Title
Methods for optimizing antiviral combination therapies.
Abstract
Motivation: Despite some progress with antiretroviral combination therapies, therapeutic success in the management of HIV-infected patients is limited. The evolution of drug-resistant genetic variants in response to therapy plays a key role in treatment failure and finding a new potent drug combination after therapy failure is considered challenging. Results: To estimate the activity of a drug combination against a particular viral strain, we develop a scoring function whose independent variables describe a set of antiviral agents and viral DNA sequences coding for the molecular targets of the respective drugs. The construction of this activity score involves (1) predicting phenotypic drug resistance from genotypes for each drug individually, (2) probabilistic modeling of predicted resistance values and integration into a score for drug combinations, and (3) searching through the mutational neighborhood of the considered strain in order to estimate activity on nearby mutants. For a clinical data set, we determine the optimal search depth and show that the scoring scheme is predictive of therapeutic outcome. Properties of the activity score and applications are discussed.
Year
DOI
Venue
2003
10.1093/bioinformatics/btg1001
BIOINFORMATICS
Keywords
Field
DocType
HIV,antiretroviral therapy,drug resistance,SVM regression,therapy optimization,sequence space search
Biology,Drug resistance,Bioinformatics,Drug,Gene expression profiling
Conference
Volume
Issue
ISSN
19
SUPnan
1367-4803
Citations 
PageRank 
References 
14
2.73
6
Authors
8
Name
Order
Citations
PageRank
Niko Beerenwinkel1696102.47
Thomas Lengauer23155605.03
Martin Däumer38815.64
Rolf Kaiser421347.27
Hauke Walter515240.07
Klaus Korn615240.07
Daniel Hoffmann727143.71
Joachim Selbig877293.34