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A multi-omics strategy to understand PASC through the RECOVER cohorts: a paradigm for a systems biology approach to the study of chronic conditions. 通过RECOVER队列了解PASC的多组学策略:慢性病研究系统生物学方法的范例。
IF 2.3 Pub Date : 2025-01-07 eCollection Date: 2024-01-01 DOI: 10.3389/fsysb.2024.1422384
Jun Sun, Masanori Aikawa, Hassan Ashktorab, Noam D Beckmann, Michael L Enger, Joaquin M Espinosa, Xiaowu Gai, Benjamin D Horne, Paul Keim, Jessica Lasky-Su, Rebecca Letts, Cheryl L Maier, Meisha Mandal, Lauren Nichols, Nadia R Roan, Mark W Russell, Jacqueline Rutter, George R Saade, Kumar Sharma, Stephanie Shiau, Stephen N Thibodeau, Samuel Yang, Lucio Miele

Post-Acute Sequelae of SARS-CoV-2 infection (PASC or "Long COVID"), includes numerous chronic conditions associated with widespread morbidity and rising healthcare costs. PASC has highly variable clinical presentations, and likely includes multiple molecular subtypes, but it remains poorly understood from a molecular and mechanistic standpoint. This hampers the development of rationally targeted therapeutic strategies. The NIH-sponsored "Researching COVID to Enhance Recovery" (RECOVER) initiative includes several retrospective/prospective observational cohort studies enrolling adult, pregnant adult and pediatric patients respectively. RECOVER formed an "OMICS" multidisciplinary task force, including clinicians, pathologists, laboratory scientists and data scientists, charged with developing recommendations to apply cutting-edge system biology technologies to achieve the goals of RECOVER. The task force met biweekly over 14 months, to evaluate published evidence, examine the possible contribution of each "omics" technique to the study of PASC and develop study design recommendations. The OMICS task force recommended an integrated, longitudinal, simultaneous systems biology study of participant biospecimens on the entire RECOVER cohorts through centralized laboratories, as opposed to multiple smaller studies using one or few analytical techniques. The resulting multi-dimensional molecular dataset should be correlated with the deep clinical phenotyping performed through RECOVER, as well as with information on demographics, comorbidities, social determinants of health, the exposome and lifestyle factors that may contribute to the clinical presentations of PASC. This approach will minimize lab-to-lab technical variability, maximize sample size for class discovery, and enable the incorporation of as many relevant variables as possible into statistical models. Many of our recommendations have already been considered by the NIH through the peer-review process, resulting in the creation of a systems biology panel that is currently designing the studies we proposed. This system biology strategy, coupled with modern data science approaches, will dramatically improve our prospects for accurate disease subtype identification, biomarker discovery and therapeutic target identification for precision treatment. The resulting dataset should be made available to the scientific community for secondary analyses. Analogous system biology approaches should be built into the study designs of large observational studies whenever possible.

