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A genotype-to-drug diffusion model for generation of tailored anti-cancer small molecules

Hyunho Kim, Bongsung Bae, M. Park, Yewon Shin, Trey Ideker, Hojung Nam

2025Nature Communications8 citationsDOIOpen Access PDF

Abstract

Despite advances in precision oncology, developing effective cancer therapeutics remains a significant challenge due to tumor heterogeneity and the limited availability of well-defined drug targets. Recent progress in generative artificial intelligence (AI) offers a promising opportunity to address this challenge by enabling the design of hit-like anti-cancer molecules conditioned on complex genomic features. We present Genotype-to-Drug Diffusion (G2D-Diff), a generative AI approach for creating small molecule-based drug structures tailored to specific cancer genotypes. G2D-Diff demonstrates exceptional performance in generating diverse, drug-like compounds that meet desired efficacy conditions for a given genotype. The model outperforms existing methods in diversity, feasibility, and condition fitness. G2D-Diff learns directly from drug response data distributions, ensuring reliable candidate generation without separate predictors. Its attention mechanism provides insights into potential cancer targets and pathways, enhancing interpretability. In triple-negative breast cancer case studies, G2D-Diff generated plausible hit-like candidates by focusing on relevant pathways. By combining realistic hit-like molecule generation with relevant pathway suggestions for specific genotypes, G2D-Diff represents a significant advance in AI-guided, personalized drug discovery. This approach has the potential to accelerate drug development for challenging cancers by streamlining hit identification.

Topics & Concepts

GenotypeCancer drugsDrugSmall moleculeDiffusionComputational biologyMedicineComputer scienceBiologyPharmacologyGeneticsGenePhysicsThermodynamicsComputational Drug Discovery MethodsMonoclonal and Polyclonal Antibodies ResearchProtein Structure and Dynamics
A genotype-to-drug diffusion model for generation of tailored anti-cancer small molecules | Litcius