Citation: | Tong Wu, Ruimei Lin, Pengdi Cui, Jie Yong, Heshui Yu, Zheng Li. Deep learning-based drug screening for the discovery of potential therapeutic agents for Alzheimer's disease[J]. Journal of Pharmaceutical Analysis, 2024, 14(10): 101022. doi: 10.1016/j.jpha.2024.101022 |
Alzheimer's disease (AD) is gradually increasing in prevalence and the complexity of its pathogenesis has led to a lengthy process of developing therapeutic drugs with limited success. Faced with this challenge, we proposed using a state-of-the-art drug screening algorithm to identify potential therapeutic compounds for AD from traditional Chinese medicine formulas with strong empirical support. We developed four deep neural network (DNN) models for AD drugs screening at the disease and target levels. The AD model was trained with compounds labeled for AD activity to predict active compounds at the disease level, while the acetylcholinesterase (AChE), monoamine oxidase-A (MAO-A), and 5-hydroxytryptamine 6 (5-HT6) models were trained for specific AD targets. All four models performed excellently and were used to identify potential AD agents in the Kaixinsan (KXS) formula. High-scoring compounds underwent experimental validation at the enzyme, cellular, and animal levels. Compounds like 2,4-di-tert-butylphenol and elemicin showed significant binding and inhibitory effects on AChE and MAO-A. Additionally, 13 compounds, including α-asarone, penetrated the blood-brain barrier (BBB), indicating potential brain target binding, and eight compounds enhanced microglial β-amyloid phagocytosis, aiding in clearing AD pathological substances. Our results demonstrate the effectiveness of deep learning models in developing AD therapies and provide a strong platform for AD drug discovery.
[1] |
A. Nandi, N. Counts, S. Chen, et al., Global and regional projections of the economic burden of Alzheimer’s disease and related dementias from 2019 to 2050: A value of statistical life approach, EClinicalMedicine 51 (2022), 101580.
|
[2] |
2023 Alzheimer’s disease facts and figures, Alzheimers. Dement. 19 (2023) 1598-1695.
|
[3] |
D.S. Knopman, H. Amieva, R.C. Petersen, et al., Alzheimer disease, Nat. Rev. Dis. Primers. 7 (2021), 33.
|
[4] |
F. Jessen, S. Wolfsgruber, L. Kleineindam, et al., Subjective cognitive decline and stage 2 of Alzheimer disease in patients from memory centers, Alzheimers. Dement. 19 (2023) 487-497.
|
[5] |
J. Hardy, D.J. Selkoe, The amyloid hypothesis of Alzheimer’s disease: Progress and problems on the road to therapeutics, Science 297 (2002) 353-356.
|
[6] |
R.J. Howard, E. Juszczak, C.G. Ballard, et al., Donepezil for the treatment of agitation in Alzheimer’s disease, N. Engl. J. Med. 357 (2007) 1382-1392.
|
[7] |
J.S. Birks, J. Grimley Evans, Rivastigmine for Alzheimer’s disease, Cochrane Database Syst. Rev. (2015), CD001191.
|
[8] |
G.K.Wilcock, S. Lilienfeld, E. Gaens, Efficacy and safety of galantamine in patients with mild to moderate Alzheimer’s disease: Multicentre randomised controlled trial, Galantamine international-1 study group, BMJ. 321 (2000) 1445-1449.
|
[9] |
B. Reisberg, R. Doody, A. Stoffler, et al., Memantine in moderate-to-severe Alzheimer’s disease, N. Engl. J. Med. 348 (2003) 1333-1341.
|
[10] |
T.E. Golde, S.T. DeKosky, D. Galasko, Alzheimer’s disease: The right drug, the right time, Science 362 (2018) 1250-1251.
|
[11] |
E. Drummond, T. Wisniewski, Alzheimer’s disease: Experimental models and reality, Acta Neuropathol. 133 (2017) 155-175.
|
[12] |
C. Reda, E. Kaufmann, A. Delahaye-Duriez, Machine learning applications in drug development, Comput. Struct. Biotechnol. J. 18 (2020) 241-252.
|
[13] |
J.M. Stokes, K. Yang, K. Swanson, et al., A deep learning approach to antibiotic discovery, Cell 180 (2020) 688-702.e13.
|
[14] |
F. Wong, S. Omori, N.M. Donghia, et al., Discovering small-molecule senolytics with deep neural networks, Nat. Aging 3 (2023) 734-750.
|
[15] |
S. Wang, Q. Sun, Y. Xu, et al., A transferable deep learning approach to fast screen potential antiviral drugs against SARS-CoV-2, Brief. Bioinform. 22 (2021), bbab211.
|
[16] |
R. Gupta, D. Srivastava, M. Sahu, et al., Artificial intelligence to deep learning: Machine intelligence approach for drug discovery, Mol. Divers. 25 (2021) 1315-1360.
|
[17] |
L. Chen, L. Jiang, X. Shi, et al., Constituents, pharmacological activities, pharmacokinetic studies, clinical applications, and safety profile on the classical prescription Kaixinsan, Front. Pharmacol. 15 (2024), 1338024.
|
[18] |
V.N. Talesa, Acetylcholinesterase in Alzheimer’s disease, Mech. Ageing Dev. 122 (2001) 1961-1969.
|
[19] |
S. Manzoor, N. Hoda, A comprehensive review of monoamine oxidase inhibitors as anti-Alzheimer’s disease agents: A review, Eur. J. Med. Chem. 206 (2020), 112787.
|
[20] |
N. Upton, T.T. Chuang, A.J. Hunter, et al., 5-HT6 receptor antagonists as novel cognitive enhancing agents for Alzheimer’s disease, Neurotherapeutics 5 (2008) 458-469.
