mutations that cause arrhythmogenic cardiomyopathies in patients significantly increased the proarrhythmic propensity to certain intermediate and high-risk drugs in the hiPSC-CMs. Thus, deep learning can identify in vitro arrhythmic features that correlate with clinical arrhythmia and discern the influence of patient genetics on the risk of drug-induced arrhythmia. Competing Interests: Declaration of interests R.S. is a paid consultant of Vala Sciences, which manufactures a high content instrument used in these studies. M.M. serves on the scientific advisory board of Vala Sciences. J.C.W. is co-founder and scientific advisory board member of Greenstone Biosciences. (Copyright © 2022 Elsevier Inc. All rights reserved.) |
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معلومات مُعتمدة: | R01 HL138539 United States HL NHLBI NIH HHS; R01 HL130840 United States HL NHLBI NIH HHS; P01 HL141084 United States HL NHLBI NIH HHS; R01 HL139679 United States HL NHLBI NIH HHS; R01 HL152055 United States HL NHLBI NIH HHS; S10 OD030264 United States OD NIH HHS; R01 HL141358 United States HL NHLBI NIH HHS; P01 ES016738 United States ES NIEHS NIH HHS; R42 HL158510 United States HL NHLBI NIH HHS; R01 HL150414 United States HL NHLBI NIH HHS |
فهرسة مساهمة: | Keywords: AI; CiPA; artificial; cardiomyocytes; deep learning; drug screening; drug-induced arrhythmia; iPSC; induced pluripotent stem cells; intelligence; safety pharmacology |
تواريخ الأحداث: | Date Created: 20221223 Date Completed: 20230110 Latest Revision: 20240106 |
رمز التحديث: | 20240106 |
مُعرف محوري في PubMed: | PMC9924077 |
DOI: | 10.1016/j.stem.2022.12.002 |
PMID: | 36563695 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1875-9777 |
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DOI: | 10.1016/j.stem.2022.12.002 |