AI, Meet Antibiotics: How Machine Learning is Disrupting Drug Development

AI-Enabled Drug Discovery: A Paradigm Shift for Pharmaceutical Research and Development

Shibil
4 min readDec 22, 2023
The top two culture dishes are treated with halicin, the novel antibiotic identified by a neural network. The bottom two dishes are treated with ciprofloxacin, a conventional antibiotic. Bacterial growth is greatly reduced in the top dishes because the cells do not seem to become resistant to halicin. Collinslab at MIT

The alarming rise of antibiotic-resistant bacteria has become one of the biggest threats to global health today. According to the UN, drug-resistant diseases could cause 10 million deaths per year by 2050 if no solution is found. The antibiotic pipeline has slowed to a trickle, with no major new discoveries made in recent decades. Traditional methods of identifying new antibiotics from natural compounds have consistently come up short.

Now, researchers from MIT have announced a breakthrough discovery made possible by artificial intelligence — a powerful new antibiotic that can kill many strains of antibiotic-resistant bacteria. This innovative use of AI to identify promising new drug candidates could significantly impact and reshape the future of the pharmaceutical industry.

The new antibiotic, named halicin after the AI system HAL in 2001: A Space Odyssey, was found by an algorithm that screened over 100 million chemical compounds. It was able to learn the structural signatures of antibiotic molecules from a dataset of thousands of compounds. The algorithm identified halicin, which was hidden in plain sight as a possible diabetes drug, as having powerful antibacterial abilities.

Remarkably, the algorithm was trained to look for antibiotic candidates in a completely novel way — without any assumptions about mechanisms of action. This unbiased AI approach meant it could discover unconventional compounds that diverged wildly from current antibiotics. The machine learning model was also able to predict toxicity and weed out harmful molecules.

Lab tests showed halicin effectively killed many of the world’s most dangerous antibiotic-resistant bacteria, including Clostridium difficile, Acinetobacter baumannii, and Mycobacterium tuberculosis. Excitingly, it cleared infections in mouse models. Halicin was also resistant to developing bacterial resistance itself — after a month of exposure, tests could not produce any halicin-resistant E. coli mutants. This makes it superior to conventional antibiotics like ciprofloxacin, which rapidly led to resistance.

Halicin works by disrupting the electrochemical gradient across bacterial cell membranes, which cells need to function. This novel mechanism of action means bacteria will find it difficult to evolve resistance. The researchers believe halicin could treat infections for which all other antibiotics have failed. It has great potential for clinical use in humans pending further testing.

This discovery highlights the tremendous value AI can bring to the antiquated pharmaceutical R&D model. The traditional approach of isolating natural antibiotic compounds is hugely costly, inefficient, and constrained by human biases. AI can overcome these limitations by screening millions of synthetic drug candidates in silico quickly, cheaply, and objectively.

The MIT algorithm offers a new paradigm — an “agnostic” model that learns for itself which molecular features work without preconceived notions. This allows it to discover completely unexpected antibiotics with novel mechanisms of action unlike existing drugs. The platform has been made freely available to help other researchers.

A key advantage of AI is it can identify medicines that are structurally dissimilar to conventional antibiotics. This quality is desperately needed to fight resistant bacteria. Bacteria rapidly adapt to traditional antibiotics’ mechanism of action, rendering them ineffective. But they will find it much harder to gain resistance to new antibiotics with distinctive mechanisms like halicin.

The researchers have already used the algorithm to screen over 100 million compounds from an online chemical database. From this gigantic number, it identified 23 promising candidates in just 4 days, demonstrating the unprecedented scale and speed AI enables. One was tested successfully in the lab against bacteria — another major breakthrough from this new technology.

Looking forward, the MIT team plans to refine their AI model to target specific pathogens. This could pave the way for tailored “narrow-spectrum” antibiotics that won’t disrupt healthy gut microbiomes like current broad-spectrum drugs. More ant-biotics could be discovered by training these algorithms on bigger datasets.

In the future, AI may even be able to predict whole bacterial behavior patterns and reveal how environmental cues affect antibiotic efficacy. It could also be applied to other therapeutic areas like cancer and neurodegenerative disease. This would significantly impact how the pharmaceutical industry discovers, designs, and optimizes new medications.

AI-designed compounds can also be printed by synthesizers for rapid testing, creating an end-to-end automated drug discovery pipeline. This could transform R&D by enabling continuous experimentation and improvement through feedback loops.

Some are even using AI to understand and anticipate how bacteria gain resistance, so we can stay one step ahead of them. With enough quality data, machines could explore almost limitless combinations to create new resistance-proof antibiotics or entirely new classes of drugs.

Of course, AI cannot yet fully replace human insight and discovery. But this study demonstrates it can act as an invaluable tool to expand our drug discovery capabilities beyond what was previously possible. In this new AI-driven R&D landscape, humans provide the critical biological and clinical expertise to guide and validate the machine discoveries.

The MIT researchers’ groundbreaking work shows that AI and human collaboration is the future of pharmaceutical innovation. This technology could unlock novel treatments and strategies against antibiotic resistance, which has perplexed the industry for decades. It also holds great promise for accelerating all types of drug development.

The golden age of AI-enabled medicine is just beginning. Halicin may be the first of many new life-saving antibiotics identified by artificial intelligence. It represents a watershed moment — the dawn of an exciting new era in pharmaceutical research driven by AI. One that could revolutionize the discovery of innovative medicines and reinvigorate the antibiotic pipeline. Most importantly, it brings new hope in the fight against antibiotic-resistant superbugs threatening our future

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