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<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="publisher-id">1498945</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2025.1498945</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>MONSTROUS: a web-based chemical-transporter interaction profiler</article-title>
<alt-title alt-title-type="left-running-head">AbdulHameed et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2025.1498945">10.3389/fphar.2025.1498945</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>AbdulHameed</surname>
<given-names>Mohamed Diwan M.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Dey</surname>
<given-names>Souvik</given-names>
</name>
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<sup>1</sup>
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<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Xu</surname>
<given-names>Zhen</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Clancy</surname>
<given-names>Ben</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Desai</surname>
<given-names>Valmik</given-names>
</name>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wallqvist</surname>
<given-names>Anders</given-names>
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<aff id="aff1">
<sup>1</sup>
<institution>Department of Defense Biotechnology High Performance Computing Software Applications Institute</institution>, <institution>Telemedicine and Advanced Technology Research Center</institution>, <institution>Defense Health Agency Research and Development, Medical Research and Development Command</institution>, <addr-line>Frederick</addr-line>, <addr-line>MD</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc.</institution>, <addr-line>Bethesda</addr-line>, <addr-line>MD</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2610295/overview">Jeffry Carlos Granados</ext-link>, Genentech Inc., United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1764985/overview">Mary Schleiff</ext-link>, Nestle Purina PetCare Company, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1045822/overview">Sanjay Nigam</ext-link>, University of California, San Diego, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Mohamed Diwan M. AbdulHameed, <email>mabdulhameed@bhsai.org</email>; Anders Wallqvist, <email>sven.a.wallqvist.civ@health.mil</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1498945</elocation-id>
<history>
<date date-type="received">
<day>19</day>
<month>09</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>01</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 AbdulHameed, Dey, Xu, Clancy, Desai and Wallqvist.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>AbdulHameed, Dey, Xu, Clancy, Desai and Wallqvist</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Transporters are membrane proteins that are critical for normal cellular function and mediate the transport of endogenous and exogenous chemicals. Chemical interactions with these transporters have the potential to affect the pharmacokinetic properties of drugs. Inhibition of transporters can cause adverse drug-drug interactions and toxicity, whereas if a drug is a substrate of a transporter, it could lead to reduced therapeutic effects. The importance of transporters in drug efficacy and toxicity has led regulatory agencies, such as the U.S. Food and Drug Administration and the European Medicines Agency, to recommend screening of new molecular entities for potential transporter interactions. To aid in the rapid screening and prioritization of drug candidates without transporter liability, we developed a publicly available, web-based transporter profiler, MOlecular traNSporT inhibitoR and substrate predictOr Utility Server (MONSTROUS), that predicts the potential of a chemical to interact with transporters recommended for testing by regulatory agencies. We utilized publicly available data and developed machine learning or similarity-based classification models to predict inhibitors and substrates for 12 transporters. We used graph convolutional neural networks (GCNNs) to develop predictive models for transporters with sufficient bioactivity data, and we implemented two-dimensional similarity-based approach for those without sufficient data. The GCNN inhibitor models have an average five-fold cross-validated receiver operating characteristic area under the curve (ROC-AUC) of 0.85 &#xb1; 0.07, and the GCNN substrate models have an average ROC-AUC of 0.79 &#xb1; 0.08. We implemented the models along with applicability domain calculations in an easy-to-use web interface and made it publicly available at <ext-link ext-link-type="uri" xlink:href="https://monstrous.bhsai.org/">https://monstrous.bhsai.org/</ext-link>.</p>
</abstract>
<kwd-group>
<kwd>transporter profiler</kwd>
<kwd>graph convolutional neural network</kwd>
<kwd>ABC transporters</kwd>
<kwd>SLC transporters</kwd>
<kwd>chemical transporter interactions</kwd>
<kwd>transporter screening</kwd>
</kwd-group>
<contract-sponsor id="cn001">U.S. Army Medical Research and Development Command<named-content content-type="fundref-id">10.13039/100016156</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Defense Threat Reduction Agency<named-content content-type="fundref-id">10.13039/100000774</named-content>
</contract-sponsor>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Drug Metabolism and Transport</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Transporters are membrane proteins that are essential for normal physiological functioning of the human body and play a key role in transport of endogenous metabolites, signaling molecules, nutrients, drugs, and toxic chemicals (<xref ref-type="bibr" rid="B17">International Transporter Consortium et al., 2010</xref>; <xref ref-type="bibr" rid="B40">Nigam, 2015</xref>). The ATP-binding cassette (ABC) family and the solute carrier (SLC) family are two major superfamilies of transporters that are widely expressed in biological membranes of various tissues, including the liver, kidney, and brain (<xref ref-type="bibr" rid="B12">Giacomini et al., 2022</xref>; <xref ref-type="bibr" rid="B11">Galetin et al., 2024</xref>). Bile salt export pump (BSEP), P-glycoprotein (Pgp), breast cancer resistance protein (BCRP), and multidrug resistance protein (MRP) are well-known examples of ABC transporters (<xref ref-type="bibr" rid="B47">Sajid et al., 2023</xref>). Organic anion transporting polypeptide (OATP)-1B1, OATP1B3, organic cation transporter (OCT)-1, and multidrug and toxin extrusion transporter (MATE)-1 are well-known examples of SLC transporters (<xref ref-type="bibr" rid="B54">Turkova and Zdrazil, 2019</xref>). These transporters play a role in the influx/uptake of drugs as well as their efflux out of the cells and have the potential to impact the pharmacokinetic properties of drugs (<xref ref-type="bibr" rid="B27">Liu and Sahi, 2016</xref>). For example, if a small-molecule drug is a substrate of an efflux transporter, it can lead to reduced therapeutic effects, and if it is an inhibitor of transporters, it can cause clinically relevant drug-drug interactions that affect treatment outcomes (<xref ref-type="bibr" rid="B14">Gordon et al., 2016</xref>; <xref ref-type="bibr" rid="B29">Liu et al., 2017</xref>; <xref ref-type="bibr" rid="B9">Ciuta et al., 2023</xref>; <xref ref-type="bibr" rid="B11">Galetin et al., 2024</xref>).</p>
