» Articles » PMID: 33179017

Using Machine Learning to Identify Adverse Drug Effects Posing Increased Risk to Women

Overview
Journal Patterns (N Y)
Date 2020 Nov 12
PMID 33179017
Citations 16
Authors
Affiliations
Soon will be listed here.
Abstract

Adverse drug reactions are the fourth leading cause of death in the US. Although women take longer to metabolize medications and experience twice the risk of developing adverse reactions compared with men, these sex differences are not comprehensively understood. Real-world clinical data provide an opportunity to estimate safety effects in otherwise understudied populations, i.e., women. These data, however, are subject to confounding biases and correlated covariates. We present AwareDX, a pharmacovigilance algorithm that leverages advances in machine learning to predict sex risks. Our algorithm mitigates these biases and quantifies the differential risk of a drug causing an adverse event in either men or women. AwareDX demonstrates high precision during validation against clinical literature and pharmacogenetic mechanisms. We present a resource of 20,817 adverse drug effects posing sex-specific risks. AwareDX, and this resource, present an opportunity to minimize adverse events by tailoring drug prescription and dosage to sex.

Citing Articles

Precision Adverse Drug Reactions Prediction with Heterogeneous Graph Neural Network.

Gao Y, Zhang X, Sun Z, Chandak P, Bu J, Wang H Adv Sci (Weinh). 2024; :e2404671.

PMID: 39630592 PMC: 11775569. DOI: 10.1002/advs.202404671.


The Role of Vitamin D Metabolism Genes and Their Genomic Background in Shaping Cyclosporine A Dosage Parameters after Kidney Transplantation.

Kotowska K, Wojciuk B, Sienko J, Bogacz A, Stukan I, Drozdzal S J Clin Med. 2024; 13(16).

PMID: 39201108 PMC: 11355102. DOI: 10.3390/jcm13164966.


Healthcare Transformation: Artificial Intelligence Is the Dire Imperative of the Day.

Choubey A, Choubey S, K P, Daulatabad V, John N Cureus. 2024; 16(6):e62652.

PMID: 39036139 PMC: 11258957. DOI: 10.7759/cureus.62652.


Population-scale identification of differential adverse events before and during a pandemic.

Zhang X, Sumathipala M, Zitnik M Nat Comput Sci. 2024; 1(10):666-677.

PMID: 38217191 PMC: 10766557. DOI: 10.1038/s43588-021-00138-4.


Sex-biased gene expression and gene-regulatory networks of sex-biased adverse event drug targets and drug metabolism genes.

Fisher J, Clark A, Jones E, Lasseigne B BMC Pharmacol Toxicol. 2024; 25(1):5.

PMID: 38167211 PMC: 10763002. DOI: 10.1186/s40360-023-00727-1.


References
1.
Hodges L, Markova S, Chinn L, Gow J, Kroetz D, Klein T . Very important pharmacogene summary: ABCB1 (MDR1, P-glycoprotein). Pharmacogenet Genomics. 2010; 21(3):152-61. PMC: 3098758. DOI: 10.1097/FPC.0b013e3283385a1c. View

2.
Razzaque M . Can adverse effects of excessive vitamin D supplementation occur without developing hypervitaminosis D?. J Steroid Biochem Mol Biol. 2017; 180:81-86. DOI: 10.1016/j.jsbmb.2017.07.006. View

3.
Adams Jr K, Patterson J, Gattis W, OConnor C, Lee C, Schwartz T . Relationship of serum digoxin concentration to mortality and morbidity in women in the digitalis investigation group trial: a retrospective analysis. J Am Coll Cardiol. 2005; 46(3):497-504. DOI: 10.1016/j.jacc.2005.02.091. View

4.
Tatonetti N, Ye P, Daneshjou R, Altman R . Data-driven prediction of drug effects and interactions. Sci Transl Med. 2012; 4(125):125ra31. PMC: 3382018. DOI: 10.1126/scitranslmed.3003377. View

5.
Gottlieb A, Hoehndorf R, Dumontier M, Altman R . Ranking adverse drug reactions with crowdsourcing. J Med Internet Res. 2015; 17(3):e80. PMC: 4387295. DOI: 10.2196/jmir.3962. View