SARS-CoV-2感染急性后后遗症(PASC或“长COVID”)包括与广泛发病率和医疗成本上升相关的多种慢性疾病。PASC具有高度可变的临床表现,可能包括多种分子亚型,但从分子和机制的角度来看,它仍然知之甚少。这阻碍了合理靶向治疗策略的发展。美国国立卫生研究院赞助的“研究COVID以增强康复”(RECOVER)计划包括几项回顾性/前瞻性观察队列研究,分别招募成人、孕妇和儿科患者。RECOVER成立了一个“组学”多学科工作组,包括临床医生、病理学家、实验室科学家和数据科学家,负责开发应用尖端系统生物学技术的建议,以实现RECOVER的目标。工作组在14个月内每两周召开一次会议,评估已发表的证据,检查每种“组学”技术对PASC研究的可能贡献,并提出研究设计建议。组学工作组建议通过集中实验室对整个RECOVER队列的参与者生物标本进行综合、纵向、同步的系统生物学研究,而不是使用一种或几种分析技术进行多个较小的研究。由此产生的多维分子数据集应与通过RECOVER进行的深度临床表型,以及可能导致PASC临床表现的人口统计学、合并症、健康的社会决定因素、暴露和生活方式因素等信息相关联。这种方法将最小化实验室到实验室的技术差异,最大化类发现的样本量,并能够将尽可能多的相关变量合并到统计模型中。我们的许多建议已经被NIH通过同行评议过程考虑过了,结果创建了一个系统生物学小组,目前正在设计我们提出的研究。这种系统生物学策略与现代数据科学方法相结合,将极大地提高我们准确识别疾病亚型、发现生物标志物和确定精确治疗的治疗靶点的前景。结果数据集应提供给科学界进行二次分析。只要有可能,在大型观察性研究的研究设计中应采用类似的系统生物学方法。
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引用次数: 0
Improvement in the prediction power of an astrocyte genome-scale metabolic model using multi-omic data. 利用多组学数据提高星形细胞基因组尺度代谢模型的预测能力。
IF 2.3 Pub Date : 2025-01-03 eCollection Date: 2024-01-01 DOI: 10.3389/fsysb.2024.1500710
Andrea Angarita-Rodríguez, Nicolás Mendoza-Mejía, Janneth González, Jason Papin, Andrés Felipe Aristizábal, Andrés Pinzón

Introduction: The availability of large-scale multi-omic data has revolution-ized the study of cellular machinery, enabling a systematic understanding of biological processes. However, the integration of these datasets into Genome-Scale Models of Metabolism (GEMs) re-mains underexplored. Existing methods often link transcriptome and proteome data independently to reaction boundaries, providing models with estimated maximum reaction rates based on individual datasets. This independent approach, however, introduces uncertainties and inaccuracies.

Methods: To address these challenges, we applied a principal component analysis (PCA)-based approach to integrate transcriptome and proteome data. This method facilitates the reconstruction of context-specific models grounded in multi-omics data, enhancing their biological relevance and predictive capacity.

Results: Using this approach, we successfully reconstructed an astrocyte GEM with improved prediction capabilities compared to state-of-the-art models available in the literature.

Discussion: These advancements underscore the potential of multi-omic inte-gration to refine metabolic modeling and its critical role in studying neurodegeneration and developing effective therapies.

大规模多组学数据的可用性已经彻底改变了细胞机制的研究,使人们能够系统地了解生物过程。然而,将这些数据集整合到基因组尺度代谢模型(GEMs)中仍有待探索。现有的方法通常将转录组和蛋白质组数据独立地与反应边界联系起来,为模型提供基于单个数据集的估计最大反应速率。然而,这种独立的方法引入了不确定性和不准确性。方法:为了解决这些挑战,我们应用了基于主成分分析(PCA)的方法来整合转录组和蛋白质组数据。该方法促进了基于多组学数据的上下文特定模型的重建,增强了它们的生物学相关性和预测能力。结果:使用这种方法,我们成功地重建了星形胶质细胞GEM,与文献中最先进的模型相比,其预测能力有所提高。讨论:这些进展强调了多组学整合的潜力,以完善代谢模型及其在研究神经变性和开发有效治疗方面的关键作用。
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引用次数: 0
Learning Gaussian Graphical Models from Correlated Data. 从相关数据中学习高斯图形模型。
IF 2.3 Pub Date : 2025-01-01 Epub Date: 2025-07-03 DOI: 10.3389/fsysb.2025.1589079
Zeyuan Song, Sophia Gunn, Stefano Monti, Gina Marie Peloso, Ching-Ti Liu, Kathryn Lunetta, Paola Sebastiani

