Therapies consisting of a combination of agents are an attractive proposition, especially in the context of diseases such as cancer, which can manifest with a variety of tumor types in a single case. However uncovering usable drug combinations is expensive both financially and temporally. By employing computational methods to identify candidate combinations with a greater likelihood of success we can avoid these problems, even when the amount of data is prohibitively large. Hitting Set is a combinatorial problem that has useful application across many fields, however as it is NP-complete it is traditionally considered hard to solve exactly. We introduce a more general version of the problem (α,β,d)-Hitting Set, which allows more precise control over how and what the hitting set targets. Employing the framework of Parameterized Complexity we show that despite being NP-complete, the (α,β,d)-Hitting Set problem is fixed-parameter tractable with a kernel of size O(αdkd) when we parameterize by the size k of the hitting set and the maximum number α of the minimum number of hits, and taking the maximum degree d of the target sets as a constant. We demonstrate the application of this problem to multiple drug selection for cancer therapy, showing the flexibility of the problem in tailoring such drug sets. The fixed-parameter tractability result indicates that for low values of the parameters the problem can be solved quickly using exact methods. We also demonstrate that the problem is indeed practical, with computation times on the order of 5 seconds, as compared to previous Hitting Set applications using the same dataset which exhibited times on the order of 1 day, even with relatively relaxed notions for what constitutes a low value for the parameters. Furthermore the existence of a kernelization for (α,β,d)-Hitting Set indicates that the problem is readily scalable to large datasets.
Citation: Mellor D, Prieto E, Mathieson L, Moscato P (2010) A Kernelisation Approach for Multiple d-Hitting Set and Its Application in Optimal Multi-Drug Therapeutic Combinations. PLoS ONE 5(10): e13055. https://doi.org/10.1371/journal.pone.0013055
Editor: Maria A. Deli, Hungarian Academy of Sciences, Hungary
Received: June 15, 2010; Accepted: August 19, 2010; Published: October 18, 2010
Copyright: © 2010 Mellor et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: The authors acknowledge the support of the Hunter Medical Research Institute, The University of Newcastle, and ARC Discovery Project DP0773279 (Application of novel exact combinatorial optimisation techniques and metaheuristic methods for problems in cancer research). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
Typically the selection of a drug therapy for a disease is limited to a single drug, however diseases such as cancer may present as a heterogeneous mix of subtypes of the general disease. In cases such as these multi-drug therapies may prove more effective than single drug therapies, and many trials have been conducted to this end –. Furthermore combinations of drugs may allow a more targeted approach for a selection of subtypes of a disease, while minimizing effects on unaffected cells. Unfortunately with the abundance of compounds available for the treatment of many conditions of interest, the time and expense in testing even all two drug combinations may be prohibitive. Therefore a smarter approach is needed. Vazquez  introduces the Hitting Set problem for this task in the context of oncological drug therapy. The Hitting Set problem is a combinatorial problem that proves extremely useful in modeling a large variety of problems in many domains including protein network discovery , metabolic network analysis , diagnostics –, gene ontology  and gene expression analysis , .
The Hitting Set Problem
Hitting Set is a combinatorial problem that models the problem of selecting a small group of elements to represent or cover a collection of sets. Such a group that covers every set in the collection is called a hitting set. Finding such a set without any constraint is simple, however if we required that the size of the hitting set be relatively small, the problem becomes computationally challenging (-complete in a formal sense). This difficulty in obtaining solutions with desirable qualities thus requires more thoughtful approaches.
We now give some technical details and formal definitions of the problems of interest.
The decision version of the Hitting Set problem is defined as follows:
Instance: A set and a collection and an integer .
Question: Is there a set with such that for every we have ?