<p>Inhibition of transporters can also causally lead to adverse outcomes. For example, chemical-induced inhibition of BSEP, an ABC family transporter, is now recognized as the molecular initiating event for the cholestasis adverse outcome pathway (<xref ref-type="bibr" rid="B55">Vinken et al., 2013</xref>). Transporters are also a critical component of the blood-brain barrier (BBB) (<xref ref-type="bibr" rid="B45">Rankovic, 2015</xref>; <xref ref-type="bibr" rid="B18">Iorio et al., 2016</xref>). Any compound that acts as a substrate for ABC transporters, such as Pgp and BCRP, is effluxed out of the BBB, leading to poor bioavailability in the central nervous system (<xref ref-type="bibr" rid="B18">Iorio et al., 2016</xref>; <xref ref-type="bibr" rid="B5">Bellettato and Scarpa, 2018</xref>).</p>
<p>On the other hand, transporters can also be considered as therapeutic targets in cancer treatment (<xref ref-type="bibr" rid="B52">Silbermann et al., 2020</xref>). ABC transporter inhibitors, including inhibitors of Pgp, BCRP, and MRP, increase the efficacy of anti-cancer treatments and have the potential to serve as an adjuvant to cancer chemotherapy (<xref ref-type="bibr" rid="B42">Pena-Solorzano et al., 2017</xref>; <xref ref-type="bibr" rid="B26">Li et al., 2023</xref>). Many medicinal chemistry efforts to develop new inhibitors targeting ABC transporters have been reported in the literature (<xref ref-type="bibr" rid="B41">Pan et al., 2013</xref>; <xref ref-type="bibr" rid="B37">Munagala et al., 2014</xref>; <xref ref-type="bibr" rid="B20">Kohler and Wiese, 2015</xref>; <xref ref-type="bibr" rid="B52">Silbermann et al., 2020</xref>; <xref ref-type="bibr" rid="B38">Namasivayam et al., 2021</xref>; <xref ref-type="bibr" rid="B24">Kwon et al., 2023</xref>; <xref ref-type="bibr" rid="B26">Li et al., 2023</xref>).</p>
<p>More recently, regulatory agencies, such as the U.S. Food and Drug Administration (FDA) and the European Medicines Agency, have provided recommendations that require screening of new molecular entities for potential transporter interactions (<xref ref-type="bibr" rid="B11">Galetin et al., 2024</xref>). However, experimental screening to identify transporter inhibitors/substrates for the large set of chemicals evaluated in the early stages of drug discovery is resource-intensive and time-consuming. Computational approaches provide an alternative to experimental screening (<xref ref-type="bibr" rid="B1">AbdulHameed et al., 2016</xref>; <xref ref-type="bibr" rid="B31">Luechtefeld et al., 2018</xref>). Such computational methods can be either structure-based or ligand-based. Ligand-based approaches only require the structure of the compound and its activity value against particular transporters. Most of the previous transporter computational modeling studies have been predominantly ligand-based analyses (<xref ref-type="bibr" rid="B10">Ekins et al., 2002</xref>; <xref ref-type="bibr" rid="B41">Pan et al., 2013</xref>; <xref ref-type="bibr" rid="B34">Montanari and Ecker, 2015</xref>; <xref ref-type="bibr" rid="B49">Schyman et al., 2016</xref>; <xref ref-type="bibr" rid="B48">Schlessinger et al., 2018</xref>; <xref ref-type="bibr" rid="B53">Turkova et al., 2019</xref>; <xref ref-type="bibr" rid="B33">McLoughlin et al., 2021</xref>; <xref ref-type="bibr" rid="B25">Lane et al., 2022</xref>; <xref ref-type="bibr" rid="B3">AbdulHameed et al., 2023</xref>; <xref ref-type="bibr" rid="B21">Kong et al., 2023</xref>; <xref ref-type="bibr" rid="B39">Nigam et al., 2024</xref>).</p>
<p>Ligand-based models for chemical-transporter interactions can either predict the potential of a chemical to act as an inhibitor, reducing transporter activity, or as a substrate, meaning the chemical itself can be transported (<xref ref-type="bibr" rid="B48">Schlessinger et al., 2018</xref>). Such models can be local, focusing on a particular chemical series, or global, covering a diverse set of compounds (<xref ref-type="bibr" rid="B36">Montanari and Zdrazil, 2017</xref>). Typically, local models are more suited for hit optimization of a particular chemical series, and global models cover a wider range of chemicals and are suitable for virtual screening (<xref ref-type="bibr" rid="B36">Montanari and Zdrazil, 2017</xref>; <xref ref-type="bibr" rid="B48">Schlessinger et al., 2018</xref>). Predicting both inhibitory potential and substrate activity is crucial for successful drug development, as highlighted above. As part of the series of papers from the International Transporter Consortium, Schlessinger et al. provide a comprehensive summary of various computational modeling studies of drug-transporter interactions, using techniques such as multiple linear regression, k-nearest neighbors, support vector machines, random forest, and Bayesian classification approaches (<xref ref-type="bibr" rid="B48">Schlessinger et al., 2018</xref>). More recent literature reviews provide a detailed summary of the computational modeling studies reported for various ABC and SLC transporters (<xref ref-type="bibr" rid="B54">Turkova and Zdrazil, 2019</xref>; <xref ref-type="bibr" rid="B21">Kong et al., 2023</xref>).</p>
<p>While computational studies typically focus on one transporter of interest, simultaneously predicting the potential of a chemical to interact with a range of transporters would be more useful. Sedykh et al. built the first grouped model for predicting the inhibition and substrate potential of chemicals for a range of transporters expressed in the gastrointestinal tract (<xref ref-type="bibr" rid="B50">Sedykh et al., 2013</xref>). Aniceto et al. and Shaikh et al. have reported studies on developing substrate models (<xref ref-type="bibr" rid="B4">Aniceto et al., 2016</xref>; <xref ref-type="bibr" rid="B51">Shaikh et al., 2017</xref>). Most of the computational machine learning models reported so far share the models as a supplementary file or on GitHub and allow only programmatic access. However, there is a need for an easy-to-use web interface that enables experimental research groups and others to rapidly screen their compounds of interest for transporter liability. The Ecker lab took a first step towards this and created the Vienna LiverTox Workspace as a web tool to predict chemical interactions with transporters known to be critical in the liver (<xref ref-type="bibr" rid="B35">Montanari et al., 2019</xref>). This is the culmination of their earlier works in this area, and their tool has inhibitor models for seven transporters and substrate models for five transporters (<xref ref-type="bibr" rid="B43">Pinto et al., 2012</xref>; <xref ref-type="bibr" rid="B44">Poongavanam et al., 2012</xref>; <xref ref-type="bibr" rid="B22">Kotsampasakou et al., 2015</xref>; <xref ref-type="bibr" rid="B23">Kotsampasakou and Ecker, 2017</xref>; <xref ref-type="bibr" rid="B35">Montanari et al., 2019</xref>). They reported cross-validated balanced accuracies in the range of 0.64&#x2013;0.88 (<xref ref-type="bibr" rid="B35">Montanari et al., 2019</xref>). However, the batch screening option, for screening a large number of compounds, of the Vienna LiverTox tool is not publicly available.</p>
