AI-assisted Drug Re-purposing for Human Liver Fibrosis

models. To address this, we investigated whether a hypothesis generating multi-agent AI system (AI co-scientist) could assist in re-purposing drugs for treatment of liver fibrosis and direct their experimental characterization. A multi-parameter image analysis workflow, which enabled anti-fibrotic efficacy and drug toxicity to be serially assessed in multi-lineage human hepatic organoids grown in microwells (i.e., microHOs), was used to assess the effects of 14 drugs. Remarkably, two of the three AI co-scientist-recommended drugs that targeted epigenomic modifiers exhibited significant anti-fibrotic activity. Analysis of the anti-fibrotic effects of five drugs indicated that two inhibited TGFβ-induced intracellular signaling and three drugs altered TGFβ-induced mesenchymal cell differentiation. Since all five of the anti-fibrotic drugs reduced TGFβ-induced chromatin structural changes, epigenomic changes play an important role in the pathogenesis of liver fibrosis. One AI co-scientist recommended drug is an FDA-approved anti-cancer treatment (Vorinostat) that reduced TGFβ-induced chromatin structural changes by 91% and promoted liver parenchymal cell regeneration in microHOs. Hence, the use of AI co-scientist and this microHO platform identified a potential new generation of liver fibrosis treatments that also promote liver regeneration.