The set is called a hitting set for , or simply a hitting set. For an element and an element if we say that hits . This problem is -complete even when the maximum size of each element of is two (by equivalence with Vertex Cover ) and -complete for parameter ; Cotta and Moscato  give a parameterized proof via -Feature Set and Paz and Moran  give a proof which along with the equivalence of Hitting Set and Set Cover leads to the same result, though predates the parameterized complexity framework. However if we restrict the cardinality of the elements of to the problem, while remaining -complete, becomes fixed-parameter tractable where is a constant and the parameter is . In this case the problem is known as the Hitting Set for Sets of Size or -Hitting Set problem. We note that Hitting Set has several equivalent formulations, in particular we choose to use the bipartite graph representation where and form the two partite vertex sets of the graph and an edge corresponds to the element being an element of . This allows us to employ some simplifying graph theoretic terminology and techniques. We generalize this problem to include the case where we may want the elements of to be hit more than once. In particular this includes the case where we ask if all the sets of can be hit times, but extends to the case where the elements of can be hit up to times. We encode this by the use of a hitting function . Our problem then becomes the -Multiple -Hitting Set (or ()-Hitting Set):
Instance: A bipartite graph where for all we have , a hitting function and an integer .
Question: Is there a set with such that for every we have ?
Results and Discussion
The Fixed-Parameter Tractability of ()-Hitting Set
As we prove in the Materials and Methods section, the ()-Hitting Set problem is fixed-parameter tractable, and indeed a more general variant the ()-Hitting Set problem is also fixed parameter tractable when we take the maximum degree of the class vertices as a constant and the size of the hitting set and the maximum desired coverage as a joint parameter. Though the problem is formally hard - which would normally give the intuition that an exact solution would be too expensive to compute - the fixed-parameter tractability indicates that it is likely that we can obtain an exact solution efficiently. Armed with this knowledge we proceed with the experiments of the following section, where we use the drug response data of the NCI60 anti-tumor drug screening program to determine a sets of drugs that hit cancerous cell lines multiple times. These drug sets are than mathematically supportable candidates for combination chemotherapies. Moreover we are able to tune the nature of the hitting sets via the numbers , and , which allows us to control which cell lines are targetted (and which are specifically not) and how much each cell line is hit in the solution.
A Comparative Application
The NCI60 human tumor anti-cancer drug screen dataset  was established in the 1980s as an enabling tool for anti-cancer drug development. Included in this dataset is response data for over drugs against the cell lines of the dataset. Vazquez  highlights the utility of a hitting set approach in developing multi-drug therapies for heterogeneous malignancies; given the plethora of available compounds, testing multi-drug combinations exhaustively is prohibitive if not impossible. Applying hitting set to efficacy data measured on an individual basis for each compound allows us to determine possible drug combinations that would provide the best chance of efficacy against many cancer types. Using the GI50 response NCI60 dataset (available from the DTP website ) Vazquez uncovers a minimum hitting set with three compounds that cumulatively gives a good response with all cell lines in the dataset, where a response is considered good if it is more than two standard deviations above the mean of the z-transformed response data. Vazquez uses first a greedy highest-degree-first approach to give an estimate of the maximum size of a minimum hitting set, followed by either an exhaustive search or simulated annealing, depending on the size of the hitting set. Vazquez reports times for such approaches on the order of one day on a desktop computer.
We revisit Vasquez's experiment, using data reduction (though it is not necessary to employ the more complex rules given in the kernelization proof) with IBM ILOG CPLEX  as the kernel solver by framing the problem as a integer programming problem. We use the same threshold for the z-transformation to identify significant response levels. Using this approach we reduce the time to solve the instance to less than seconds, where most of the time is spent loading and reducing the data, with CPLEX solving the integer programming instance in approximately milliseconds. Furthermore this approach guarantees optimality in the size of the hitting set.
From here we employ more a more recent version of the NCI60 dataset (2009 as compared to Vazquez's 2006). At the time of writing, the latest NCI60 dataset includes 14 additional cell lines, however we remove these, as there is insufficient response data in the dataset, leading to inflated hitting set sizes. The latest data also includes a further compounds. We note that employing the new GI50 response data we are able to uncover element hitting sets involving compounds not available in the earlier dataset (an example is given in Table 1 and Figure 1), in particular Everolimus (NSC 733504) a drug now used for the treatment of advanced renal cancer which is also giving positive results in phase II trials for metastatic melanoma , . However there have recently been some concerns over the provenance of some of the cell lines in the NCI60 dataset. In particular Lorenzi et al.  suggested that the MDA-N cell line, nominally a breast cancer cell line is in fact similar the M14 and MDA-MB-435 cell lines, and thus should be is in fact a melanoma cell line. Chambers  however suggests that although M14 and MDA-MB-435 are identical cell lines, they may not in fact be melanoma cell lines. We do not attempt to resolve this dispute, however with regard to this, and as a indication of the flexibility of the method we employ we consider both the case where MDA-N is a breast cancer cell line and the the case where MDA-N is a melanoma cell line.