Gaussian Graphical Models (GGMs) are a type of network modeling that uses partial correlation rather than correlation for representing complex relationships among multiple variables. The advantage of using partial correlation is to show the relation between two variables after "adjusting" for the effects of other variables and leads to more parsimonious and interpretable models. There are well established procedures to build GGMs from a sample of independent and identical distributed observations. However, many studies include clustered and longitudinal data that result in correlated observations and ignoring this correlation among observations can lead to inflated Type I error. In this paper, we propose a cluster-based bootstrap algorithm to infer GGMs from correlated data. We use extensive simulations of correlated data from family-based studies to show that the proposed bootstrap method does not inflate the Type I error while retaining statistical power compared to alternative solutions when there are sufficient number of clusters. We apply our method to learn the GGM that represents complex relations between 47 Polygenic Risk Scores generated using genome-wide genotype data from the Long Life Family Study. By comparing it to the conventional methods that ignore within-cluster correlation, we show that our method controls the Type I error well without power loss.

高斯图形模型(Gaussian Graphical Models, GGMs)是一种网络建模类型,它使用部分相关而不是相关来表示多个变量之间的复杂关系。使用偏相关的优点是在“调整”其他变量的影响后显示两个变量之间的关系,并导致更简洁和可解释的模型。从独立和相同的分布式观测样本中建立ggm有完善的程序。然而,许多研究包括聚类和纵向数据,导致观测结果相关,忽略观测结果之间的这种相关性可能导致I型误差膨胀。在本文中,我们提出了一种基于聚类的自举算法来从相关数据中推断出ggm。我们对基于家庭的研究的相关数据进行了广泛的模拟,以表明当有足够数量的集群时,与替代解决方案相比,所提出的自举方法在保留统计能力的同时不会扩大I型误差。我们应用我们的方法来学习表示47个多基因风险评分之间复杂关系的GGM,这些多基因风险评分是由来自Long Life Family Study的全基因组基因型数据生成的。通过与忽略簇内相关的传统方法进行比较,我们表明我们的方法可以很好地控制I型误差而不会造成功率损失。
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引用次数: 0
Immune disease dialogue of chemokine-based cell communications as revealed by single-cell RNA sequencing meta-analysis. 单细胞RNA测序荟萃分析揭示了基于趋化因子的细胞通讯的免疫疾病对话。
IF 2.3 Pub Date : 2024-12-12 eCollection Date: 2024-01-01 DOI: 10.3389/fsysb.2024.1466368
Mouly F Rahman, Andre H Kurlovs, Munender Vodnala, Elamaran Meibalan, Terry K Means, Nima Nouri, Emanuele de Rinaldis, Virginia Savova

Immune-mediated diseases are characterized by aberrant immune responses, posing significant challenges to global health. In both inflammatory and autoimmune diseases, dysregulated immune reactions mediated by tissue-residing immune and non-immune cells precipitate chronic inflammation and tissue damage that is amplified by peripheral immune cell extravasation into the tissue. Chemokine receptors are pivotal in orchestrating immune cell migration, yet deciphering the signaling code across cell types, diseases and tissues remains an open challenge. To delineate disease-specific cell-cell communications involved in immune cell migration, we conducted a meta-analysis of publicly available single-cell RNA sequencing (scRNA-seq) data across diverse immune diseases and tissues. Our comprehensive analysis spanned multiple immune disorders affecting major organs: atopic dermatitis and psoriasis (skin), chronic obstructive pulmonary disease and idiopathic pulmonary fibrosis (lung), ulcerative colitis (colon), IgA nephropathy and lupus nephritis (kidney). By interrogating ligand-receptor (L-R) interactions, alterations in cell proportions, and differential gene expression, we unveiled disease-specific and common cell-cell communications involved in chemotaxis and extravasation to shed light on shared immune responses across tissues and diseases. Further, we performed experimental validation of two understudied cell-cell communications. Insights gleaned from this meta-analysis hold promise for the development of targeted therapeutics aimed at modulating immune cell migration to mitigate inflammation and tissue damage. This nuanced understanding of immune cell dynamics at the single-cell resolution opens avenues for precision medicine in immune disease management.

