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A transformer model explaining mechanisms of drug therapeutic and adverse effects

Ke, J.; Melamed, R. D.

2026-05-13 genetic and genomic medicine
10.64898/2026.05.11.26352917 medRxiv
Show abstract

Understanding which disease genes are altered by a drug can provide insight into the biology of effect, help us understand adverse drug effects, and suggest new drug uses. Here, we build on our model Draphnet in a new formulation with a similar goal. Draphnet was designed to explain drug therapeutic and side effects by learning a network connecting drugs to the disease genes they alter. Our new model, DraPhormer, has a similar goal but instead of relying on a linear model, learning of drug to gene connections uses a transformer model. DraPhormer integrates drug molecular data, disease genetics, and known drug effects on diseases, along with language models representing all of these entities. We show in simulations that DraPhormer can explain the genetic mechanisms of drug effects. Then, we present our design for incorporating drug and disease biology into the model. Finally, we benchmark the models ability to learn drug indications and side effects in real data.

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