This hitting set hits all cell lines at least once, but is further optimized to hit all target cell lines the maximal number of times. Of particular note are NSC 174121, a methotrexate derivative and NSC733504, Everolimus/Afinitor, both known anti-cancer agents.
Employing the ()-Hitting Set model gives more flexibility in what kind of therapy we would like to pursue. For instance, by choosing for all vertices, we are able to find a hitting set that hits every cell line at least twice (see Table 2). However the size of this hitting set is , which is likely to be beyond the point where the trade off between anti-cancer efficacy and side effects is acceptable. Fortunately we can exploit ()-Hitting Set more intelligently. For example we may wish to find a hitting set that specifically targets breast cancer cell lines – for which we set all breast cancer cell line vertices to have and all other cell lines to have . This gives a hitting set that hits only breast cancer cell lines, which may be useful in minimizing unwanted peripheral damage to non-breast cancer cells. This gives a hitting set with three elements. In the case where we considered MDA-N to be a breast cancer cell line (see Table 3 and Figure 2) this set includes the compound deoxypodophyllotoxin, which is known to induce apoptosis . If we consider MDA-N as a melanoma cell line we obtain a different hitting set (see Table 4 and Figure 3). If we relax our requirements an allow other cell lines to be hit at most once we can obtain a hitting set that hits the breast cancer cell lines more (Table 5 and Figure 4). The results when we set to for all breast cancer lines are given in Table 6 and Figure 5 (including MDA-N) and Table 7 and Figure 6 (excluding MDA-N). We note particularly that in the case where MDA-N is included, the optimal hitting set uncovered includes Docetaxel, a well known anti-cancer agent  for several cancer types including breast cancer. Interestingly Docetaxel is also currently included in several clinical trials examining its potential as part of a multi-drug therapy –.
Including the disputed MDA-N cell line. This hitting set also reveals additional structure with each drug targeting a specific, disjoint subset of the breast cancer cell lines. Only cell lines with at least one adjacent compound are shown.
Excluding the disputed MDA-N cell line. In this case the hitting set is much less clearly separated, though two of the cell lines are now hit twice. Only cell lines with at least one adjacent compound are shown.
Excluding the disputed MDA-N cell line. In this case we allow non-breast cancer cell lines to be hit at most once. By relaxing the restriction on hitting non-breast cancer cell lines, we obtain a hitting set which hits more of the breast cancer cell lines repeatedly. The trade-off being that other cell lines are also affected, increasingly the likelihood that non-cancerous cells are also affected by the treatment, as the compounds are less specific to a particular genetic signature. Only cell lines with at least one adjacent compound are shown.
Including the disputed MDA-N cell line. In this case the breast cancer cell lines separate neatly into two groups, with the first group forming a cycle and the second group forming a complete bipartite graph. Only cell lines with at least one adjacent compound are shown.
Excluding the disputed MDA-N cell line. Without the MDA-N cell line, the breast cancer cell lines do not separate, although the complete bipartite component is a subgraph of this graph, however we gain a greater number of hits per cell line in this case. Only cell lines with at least one adjacent compound are shown.
In another example, we may wish to target melanoma cell lines exclusively, and furthermore, we may wish to attack each cell line with at least two drugs at once. However in this case (where for melanoma cell lines and for all others) the minimal hitting set size is (or if MDA-N is included as a melanoma cell line – Table 8 and Figures 7 & 8). Considering that a therapeutic cocktail involving compounds may have excessive side effects, we can relax the requirements, and allow for non-melanoma cell lines. In this case we find that the smallest hitting set is of size . By altering the focus when solving the kernel by fixing the hitting set size () at and maximizing the total degree of the vertices in the hitting set, subject to the and constraints, we can obtain the minimal size hitting set that hits our targets as much as possible, within the bounds given by the constraints. This results in the hitting sets in Tables 9 & 10 and Figures 9 & 10. Of note is AZD6244, which is currently involved in anti-cancer drug trials  and has been identified as a potent kinase inhibitor , .