<p>Previous transporter models reported so far have primarily relied on molecular descriptors or fingerprints to represent compounds during model development. Graph convolutional neural networks (GCNNs) offer an alternative approach for model building that has not yet been explored in transporter model development. GCNNs represent a recent advancement in cheminformatics that allows automated learning of molecular structures in contrast to traditional fingerprint-based approaches that require predefined sets of chemical substructures (<xref ref-type="bibr" rid="B28">Liu et al., 2019</xref>; <xref ref-type="bibr" rid="B57">Yang et al., 2019</xref>). A comprehensive evaluation using benchmark datasets has demonstrated that the GCNN approach performs better than the traditional fingerprint- and descriptor-based approaches (<xref ref-type="bibr" rid="B57">Yang et al., 2019</xref>).</p>
<p>In this work, we created a publicly available web tool for chemical-transporter interaction prediction, MOlecular traNSporT inhibitoR and substrate predictOr Utility Server (MONSTROUS) (<ext-link ext-link-type="uri" xlink:href="https://monstrous.bhsai.org/">https://monstrous.bhsai.org/</ext-link>). We developed predictive models for 12 transporters recommended by regulatory agencies for screening during the early drug discovery stage (<xref ref-type="fig" rid="F1">Figure 1</xref>). Our tool makes separate predictions for the potential of a chemical to be either a transporter inhibitor or a substrate, resulting in a total of 24 models. We adopted a hybrid approach during tool creation that allowed us to comprehensively cover screening of these transporters in one tool. When sufficient bioactivity data were available, we utilized the GCNN approach for model building, and in the other cases, we developed two-dimensional (2D) similarity-based screens. Six of the 12 inhibitor models and three of the 12 substrate models are GCNN-based models, and the rest use the similarity-based screening approach. We implemented the sum of distance-weighted contributions (SDC) approach to define the applicability domain for all the models (<xref ref-type="bibr" rid="B30">Liu and Wallqvist, 2019</xref>). We evaluated our models using cross-validation analyses. We also show an example analysis using a widely explored set of kinase inhibitors. Overall, the developed tool will aid in the rapid screening and prioritization of countermeasure/drug candidates without transporter liability.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Actual structures of the 12 transporters used in this study and their gene symbols (given in parentheses). These transporters belong to the ATP-binding cassette (ABC) and solute carrier (SLC) transporter superfamilies and are recommended by regulatory agencies for testing during drug development.</p>
</caption>
<graphic xlink:href="fphar-16-1498945-g001.tif"/>
</fig>
</sec>
<sec sec-type="methods" id="s2">
<title>2 Methods</title>
<sec id="s2-1">
<title>2.1 Dataset and pre-processing</title>
<p>We utilized publicly available datasets that were collected either from previously published papers or from bioactivity databases, such as ChEMBL, BindingDB, and Metrabase, for model building and evaluation (<xref ref-type="bibr" rid="B32">Mak et al., 2015</xref>; <xref ref-type="bibr" rid="B13">Gilson et al., 2016</xref>; <xref ref-type="bibr" rid="B19">Jiang et al., 2020</xref>; <xref ref-type="bibr" rid="B58">Zdrazil et al., 2024</xref>). For the 12 transporters used in this work, we collected separate data for inhibitors and substrates. <xref ref-type="sec" rid="s11">Supplementary Table S1</xref> provides a detailed list of data sources for each transporter in this study. We pre-processed the simplified molecular-input line-entry system (SMILES) using the ChEMBL structure pipeline, which is comprised of three functions, namely, checker, standardizer, and salt strip, to check for validity of chemical structure, format compounds to standardized conventions, and strip salts, respectively (<xref ref-type="bibr" rid="B6">Bento et al., 2020</xref>). We created a final pre-processed dataset for model building after evaluation and removal of duplicate compounds. The final set of pre-processed data used for model building is provided on the GitHub page (<ext-link ext-link-type="uri" xlink:href="https://github.com/bhsai/monstrous">https://github.com/bhsai/monstrous</ext-link>).</p>
</sec>
<sec id="s2-2">
<title>2.2 Model building</title>
<p>We utilized Chemprop, an open-source software, to develop the GCNN models (<xref ref-type="bibr" rid="B57">Yang et al., 2019</xref>; <xref ref-type="bibr" rid="B16">Heid et al., 2024</xref>). This program uses a directed message-passing neural network (D-MPNN) to generate molecular features (<xref ref-type="bibr" rid="B16">Heid et al., 2024</xref>). The D-MPNN models the molecular structure as a graph, where atoms are represented as nodes and bonds as edges. Each node and edge is assigned a feature vector that captures the characteristics of the corresponding atom and bond. The Chemprop approach involves two phases: the message-passing phase and the readout phase (<xref ref-type="bibr" rid="B57">Yang et al., 2019</xref>). In the message-passing phase, the D-MPNN iteratively refines the atomic- and bond-level features based on information from neighboring nodes and edges during each convolution operation. Ultimately, in the readout phase, the compound&#x2019;s learned representation is generated using an aggregation function that combines the final updated features at both the atom and bond levels (<xref ref-type="bibr" rid="B15">Heid and Green, 2022</xref>). This learned representation is then fed into a feed-forward neural network, which uses it as the input feature vector to predict the compound&#x2019;s activity. In this approach, the molecular representation is automatically learned by the program, eliminating the need for pre-defined chemical fingerprints.</p>
<p>The program processes a list of SMILES strings and their corresponding activity values, which are provided as 1 for active molecules and 0 for inactive ones, in a CSV format. In this study, we selected &#x201c;classification&#x201d; as the modeling type and used five-fold and 10-fold cross-validations for the &#x201c;number of folds&#x201d; option. Each run involved developing 10 ensemble models over 30 epochs. For the remaining model development parameters, we used the default values: a depth value of three, i.e., the number of message-passing steps in D-MPNN, the ReLu activation function, 300 hidden neurons, and two layers for the feed-forward neural network.</p>
