The distinct XAI presented here offers an interpretable, biologically grounded framework for cancer drug repositioning by integrating dataset-specific modeling and explainable artificial intelligence.
Abstract
Background: The high costs, long development timelines, and low clinical success rates in oncology highlight an urgent need for reliable computational strategies for drug repositioning. Current machine learning approaches often integrate heterogeneous pharmacogenomic datasets, which may lose biological specificity and limit model interpretability. Methods: In this study, we propose Separate XAI, an explainable artificial intelligence framework that retains dataset-specific biological features by adopting separate preprocessing and training pipelines for the Genomics of Drug Sensitivity in Cancer (GDSC) and Cancer Cell Line Encyclopedia (CCLE) datasets. Different deep learning architectures such as Deep Neural Networks (DNNs), Convolutional Neural Networks (CNNs), and Recurrent Neural Networks (RNNs) were used to predict the drug response in the cancer cell lines. We also used SHapley Additive exPlanations (SHAP) to improve interpretability and identify biologically relevant features. Results: The developed framework showed good predictions with 94.49% accuracy in the CCLE dataset and a mean squared error of 0.0725 in the GDSC dataset. Explainability analysis identified important biomarkers and signaling pathways such as TP53 and KRAS, providing mechanistic insights into drug sensitivity and therapeutic response. Conclusions: The distinct XAI presented here offers an interpretable, biologically grounded framework for cancer drug repositioning by integrating dataset-specific modeling and explainable artificial intelligence. However, integration-based approaches often suffer from confounding effects of experimental and biological heterogeneity, but the proposed framework explicitly preserves dataset-specific characteristics, which potentially could lead to more robust predictions and higher interpretability for precision oncology and translational cancer research.
ProphDR is an interpretable deep learning framework that integrates multiomics data and drug structural information using a hierarchical attention mechanism, and generates biologically interpretable attention maps that highlight key pharmacophores and resistance-related genes consistent with established mechanisms in NSCLC and BRCA.
Yundian Zeng, Qing Ye, Jike Wang et al.· Journal of Chemical Informat...· 0 citations
DrGee is presented, an essentiality-centered platform that infers drug sensitivity solely from gene expression profiles, and the built-in DeepEEAA model integrates gene expression, gene essentiality, drug-protein affinity, and drug-gene associations to quantitatively predict IC50 values.
Hongtu Cui, Xiaohui Du, Hai-Xia Guo et al.· iScience· 0 citations
An innovative dual-branch approach based on Graph Isomorphism Network drug representations coupled with a Multilayer Perceptron (MLP) for 50-dimensional ssGSEA pathway activities calculated from CCLE gene expression is proposed, proving the importance of biological features in the two-branch model.
The integration of GO and LRP enabled the model to suggest the underlying biological processes involved in drug responses, making it a valuable tool for predicting outcomes and discovering new biomedical knowledge in cancer pharmacogenomics.
Wootaek Lim, Jitae Kim, Songhyeon Kim et al.· BMC Medical Genomics· 0 citations
Drug repurposing has emerged as a promising strategy to accelerate drug discovery by identifying new therapeutic indications for existing approved or investigational drugs, thereby reducing development time, cost, and clinical risk compared with traditional de novo drug development. The rapid expansion of biomedical big data, together with advances in artificial intelligence (AI) and machine learning (ML), has transformed computational drug repurposing into a data-driven and highly efficient discipline. Conventional machine learning algorithms, including Support Vector Machines, Random Forests, and gradient boosting methods, have demonstrated significant utility in predicting drug-target and drug-disease associations. More recently, deep learning architectures such as Convolutional Neural Networks (CNNs), Recurrent Neural Networks (RNNs), Autoencoders, Transformer-based models, and Graph Neural Networks (GNNs) have enabled the integration of heterogeneous datasets, including chemical structures, transcriptomics, proteomics, metabolomics, pharmacogenomics, protein-protein interaction networks, and electronic health records, substantially improving prediction accuracy.
This review provides a comprehensive overview of AI-driven drug repurposing, covering computational strategies, publicly available biomedical databases, feature representation methods, machine learning and deep learning algorithms, and their applications in cancer, infectious diseases, neurological disorders, cardiovascular diseases, and rare diseases. Furthermore, recent advances in knowledge graphs, explainable artificial intelligence (XAI), federated learning, foundation models, and large language models (LLMs) are discussed as emerging technologies capable of improving prediction reliability, interpretability, and clinical applicability. Current challenges, including data heterogeneity, limited external validation, algorithmic bias, model interpretability, and regulatory barriers, are critically evaluated. Finally, future perspectives focusing on multimodal multi-omics integration, digital twins, real-world evidence, and precision medicine are presented.
S. N, Rachana Sn, Aruna Mv et al.· International Journal For Mu...· 0 citations
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