Computational repositioning of the anticonvulsant topiramate for inflammatory bowel disease.

Computational repositioning of the anticonvulsant topiramate for inflammatory bowel disease.
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DOI:
10.1126/scitranslmed.3002648
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发表时间:
2011-08-17
影响因子:
17.1
通讯作者:
Butte AJ
Butte AJ
中科院分区:
医学1区
文献类型:
--
作者:
Dudley JT;Sirota M;Shenoy M;Pai RK;Roedder S;Chiang AP;Morgan AA;Sarwal MM;Pasricha PJ;Butte AJ

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Inflammatory Bowel Disease (IBD) is a chronic inflammatory disorder of the gastrointestinal tract for which there are few safe and effective therapeutic options for long-term treatment and disease maintenance. In this study, we applied a computational approach to discover novel drug therapies for IBD in silico using publicly available molecular data measuring gene expression in IBD samples and 164 small-molecule drug compounds. Among the top compounds predicted to be therapeutic for IBD by our approach were prednisolone, a corticosteroid known to treat IBD, and topiramate, an anticonvulsant drug not previously described to demonstrate efficacy for IBD or any related disorders of inflammation or the gastrointestinal tract. We experimentally validated our topiramate prediction in vivo using a trinitrobenzenesulfonic acid (TNBS) induced rodent model of IBD. The experimental results demonstrate that oral administration of topiramate is able to significantly reduce gross pathological signs and microscopic damage in primary affected colon tissue in a TNBS-induced rodent model of IBD. These finding suggest that topiramate might serve as a novel therapeutic option for IBD in humans, and support the use of public molecular data and computational approaches to discover novel therapeutic options for IBD.
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