This hitting set also maximizes the number of hits on the melanoma cell lines. Only cell lines with at least one adjacent compound are shown.
Including the disputed MDA-N cell line. It is interesting to note that including MDA-N as a melanoma cell line rather than a breast cancer cell line reduces the size of the minimal hitting set from to . This hitting set also maximizes the number of hits on the melanoma cell lines. Only cell lines with at least one adjacent compound are shown.
For this we consider MDA-N as a non-melanoma cell line, however it is also hit by the hitting set, though only once. This hitting set also maximizes the number of hits on the melanoma cell lines. Only cell lines with at least one adjacent compound are shown.
Including MDA-N as a melanoma cell line. The key difference with the case where we consider MDA-N to be a non-melanoma cell line is that in this case we obtain a hitting set that hits the melanoma cell lines slightly more. Only cell lines with at least one adjacent compound are shown.
Given the size of modern datasets, and the expectation that they will only get larger, it is clear that we require efficient approaches to solving important computational biology problems. The first phase of any such approach is simply defining the problem at hand. Unfortunately once clearly stated, many such problems are -hard or worse. However this need not mean that we must resort to inexact or approximate approaches, which could be undesirable in a field such as drug selection. Parameterized Complexity provides a toolkit for dealing with nominally hard problems, and identifying cases where despite super-polynomial running times, we may still expect good performance.
The drug selection problem as examined here is one such problem. It is modeled well by the -Hitting Set problem, which is fixed-parameter tractable when parameterized by the maximum size of the hitting set. Therefore we can expect that despite being -complete, it would be relatively quick to solve when these parameters are small. However we demonstrate that the much more flexible variant ()-Hitting Set is also fixed-parameter tractable, with only the addition of a single parameter - the maximum of the minimum number of times any vertex should be hit. With ()-Hitting Set we are able to better control the nature of the hitting set uncovered, and thus tailor any such hitting set to a useful set of constraints, such as limits on which cell lines are to be hit, the maximum any of these can be hit and of course the minimum number of times any cell line should be hit. Moreover we can solve this problem quickly, and guarantee optimality - without any notable restrictions on the parameters and constants. This allows the quick generation of possible drug combinations for testing, with guarantees of a certain baseline performance, eliminating the need to exhaustively test all possible combinations, which would be financially and temporally prohibitive.
In brief this paper provides a robust and flexible methodology for multiple drug selection, which can easily be applied to other domains that are modeled by the -Hitting Set problem, with a sound theoretical background as to why and how the problem can be solved efficiently, despite its -completeness. Moreover the existence of a kernelization for ()-Hitting Set indicates that even without using a specialized commercial solver such as CPLEX, the problem is readily scalable to large datasets. Given the speed at which we are able to solve instances with on the order of vertices, we can expect that much larger datasets are also solvable in a reasonable time.
A future extension that may be of interest would be to somehow encode in the problem the notion that some hitting vertices are incompatible, e.g., two compound may have severe adverse interactions, and thus can never be used together as a therapy, regardless of their individual usefulness.
Materials and Methods
Dataset and Computational Method
The dataset primarily employed is the NCI60 DTP Human Tumor Cell Line Screen, available from . We use the version released in October 2009, and downloaded in April 2010. The raw dataset is presented as a series of cell line and compound pairs, along with the GI50 response measurement (the method for producing the measurements is also detailed by ) for that pair plus concentration information and statistical information. Where there are multiple entries for the same compound-cell line pair, we select the entry resulting from the experiment using the highest concentration of the compound. We extract this data into a matrix cross indexed by the NSC number of the compound and the name of the cell line. Where an entry does not exist for a given compound-cell line pair, we enter “NA” for that entry in the matrix.
Once the data is in this matrix format we threshold the data according to the method used by Vazquez  whereby the raw data is subject to a z-transformation over a logarithmic scale and then any value above a certain threshold expressed in terms of the standard deviation to , and anything below, including “NA” values, to . In line with Vazquez we choose two standard deviations as our particular threshold for this paper, though this is adjustable.