</sec>
<sec id="s2-3">
<title>2.3 Performance evaluation</title>
<p>We carried out five-fold and 10-fold cross-validations as well as a scaffold split-based validation to understand model performance. In the five-fold cross-validation procedure, we split the dataset into five groups and left one group out; subsequently, we used the model built from the compounds in the remaining four groups to predict the compounds in the left-out group. Once we completed this prediction cycle by leaving out each of the five groups, we calculated the model evaluation parameters: the receiver operating characteristic (ROC) area under the curve (AUC) and the Matthews correlation coefficient (MCC). This approach of leaving out groups is commonly used during model development to evaluate the model&#x2019;s ability to predict the activity of compounds not seen during training and assess its performance on unseen data. In the 10-fold cross-validation, we repeated the same process by dividing the data into 10 groups and leaving out one group. The results presented here are averages across cross-validation folds. Such a cross-validation study summarizes generalizability and robustness of the model. We also performed a scaffold split and created training and test sets. We developed the model, as described above, using the scaffold-split training data and evaluated the performance using the scaffold-split test data. We calculated the following metrics: sensitivity (also known as the recall or true positive rate), the ability to correctly predict positive results; specificity (also known as the true negative rate), the ability to correctly predict negative results; accuracy, the total percentage correctly predicted; and MCC. These parameters are defined as follows (<xref ref-type="disp-formula" rid="e1">Equations 1</xref>&#x2013;<xref ref-type="disp-formula" rid="e4">4</xref>):<disp-formula id="e1">
<mml:math id="m1">
<mml:mrow>
<mml:mtext>Sensitivity</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mtext>TP</mml:mtext>
<mml:mrow>
<mml:mtext>TP</mml:mtext>
<mml:mo>&#x2b;</mml:mo>
<mml:mtext>FN</mml:mtext>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(1)</label>
</disp-formula>
<disp-formula id="e2">
<mml:math id="m2">
<mml:mrow>
<mml:mtext>Specificity</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mtext>TN</mml:mtext>
<mml:mrow>
<mml:mtext>TN</mml:mtext>
<mml:mo>&#x2b;</mml:mo>
<mml:mtext>FP</mml:mtext>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(2)</label>
</disp-formula>
<disp-formula id="e3">
<mml:math id="m3">
<mml:mrow>
<mml:mtext>Accuracy</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mtext>TP</mml:mtext>
<mml:mo>&#x2b;</mml:mo>
<mml:mtext>TN</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mtext>TP</mml:mtext>
<mml:mo>&#x2b;</mml:mo>
<mml:mtext>TN</mml:mtext>
<mml:mo>&#x2b;</mml:mo>
<mml:mtext>FP</mml:mtext>
<mml:mo>&#x2b;</mml:mo>
<mml:mtext>FN</mml:mtext>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(3)</label>
</disp-formula>
<disp-formula id="e4">
<mml:math id="m4">
<mml:mrow>
<mml:mtext>MCC</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mtext>TP</mml:mtext>
<mml:mo>.</mml:mo>
<mml:mtext>TN</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mo>&#x2010;</mml:mo>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>FP</mml:mtext>
<mml:mo>.</mml:mo>
<mml:mtext>FN</mml:mtext>
</mml:mrow>
<mml:msqrt>
<mml:mrow>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mtext>TP</mml:mtext>
<mml:mo>&#x2b;</mml:mo>
<mml:mtext>FP</mml:mtext>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>.</mml:mo>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mtext>TP</mml:mtext>
<mml:mo>&#x2b;</mml:mo>
<mml:mtext>FN</mml:mtext>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>.</mml:mo>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mtext>TN</mml:mtext>
<mml:mo>&#x2b;</mml:mo>
<mml:mtext>FP</mml:mtext>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>.</mml:mo>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x7c;">
<mml:mrow>
<mml:mtext>TN</mml:mtext>
<mml:mo>&#x2b;</mml:mo>
<mml:mtext>FN</mml:mtext>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:msqrt>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(4)</label>
</disp-formula>where TP represents true positive, TN denotes true negative, FP represents false positive, and FN denotes false negative. We calculated balanced accuracy, which is the mean of sensitivity and specificity. We generated ROC and precision-recall (PR) curves and calculated the ROC-AUC and PR-AUC, respectively.</p>
</sec>
<sec id="s2-4">
<title>2.4 Similarity-based screening</title>
<p>We developed GCNN models for transporters with sufficient data and implemented a similarity-based screening approach for the other transporters. The 2D chemical similarity approach uses atom connectivity/fingerprints and has been shown to perform well in retrieving related compounds (<xref ref-type="bibr" rid="B2">AbdulHameed et al., 2021</xref>). We evaluated the performance of the 2D similarity approach by examining whether the reference set of compounds for a particular target was able to identify chemicals already known to interact with the target when mixed with inactive compounds. We collected the reference set of compounds for 10 different targets from the DrugBank database and the corresponding external test dataset for each target from the ChEMBL database. We downloaded the largest available bioactivity data of the same type (IC<sub>50</sub> or EC<sub>50</sub> or K<sub>i</sub>) for each target. Most of the targets had IC<sub>50</sub> values. We labelled compounds with activity values &#x2264;1&#xa0;&#x3bc;M as actives and &#x2265;10&#xa0;&#x3bc;M as inactives. Such binary thresholds are commonly used in cheminformatics studies (<xref ref-type="bibr" rid="B7">Chen et al., 2023</xref>). We pre-processed the data and removed duplicate compounds as well as overlapping compounds that were present in the reference set for that target. We performed screening for each target and calculated the performance using ROC-AUC values. Higher AUC values represented improved screening, whereas an AUC closer to 0.5 indicated that the approach was not able to separate active from inactive compounds.</p>
<p>In this work, we selected the known inhibitors or substrates of each transporter as the reference set of compounds for that transporter. Then, we calculated the similarity between each query compound and the reference set of compounds. Finally, we used the maximum similarity score (MAX) between them to represent the potential of the query compound to interact with the transporter.</p>
</sec>
<sec id="s2-5">
<title>2.5 Applicability domain</title>
<p>We previously developed an applicability domain method, the sum of distance-weighted contributions (SDC), that uses a distance-to-training set approach (<xref ref-type="bibr" rid="B30">Liu and Wallqvist, 2019</xref>). Basically, this class of approaches evaluates the chemical space for which the model will make reliable predictions. It uses the weighted distance between the query compound and all the molecules in the reference set to define the applicability domain (<xref ref-type="bibr" rid="B30">Liu and Wallqvist, 2019</xref>). SDC is defined as in <xref ref-type="disp-formula" rid="e5">Equation 5</xref>
