Mottaqi, M., Zhang, S., Adoremos, I., Zhang, P., Xie, L.
This paper introduces a signed multi-omics knowledge graph (SIGMA-KG) and a graph foundation model (FLASH) that explicitly model drug action directionality (activation/inhibition), significantly improving performance in drug mechanism prediction and clinical response modeling.
Most biomedical knowledge graphs and graph neural networks (GNNs) use unsigned associations, obscuring the regulatory logic (activation or inhibition) of drugs and limiting chemical coverage. This hinders the mechanistic prediction of drug actions.
FLASH consistently outperformed or matched nine state-of-the-art unsigned, relational, and signed graph baselines across drug mode-of-action prediction, clinical response modeling, and drug-drug interaction prediction, while substantially improving computational efficiency. It also demonstrated practical utility by enabling explainable inductive drug repurposing with a 69.6% external clinical validation success rate across four complex diseases.