We then construct a graph for the hitting set instance using the Java Universal Network/Graph Framework (JUNG)  with the SetHypergraph class, representing each compound with a vertex and each cell line with a (hyper)edge which carries a weight indicating the number of times that edge is to be hit. This graph is then reduced to remove vertices of zero degree, edges with no incident vertices (which are noted as technically this would indicate a no instance unless that edge does not require hitting) and vertices that are only adjacent to edges that require zero hits. This basic reduction alone typically reduces the number of vertices significantly, bringing the graph within a reasonable size for immediate processing. From a theoretical standpoint the constant is of importance, for the graph constructed as stated, (as we allow the natural value, rather than imposing an external limit). In practice a value of this magnitude proves perfectly workable, and returning to the theoretical viewpoint indicates that the instance is in a sense already kernelized.
Once the graph is reduced, we construct an integer programming instance equivalent of the problem given the graph, and pass this instance to CPLEX  (version 11.200) and search for an optimal solution to one of two objective functions, given the constraints of the number of hits for each cell line (given by the value). The first objective function simply minimizes the size of the hitting set (), for the second objective function we fix the size of the hitting set, and maximize the number of hits on vertices where no maximum number of hits has been set (the value). As part of this search CPLEX may apply some unspecified proprietary reduction process.
The figures were created using yEd Graph Editor .
The computer hardware employed is a Dell PowerEdge III Dual Xeon 5550 server with 32Gb of RAM, operating Red Hat Linux 64 bit EL 4 Server.
Theoretical Background and Kernelization Proof
Graph Theory and Notation.
A (simple undirected) graph consists of a set (the vertices), and a set of two element subsets of (the edges). A bipartite graph is a graph where the vertices are partitioned into two partite sets, where all edges have one endpoint in one set and the other endpoint in the other set, i.e., and .
Given a graph and two vertices , we denote the edge between and by or equivalently . Given two vertices in , if there is an edge we say that and are adjacent and the and are incident on . Given a vertex , the set is the (open) neighborhood of and consists off all vertices adjacent to in , we extend this notion in the natural way to sets of vertices.
A parameterized (decision) problem is a formally defined computational problem consisting of three components; the input, a special part of the input called the parameter, and the question. Following Flum and Grohe's  definition we may assume that the parameter is derived from a polynomial time computable mapping from the input to the natural numbers. A parameterized problem is fixed-parameter tractable if there is an algorithm such that for every instance where is the input, is the parameter and , correctly answers Yes or No in time bounded by where is a polynomial and is a computable function.
A polynomial time kernelization (or just kernelization) is a polynomial time mapping that given an instance of a parameterized problem produces a new instance of the problem such that:
- is a Yes-instance if and only if is a Yes-instance,
- for some computable function .
It is easy to see that if a problem has kernelization, then it is fixed-parameter tractable. It is also easy to prove that if a problem is fixed-parameter tractable, then it has a kernelization .
Parameterized complexity has a fully developed theory for determining when a problem is unlikely to be fixed-parameter tractable, but as this is not necessary for this work, we refer the reader to the monographs of Flum and Grohe  and Downey and Fellows  for full discussion, and simply state that if a problem is -hard or -complete for any , then the problem is not fixed-parameter tractable unless certain complexity theoretic assumptions are false, which seems unlikely.
The Fixed-Parameter Tractability of ()-Hitting Set
Our kernelization for ()-Hitting Set follows the basic format of Abu-Khzam's kernelization for -Hitting Set .
Let be an instance of ()-Hitting Set which we assume to have been preprocessed for nonsense input such as vertices with or . Therefore we may assume that for all we have and that for all vertices we have .
We first apply Reduction Rules 1 to 3 exhaustively, before applying Rules 4 and 5.:
Reduction Rule 1: If there is a vertex with then for every vertex for every vertex reduce by , delete from and reduce by . Finally, delete from .
Lemma 1 Reduction Rule 1 is sound.
Proof. If such a vertex exists, then all its neighbors in must be in the hitting set, and we can remove them from the graph after suitably noting the effect for the vertices of .
Note in particular that this rule effectively allows us to assume that is at most . This will be used implicitly in Reduction Rule 4.
Reduction Rule 2: If there is a vertex with , delete from .
Lemma 2 Reduction Rule 2 is sound.
Proof. Clearly requires no vertices to hit it, so may be ignored.
Reduction Rule 3: If there are two vertices such that and , delete from .
Lemma 3 Reduction Rule 3 is sound.
