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An Integrative Machine Learning Framework for Drug Repurposing Using Molecular Docking and Drug Sentiment Analysis in Type 2 Diabetes

Johnson Opeyemi Olayinka, Daniel Anuoluwapo Olarewaju, Gladys Chinyere Olumba, Damilola Racheal Odubekun, Anumo Francis Dominion, Mark ogechi munachimso, Oladayo Michael Ayoola, Emmanuel Oladiran Amos

Abstract

Type 2 diabetes (T2D) is a major global health challenge that requires continuous investigation of alternative therapeutic strategies. Drug repurposing is a strategic technique that involves identifying new therapeutic applications from existing drugs. This research developed a machine- learning framework that combines drug-review sentiment analysis and molecular docking to examine the interaction of selected non diabetic drugs with a type 2 diabetic protein target, and determined their potential to treat T2D under further investigations. Drug review data were obtained from the UCI machine learning repository. The data contains 4,143 records and were divided into training (containing 3,107 records) and testing (containing 1,036 records) sets. Using Term Frequency–Inverse Document Frequency (TF-IDF), textual information from the drug review datasets were converted into numerical features, suitable for model training. Three (3) different supervised learning machine learning algorithms; Logistic Regression, Linear Support Vector Machine, and Naive Bayes classifiers, were evaluated using five-fold cross-validation based on accuracy, precision, recall, F1 score, and macro-F1. Of the three (3) models, Logistic P-ISSN 2695-222X Regression therefore had the best overall performance, achieving a macro recall of 0.567231 and a macro-F1 score of 0.558643, and was subsequently used for the drug-level sentiment analysis. The three non-diabetes drugs, bupropion, esomeprazole, and adapalene, with the highest sentiment scores were selected for molecular docking against dipeptidyl peptidase-4 (DPP-4). Also, Sitagliptin was selected as the control drug and docked against DPP-4. Using CB-Dock2, the predicted docking scores were −6.3 kcal/mol for bupropion, −8.8 kcal/mol for esomeprazole, −10.8 kcal/mol for adapalene, and -9.3 kcal/mol for Sitagliptin. Adapalene demonstrated the best predicted binding score, which suggests that adapalene may have better interaction with DPP-4 than Sitagliprin (control drug). This may require further investigations. The findings demonstrate the potential of integrating patient-generated textual evidence with structure-based molecular analysis to prioritize existing drugs for further investigation in T2D. However, the computational findings do not establish antidiabetic efficacy or clinical suitability and require further validation through additional computational and experimental studies.

Keywords

Type 2 diabetes; drug repurposing; machine learning; sentiment analysis; TF-IDF; molecular docking; CB-Dock2; DPP-4; Adapalene.

