[HN Gopher] AI and Drug Discovery: Attacking the Right Problems
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       AI and Drug Discovery: Attacking the Right Problems
        
       Author : mhb
       Score  : 71 points
       Date   : 2021-03-20 13:23 UTC (9 hours ago)
        
 (HTM) web link (blogs.sciencemag.org)
 (TXT) w3m dump (blogs.sciencemag.org)
        
       | text70 wrote:
       | The last time I was working with molecular modeling, proteins
       | were still the main target. With the advent of cryoEM,
       | glycobiology of proteins can now be discerned. Now, AI is
       | starting to be able to predict entire secondary structures from
       | sequence alone. It will take massive computational power, but I
       | can see how toxicology may soon be able to be predicted from in
       | silico experiments.
        
         | ramraj07 wrote:
         | The point of this post (and what I realised during my PhD) was
         | that for the most part this doesn't matter; choice of targets
         | and predicting the human efficacy of a therapy that works in a
         | tube or mice is far more important and typically more ignored.
         | People don't focus on that because it's a hard problem
         | especially for math and computer people who think their absence
         | is the reason cancer isn't cured yet and come over to try and
         | win the Nobel prize (and don't; cue relevant xkcd).
        
       | 1cvmask wrote:
       | AI is just a tool like Excel and not a panacea. It might create
       | some efficiencies but it is not a short cut to the real grind and
       | the too often overlooked serendipity involved.
       | 
       | Serendipity plays such a big role in many "discoveries" but we
       | don't want to ascribe too much to it because it is just potluck
       | by brute forcing OTHER problems.
       | 
       | Perhaps serendipity should be rephrased as "no method to our
       | madness".
        
         | randcraw wrote:
         | Unlike Excel, AI truly can deliver a competitive advantage when
         | used judiciously. In the right situation, it can deliver that
         | small catalytic boost that lets you see just a little farther
         | than before. And incremental advancement is the basis for
         | almost all scientific or commercial advancement.
         | 
         | That said, deep CNNs and LSTMs have delivered only a fairly
         | narrow set of catalytic advancements to date, even fewer of
         | which have changed the status quo in big businesses, where R&D
         | ROI really adds up. Accurately identifying the next use of AI
         | that will meaningfully move the needle is beyond hard.
         | 
         | But hasn't that always been true of all forms of innovation?
         | That's why so many are keen on AI today; as hard as it is to
         | wield, it still seems to be the sharpest arrow in our quiver.
        
           | dumb1224 wrote:
           | I agree with you. I transited from computing to drug
           | discovery. A lot of projects attempt to harness the power of
           | ML but there still seem to be a lot of misunderstanding. A
           | lot of the time the valuable ML methods are supporting /
           | assisting hypothesis generation rather than 'doing it all'.
           | The domain experts will judge the value of ML methods by
           | their usual merits in the drug discovery world. If the more
           | sophisticated methods can predict hit compounds no better
           | than the traditional standard deviation based cut off, or if
           | the models can not explain key insight of any indication of
           | mechanism of action, then it may not be a good method after
           | all. But meanwhile if it opens up a new way (e.g a new
           | phenotype based screening) then it is worth pursuing.
        
       | ta988 wrote:
       | An advice for the VC among us. Don't get fooled by all these
       | startups promising to revolutionalize drug-discovery with AI. Go
       | talk to scientists that are specialists but have no stakes in
       | those approaches. I've seen so much money diverted from projects
       | (many that turned out to work once sanity came back) just to pay
       | for some over-confident startupers shitty solution... Yes AI will
       | help drug discovery no doubt about that, but those companies
       | telling you they can learn from existing data are lying, most
       | data available is of really low quality, acquired in conditions
       | adequate only for specific types of questions... One I know
       | closely will promise you a knowledge graph based on a specific
       | slice of drug sources that can supposedly answer every question.
       | It will almost certainly end up like many of those companies that
       | hire humans to do the work in the back and sell it to you as
       | AI... And their source data which I know well is of really low
       | quality so we can't expect much more from their models either...
        
         | varispeed wrote:
         | Problem is that the big corporations and execs pay far less tax
         | than small to medium corporations and workers. They have
         | extremely distorted view of money and at some point it feels
         | they grow money effortlessly while it is a month to month
         | struggle for workers. This feeling of ease makes them spend
         | money on a whim because it will grow anyway most of the time
         | and if it won't? Oh well there is plenty of billions in the
         | coffers. I think once organisations that are supposed to fight
         | corruption pull their heads out of their and start making
         | politicians accountable and make them plug the tax holes. When
         | those big corporations get a dose of reality, how much effort
         | it costs small business to earn that money, they'll spend it
         | more carefully, but more importantly because of increased tax
         | take it will be possible to lower the tax burden for everyone
         | and level the playing field.
        