Proof. If two such vertices and exist, then any hitting set that hits at least times will hit at least times.
Let be a set of size vertices such that is the pairwise intersection of the neighborhoods of a vertex set . Let .
Reduction Rule 4: Let and be vertex sets as described. For each such that add a vertex to with and edges such that and delete from .
Lemma 4 Reduction Rule 4 is sound.
Proof. Let be a Yes-instance of ()-Hitting Set. Then there is a set with that hits each element of at least times. Assume that there are sets and as described in the reduction rule and that for some we have that . Let be the subset of that hits . Assume further that , then for each there is at least one other vertex in , but then , which contradicts the assumption that is a Yes-instance.
Therefore the set must be hit by , so we may restrict our search to the intersection.
Lemma 5 Reduction Rule 4 can be computed in polynomial time.
Proof. Given a set of vertices for some with , we construct an auxiliary graph by taking for each the subgraph of induced by the vertices . If there is a maximum matching in of size greater than , then the matched vertices from form the required set with pairwise neighbohood intersection .
As is a constant, we can iterate over all sets of vertices of size in time . The matchings can be computed in time .
Definition 6 (Weakly Related Vertices) Given two vertices , and are weakly related if , and both and .
Let be a maximal set of pairwise weakly related vertices. Let be a set of vertices, and denote by the set of vertices of whose neighborhood is a superset of . Further denote by the subset of where for each we have .
Reduction Rule 5: Compute a maximal collection of pairwise weakly related vertices. If apply the following algorithm:
for downto do
for downto do
for each set where and do
Add a vertex to , edges such that and set .
Delete from .
Lemma 7 Reduction Rule 5 is sound.
Proof. We defer the proof of the bound on the size of until the proof of Lemma 8.
Let be a Yes-instance of ()-Hitting Set. Then there is a set that hits sufficiently. For sets of size , Reduction Rule 4 proves the soundness of the first iteration of the outer loop.
For each other iteration, assume that the iteration for sets of size holds, then let be set of size where for some . If then by the pigeon hole principle there is some vertex that is in at least neighborhoods of vertices in , but then is a set that is the intersection of at least neighborhoods of vertices in some subset of , contradicting the correctness of the previous iteration. Therefore the entire set of vertices hitting each vertex is contained within if , so we may replace with a single vertex.
Note also that for each element of there is at most sets , so we may iterate through all sets in time , so we can perform the replacements in polynomial time.
Lemma 8 If is a Yes-instance of ()-Hitting Set, reduced under Reduction Rules 1 to 5, then .
Proof. If is a Yes-instance of ()-Hitting Set, then there is a set such that for every we have with .
Claim 9 .
By construction, every vertex in with degree at most is in . Assume there is some with and , then there must be some vertex such that , but then as the degree of any vertex in is at most , , and Reduction Rule 3 would apply. Therefore there are no vertices from not in .
Claim 10 .
As hits each vertex of at least once, by Reduction Rule 5 each element of as a singleton is in the neighborhood of at most vertices from . Therefore .
Combining Claims 9 and 10 we have . As each vertex of has degree at most , there are at most vertices in , and the bound follows.
Theorem 11 ()-Hitting Set is fixed-parameter tractable with parameter and has a kernel of size at most .
We note that although must be a constant to obtain a polynomial time kernelization, may be alternatively given as an additional parameter, without change to the kernelization.
This kernelization may be extended to an even more general version of the problem, where we not only specify lower bounds for the number of hits, but also upper bounds:
Instance: A bipartite graph where for all we have , two hitting functions and and an integer .
Question: Is there a set with such that for every we have ?
Corollary 12 ()-Hitting Set is fixed-parameter tractable with parameter and has a kernel of size at most .
Conceived and designed the experiments: DM LM PM. Performed the experiments: DM LM PM. Analyzed the data: LM PM. Contributed reagents/materials/analysis tools: DM EP LM PM. Wrote the paper: DM EP LM PM.
- 1. Albain KS, Crowley JJ, LeBlanc M, Livingston RB (1990) Determinants of improved outcome in small-cell lung cancer: an analysis of the 2,580-patient southwest oncology group data base. Journal of Clinical Oncology 8: 1563–1574.
