Research Appraisalother

A decoction-inspired genetic algorithm and PPO reinforcement learning for intelligent molecular discovery: Anti-colorectal cancer candidates from the tiao-pi AnChang formula

Computers in biology and medicineBai, Can, Wu, Zijian, Han, Xianjun et al.1 May 2026DOI

Clinical Snapshot

60CEBM
Evidence: Weakother

PICO Framework

P — PopulationIn silico molecular candidates derived from TiaoPi AnChang Decoction (TPACD) components for colorectal cancer treatment
I — InterventionDecoction-inspired genetic algorithm (EGA) with proximal policy optimization (PPO) reinforcement learning framework
C — ComparatorOriginal TPACD components and baseline molecular generation algorithms
O — OutcomesChemical validity, pharmacological enhancement, QED scoring, molecular docking stability, and predicted CRC inhibition potential

Bottom Line

This computational study presents an innovative framework combining traditional Chinese medicine principles with machine learning for drug discovery. While the methodology shows promise for generating novel anti-colorectal cancer candidates, the work remains purely theoretical. The three-tiered algorithmic approach (BMGA-EMGA-IMGA) demonstrates progressive improvement in molecular properties, but lacks experimental validation. For Australian clinicians, this represents early-stage research that may eventually contribute to novel therapeutic options, but requires extensive preclinical and clinical validation before any clinical application. The integration of traditional medicine knowledge with modern computational methods offers an interesting paradigm, though the clinical relevance remains unproven.

Evidence: Weak

Key Findings

  • P Value: Not reported

  • Effect Size: IMGA achieved highest overall performance with superior QED and docking stability

  • Primary Outcome: Generation of chemically valid and pharmacologically enhanced molecules relative to original TPACD components

  • Nnt Or Sensitivity: EMGA showed improved biological affinity and exploration efficiency compared to BMGA

  • Confidence Interval: Not reported

Clinical Application

Requires significant additional research including in vitro, in vivo, and clinical studies Would need TGA approval pathway for novel compounds; potential integration with existing colorectal cancer treatment protocols under RACGP guidelines Theoretical application to colorectal cancer patients, pending experimental validation

Abstract

BACKGROUND: Colorectal cancer (CRC) remains among the leading causes of cancer-related mortality worldwide. The TiaoPi AnChang Decoction (TPACD), a traditional Chinese herbal formula, has shown potential anti-CRC activity in preclinical studies (in vitro and in vivo); however, its active chemical basis and key target interactions remain unclear. The complex, multicomponent nature of TPACD poses significant challenges for systematically identifying and optimizing compounds. PURPOSE: This study aimed to establish an intelligent molecular discovery framework that integrates a decoction-inspired genetic algorithm (EGA) with proximal policy optimization (PPO)-based reinforcement learning to simulate the dynamic transformation and recombination processes underlying traditional herbal decoctions and to generate and prioritize in silico candidate molecules for further anti-CRC evaluation. STUDY DESIGN: A parallel molecular generation strategy was developed, comprising three algorithmic pathways, namely, the basic molecular generation algorithm (BMGA), enhanced molecular generation algorithm (EMGA), and intelligent molecular generation algorithm (IMGA), which represent progressive levels of structural diversity, biological relevance, and optimization capacity. METHODS: The EGA simulated the selection-transformation-recombination principles of decoction through adaptive mutation, fragment recombination, and a diversity-preserving selection procedure. PPO-based reinforcement learning further refined the molecular properties via a reward-guided exploration of the chemical space. The BMGA enabled baseline molecular generation; the EMGA incorporated affinity-based selection; and the IMGA achieved multiobjective optimization, integrating drug likeness, novelty, and toxicity filtering. The candidate molecules were validated by affinity prediction, QED scoring, and molecular docking. RESULTS: All three methods generated chemically valid and pharmacologically enhanced molecules relative to the original TPACD components. The EMGA provided improved biological affinity and exploration efficiency, whereas the IMGA achieved the highest overall performance level, with superior QED and docking stability, and predicted the CRC inhibition potential of the molecules. CONCLUSION: The proposed EGA-PPO framework effectively connects traditional decoction principles with modern AI-based drug design. The tri-algorithmic system (BMGA-EMGA-IMGA) provides a scalable and interpretable strategy for de novo molecular discovery, offering promising leads for acquiring natural product-derived CRC therapeutics.

References

  1. 1.Bai, C., Wu, Z., Han, X., & Zhou, S. (2026). A decoction-inspired genetic algorithm and PPO reinforcement learning for intelligent molecular discovery: Anti-colorectal cancer candidates from the tiao-pi AnChang formula. Computers in Biology and Medicine, 111630. https://doi.org/10.1016/j.compbiomed.2026.111630
Share:XLinkedIn

This content is for educational purposes for healthcare professionals only and does not constitute clinical advice. Clinical decisions should be based on individual patient assessment, current guidelines, and appropriate specialist consultation. Editorial Standards · Privacy Policy · Terms of Service