<disp-formula id="e5">
<mml:math id="m5">
<mml:mrow>
<mml:mtext>SDC</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mstyle displaystyle="true">
<mml:munderover>
<mml:mo>&#x2211;</mml:mo>
<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
<mml:mi>n</mml:mi>
</mml:munderover>
</mml:mstyle>
<mml:msup>
<mml:mi>e</mml:mi>
<mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>3</mml:mn>
<mml:msub>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>D</mml:mi>
</mml:mrow>
<mml:mi>i</mml:mi>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>D</mml:mi>
</mml:mrow>
<mml:mi>i</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:math>
<label>(5)</label>
</disp-formula>where TD<sub>
<italic>i</italic>
</sub> represents the Tanimoto distance (TD) between a target molecule and the <italic>i</italic>th training molecule and <italic>n</italic> represents the total number of training molecules (<xref ref-type="bibr" rid="B30">Liu and Wallqvist, 2019</xref>). We calculated the TD between two molecules using the RDKit Morgan fingerprint with a radius of 2 (<xref ref-type="bibr" rid="B46">RDKit, 2024</xref>). The TD value between two compounds ranges from 0 to 1, and the higher the TD value, the lower the similarity between the compounds. We implemented the Python version of SDC and utilized it to define the applicability domain for all 24 transporter models developed so far. The script used to calculate SDC is provided on the GitHub page (<ext-link ext-link-type="uri" xlink:href="https://github.com/bhsai/monstrous">https://github.com/bhsai/monstrous</ext-link>).</p>
</sec>
<sec id="s2-6">
<title>2.6 Web-tool development</title>
<p>The MONSTROUS web application runs on an Apache Tomcat server and utilizes a multi-tiered architecture consisting of a model inference engine, a front-end, a database, and a controller. At the core of the application is the model inference engine implemented as Python scripts that runs the GCNN models and the similarity-based screen. The user can submit up to 10,000 compounds at a time as SMILES through the front-end user interface (UI). The UI consists of forms for user inputs and pages to display model information and graphical outputs. The UI is built on the Flutter framework and is compatible with most modern web browsers and devices of varied screen sizes, including smartphones. The application back-end is a relational database hosted on PostgreSQL platform. The Java-based controller ties the front-end, the back-end, and the model inference engine together by providing pipes for efficient dataflow across the application. Additionally, the controller manages user authentication, session management, and job scheduling. Users can view the compounds they submitted and download the computed results for up to 2&#xa0;weeks, after which users&#x2019; compounds and results are deleted from the database. None of user data, including compounds and results, is used to train new models or shared with anyone else at any point of time. The model inference engine along with the models developed in this work and the raw data used to train the models are available for download as a command-line tool at <ext-link ext-link-type="uri" xlink:href="https://github.com/bhsai/monstrous">https://github.com/bhsai/monstrous</ext-link>. This command-line tool provides a batch screening option without any limit on the number of input query compounds. The MONSTROUS web application is publicly available at <ext-link ext-link-type="uri" xlink:href="https://monstrous.bhsai.org/">https://monstrous.bhsai.org/</ext-link>.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<p>The primary goal of this work was to develop a web-based tool to predict the potential of a chemical to interact with transporters that are recommended by regulatory agencies for screening during the drug development process. To achieve this, first, we surveyed and collected the inhibitor and substrate data for these transporters.</p>
<sec id="s3-1">
<title>3.1 Transporter bioactivity data collection</title>
<p>We collected publicly available datasets associated with 12 transporters recommended for screening by regulatory agencies, including five transporters from the ABC family and seven transporters from the SLC family (<xref ref-type="table" rid="T1">Table 1</xref>). Overall, BCRP and Pgp, which are known to be associated with cancer-induced multi-drug resistance, had the greatest data availability, with more than 2,000 compounds with associated transporter inhibition data (<xref ref-type="fig" rid="F2">Figure 2</xref>). The amount of available data associated with transporter substrates was significantly lower than that for inhibitors (<xref ref-type="fig" rid="F2">Figure 2</xref>). BSEP is a well-known transporter associated with bile transport, and its inhibition leads to cholestasis. While we were able to collect some known substrates for this transporter, we were not able to obtain compounds that are non-substrates. BCRP and Pgp had the largest number of compounds with substrate activity data. Overall, the sparse publicly available bioactivity data for transporters highlights the challenge in creating a computational tool for rapid transporter liability screening. In this work, to address this bottleneck, we developed machine learning models for those transporters with sufficient bioactivity data and implemented a 2D similarity-based screening approach for the others. <xref ref-type="table" rid="T1">Table 1</xref> lists the 12 transporters used in this work along with information on whether the web tool uses machine learning models or the similarity-based approach to make predictions on new query compounds. Our final set includes 24 transporter models, nine of which are GCNN models and 15 of which utilize the similarity-based screening approach.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>List of transporters included in the MONSTROUS web tool along with their transporter family, commonly used name, gene symbol, and type of screening approach implemented.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="center">No</th>
<th rowspan="2" colspan="2" align="center">Class</th>
<th rowspan="2" align="center">Transporters</th>
<th rowspan="2" align="center">Gene</th>
<th colspan="2" align="center">Screening approach</th>
</tr>
<tr>
<th align="center">Inhibitors</th>
<th align="center">Substrates</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">1</td>
<td rowspan="5" align="center">ABC</td>
<td rowspan="5" align="left"/>
<td align="left">Pgp</td>
<td align="left">ABCB1</td>
<td align="left">GCNN</td>
<td align="left">GCNN</td>
</tr>
<tr>
<td align="center">2</td>
<td align="left">BCRP</td>
<td align="left">ABCG2</td>
<td align="left">GCNN</td>
<td align="left">GCNN</td>