- 2. Flamant F, Schwartz L, Delons E, Caillaud JM, Hartmann O, et al. (1984) Nonseminomatous malignant germ cell tumors in children. Multidrug therapy in stages III and IV. Cancer 54: 1687–1691.
- 3. Fu KK, Silverberg IJ, Phillips TL, Friedman MA (1979) Combined radiotherapy and multidrug chemotherapy for advanced head and neck cancer: results of a radiation therapy oncology group pilot study. Cancer Treatment Reports 63: 351–357.
- 4. Vazquez A (2009) Optimal drug combinations and minimal hitting sets. BMC Systems Biology 3: 81–86.
- 5. Berman P, DasGupta B, Sontag ED (2007) Randomized approximation algorithms for set multicover problems with applications to reverse engineering of protein and gene networks. Discrete Applied Mathematics 155: 733–749.
- 6. Haus UU, Klamt S, Stephen T (2008) Computing knock-out strategies in metabolic networks. Journal of Computational Biology 15: 259–268.
- 7. de Kleer J, Mackworth AK, Reiter R (1992) Characterizing diagnoses and systems. Artificial Intelligence 56: 197–222.
- 8. Leipins GE, Potter WD (1991) A genetic algorithm approach to multiple-fault diagnosis. In: Davis L, editor. Handbook of Genetic Algorithms, Van Nostrand Reinhold Company. pp. 237–250.
- 9. Reiter R (1987) A theory of diagnosis from first principles. Artificial Intelligence 32: 57–95.
- 10. Hvidsten TR, Lægreid A, Komorowski HJ (2003) Learning rule-based models of biological process from gene expression time profiles using gene ontology. Bioinformatics 19: 1116–1123.
- 11. Ruchkys D, Song S (2002) A parallel approximation hitting set algorithm for gene expression analysis. pp. 75–81.
- 12. Vinterbo SA, Kim EY, Ohno-Machado L (2005) Small, fuzzy and interpretable gene expression based classifiers. Bioinformatics 21: 1964–1970.
- 13. Garey MR, Johnson DS (1979) Computers and Intractability: A Guide to the Theory of NP-Completeness. New York: W. H. Freeman & Co.
- 14. Fernau H (2005) Parameterized Algorithmics: A Graph-Theoretic Approach. Germany: Habilitationsschrift, Universität Tübingen.
- 15. Davies S, Russell S (1994) NP-completeness of searches for smallest possible feature sets. In: Greiner R, Subramanian D, editors. AAAI Symposium on Intelligent Relevance. New Orleans: pp. 41–43.
- 16. Cotta C, Moscato P (2003) The k-feature set problem is W-complete. Journal of Computer and System Sciences 67: 686–690.
- 17. Paz A, Moran S (1981) Non deterministic polynomial optimization problems and their approximations. Theoretical Computer Science 15: 251–277.
- 18. Abu-Khzam FN (2010) A kernelization algorithm for d-hitting set. Journal of Computer and Systems Sciences 76: 524–531.
- 19. Vazirani V (2001) Approximation Algorithms. Berlin: Springer-Verlag. 380 p.
- 20. Feige U (1998) A threshold of ln n for approximating set cover. Journal of the ACM 45: 634–652.
- 21. Shoemaker RH (2006) The NCI60 human tumour cell line anticancer drug screen. Nature Reviews Cancer 6: 813–823.
- 22. NCI/NIH Website (Accessed 2010). Developmental Theraputics Program. http://dtp.nci.nih.gov/.
- 23. IBM Website (Accessed 2010). ILOG CPLEX. http://www-01.ibm.com/software/integration/optimization/cplex/.
- 24. Rao RD, Windschitl HE, Allred JB, Lowe VJ, Maples WJ, et al. (2006) Phase II trial of the mTOR inhibitor everolimus (RAD-001) in metastatic melanoma. Journal of Clinical Oncology 24: 8043.
- 25. Peyton JD, Spigel DR, Burris HA, Lane C, Rubin M, et al. (2009) Phase II trial of bevacizumab and everolimus in the treatment of patients with metastatic melanoma: Preliminary results. Journal of Clinical Oncology 27: 9027.
