RareAgent: Self-Evolving Reasoning for Drug Repurposing in Rare Diseases

πŸ“… 2025-10-07
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πŸ€– AI Summary
Knowledge graph completion and GNN-based methods for rare-disease drug repurposing suffer from limited performance due to the scarcity of prior drug–disease associations. Method: This paper proposes a self-evolving multi-agent reasoning framework that shifts from passive prediction to active evidence seeking. It orchestrates collaborative agents to construct dynamic evidence graphs, incorporates task-specific adversarial debate to validate hypotheses, and refines agent decisions via post-hoc policy analysis and textual feedback. Furthermore, it distills transferable heuristic rules from successful reasoning paths to enhance transparency and generalizability. Contribution/Results: On instruction-driven tasks, the framework achieves an 18.1% improvement in AUPRC over state-of-the-art baselines. It generates clinically coherent, interpretable reasoning chains, significantly improving both accuracy and trustworthiness in rare-disease drug repurposing.

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πŸ“ Abstract
Computational drug repurposing for rare diseases is especially challenging when no prior associations exist between drugs and target diseases. Therefore, knowledge graph completion and message-passing GNNs have little reliable signal to learn and propagate, resulting in poor performance. We present RareAgent, a self-evolving multi-agent system that reframes this task from passive pattern recognition to active evidence-seeking reasoning. RareAgent organizes task-specific adversarial debates in which agents dynamically construct evidence graphs from diverse perspectives to support, refute, or entail hypotheses. The reasoning strategies are analyzed post hoc in a self-evolutionary loop, producing textual feedback that refines agent policies, while successful reasoning paths are distilled into transferable heuristics to accelerate future investigations. Comprehensive evaluations reveal that RareAgent improves the indication AUPRC by 18.1% over reasoning baselines and provides a transparent reasoning chain consistent with clinical evidence.
Problem

Research questions and friction points this paper is trying to address.

Addresses computational drug repurposing for rare diseases
Overcomes lack of reliable drug-disease association signals
Transforms passive pattern recognition into active evidence-seeking reasoning
Innovation

Methods, ideas, or system contributions that make the work stand out.

Self-evolving multi-agent system for drug repurposing
Dynamic evidence graph construction through adversarial debates
Transferable heuristics distilled from successful reasoning paths
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