The immense growth of MEDLINE coupled with the realization that a vast amount of biomedical knowledge is recorded in free-text format, has led to the appearance of a large number of literature mining techniques aiming to extract biomedical terms and their inter-relations from the scientific literature. Ontologies have been extensively utilized in the biomedical domain either as controlled vocabularies or to provide the framework for mapping relations between concepts in biology and medicine. Literature-based approaches and ontologies have been used in the past for the purpose of hypothesis generation in connection with drug discovery. Here, we review the application of literature mining and ontology modeling and traversal to the area of drug repurposing (DR). In recent years, DR has emerged as a noteworthy alternative to the traditional drug development process, in response to the decreased productivity of the biopharmaceutical industry. Thus, systematic approaches to DR have been developed, involving a variety of in silico, genomic and high-throughput screening technologies. Attempts to integrate literature mining with other types of data arising from the use of these technologies as well as visualization tools assisting in the discovery of novel associations between existing drugs and new indications will also be presented.
OBJECTIVETo identify risk factors for the development of statin-associated diabetes mellitus (DM).
RESEARCH DESIGN AND METHODSThe study was conducted in two phases. Phase one involved high-throughput in silico processing of a large amount of biomedical data to identify risk factors for the development of statin-associated DM. In phase two, the most prominent risk factor identified was confirmed in an observational cohort study at Clalit, the largest health care organization in Israel. Time-dependent Poisson regression multivariable models were performed to assess rate ratios (RRs) with 95% CIs for DM occurrence.
RESULTSA total of 39,263 statin nonusers were matched by propensity score to 20,334 highly compliant statin initiators in [2004][2005]
CONCLUSIONSHypothyroidism is a risk factor for DM. Subclinical hypothyroidism-associated risk for DM is prominent only upon statin use. Identifying and treating hypothyroidism and subclinical hypothyroidism might reduce DM risk. Future clinical studies are needed to confirm the findings.Thyroid disease is common in the general population. Hypothyroidism and subclinical hypothyroidism are more prevalent in patients with type 2 diabetes mellitus (DM), and it is possible that hypothyroidism is a risk factor for the development of DM. Women with subclinical hypothyroidism are more likely to develop gestational diabetes (1). After restoration of thyroid function, reduction of glucose-stimulated insulin secretion has been shown in patients with hypothyroidism as well as in those with subclinical hypothyroidism (2).
Drug repurposing is the process of using existing drugs in indications other than the ones they were originally designed for. It is an area of significant recent activity due to the mounting costs of traditional drug development and scarcity of new chemical entities brought to the market by bio-pharmaceutical companies. By selecting drugs that already satisfy basic toxicity, ADME and related criteria, drug repurposing promises to deliver significant value at reduced cost and in dramatically shorter time frames than is normally the case for the drug development process. The same process that results in drug repurposing can also be used for the prediction of adverse events of known or novel drugs. The analytics method is based on the description of the mechanism of action of a drug, which is then compared to the molecular mechanisms underlying all known adverse events. This review will focus on those approaches to drug repurposing and adverse event prediction that are based on the biomedical literature. Such approaches typically begin with an analysis of the literature and aim to reveal indirect relationships among seemingly unconnected biomedical entities such as genes, signaling pathways, physiological processes, and diseases. Networks of associations of these entities allow the uncovering of the molecular mechanisms underlying a disease, better understanding of the biological effects of a drug and the evaluation of its benefit/risk profile. In silico results can be tested in relevant cellular and animal models and, eventually, in clinical trials.
Pasteuria penetrans spores were fragmented by glass bead vortexing, producing exosporial membranes and spore fragments, which consisted of fibre bundles. Both exosporia and spore fragments are capable of host-specific attachment to the cuticle of Meloidogyne incognita, a root-knot nematode host. Putative M. incognita receptors appear to be soluble in beta-mercaptoethanol (BME) but not SDS, and are also sensitive to tryptic digestion and deglycosylation by endoglycosidase F. Polyclonal antibodies against intact spores and spore fragments of antispore antibodies produced 100% inhibition. The antibodies, however, did not show preferential staining of particular spore structures in thin section immunolabelling studies. Exposure of Pasteuria penetrans spores to HCl or urea-SDS-dithiothreitol renders them incapable of attachment to their host juveniles and extensively disrupts fibres that surround the spore core. Protein extracts from spore fragments or from exosporial membranes are identical, and urea-BME extracts from either structure, but not SDS extracts, can inhibit the attachment of spores to juveniles by 60–80%. An inhibitory BME extract from spore fragments was analysed by anion-exchange chromatography and adsorption onto host cuticle followed by immunoblotting. It appeared to contain six potential spore adhesins of approximate Mr 24–29, 38–47, 59, 89, 126, and 190 (x10(3)). Lectin affinity blotting with wheat germ agglutinin and concanavalin A showed that all of these proteins bear terminal N-acetylglucosamine residues and the 38–47 kDa band also bears terminal Glc/Man residues.(ABSTRACT TRUNCATED AT 250 WORDS)
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