</tr>
<tr>
<td align="center">3</td>
<td align="left">MRP1</td>
<td align="left">ABCC1</td>
<td align="left">GCNN</td>
<td align="left">GCNN</td>
</tr>
<tr>
<td align="center">4</td>
<td align="left">BSEP</td>
<td align="left">ABCB11</td>
<td align="left">GCNN</td>
<td align="left">Similarity</td>
</tr>
<tr>
<td align="center">5</td>
<td align="left">MRP2</td>
<td align="left">ABCC2</td>
<td align="left">Similarity</td>
<td align="left">Similarity</td>
</tr>
<tr>
<td align="center">6</td>
<td rowspan="7" align="center">SLC</td>
<td rowspan="2" align="center">SLCO</td>
<td align="left">OATP1B1</td>
<td align="left">SLCO1B1</td>
<td align="left">GCNN</td>
<td align="left">Similarity</td>
</tr>
<tr>
<td align="center">7</td>
<td align="left">OATP1B3</td>
<td align="left">SLCO1B3</td>
<td align="left">GCNN</td>
<td align="left">Similarity</td>
</tr>
<tr>
<td align="center">8</td>
<td rowspan="3" align="center">SLC22</td>
<td align="left">OAT1</td>
<td align="left">SLC22A6</td>
<td align="left">Similarity</td>
<td align="left">Similarity</td>
</tr>
<tr>
<td align="center">9</td>
<td align="left">OAT3</td>
<td align="left">SLC22A8</td>
<td align="left">Similarity</td>
<td align="left">Similarity</td>
</tr>
<tr>
<td align="center">10</td>
<td align="left">OCT2</td>
<td align="left">SLC22A2</td>
<td align="left">Similarity</td>
<td align="left">Similarity</td>
</tr>
<tr>
<td align="center">11</td>
<td rowspan="2" align="center">SLC47</td>
<td align="left">MATE-1</td>
<td align="left">SLC47A1</td>
<td align="left">Similarity</td>
<td align="left">Similarity</td>
</tr>
<tr>
<td align="center">12</td>
<td align="left">MATE-2K</td>
<td align="left">SLC47A2</td>
<td align="left">Similarity</td>
<td align="left">Similarity</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Count of bioactivity data associated with the 12 transporters used in this study. <bold>(A)</bold> Data associated with transporter inhibitors. <bold>(B)</bold> Data associated with transporter substrates. Each bar represents the number of compounds with experimentally measured activity for the corresponding transporter.</p>
</caption>
<graphic xlink:href="fphar-16-1498945-g002.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 GCNN models</title>
<p>Machine learning models are widely used for predicting various absorption, distribution, metabolism, excretion, and toxicity endpoints (<xref ref-type="bibr" rid="B56">Wang et al., 2021</xref>). Typically, to develop such models, the structure of the compounds is represented using fingerprints or molecular properties. Fingerprints capture the presence of predefined sets of chemical substructures/functional groups to represent the chemical structure. More recently, GCNN-based approaches provide an alternative approach as they allow us to learn the representation of chemical structures in an automated manner (<xref ref-type="bibr" rid="B8">Chuang et al., 2020</xref>). Others have performed a detailed analysis of benchmark datasets and have shown that GCNNs perform better than other machine learning approaches for predicting the bioactivity of compounds (<xref ref-type="bibr" rid="B57">Yang et al., 2019</xref>). Although the use of GCNNs has been reported to be a powerful approach, so far they have not been widely used in predicting transporter interactions. In this work, we developed six transporter inhibitor models and three transporter substrate models using the GCNN approach. Our inhibitor GCNN models include four ABC transporters (Pgp, BCRP, MRP1, BSEP) and two SLC transporters (OATP1B1, OATP1B3). We developed three substrate GCNN models for Pgp, BCRP, and MRP1. We used five-fold and 10-fold cross-validation analyses and obtained performance evaluation metrics for these models. <xref ref-type="fig" rid="F3">Figure 3</xref> provides the five-fold and 10-fold cross-validation performance metrics for the inhibitor models. All six transporter inhibitor models had ROC-AUC &#x3e;0.7 and MCC &#x3e;0.2 in both cross-validations. The ROC-AUC values in the 10-fold cross-validation analysis are on par with the performance reported for the Vienna LiverTox web tool. As mentioned in the Introduction, Vienna LiverTox is a web-based tool for screening transporter interactions related to liver injury. <xref ref-type="fig" rid="F4">Figure 4</xref> provides the five-fold and 10-fold cross-validation performance metrics for the substrate models. Similar to the inhibitor models, all three substrate models had ROC-AUC &#x3e;0.7 and MCC &#x3e;0.2 in both cross-validations.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Performance metrics from cross-validation analyses for the transporter inhibitor models. <bold>(A)</bold> Five-fold cross-validation analysis. <bold>(B)</bold> 10-fold cross-validation analysis. ROC-AUC, receiver operating characteristic area under the curve; MCC, Matthews correlation coefficient.</p>
</caption>
<graphic xlink:href="fphar-16-1498945-g003.tif"/>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Performance metrics from cross-validation analyses for the transporter substrate models. <bold>(A)</bold> Five-fold cross-validation analysis. <bold>(B)</bold> 10-fold cross-validation analysis. ROC-AUC, receiver operating characteristic area under the curve; MCC, Matthews correlation coefficient.</p>
</caption>
<graphic xlink:href="fphar-16-1498945-g004.tif"/>
</fig>
<p>Finally, we evaluated model performance by creating an external test set using the scaffold-split approach. Scaffold split-based analysis provides an alternate way to evaluate model performance. <xref ref-type="fig" rid="F5">Figure 5</xref> shows the scaffold split-based evaluation results for the inhibitor and substrate models. All the inhibitor and substrate models demonstrated reasonable performance, with average ROC-AUC &#x3e;0.7 and balanced accuracy &#x3e;0.5. Among the inhibitor models, the MRP1 and BCRP models exhibited the highest balanced accuracy, whereas the OATP1B1 and OATP1B3 models had the lowest, with values closer to 65%. Similarly, for the substrate models, the Pgp model achieved the highest balanced accuracy, while the MRP1 model showed the lowest. The inhibitor models overall performed slightly better than the substrate models, likely due to the availability of more training data for inhibitors. The final models were built using all available data and integrated into the MONSTROUS web tool to facilitate easy access. Additionally, we implemented the SDC approach to define the applicability domain and provide clear guidance on where predictions are most reliable.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Performance metrics using a single scaffold-split test set for <bold>(A)</bold> inhibitor models and <bold>(B)</bold> substrate models. ROC-AUC, receiver operating characteristic area under the curve; MCC, Matthews correlation coefficient.</p>
</caption>
<graphic xlink:href="fphar-16-1498945-g005.tif"/>
</fig>