         | [deleted]
        
         | ramraj07 wrote:
         | A lot of times they are not lying, they are genuinely clueless.
         | Part of the problem with academia is that they follow the edict
         | set by George Constanza: "the best liar truly believes in their
         | own lie." So often they truly believe that their field's method
         | of choice is how we will use AIDS to cure cancer, because the
         | grants-system ensures that anyone who doesn't truly believe in
         | their vomit won't get their grant approved (you need to write
         | them with conviction, not doubt, if you want them awarded).
         | Then mediocre postdocs with an "entrepreneurial flair" decide
         | they're ready to take their nanobots and cure breast cancer and
         | come to SV to pitch to VCs who are either clueless or are being
         | advised by the same heads that are pouring the Kool-aid in
         | academia to begin with!
         | 
         | Exceptions exist of course, and some of these bets turn good
         | purely because of luck (if you take twenty random chemicals and
         | inject, one of them might just cure cancer; incidentally how
         | stuff like paclitaxel & vinblastine was discovered anyway). But
         | this only seems to reinforce the conviction of these
         | institutions to continue their methods.
         | 
         | One of the most important differences I feel VCs should
         | acknowledge as a contrast between tech and biotech: with tech
         | you can often choose one method of solving a problem and make
         | it work. With biology however, nature will eventually give you
         | a roundhouse kick if you try to force anything but an actual
         | solution down it's throat.
        
           | sjg007 wrote:
           | >Exceptions exist of course, and some of these bets turn good
           | purely because of luck (if you take twenty random chemicals
           | and inject, one of them might just cure cancer; incidentally
           | how stuff like paclitaxel & vinblastine was discovered
           | anyway).
           | 
           | Vinblastine was discovered from folk tea remedies for
           | diabetes. In animal models they saw decreased white blood
           | cell counts.
           | 
           | Paclitaxel was discovered from the NCI plant screening
           | program. The chemical was observed to be cytotoxic in
           | screening studies.
           | 
           | So both of your examples have pre-clinical evidence. These
           | were not randomly injected and developed through scientific
           | research and the clinical trial program.
           | 
           | https://en.wikipedia.org/wiki/History_of_cancer_chemotherapy
        
             | ramraj07 wrote:
             | Vinblastine was discovered when they were testing a folk
             | remedy for diabetes and found cytotoxic effects so it was
             | completely tangential to the study's goals, and in modern
             | parlance, an instance of a "task failed successfully."
             | 
             | Paclitaxel was discovered literally from a random spray and
             | pray scan of plant samples from every taxonomic class, here
             | I will quote a literal sentence from a review: " Barclay
             | collected T. brevifolia, an evergreen, apparently because
             | the strategy was to collect at random. Not much was known
             | about the tree. It belonged to the genus Taxus..." (https:/
             | /www.acs.org/content/acs/en/education/whatischemistry... )
             | 
             | So I still believe in what I said, which is random screens
             | or complete serendipity often has been the best ways to get
             | t a lot of our therapies, though I'm not advocating for
             | more of that necessarily.
        
               | sjg007 wrote:
               | Where you say random I think you mean systematic.
        
           | ta988 wrote:
           | You are right I assigned to malice what is probably just lack
           | of skills and knowledge. Your are also right on the fact that
           | what works is grind and find. You can do it at the scale of
           | one lab or the scale of many labs, but in the end what works
           | is to try a lot of things because we are still really
           | shooting in the dark for a lot of targets or diseases we
           | don't know any druggable target yet.
        
             | ramraj07 wrote:
             | I'll propose that we actually kind of know a lot of things
             | about many (not all) diseases, we really just need an
             | objective look at how to address them. The majority of
             | scientists today are mostly quite narrow minded in terms of
             | scientific thinking, every one of them wants to use the
             | method that they are experts at to solve the problem. When
             | the Manhattan project was deployed all the top physicists
             | came and tackled the problem that needed to be solved with
             | the most suitable methods, but there's been "cancers
             | Manhattan project" or "moonshot" initiatives in biology
             | numerous times and they all fail because the scientists
             | incharge invariably push their own agendas in these.
             | 
             | Take Janelia farms for example- without reading their
             | editorialised website if you try to gander what the hell
             | this institution is trying to do, from just the papers they
             | publish, you would fail miserably. Not saying that
             | institution sucks, well I suppose I am saying that, but
             | only insofar because all of academia seems to suck in the
             | same way.
        
