| Literature DB >> 29263342 |
Koen Van der Borght1, Annelies Tourny2, Rytis Bagdziunas3, Olivier Thas2,4, Maxim Nazarov3, Heather Turner3, Bie Verbist5, Hugo Ceulemans5.
Abstract
Clinical efficacy regularly requires the combination of drugs. For an early estimation of the clinical value of (potentially many) combinations of pharmacologic compounds during discovery, the observed combination effect is typically compared to that expected under a null model. Mechanistic accuracy of that null model is not aspired to; to the contrary, combinations that deviate favorably from the model (and thereby disprove its accuracy) are prioritized. Arguably the most popular null model is the Loewe Additivity model, which conceptually maps any assay under study to a (virtual) single-step enzymatic reaction. It is easy-to-interpret and requires no other information than the concentration-response curves of the individual compounds. However, the original Loewe model cannot accommodate concentration-response curves with different maximal responses and, by consequence, combinations of an agonist with a partial or inverse agonist. We propose an extension, named Biochemically Intuitive Generalized Loewe (BIGL), that can address different maximal responses, while preserving the biochemical underpinning and interpretability of the original Loewe model. In addition, we formulate statistical tests for detecting synergy and antagonism, which allow for detecting statistically significant greater/lesser observed combined effects than expected from the null model. Finally, we demonstrate the novel method through application to several publicly available datasets.Entities:
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Year: 2017 PMID: 29263342 PMCID: PMC5738392 DOI: 10.1038/s41598-017-18068-5
Source DB: PubMed Journal: Sci Rep ISSN: 2045-2322 Impact factor: 4.379
Tested sham combinations of Cokol et al.[8] at 8 hours and 12 hours.
| Time | ANI | BRO | C3P | CAN | CYC | HAL | MET | MMS | MYR | QMY | RAP | STA | TAM | TUN |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 08h00 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0* | 0 | 0 | 0 | 1 | 0 |
| 12h00 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
0 indicates additive call, 1 indicates antagonism and -1 indicates synergy. 4 sham combinations are found to be antagonistic. *For Myr-Myr combination the p value of MeanR was borderline significant (p = 0.047), but no significant calls for MaxR.
Figure 1Response surface plots with an indication of synergy/antagonism by blue or red respectively. (a) Sham combination of BRO at 8 hours with indication of some areas of antagonism at high dose ranges. (b) Sham combination of TAM at 8 hours with indication of antagonism but driven by one extreme outlier.
Figure 2Heatmap illustrating synergistic combinations. The color indicates the fraction of cell lines for which a synergy call was made, accounting for the respective number of cell lines analyzed for a particular pair. Fractions based on fewer than 6 cell lines are minimized. Grey heatmap cells represent compounds pairs absent from the dataset.
Figure 3Mono-therapy plots. Mono-therapy data in LOVO cell line for Gemcitabine and Dasatinib.
Figure 4Response surface of gemcitabine and dasatinib in LOVO cell line. At high dose range of the two compounds, the combination data show effects below the expected ones under the null, indicating synergistic effects.
Classical LA and models that generalize classical LA for partial agonism.
| Method | Year published | biochemically interpretable | Comments | Tool |
|---|---|---|---|---|
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| Loewe[ | 1926 | ✓ | not applicable for marginal curves with different maximal effect | R package |
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| GCA (Howard)[ | 2009 | assumes hill slope = 1 for the marginal curves | ||
| Scholze[ | 2014 | rescales curves to common effect levels | ||
| FLM[ | 2016 | special cases are compatible with Loewe | ||
| Loewe (Di Veroli)[ | 2016 | reverts to highest single agent where classical Loewe is undefined | MATLAB | |
| BIGL | 2017 | ✓ | R package | |
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| Harbron[ | 2010 | explores multiple null models | ||
| BRAID[ | 2016 | BRAID additivity surface is not Loewe additive | R packages | |