- 26. Lorenzi PL, Reinhold WC, Varma S, Hutchinson AA, Pommier Y, et al. (2009) DNA fingerprinting of the NCI-60 cell line panel. Molecular Cancer Therapeutics 8: 713–724.
- 27. Chambers AF (2009) MDA-MB-435 and M14 cell lines: Identical but not M14 melanoma? Cancer Research 69: 5292–5293.
- 28. Shin SY, Yong Y, Kim CG, Lee YH, Lim Y (2010) Deoxypodophyllotoxin induces G2/M cell cycle arrest and apoptosis in HeLa cells. Cancer Letters 287: 231–239.
- 29. Lyseng-Williamson KA, Fenton C (2005) Docetaxel: A review of its use in metastatic breast cancer. Drugs 65: 2513–2531.
- 30. Slamon D, Eiermann W, Robert N, Pienkowski T, Martin M, et al. (2009) Phase III randomized trial comparing doxorubicin and cyclophosphamide followed by docetaxel (AC-¿T) with doxorubicin and cyclophosphamide followed by docetaxel and trastuzumab (AC-¿TH) with docetaxel, carboplatin and trastuzumab (TCH) in Her2neu positive early breast cancer patients: BCIRG 006 study. Cancer Research 69: 62.
- 31. Perez EA, Hillman DW, Dentchev T, Le-Lindqwister NA, Geeraerts LH, et al. (2010) North central cancer treatment group (NCCTG) N0432: phase II trial of docetaxel with capecitabine and bevacizumab as first-line chemotherapy for patients with metastatic breast cancer. Annals of Oncology 21: 269–274.
- 32. Polyzos A, Malamos N, Boukovinas I, Adamou A, Ziras N, et al. (2010) FEC versus sequential docetaxel followed by epirubicin/cyclophosphamide as adjuvant chemotherapy in women with axillary node-positive early breast cancer: a randomized study of the Hellenic Oncology Research Group (HORG). Breast Cancer Research and Treatment 119: 95–104.
- 33. Joensuu H, Bono P, Kataja V, Alanko T, Kokko R, et al. (2009) Fluorouracil, Epirubicin, and Cyclophosphamide With Either Docetaxel or Vinorelbine, With or Without Trastuzumab, As Adjuvant Treatments of Breast Cancer: Final Results of the FinHer Trial. Journal of Clinical Oncology 27: 5685–5692.
- 34. Sparano JA, Makhson AN, Semiglazov VF, Tjulandin SA, Balashova OI, et al. (2009) Pegylated Liposomal Doxorubicin Plus Docetaxel Significantly Improves Time to Progression Without Additive Cardiotoxicity Compared With Docetaxel Monotherapy in Patients With Advanced Breast Cancer Previously Treated With Neoadjuvant-Adjuvant Anthracycline Therapy: Results From a Randomized Phase III Study. J Clin Oncol 27: 4522–4529.
- 35. ClinicalTrialsgov Website (Accessed 2010). U.S. clinical trial registry. http://clinicaltrials.gov/ct2/home.
- 36. Davies B, Logie A, McKay JS, Martin P, Steele S, et al. (2007) AZD6244 (ARRY-142886), a potent inhibitor of mitogen-activated protein kinase/extracellular signal-regulated kinase kinase 1/2 kinases: mechanism of action in vivo, pharmacokinetic/pharmacodynamic relationship, and potential for combination in preclinical models. Molecular Cancer Theraputics 6: 2209–2219.
- 37. Yeh TC, Marsh V, Bernat BA, Ballard J, Colwell H, et al. (2007) Biological characterization of ARRY-142886 (AZD6244), a potent, highly selective mitogen-activated protein kinase kinase 1/2 inhibitor. Clinical Cancer Research 13: 1576.
- 38. Java Universal Network/Graph Framework Website (Accessed 2010). JUNG. http://jung.sourceforge.net/.
- 39. yWorks Website (Accessed 2010). yEd. http://www.yworks.com/en/products_yed_about.html.
- 40. Flum J, Grohe M (2006) Parameterized Complexity Theory. Berlin: Springer. 493 p.
- 41. Niedermeier R (2006) Invitation to Fixed-Parameter Algorithms. Oxford: Oxford University Press. 316 p.
- 42. Downey RG, Fellows MR (1999) Parameterized Complexity. Berlin: Springer. 533 p.