<p>Overall, we utilized GCNN, a well-established approach for property prediction, to develop models for transporters recommended by regulatory agencies and integrated them into an easy-to-use web interface. As a limitation, we acknowledge that this study primarily focused on tool development and has exclusively used the GCNN approach. Future work will explore comparisons with other available methods to further enhance the tool&#x2019;s predictive performance.</p>
</sec>
<sec id="s3-3">
<title>3.3 Similarity-based screening approach</title>
<p>Many transporters do not have sufficient data, particularly with regard to compounds that are inactive as inhibitors or substrates. In such cases, it is not possible to develop machine learning models. In order to provide a comprehensive tool that covers all regulatory-relevant transporters, we implemented a 2D similarity-based screening tool. First, we tested whether such an approach is reasonable using a test evaluation of 10 targets with sufficient data. <xref ref-type="fig" rid="F6">Figure 6</xref> and <xref ref-type="sec" rid="s11">Supplementary Table S3</xref> provide a list of the 10 targets evaluated. We evaluated the ability of a small set of known reference compounds (active compounds) for these 10 targets to screen an external set of active and inactive compounds from ChEMBL using the 2D similarity approach. We calculated the MAX Tanimoto scores between the reference and query compounds. <xref ref-type="fig" rid="F6">Figure 6</xref> shows the ROC-AUC values for these targets. We found that eight of the 10 targets had ROC-AUC &#x3e;0.6, indicating that the 2D similarity approach was able to retrieve active compounds from inactive compounds and can serve as a screening tool for transporters with low publicly available data. As highlighted in <xref ref-type="table" rid="T1">Table 1</xref>, we implemented this 2D similarity approach in inhibitor mode for six transporters (MRP2, OAT1, OAT3, OCT2, MATE-1, MATE-2K) and in substrate mode for nine transporters (MRP2, BSEP, OATP1B1, OATP1B3, OAT1, OAT3, OCT2, MATE-1, MATE-2K). Similarity-based models rely on the presence of structurally similar molecules in the reference set, which may lead to less reliable predictions for novel or unique chemical scaffolds not represented in the reference set. However, the hybrid approach of combining GCNN and similarity-based models is practically useful, as it enables users to screen against all 12 transporters within a single tool. As more data become available, we plan to upgrade the models in future versions of the tool to enhance prediction accuracy.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Receiver operating characteristic area under the curve (ROC-AUC) values, which evaluated the performance of the 2D similarity approach (via MAX Tanimoto scores) to retrieve hits in an external test set across the 10 targets.</p>
</caption>
<graphic xlink:href="fphar-16-1498945-g006.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>3.4 MONSTROUS web interface</title>
<p>One of the main goals of this work was to create an easy-to-use, publicly available, web-based computational tool for rapid screening and prediction of the potential of chemicals to interact with transporters. Here, we created one such web interface that allows easy access to the deep learning models and similarity-based screening tools as a means to rapidly identify chemicals with potential to interact with transporters either as an inhibitor or a substrate.</p>
<p>The MONSTROUS website is publicly available online at <ext-link ext-link-type="uri" xlink:href="https://monstrous.bhsai.org/">https://monstrous.bhsai.org/</ext-link>. The login page (<xref ref-type="fig" rid="F7">Figure 7</xref>) allows users to create a new account or log in to an existing or guest account. After login, users can submit query compounds in SMILES format by typing directly, uploading a CSV file, or using the Marvin chemical drawing tool (Chemaxon, Boston, MA). Job status can be monitored on the homepage. <xref ref-type="fig" rid="F8">Figure 8</xref> shows a snapshot of the output, which provides separate views for transporter inhibition and substrate predictions as well as the ability to toggle between them. Users also have the option to view the results with the applicability domain. The output is color-coded for easy interpretation: red indicates active (inhibitor or substrate) and green indicates inactive. The predictions outside the applicability domain are shown in striped red and green cells. Selecting the applicability domain option will show these output cells in gray. Users have the option to download the results as an Excel heatmap or as raw data. Both options provide a table with separate sheets for inhibitor and substrate predictions, with and without the applicability domain. The heatmap is color-coded to represent the potential of query chemicals to interact with the transporter (red) or to have no interaction (green).</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Login page for the web-based user interface (<ext-link ext-link-type="uri" xlink:href="https://monstrous.bhsai.org/">https://monstrous.bhsai.org/</ext-link>). The system supports registration of users as well as limited guest accounts to explore the system.</p>
</caption>
<graphic xlink:href="fphar-16-1498945-g007.tif"/>
</fig>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>MONSTROUS overall results page for a series of compounds displaying input structures and names and color-coded assessments of the likelihood of each chemical to interact with particular transporters in either the inhibitor mode or substrate mode. Predictions that are outside of the applicability domain are shown by striped colors. The results can be downloaded and stored by the user.</p>
</caption>
<graphic xlink:href="fphar-16-1498945-g008.tif"/>
</fig>
<p>In addition to the web application, users with computational expertise can utilize the command-line version of the tool at <ext-link ext-link-type="uri" xlink:href="https://github.com/bhsai/monstrous">https://github.com/bhsai/monstrous</ext-link>. Users can download, install, and locally run this command-line tool on their infrastructure. The web application allows batch screening of up to 10,000 compounds at a time, while the command-line version provides batch screening with no limit on the number of input query compounds.</p>
</sec>
<sec id="s3-5">
<title>3.5 Example analysis</title>