免疫介导的疾病以异常免疫反应为特征,对全球健康构成重大挑战。在炎症性疾病和自身免疫性疾病中,由组织驻留的免疫细胞和非免疫细胞介导的失调免疫反应沉淀慢性炎症和组织损伤,并通过外周免疫细胞外渗到组织中而放大。趋化因子受体是协调免疫细胞迁移的关键,但破译跨细胞类型、疾病和组织的信号编码仍然是一个开放的挑战。为了描述免疫细胞迁移中涉及的疾病特异性细胞-细胞通讯,我们对不同免疫疾病和组织中公开可用的单细胞RNA测序(scRNA-seq)数据进行了荟萃分析。我们的综合分析涵盖了影响主要器官的多种免疫疾病:特应性皮炎和牛皮癣(皮肤)、慢性阻塞性肺病和特发性肺纤维化(肺)、溃疡性结肠炎(结肠)、IgA肾病和狼疮肾炎(肾)。通过询问配体-受体(L-R)相互作用、细胞比例的改变和差异基因表达,我们揭示了参与趋化性和外渗的疾病特异性和共同的细胞-细胞通讯,以阐明组织和疾病之间的共同免疫反应。此外,我们对两种尚未充分研究的细胞-细胞通信进行了实验验证。从这项荟萃分析中收集到的见解为靶向治疗的发展带来了希望,这些靶向治疗旨在调节免疫细胞迁移,以减轻炎症和组织损伤。这种在单细胞分辨率上对免疫细胞动力学的细微理解为免疫疾病管理中的精准医学开辟了道路。
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引用次数: 0
An exploration of testing genetic associations using goodness-of-fit statistics based on deep ReLU neural networks. 基于深度ReLU神经网络的拟合优度统计测试遗传关联的探索。
IF 2.3 Pub Date : 2024-11-18 eCollection Date: 2024-01-01 DOI: 10.3389/fsysb.2024.1460369
Xiaoxi Shen, Xiaoming Wang

As a driving force of the fourth industrial revolution, deep neural networks are now widely used in various areas of science and technology. Despite the success of deep neural networks in making accurate predictions, their interpretability remains a mystery to researchers. From a statistical point of view, how to conduct statistical inference (e.g., hypothesis testing) based on deep neural networks is still unknown. In this paper, goodness-of-fit statistics are proposed based on commonly used ReLU neural networks, and their potential to test significant input features is explored. A simulation study demonstrates that the proposed test statistic has higher power compared to the commonly used t-test in linear regression when the underlying signal is nonlinear, while controlling the type I error at the desired level. The testing procedure is also applied to gene expression data from the Alzheimer's Disease Neuroimaging Initiative (ADNI).

作为第四次工业革命的推动力量,深度神经网络已广泛应用于各个科技领域。尽管深度神经网络在做出准确预测方面取得了成功,但它们的可解释性对研究人员来说仍然是一个谜。从统计学的角度来看,如何基于深度神经网络进行统计推理(例如假设检验)仍然是未知的。本文提出了基于常用的ReLU神经网络的拟合优度统计,并探讨了其测试重要输入特征的潜力。仿真研究表明,当底层信号为非线性时,与线性回归中常用的t检验相比,所提出的检验统计量具有更高的功率,同时将I型误差控制在所需的水平上。该测试程序也适用于来自阿尔茨海默病神经成像倡议(ADNI)的基因表达数据。
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引用次数: 0
Interplay of circular RNAs in gastric cancer - a systematic review. 环状rna在胃癌中的相互作用——系统综述。
IF 2.3 Pub Date : 2024-11-13 eCollection Date: 2024-01-01 DOI: 10.3389/fsysb.2024.1497510
Dipanjan Guha, Jit Mondal, Anirban Nandy, Sima Biswas, Angshuman Bagchi

