Prevalence and patterns of higher-order drug interactions in .

NPJ Syst Biol Appl

1Department of Ecology and Evolutionary Biology, University of California, Los Angeles, CA 90095 USA.

Published: September 2018

AI Article Synopsis

  • Interactions in complex systems are crucial, but studies often overlook higher-order interactions among three or more components.
  • We analyzed a vast array of antibiotic combinations against pathogens, discovering unexpected patterns in how multiple drugs interact.
  • As drug numbers increase, we found that both beneficial synergies and detrimental antagonisms become more frequent, suggesting significant implications for the effectiveness of drug combinations and the complexities in treating infections.

Article Abstract

Interactions and emergent processes are essential for research on complex systems involving many components. Most studies focus solely on pairwise interactions and ignore higher-order interactions among three or more components. To gain deeper insights into higher-order interactions and complex environments, we study antibiotic combinations applied to pathogenic and obtain unprecedented amounts of detailed data (251 two-drug combinations, 1512 three-drug combinations, 5670 four-drug combinations, and 13608 five-drug combinations). Directly opposite to previous assumptions and reports, we find higher-order interactions increase in frequency with the number of drugs in the bacteria's environment. Specifically, as more drugs are added, we observe an elevated frequency of net synergy (effect greater than expected based on independent individual effects) and also increased instances of emergent antagonism (effect less than expected based on lower-order interaction effects). These findings have implications for the potential efficacy of drug combinations and are crucial for better navigating problems associated with the combinatorial complexity of multi-component systems.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119685PMC
http://dx.doi.org/10.1038/s41540-018-0069-9DOI Listing

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