<p>In order to demonstrate the utility of MONSTROUS, we conducted an example analysis using a dataset of 95 well-characterized kinase inhibitors (<xref ref-type="sec" rid="s11">Supplementary Table S2</xref>). These compounds were part of the IDG-DREAM Drug-Kinase Binding Prediction Challenge, where their interactions with 295 kinases were experimentally profiled and made publicly available (<xref ref-type="bibr" rid="B59">Cicho&#x0144;ska et al., 2021</xref>). FDA-approved kinase inhibitors, such as imatinib and gefitinib, are known to interact with ABC transporters, highlighting the importance of evaluating transporter liability. While the 95 compounds from the IDG-DREAM challenge have been extensively studied for off-target kinase interactions, their transporter liability remains unknown. We anticipate that <italic>in silico</italic> tools like MONSTROUS will help bridge this gap. <xref ref-type="fig" rid="F9">Figure 9</xref> shows the prediction results for these 95 compounds using the MONSTROUS tool. Our predictions indicate that of the 95 compounds, 13 are potential inhibitors of MRP1, three inhibit OATP1B1, and 11 are substrates for BCRP. This analysis highlights how MONSTROUS can provide insights on potential transporter liability for query compounds of interest.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>Results of an example analysis of 95 kinase inhibitors for transporter inhibition using MONSTROUS. We generated a chemical-transporter interaction profile for 95 query chemicals across 12 transporters. Red represents predicted interactions, green represents lack of interaction, and gray represents that the prediction is outside of the applicability domain of the model. Our results show that these well-characterized kinase inhibitors have the potential for interaction with transporters such as MRP1, OATP1B1, and PGP.</p>
</caption>
<graphic xlink:href="fphar-16-1498945-g009.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>Chemical transporter interaction has varied effects, from adverse health effects to altered pharmacokinetic profiles to unwanted drug-drug interactions. Regulatory agencies now recommend screening of new molecular entities against transporters during drug development. Computational tools allow rapid screening and earlier identification of such chemical transporter interactions. In this work, we created one such publicly available and easy-to-use web-based tool: MONSTROUS. This tool allows rapid screening and prediction of the potential of chemicals to interact with transporters recommended by regulatory agencies.</p>
<p>Chemical transporter interactions have two facets: 1) the chemical can act as a substrate and the transporter interaction facilitates its movement into or out of the cell or 2) the chemical can act as an inhibitor and prevent the function of the transporter. The substrate and inhibitor potentials are studied using different types of assays, and most of the publicly available data are associated with studying transporter inhibition since this assay is more amenable to the high-throughput screening format. This scenario is reflected in the publicly available data for transporters (<xref ref-type="fig" rid="F2">Figure 2</xref>). For example, the transporter with the most available bioactivity data, i.e., Pgp, has 2,000 chemicals with inhibition data but only 900 with substrate data. Also, even for well-known transporters such as BSEP, we could not find any publicly available non-substrate data, which limits our ability to develop machine learning models. We reasoned that even having a tool that allows for the capture of existing knowledge about these transporters will be practically useful for researchers to understand the transporter liability of their compounds of interest. Hence, we developed the MONSTROUS tool with both deep learning models as well as using the 2D similarity-based screening approach. This allowed us to develop a tool that makes predictions for all the transporters recommended by regulatory agencies for both inhibition and substrate potential.</p>
<p>One of the key Organisation for Economic Co-operation and Development (OECD) principles for machine learning models is that they should have a defined applicability domain, which indicates whether the model can reliably predict the activity of a new compound. We previously developed the SDC approach, which considers the contributions of all training molecules in gauging the reliability of a prediction. In our previously reported evaluation, SDC outperformed other commonly used applicability domain methods. Hence, we implemented an SDC-based applicability domain for all the models.</p>
<p>Our performance evaluation of the developed models shows that they perform on par with previously reported machine learning models for transporters. We also showed that the MAX Tanimoto similarity approach performs well for retrieving the actives from an external test set for 10 tested targets. We implemented all these approaches and used them to develop a comprehensive platform that makes use of publicly available data for transporters recommended by regulators and enables rapid screening for predicting potential transporter interactions for query chemicals. We made this resource publicly available via a web-user interface. Overall, our MONSTROUS tool will be useful in prioritizing hits and understanding transporter liability in early drug discovery projects.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s11">Supplementary Material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec sec-type="author-contributions" id="s6">
<title>Author contributions</title>
<p>MA: Conceptualization, Data curation, Formal Analysis, Investigation, Methodology, Software, Validation, Visualization, Writing&#x2013;original draft, Writing&#x2013;review and editing, Supervision. SD: Data curation, Software, Writing&#x2013;review and editing, Investigation. ZX: Data curation, Software, Writing&#x2013;review and editing, Visualization. BC: Data curation, Software, Writing&#x2013;review and editing, Visualization. VD: Data curation, Software, Writing&#x2013;review and editing, Visualization. AW: Conceptualization, Funding acquisition, Project administration, Resources, Supervision, Visualization, Writing&#x2013;review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s7">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This research was funded by the U.S. Army Medical Research and Development Command under Contract No. W81XWH20C0031 and by Defense Threat Reduction Agency Grant CBCall14-CBS-05-2-0007.</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of interest</title>
<p>Authors MA, SD, ZX, BC, and VD were employed by The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc.</p>
<p>The remaining author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
<p>The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Author disclaimer</title>
<p>The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the U.S. Army, the U.S. Department of Defense, or The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc. Distribution Statement A. Approved for public release: Distribution is unlimited.</p>
</sec>
<sec id="s11">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2025.1498945/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2025.1498945/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Table2.xlsx" id="SM1" mimetype="application/xlsx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table3.xlsx" id="SM2" mimetype="application/xlsx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table1.xlsx" id="SM3" mimetype="application/xlsx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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