Circular RNAs (circRNAs) have gained prominence as important players in various biological processes such as gastric cancer (GC). Identification of several dysregulated circRNAs may serve as biomarkers for early diagnosis or as novel therapeutic targets. Predictive models can suggest potential new interactions and regulatory roles of circRNAs in GCs. Experimental validations of key interactions are being performed using in vitro models, confirming the significance of identified circRNA networks. The aim of this review is to highlight the important circRNAs associated with GC. On top of that an overview of the mechanistic details of the biogenesis and functionalities of the circRNAs are also presented. Furthermore, the potentialities of the circRNAs in the field of new drug discovery are deciphered.

环状rna (circRNAs)在胃癌(GC)等多种生物过程中发挥着重要作用。鉴定几种失调的环状rna可能作为早期诊断的生物标志物或作为新的治疗靶点。预测模型可以提示circrna在GCs中潜在的新相互作用和调节作用。正在使用体外模型进行关键相互作用的实验验证,确认已鉴定的circRNA网络的重要性。本综述的目的是强调与GC相关的重要环状rna。除此之外,还概述了circrna的生物发生和功能的机制细节。此外,环状rna在新药发现领域的潜力被破译。
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引用次数: 0
Bridging complexity through integrative systems neuroscience. 通过综合系统神经科学弥合复杂性。
IF 2.3 Pub Date : 2024-11-06 eCollection Date: 2024-01-01 DOI: 10.3389/fsysb.2024.1487298
Eric H Chang
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引用次数: 0
Intertwined roles for GDF-15, HMGB1, and MIG/CXCL9 in Pediatric Acute Liver Failure. GDF-15、HMGB1和MIG/CXCL9在小儿急性肝衰竭中的相互作用
IF 2.3 Pub Date : 2024-10-15 eCollection Date: 2024-01-01 DOI: 10.3389/fsysb.2024.1470000
Ruben Zamora, Jinling Yin, Derek Barclay, James E Squires, Yoram Vodovotz

Introduction: Pediatric Acute Liver Failure (PALF) presents as a rapidly evolving, multifaceted, and devastating clinical syndrome whose precise etiology remains incompletely understood. Consequently, predicting outcomes-whether survival or mortality-and informing liver transplantation decisions in PALF remain challenging. We have previously implicated High-Mobility Group Box 1 (HMGB1) as a central mediator in PALF-associated dynamic inflammation networks that could be recapitulated in acetaminophen (APAP)-treated mouse hepatocytes (HC) in vitro. Here, we hypothesized that Growth/Differentiation Factor-15 (GDF-15) is involved along with HMGB1 in PALF.

Methods: 28 and 23 inflammatory mediators including HMGB1 and GDF15 were measured in serum samples from PALF patients and cell supernatants from wild-type (C57BL/6) mouse hepatocytes (HC) and from cells from HC-specific HMGB1-null mice (HC-HMGB1-/-) exposed to APAP, respectively. Results were analyzed computationally to define statistically significant and potential causal relationships.

Results: Circulating GDF-15 was elevated significantly (P < 0.05) in PALF non-survivors as compared to survivors, and together with HMGB1 was identified as a central node in dynamic inflammatory networks in both PALF patients and mouse HC. This analysis also pointed to MIG/CXCL9 as a differential node linking HMGB1 and GDF-15 in survivors but not in non-survivors, and, when combined with in vitro studies, suggested that MIG suppresses GDF-15-induced inflammation.

Discussion: This study suggests GDF-15 as a novel PALF outcome biomarker, posits GDF-15 alongside HMGB1 as a central node within the intricate web of systemic inflammation dynamics in PALF, and infers a novel, negative regulatory role for MIG.