References

or control drug for the molecular docking analysis. The prepared structures were then saved in PDB format for subsequent docking analysis. Figure 4 Bupropion P-ISSN 2695-222X Figure 5 Adapalene P-ISSN 2695-222X Figure 6 Esomeprazole P-ISSN 2695-222X Figure 7 Sitagliptin 2.3.2. Protein Selection and Preparation Dipeptidyl peptidase-4 (DPP-4), a well-known target in type 2 diabetes was selected as the protein target for the docking analysis. The activity of DPP-4 can be inhibited by some medications (DPP- 4 inhibitors) used to manage high blood glucose levels in patients with type 2 diabetes mellitus. Some of these inhibitors are; Sitagliptin, Saxagliptin, Vildagliptin, Alogliptin, Linagliptin, Denagliptin, Dutogliptin and Omarigliptin (Mohd, 2024). The three-dimensional (3d) structure of the protein target (DPP-4) was obtained from the Protein Data Bank . The structure was cleaned and prepared in PyMOL in the following six (6) steps: 1. Confirmation of 3d structure 2. Removal of Water molecule 3. Retaining Carbohydrate and Polymer structure 4. Removal of N7F ligand 5. Addition of hydrogen 6. Download and save as pdb format, which is the acceptable format for docking on CB-Dock2 Protein–ligand docking was performed using CB-Dock2. CB-Dock2 is an automated blind- docking platform that combines binding-cavity detection with docking and template-based information to identify potential binding sites and ligand poses (Liu et al., 2022). Its docking workflow incorporates AutoDock Vina, a widely used molecular-docking program that estimates ligand binding poses and provides a scoring function for ranking predicted complexes (Sarkar et al., 2024). For each protein–ligand complex, the best-ranked pose, predicted Vina docking score, and docking-box dimensions were recorded for comparison. P-ISSN 2695-222X Figure 8 DPP-4 3. Results and Discussion 3.1 Sentiment Analysis The Table 2 below shows the sentiment analysis score of the three selected drug candidates and molecular docking results for the three drug candidates and the control drug, Sitagliptin. The sentiment score of 1.0 was achieved for Welbutrin-XL (Bupropion), and Nexium (Esomeprazole), while a sentiment score of 0.84 was achieved for Differin (Adapalene). A positive sentiment score can be interpreted as a favourable patient reported experience with the drugs but not evidence of therapeutic efficacy for type 2 diabetes. Therefore, sentiment analysis of drug reviews alone cannot establish the antidiabetic potential of the drugs. 3.2 Molecular Docking Analysis The Protein-ligand blind docking was performed on CB-Dock2, a protein-ligand blind docking server that integrates both structure-based cavity detection with template based molecular docking methods (Yang et at., 2022). The docking analysis shows that all the four ligands (including the control drug) had the best ranked pose in cavity C3. DPP4-Sitagliptin complex (control) had a vina score of -9.3 kcal/mol and dimension 25 x 25 x 25, DPP4-Bupropion complex had a vina score of −6.3 kcal/mol and dimension 19 x 19 x 19, DPP4-Esomeprazole complex had a via score of −8.8 kcal/mol and dimension 23 x 23 x 23, and DPP4-Adapalene complex produced a Vina score 0f −10.8 kcal/mol and dimension 24 x 24 x 24. Sitagliptin recorded the largest dimension. The dimensions describe the docking search space and should not be interpreted as measures of binding strength. Sitagliptin is one of the prominent DPP-4 inhibitors, exhibiting potent hypoglycemic effects. Although it is associated with some side effects including; gastrointestinal issues, rashes, and more (Huang et al., 2020). P-ISSN 2695-222X Compared with the reference drug, Sitagliptin, Adapalene produced a more negative predicted Vina docking score (−10.8 kcal/mol versus −9.3 kcal/mol). This suggests that Adapalene may have a favorable predicted interaction with DPP-4. However, additional computational and experimental studies would be required to determine whether this predicted interaction translates into DPP-4 inhibitory activity. In this study, Sitagliptin remains the established DPP-4 inhibitor used as the reference compound. Drug/Ligand Protein Target Sentiment Score Vina Docking Score (kcal/mol) Best Pose Docking Dimensions (X × Y × Z) Sitagliptin (Control) DPP-4 - -9.3 C3 25 x 25 x 25 Wellbutrin-XL (Bupropion) DPP-4 1.0 -6.3 C3 19 × 19 × 26 Nexium (Esomeprazole) DPP-4 1.0 -8.8 C3 23 × 23 × 23 Differin (Adapalene) DPP-4 0.84 -10.8 C3 24 × 24 × 24 Table 2 Sentiment Analysis and Molecular docking result P-ISSN 2695-222X Figure 9 DPP-4-Adapalene Complex Figure 10 DPP-4-Sitagliptin Complex 4. Limitations of the Research There are several limitations that should be considered when interpreting this research. First, the sentiment analysis was based on drug reviews obtained from the UCI Machine Learning Repository under the Drug Reviews (Druglib.com) dataset, and the experiences reported by patients may relate to different medical conditions and therapeutic indications. Therefore, the P-ISSN 2695-222X sentiment scores do not necessarily represent patient experiences with the use of these drugs for type 2 diabetes. Second, molecular docking provides computational predictions of ligand–protein interactions and does not by itself establish target inhibition, pharmacological activity, safety, or clinical efficacy. Finally, the study did not include molecular dynamics simulations, biochemical assays, cell-based experiments, or clinical studies to experimentally validate the predicted interactions. Therefore, the identified compounds should be regarded as computationally prioritized candidates which require further investigation rather than confirmed therapeutic agents for type 2 diabetes. 5. Conclusion This study developed an integrative computational framework that combined drug-review sentiment analysis with molecular docking to prioritize non-diabetes drugs as potential therapeutic candidates for type 2 diabetes. Logistic Regression was the best-performing sentiment- classification model based on macro recall (0.567231) and macro F1 score (0.558643). Three non- diabetes drugs; Bupropion, Esomeprazole, and Adapalene were subsequently selected based on their positive sentiment scores and evaluated against DPP-4 using CB-Dock2. Sitagliptin was used as the control drug and also docked with DPP-4 on CB-Dock2. Among the evaluated compounds, Adapalene produced the most favorable predicted Vina docking score (−10.8 kcal/mol), compared with -9.3 kcal/mol for Sitagliptin, −8.8 kcal/mol for Esomeprazole and −6.3 kcal/mol for Bupropion. These findings suggest that adapalene warrants further investigation as a computationally prioritized candidate for DPP-4-related studies. However, the results do not establish antidiabetic efficacy or clinical suitability. Further validation through repeated or consensus docking, molecular dynamics simulations, biochemical assays, and appropriate experimental studies is required before any therapeutic conclusion can be drawn. Overall, the framework demonstrates how patient-generated textual evidence and structure-based computational evidence can be combined to support the prioritization of existing drugs for future drug-repurposing research. P-ISSN 2695-222X References American Diabetes Association Professional Practice Committee for Diabetes. (2026). 1. 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