A Metabolism-Informed Neural Network Identifies Pathways Influencing the Potency and Toxicity of Antimicrobial Combinations

that were antagonistic for kidney and liver toxicity and uncovered the nucleotide salvage pathway as a selective influencer of toxicity, which was validated in vitro. Mining of health records of over 400,000 patients showed reduced frequency of kidney side-effects in patients taking a vancomycin combination identified by CALMA. CALMA provides a rational, mechanistic approach to streamline combination treatment design.

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Publication Details

Journal
npj Drug Discovery.
Published
2026-04-01
DOI
https://doi.org/10.1038/s44386-026-00042-9
Primary Topic
Microbial Metabolic Engineering and Bioproduction
Type
article
Field-Weighted Citation Impact
0.00

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article

A Metabolism-Informed Neural Network Identifies Pathways Influencing the Potency and Toxicity of Antimicrobial Combinations

Ramraj Velmurugan, Harkirat Singh Arora, Katherine L. Lev, Sriram Chandrasekaran et al.
npj Drug Discovery.
Microbial Metabolic Engineering and Bioproduction
article

A Metabolism-Informed Neural Network Identifies Pathways Influencing the Potency and Toxicity of Antimicrobial Combinations

Ramraj Velmurugan, Harkirat Singh Arora, Katherine L. Lev, Sriram Chandrasekaran, Aaron Robida
article en

Abstract

that were antagonistic for kidney and liver toxicity and uncovered the nucleotide salvage pathway as a selective influencer of toxicity, which was validated in vitro. Mining of health records of over 400,000 patients showed reduced frequency of kidney side-effects in patients taking a vancomycin combination identified by CALMA. CALMA provides a rational, mechanistic approach to streamline combination treatment design.

npj Drug Discovery.Vol. 3(1)
University of Michigan (US), San Francisco Department of Public Health (US)
National Science Foundation, National Institute of General Medical Sciences, National Institute of Allergy and Infectious Diseases
Good health and well-being
Openalex Percentile: Top 36%
Microbial Metabolic Engineering and Bioproduction
DOIOpen Access PDFOpenAlex
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A Metabolism-Informed Neural Network Identifies Pathways Influencing the Potency and Toxicity of Antimicrobial Combinations — Ramraj Velmurugan, Harkirat Singh Arora, et al. · npj Drug Discovery. (2026) | TGRS Research Map | TGRS