儿科急性肝衰竭(PALF)是一种迅速发展的、多方面的、毁灭性的临床综合征,其确切的病因尚不完全清楚。因此,预测结果——无论是生存还是死亡——并告知PALF的肝移植决定仍然具有挑战性。我们之前的研究表明,高迁移率组框1 (HMGB1)是palf相关动态炎症网络的中心介质,可以在体外对乙酰氨基酚(APAP)处理的小鼠肝细胞(HC)中重现。在这里,我们假设生长/分化因子-15 (GDF-15)与HMGB1一起参与了PALF。方法:分别从暴露于APAP的野生型(C57BL/6)小鼠肝细胞(HC)和HC特异性HMGB1缺失小鼠(HC-HMGB1-/-)的细胞上清液中检测PALF患者血清样本和细胞上清液中28和23种炎症介质HMGB1和GDF15。对结果进行计算分析,以确定统计上显著的和潜在的因果关系。结果:与幸存者相比,PALF非幸存者的循环GDF-15显著升高(P < 0.05),并与HMGB1一起被确定为PALF患者和小鼠HC动态炎症网络的中心节点。该分析还指出,在幸存者中,MIG/CXCL9是连接HMGB1和GDF-15的差异节点,而在非幸存者中则不是,并且,当结合体外研究时,表明MIG抑制GDF-15诱导的炎症。讨论:本研究表明GDF-15是一种新的PALF结局生物标志物,假设GDF-15与HMGB1一起是PALF系统性炎症动态复杂网络中的中心节点,并推断出MIG的一种新的负调控作用。
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引用次数: 0
Spectral expansion methods for prediction uncertainty quantification in systems biology. 系统生物学中预测不确定度量化的光谱展开方法。
IF 2.3 Pub Date : 2024-10-03 eCollection Date: 2024-01-01 DOI: 10.3389/fsysb.2024.1419809
Anna Deneer, Jaap Molenaar, Christian Fleck

Uncertainty is ubiquitous in biological systems. For example, since gene expression is intrinsically governed by noise, nature shows a fascinating degree of variability. If we want to use a model to predict the behaviour of such an intrinsically stochastic system, we have to cope with the fact that the model parameters are never exactly known, but vary according to some distribution. A key question is then to determine how the uncertainties in the parameters affect the model outcome. Knowing the latter uncertainties is crucial when a model is used for, e.g., experimental design, optimisation, or decision-making. To establish how parameter and model prediction uncertainties are related, Monte Carlo approaches could be used. Then, the model is evaluated for a huge number of parameters sets, drawn from the multivariate parameter distribution. However, when model solutions are computationally expensive this approach is intractable. To overcome this problem, so-called spectral expansion (SE) methods have been developed to quantify prediction uncertainty within a probabilistic framework. Such SE methods have a basis in, e.g., computational mathematics, engineering, physics, and fluid dynamics, and, to a lesser extent, systems biology. The computational costs of SE schemes mainly stem from the calculation of the expansion coefficients. Furthermore, SE effectively leads to a surrogate model which captures the dependence of the model on the uncertainty parameters, but is much simpler to execute compared to the original model. In this paper, we present an innovative scheme for the calculation of the expansion coefficients. It guarantees that the model has to be evaluated only a restricted number of times. Especially for models of high complexity this may be a huge computational advantage. By applying the scheme to a variety of examples we show its power, especially in challenging situations where solutions slowly converge due to high computational costs, bifurcations, and discontinuities.