|
[21] |
D. Weininger, SMILES, a chemical language and information system. 1. Introduction to methodology and encoding rules, J. Chem. Inf. Comp. Sci. 28 (1988) 31-36.
|
[22] |
MedChemExpress, Anti-Alzheimer’s Disease Compound Library. https://www.medchemexpress.cn/screening/anti-alzheimer-s-disease-compound-library.html (Accessed 24 December 2022).
|
[23] |
Selleck, Anti-Alzheimer’s Disease Compound Library. https://www.selleck.cn/screening/anti-alzheimer-disease-compound-library.html. (Accessed 24 December 2022).
|
[24] |
A. Gaulton, A. Hersey, M. Nowotka, et al., The ChEMBL database in 2017, Nucleic Acids Res. 45 (2017) D945-D954.
|
[25] |
J. Yin, R. Lin, M. Wu, et al., Strategy for the multi-component characterization and quality evaluation of volatile organic components in Kaixin San by correlating the analysis by headspace gas chromatography/ion mobility spectrometry and headspace gas chromatography/mass spectrometry, Rapid Commun. Mass Spectrom. 35 (2021), e9174.
|
[26] |
R. Lin, J. Yin, M. Wu, et al., Global identification and determination of the major constituents in Kai-Xin-San by ultra-performance liquid chromatography-quadrupole-Orbitrap mass spectrometry and gas chromatography-mass spectrometry, J. Pharm. Biomed. Anal. 206 (2021), 114385.
|
[27] |
E. Heid, K.P. Greenman, Y. Chung, et al., Chemprop: A machine learning package for chemical property prediction, J. Chem. Inf. Model. 64 (2024) 9-17.
|
[28] |
T.G. Dietterich, Ensemble methods in machine learning, International Workshop on Multiple Classifier Systems, April 7-9, 2000, Cairo, Egypt, 2000.
|
[29] |
G.L. Ellman, K.D. Courtney, V. Andres Jr, et al., A new and rapid colorimetric determination of acetylcholinesterase activity, Biochem. Pharmacol. 7 (1961) 88-95.
|
[30] |
H. Weissbach, T.E. Smith, J.W. Daly, et al., A rapid spectrophotometric assay of mono-amine oxidase based on the rate of disappearance of kynuramine, J. Biol. Chem. 235 (1960)1160-1163.
|
[31] |
S. Raman, M. Asle-Rousta, M. Rahnema, Protective effect of fennel, and its major component trans-anethole against social isolation induced behavioral deficits in rats, Physiol. Int. 107 (2020) 30-39.
|
[32] |
P. Taheri, P. Yaghmaei, H.S. Tehrani, et al., Effects of eugenol on Alzheimer’s disease-like manifestations in insulin-and Aβ-induced rat models, Neurophysiology 51 (2019) 114-119.
|
[33] |
M. Wang, J. Zhang, J. Zhang, et al., Methyl eugenol attenuates liver ischemia reperfusion injury via activating PI3K/Akt signaling, Int. Immunopharmacol. 99 (2021), 108023.
|
[34] |
Z. Wang, Q. Wang, B. Yang, et al., GC-MS method for determination and pharmacokinetic study of four phenylpropanoids in rat plasma after oral administration of the essential oil of Acorus tatarinowii Schott rhizomes, J. Ethnopharmacol. 155 (2014) 1134-1140.
|
[35] |
S.J. Choi, J.K. Kim, H.K. Kim, et al., 2,4-Di-tert-butylphenol from sweet potato protects against oxidative stress in PC12 cells and in mice, J. Med. Food 16 (2013) 977-983.
|
[36] |
Q. Cai, Y. Li, J. Mao, et al., Neurogenesis-promoting natural product α-asarone modulates morphological dynamics of activated microglia, Front. Cell. Neurosci. 10 (2016), 280.
|
[37] |
S.-J. Liu, C. Yang, Y. Zhang, et al., Neuroprotective effect of β-asarone against Alzheimer’s disease: Regulation of synaptic plasticity by increased expression of SYP and GluR1, Drug Des. Devel. Ther. 10 (2016) 1461-1469.
|
[38] |
Y. Cheng, Z. Dong, S. Liu, β-Caryophyllene ameliorates the Alzheimer-like phenotype in APP/PS1 Mice through CB2 receptor activation and the PPARγ pathway, Pharmacology 94 (2014) 1-12.
|
[39] |
M. Yamada, H. Yasuhara, Clinical pharmacology of MAO inhibitors: Safety and future, Neurotoxicology 25 (2004) 215-221.
|
[40] |
Y. Li, J. Zhang, J. Wan, et al., Melatonin regulates Aβ production/clearance balance and Aβ neurotoxicity: A potential therapeutic molecule for Alzheimer’s disease, Biomed. Pharmacother. 132 (2020), 110887.
|
[41] |
J. Zhang, Y. Zheng, Y. Luo, et al., Curcumin inhibits LPS-induced neuroinflammation by promoting microglial M2 polarization via TREM2/TLR4/NF-κB pathways in BV2 cells, Mol. Immunol. 116 (2019) 29-37.
|
[42] |
A.M. Bokare, A.K. Praveenkumar, M. Bhonde, et al., 5-HT6 receptor agonist and antagonist against β-amyloid-peptide-induced neurotoxicity in PC-12 cells, Neurochem. Res. 42 (2017) 1571-1579.
|
[43] |
R. Chellian, V. Pandy, Z. Mohamed, Pharmacology and toxicology of α- and β-asarone: A review of preclinical evidence, Phytomedicine 32 (2017) 41-58.
|