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[生物还原论与21世纪的医学]

[Biological reductionism and the medicine of the 21st century].

作者信息

Sverdlov E D

出版信息

Patol Fiziol Eksp Ter. 2010 Jul-Sep(3):3-23.

Abstract

They were bothered by the fact that biological science, which was focusing on individual parts of the living systems in the hope that their knowledge should help understand the organization and principles of the living systems' existence, would be at a deadlock sooner or later. The development of fundamental molecular sciences proves them to be actually in a crisis. I would like to show, in this review, that the elevated expectations of a radical revolution in the field of fundamental biological sciences and in applied spheres, particularly, in practical medicine, which are due to the progress of high-effective technologies of the cell's molecular organization, especially the technologies designed for the sequencing of entire genomes, do not prove valid. These technologies cause the accumulation of vast amounts of information with no functional interpretation done. It starts to be comprehensible now that we advance at a painfully slow step to some successive stage on the path towards the answer to the essential question of biology -- What is Life? Moreover, understanding forms that we are advancing, equally slowly and painfully, along the path of progress in the field of medicine, especially so when it concerns the widely spread diseases, which are complex diseases. On this path, we often find ourselves at impasses with no way out, and although we witness the birth of a new biology -- the system biology, a synthetic one, constituting a unique alloy of many sciences, it is far from being definite that this new biology wouldalso answer this principal fundamental question and push forward the medical applications of genomics. Nonetheless, the accumulated information is very helpful and can be used for the elaboration of fundamental vetoes of biology [1] which will allow a considerable portion of the efforts in the practical, namely medical, area to be rejected as unrealizable, in the same way as the second principle of thermodynamics puts a ban on the creation of the perpetuum mobile. I am also trying to postulate that in the area of practice one should possibly think about the approaches directed to the eradication or substitution of ill cells or a damaged system's tissues, and not about the reductionistic approaches aimed at repairing the diseased organism's individual molecular components. I tried to demonstrate this statement using the example of cancer genetic surgerys. Employment of stem cells, including those modified by gene engineering, provides another instance of a holistic approach.

摘要

他们感到困扰的是,生物科学专注于生命系统的各个部分,希望借此了解生命系统存在的组织和原理,但迟早会陷入僵局。基础分子科学的发展证明他们实际上正处于危机之中。在这篇综述中,我想表明,由于细胞分子组织高效技术的进步,尤其是用于全基因组测序的技术,人们对基础生物科学领域以及应用领域,特别是实际医学领域的激进革命寄予了过高期望,但事实证明这些期望是不合理的。这些技术导致大量信息的积累,却没有进行功能解读。现在可以理解的是,我们在朝着回答生物学基本问题——“生命是什么?”的道路上,正以极其缓慢的步伐迈向某个连续的阶段。此外,我们也同样缓慢而艰难地在医学领域的进步道路上前行,尤其是在涉及广泛传播的复杂疾病时更是如此。在这条道路上,我们常常陷入绝境,无路可走。尽管我们见证了一种新生物学——系统生物学的诞生,它是一门综合学科,是众多学科的独特融合,但还远不能确定这种新生物学能否回答这个主要的基本问题,并推动基因组学在医学上的应用。尽管如此,积累的数据非常有用,可用于阐述生物学的基本否决权[1],这将使实际(即医学)领域的很大一部分努力被判定为无法实现而被摒弃,就如同热力学第二定律禁止制造永动机一样。我还试图假设,在实践领域,人们或许应该思考旨在根除或替换患病细胞或受损系统组织的方法,而不是思考旨在修复患病生物体单个分子成分的还原论方法。我试图以癌症基因手术为例来证明这一观点。使用干细胞,包括那些经过基因工程改造的干细胞,提供了另一个整体方法的实例。

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