不确定性在生物系统中无处不在。例如,由于基因表达在本质上受噪音的支配,自然表现出令人着迷的可变性。如果我们想用一个模型来预测这样一个本质上随机系统的行为,我们必须面对这样一个事实,即模型参数从来都不是完全已知的,而是根据某些分布而变化的。一个关键问题是确定参数中的不确定性如何影响模型结果。当模型用于实验设计、优化或决策时,了解后一种不确定性是至关重要的。为了确定参数和模型预测不确定性之间的关系,可以使用蒙特卡罗方法。然后,对从多元参数分布中提取的大量参数集对模型进行评估。然而,当模型解决方案的计算成本很高时,这种方法是难以处理的。为了克服这个问题,所谓的谱展开(SE)方法已经发展到在概率框架内量化预测的不确定性。这些SE方法的基础是计算数学、工程学、物理学和流体动力学,在较小程度上还包括系统生物学。SE方案的计算成本主要来源于膨胀系数的计算。此外,SE有效地生成了一个代理模型,该模型捕获了模型对不确定性参数的依赖性,但与原始模型相比,执行起来要简单得多。在本文中,我们提出了一种计算膨胀系数的创新方案。它保证模型只需要评估有限的次数。特别是对于高复杂性的模型,这可能是一个巨大的计算优势。通过将该方案应用于各种示例,我们展示了它的功能,特别是在解决方案由于高计算成本,分岔和不连续而缓慢收敛的具有挑战性的情况下。
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引用次数: 0
Building virtual patients using simulation-based inference. 使用基于模拟的推理构建虚拟患者。
IF 2.3 Pub Date : 2024-09-12 eCollection Date: 2024-01-01 DOI: 10.3389/fsysb.2024.1444912
Nathalie Paul, Venetia Karamitsou, Clemens Giegerich, Afshin Sadeghi, Moritz Lücke, Britta Wagenhuber, Alexander Kister, Markus Rehberg

In the context of in silico clinical trials, mechanistic computer models for pathophysiology and pharmacology (here Quantitative Systems Pharmacology models, QSP) can greatly support the decision making for drug candidates and elucidate the (potential) response of patients to existing and novel treatments. These models are built on disease mechanisms and then parametrized using (clinical study) data. Clinical variability among patients is represented by alternative model parameterizations, called virtual patients. Despite the complexity of disease modeling itself, using individual patient data to build these virtual patients is particularly challenging given the high-dimensional, potentially sparse and noisy clinical trial data. In this work, we investigate the applicability of simulation-based inference (SBI), an advanced probabilistic machine learning approach, for virtual patient generation from individual patient data and we develop and evaluate the concept of nearest patient fits (SBI NPF), which further enhances the fitting performance. At the example of rheumatoid arthritis where prediction of treatment response is notoriously difficult, our experiments demonstrate that the SBI approaches can capture large inter-patient variability in clinical data and can compete with standard fitting methods in the field. Moreover, since SBI learns a probability distribution over the virtual patient parametrization, it naturally provides the probability for alternative parametrizations. The learned distributions allow us to generate highly probable alternative virtual patient populations for rheumatoid arthritis, which could potentially enhance the assessment of drug candidates if used for in silico trials.

在计算机临床试验的背景下,病理生理学和药理学的机械计算机模型(定量系统药理学模型,QSP)可以极大地支持候选药物的决策,并阐明患者对现有和新型治疗的(潜在)反应。这些模型建立在疾病机制的基础上,然后使用(临床研究)数据进行参数化。患者之间的临床变异性由可选择的模型参数化表示,称为虚拟患者。尽管疾病建模本身很复杂,但考虑到高维、潜在稀疏和嘈杂的临床试验数据,使用单个患者数据来构建这些虚拟患者尤其具有挑战性。在这项工作中,我们研究了基于模拟的推理(SBI)的适用性,这是一种先进的概率机器学习方法,用于从个体患者数据中生成虚拟患者,我们开发并评估了最接近患者拟合(SBI NPF)的概念,这进一步提高了拟合性能。以类风湿关节炎为例,治疗反应的预测是出了名的困难,我们的实验表明,SBI方法可以捕获临床数据中患者之间的巨大差异,并且可以与该领域的标准拟合方法相竞争。此外,由于SBI学习了虚拟患者参数化的概率分布,因此它自然提供了可选参数化的概率。学习分布使我们能够为类风湿关节炎生成高度可能的替代虚拟患者群体,如果用于计算机试验,这可能会潜在地增强候选药物的评估。
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引用次数: 0
期刊
Frontiers in systems biology
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