Evidence map›Paper›PMID 40925962›Full record

ArticleNature biomedical engineering2026

Combinatorial prediction of therapeutic perturbations using causally inspired neural networks.

Guadalupe Gonzalez, Xiang Lin, Isuru Herath, Kirill Veselkov, Michael Bronstein, Marinka Zitnik

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
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  5. ScalablebioRxiv : the preprint server for biology · 2026
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  8. Article
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  10. Medea: An omics AI agent for therapeutic discovery.bioRxiv : the preprint server for biology · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Guadalupe Gonzalez *Imperial College London, London, UK.
Xiang Lin *Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.
Isuru HerathMerck & Co., South San Francisco, CA, USA.ORCID http://orcid.org/0009-0001-1256-2591
Kirill VeselkovImperial College London, London, UK.
Michael BronsteinUniversity of Oxford, Oxford, UK.
Marinka ZitnikDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. marinka@hms.harvard.edu.ORCID http://orcid.org/0000-0001-8530-7228

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Phenotype-driven approaches identify disease-counteracting compounds by analysing the phenotypic signatures that distinguish diseased from healthy states. Here we introduce PDGrapher, a causally inspired graph neural network model that predicts combinatorial perturbagens (sets of therapeutic targets) capable of reversing disease phenotypes. Unlike methods that learn how perturbations alter phenotypes, PDGrapher solves the inverse problem and predicts the perturbagens needed to achieve a desired response by embedding disease cell states into networks, learning a latent representation of these states, and identifying optimal combinatorial perturbations. In experiments in nine cell lines with chemical perturbations, PDGrapher identifies effective perturbagens in more testing samples than competing methods. It also shows competitive performance on ten genetic perturbation datasets. An advantage of PDGrapher is its direct prediction, in contrast to the indirect and computationally intensive approach common in phenotype-driven models. It trains up to 25× faster than existing methods, providing a fast approach for identifying therapeutic perturbations and advancing phenotype-driven drug discovery.

Indexed as

Drug DiscoveryNeural Networks, ComputerAlgorithmsCell LineHumansPhenotype

Identifiers

PMID40925962
PMCPMC13190336

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.