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Comprehensive assessment of side effects in COVID-19 drug pipeline from a network perspective.

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机构: [a]Clinical Research Center, Hainan Provincial Hospital of Traditional ChineseMedicine, Guangzhou University of Chinese Medicine, Haikou, China [b]Science and Technology Innovation Center, Guangzhou University of ChineseMedicine, Guangzhou, China [c]Lerner Research Institute, Cleveland Clinic, Cleveland, USA [d]Department of Clinical Laboratory, The Third Affiliated Hospital of GuangzhouMedical University, Guangzhou, China [e]Guangdong Institute of Microbiology, Guangdong Academy of Sciences,Guangzhou, China
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关键词: Side effect COVID-19 drug network proximity CMap OpenVigil pharmacovigilance

摘要:
Currently, coronavirus disease 2019 (COVID-19), has posed an imminent threat to global public health. Although some current therapeutic agents have showed potential prevention or treatment, a growing number of associated adverse events have occurred on patients with COVID-19 in the course of medical treatment. Therefore, a comprehensive assessment of the safety profile of therapeutic agents against COVID-19 is urgently needed. In this study, we proposed a network-based framework to identify the potential side effects of current COVID-19 drugs in clinical trials. We established the associations between 116 COVID-19 drugs and 30 kinds of human tissues based on network proximity and gene-set enrichment analysis (GSEA) approaches. Additionally, we focused on four types of drug-induced toxicities targeting four tissues, including hepatotoxicity, renal toxicity, lung toxicity, and neurotoxicity, and validated our network-based predictions by preclinical and clinical evidence available. Finally, we further performed pharmacovigilance analysis to validate several drug-tissue toxicities via data mining adverse event reporting data, and we identified several new drug-induced side effects without labeling in Food and Drug Administration (FDA) drug instructions. Overall, this study provides forceful approaches to assess potential side effects on COVID-19 drugs, which will be helpful for their safe use in clinical practice and promoting the discovery of antiviral therapeutics against SARS-CoV-2. Copyright © 2020 Elsevier Ltd. All rights reserved.

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出版当年[2019]版:
大类 | 2 区 医学
小类 | 1 区 食品科技 2 区 毒理学
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 食品科技 3 区 毒理学
第一作者:
第一作者机构: [a]Clinical Research Center, Hainan Provincial Hospital of Traditional ChineseMedicine, Guangzhou University of Chinese Medicine, Haikou, China [b]Science and Technology Innovation Center, Guangzhou University of ChineseMedicine, Guangzhou, China
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通讯作者:
通讯机构: [b]Science and Technology Innovation Center, Guangzhou University of ChineseMedicine, Guangzhou, China [c]Lerner Research Institute, Cleveland Clinic, Cleveland, USA [*1]Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, No. 12 Jichang Road, Guangzhou, 510000, PR China.
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