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From Clinical Question to Testable Hypothesis: Using AI Co-Scientist to Identify Repurposable Drugs for Alpha-Gal Syndrome

Thomas J

2026

Abstract

Abstract Alpha-gal syndrome (AGS) is a tick induced, IgE-mediated allergy to the mammalian carbohydrate galactose-alpha 1,3-galactose (alpha-gal), with rising incidence and no disease modifying therapy. We describe and critically appraise a physician in the loop workflow in which a practicing clinician used Google's AI co-scientist, a multi-agent system built on the Gemini model, accessed through the experimental Hypothesis Generation tool to generate and rank drug repurposing hypotheses for AGS. Through a structured natural-language interview, the clinician defined the therapeutic goal (durable, drug-free oral tolerance permitting mammalian-meat reintroduction) and five appraisal constraints (oral route; 3–6 month course; cost

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