Asp, E. | bioRxiv Science

bioRxiv2026

Human-supervised Agentic AI for Hypothesis Generation and Experimental Assistance in Drug Repurposing

Computational drug repurposing has largely been focused on rapid hypothesis generation, yet real-world applications span a far broader lifecycle, from drug candidate suggestion to designing experiments, analyzing assay data, and iteratively refining candidates. Here, we demonstrate that agentic AI can operate throughout this lifecycle. To this end, we developed RepurAgent, a hierarchical multi-agent AI system comprising a supervisor agent and a planning agent that coordinate four specialized sub-agents (research, prediction, data, and report), through a human-in-the-loop design, with episodic memory and retrieval-augmented generation. The system is grounded in data, tools, and standard operating procedures specific for drug repurposing, developed within the REMEDi4ALL consortium. We validated the agentic system across three scenarios spanning the various stages within the repurposing lifecycle: in Acute Myeloid Leukemia, a blinded expert evaluation indicated that RepurAgent produced substantially more novel and mechanistically credible candidates compared to a vanilla LLM baseline; in a retrospective COVID-19 antiviral screen, RepurAgent acted as an adaptive experimental collaborator, prioritizing compounds with AUC-ROC up to 0.99 without predefined thresholds and flagging confounders missed in manual review; and for Multiple Sulfatase Deficiency, it prioritized 81 high-confidence candidates from 5000 compounds, which were further corroborated by domain experts. These results demonstrate that agentic AI can support across the drug repurposing lifecycle, from hypothesis generation to experimental analysis. RepurAgent is open source and deployed at https://repuragent.serve.scilifelab.se/.

bioinformatics↗

bioRxiv2025

Morphological cell profiling for drug repurposing against SARS-CoV-2 infection

Antiviral drug discovery has traditionally focused on targeting viral proteins, while host-directed strategies remain largely underexplored. Here, present a systematic drug repurposing strategy leveraging morphological profiling to identify host-targeting antivirals. Our image-based approach combines viral protein immunostaining with high-content Cell Painting analysis to simultaneously assess viral replication and provide in-depth analysis of host cell responses. By screening 5,275 repurposable drugs against SARS-CoV-2 infected cells, we identified compounds that reversed the infected cell phenotype, including ones not detected by conventional cytopathicity and antibody-based assays. A counter-screen excluded compounds whose antiviral activity was likely driven by drug-induced phospholipidosis (DIPL). Pathway enrichment analysis of compounds validated by both Cell Painting dose-response and DIPL assays, revealed host processes frequently hijacked by viruses, including innate immune responses and kinases. Among the top hits, both novel candidates, such as serdemetan, and previously reported broad-spectrum antivirals, such as sunitinib, were identified. Our approach constitutes an adaptable and scalable platform suited for diverse viral pathogens and cell systems. We provide a resource of open access screening data, images, and automated analysis pipelines to advance both antiviral discovery and pandemic preparedness.

microbiology↗