A powerful antibiotic that kills some of the most dangerous drug-resistant 
bacteria in the world has been discovered using artificial intelligence.  “The 
work really is remarkable.”

Team at MIT says halicin kills some of the world’s most dangerous strains

By Ian Sample, Science editor.  Fri 21 Feb 2020
www.theguardian.com/society/2020/feb/20/antibiotic-that-kills-drug-resistant-bacteria-discovered-through-ai


The drug works in a different way to existing antibacterials and is the first 
of its kind to be found by setting AI loose on vast digital libraries of 
pharmaceutical compounds.

Tests showed that the drug wiped out a range of antibiotic-resistant strains of 
bacteria, including Acinetobacter baumannii and Enterobacteriaceae, two of the 
three high-priority pathogens that the World Health Organization ranks as 
“critical” for new antibiotics to target.

“In terms of antibiotic discovery, this is absolutely a first,” said Regina 
Barzilay, a senior researcher on the project and specialist in machine learning 
at Massachusetts Institute of Technology (MIT).

“I think this is one of the more powerful antibiotics that has been discovered 
to date,” added James Collins, a bioengineer on the team at MIT. “It has 
remarkable activity against a broad range of antibiotic-resistant pathogens.”

Antibiotic resistance arises when bacteria mutate and evolve to sidestep the 
mechanisms that antimicrobial drugs use to kill them.

Without new antibiotics to tackle resistance, 10 million lives around the world 
could be at risk each year from infections by 2050, the Cameron government’s 
O’Neill report warned.

To find new antibiotics, the researchers first trained a “deep learning” 
algorithm to identify the sorts of molecules that kill bacteria. To do this, 
they fed the program information on the atomic and molecular features of nearly 
2,500 drugs and natural compounds, and how well or not the substance blocked 
the growth of the bug E coli.

Once the algorithm had learned what molecular features made for good 
antibiotics, the scientists set it working on a library of more than 6,000 
compounds under investigation for treating various human diseases. Rather than 
looking for any potential antimicrobials, the algorithm focused on compounds 
that looked effective but unlike existing antibiotics. This boosted the chances 
that the drugs would work in radical new ways that bugs had yet to develop 
resistance to.

Jonathan Stokes, the first author of the study, said it took a matter of hours 
for the algorithm to assess the compounds and come up with some promising 
antibiotics. One, which the researchers named “halicin” after Hal, the 
astronaut-bothering AI in the film 2001: A Space Odyssey, looked particularly 
potent.

Writing in the journal Cell, the researchers describe how they treated numerous 
drug-resistant infections with halicin, a compound that was originally 
developed to treat diabetes, but which fell by the wayside before it reached 
the clinic.

Tests on bacteria collected from patients showed that halicin killed 
Mycobacterium tuberculosis, the bug that causes TB, and strains of 
Enterobacteriaceae that are resistant to carbapenems, a group of antibiotics 
that are considered the last resort for such infections. Halicin also cleared C 
difficile and multidrug-resistant Acinetobacter baumannii infections in mice.

To hunt for more new drugs, the team next turned to a massive digital database 
of about 1.5bn compounds. They set the algorithm working on 107m of these.

Three days later, the program returned a shortlist of 23 potential antibiotics, 
of which two appear to be particularly potent. The scientists now intend to 
search more of the database.

Stokes said it would have been impossible to screen all 107m compounds by the 
conventional route of obtaining or making the substances and then testing them 
in the lab. “Being able to perform these experiments in the computer 
dramatically reduces the time and cost to look at these compounds,” he said.

Barzilay now wants to use the algorithm to find antibiotics that are more 
selective in the bacteria they kill. This would mean that taking the antibiotic 
kills only the bugs causing an infection, and not all the healthy bacteria that 
live in the gut. More ambitiously, the scientists aim to use the algorithm to 
design potent new antibiotics from scratch.

“The work really is remarkable,” said Jacob Durrant, who works on 
computer-aided drug design at the University of Pittsburgh. “Their approach 
highlights the power of computer-aided drug discovery. It would be impossible 
to physically test over 100m compounds for antibiotic activity.”

“Given typical drug-development costs, in terms of both time and money, any 
method that can speed early-stage drug discovery has the potential to make a 
big impact,” he added.
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