A critical evaluation of methods to interpret drug combinations

Sci Rep. 2020 Mar 20;10(1):5144. doi: 10.1038/s41598-020-61923-1.

Abstract

Combination therapy is increasingly central to modern medicine. Yet reliable analysis of combination studies remains an open challenge. Previous work suggests that common methods of combination analysis are too susceptible to noise to support robust scientific conclusions. In this paper, we use simulated and real-world combination datasets to demonstrate that traditional index methods are unstable and biased by pharmacological and experimental conditions, whereas response-surface approaches such as the BRAID method are more consistent and unbiased. Using a publicly-available data set, we show that BRAID more accurately captures variations in compound mechanism of action, and is therefore better able to discriminate between synergistic, antagonistic, and additive interactions. Finally, we applied BRAID analysis to identify a clear pattern of consistently enhanced AKT sensitivity in a subset of cancer cell lines, and a far richer array of PARP inhibitor combination therapies for BRCA1-deficient cancers than would be identified by traditional synergy analysis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • BRCA1 Protein / drug effects
  • Cell Line, Tumor
  • Computational Biology / methods*
  • Drug Combinations
  • Drug Discovery / methods*
  • Drug Synergism
  • Drug Therapy, Combination / methods*
  • Humans
  • Models, Theoretical
  • Molecular Targeted Therapy

Substances

  • BRCA1 Protein
  • BRCA1 protein, human
  • Drug Combinations