           | oivey wrote:
           | It seems kind of odd to blame academia for this. Almost all
           | founders are clueless in all fields, and, additionally,
           | they're pretty much supposed to be aggressive about their
           | idea in order to get investments. The role of the VC is to
           | invest wisely. If they're less knowledgeable about tech
           | outside of the niche of computers and they lose money on
           | biotech, that's their fault.
        
             | ramraj07 wrote:
             | I suppose one of the points I was trying to make is that in
             | tech it's probably okay (maybe even beneficial) to be
             | clueless, but that's not true for biology or hard science
             | tech - if you float a rocket company, stuff has to fly, and
             | you better get some rocket scientists in there. One can't
             | just Travis Kalanick their way to Mars because you're not
             | fighting some cab unions you're fighting the laws of
             | physics.
        
             | ta988 wrote:
             | I know less about founders in computer tech but yes, many
             | founders in biotechs that I know have just had a few years
             | of experience in labs, not really successful
             | scientifically, even if they know how to market it. And
             | thats far from enough to really understand the nooks and
             | crannies of drug discovery projects. Especially since most
             | academic labs are only doing a really thin slice of the
             | whole process. There is a reason why you dont give millions
             | of dollars to a postdoc that submit their first grant
             | proposal, why we do that to postdocs that are founding
             | biotechs is beyond my understanding. The products I've seen
             | from companies that raised $5mil are not worth 1/10 of
             | that, and thats just in dev costs, their stuff could not
             | even scale so they are trying to survive until the big prey
             | comes and swallow them before anybody notices its all smoke
             | and mirrors.
        
               | dnautics wrote:
               | > There is a reason why you dont give millions of dollars
               | to a postdoc that submit their first grant proposal, why
               | we do that to postdocs that are founding biotechs is
               | beyond my understanding
               | 
               | TINA. If you're a fund that needs to put an ass in a seat
               | to say "we have a biotech investment", you go to whatever
               | you can find. You have no way of doing due diligence in
               | your portfolio and even if you hired someone like me to
               | ultrafilter your proposals you'd probably come up empty,
               | because the only postdocs that play this game are those
               | that know they are good at parlaying their social
               | capital, obtaining favorable reviews from their PIs
               | (social validation), and have less scruples.
               | 
               | The heads down brilliant and honest scientist postdocs
               | have already burnt out, and often aren't socially savvy
               | enough to play the VC game, if they were, they'd be
               | gunning for faculty positions instead.
               | 
               | If VC wants a better return they need to have a different
               | heuristic. I'd pick postdocs that did years of grueling
               | work with no results and ask them what they'd really
               | prefer working on instead of their PI's hairbraned idea.
        
               | oivey wrote:
               | Generally that's the trajectory computer tech startups
               | take too, except with even less experience. That's
               | probably a reflection of the difference in the barriers
               | of entry.
        
         | Judgmentality wrote:
         | > An advice for the VC among us.
         | 
         | I wish I could find it now, but I once read a comment on HN
         | where someone was approached by a VC for technical advice. To
         | make a long story short, the engineer being consulted noted
         | that in order for their growth to continue as the company
         | proclaimed, they would have to break the speed of light before
         | reaching profitability. The VC invested anyway and inevitably
         | the company failed.
         | 
         | VCs chase trends just as much as anyone. In my experience, they
         | are _more_ susceptible to herd mentality than regular people.
        
       | rscho wrote:
       | If you want to see people who understand the why and the how:
       | 
       | https://www.uab.edu/medicine/pmi/
       | 
       | Lead by Matt Might and Will Byrd. As an MD, I must say MediKanren
       | is the only convincing use of medical AI I've seen.
        
         | srckinase123 wrote:
         | Quick tangential question: Do you see a benefit in incoming
         | medical students knowing programming? If so, which specialty do
         | you see it benefiting from the most (e.g., radiology)?
        
           | bionhoward wrote:
           | One hundred percent! I did this, and I'm glad I did.
           | Programming changes your perspective. When you learn to code
           | you learn to value abstraction. That's valuable in medicine
           | because medicine is pathologically reductionist...
        
         | arolihas wrote:
         | Matt Might is the real deal.
        
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