Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Wiley Interdiscip Rev Syst Biol Med. 2011 Nov-Dec;3(6):619-27. doi: 10.1002/wsbm.144. Epub 2011 Feb 24.
Contemporary views of human disease are based on simple correlation between clinical syndromes and pathological analysis dating from the late 19th century. Although this approach to disease diagnosis, prognosis, and treatment has served the medical establishment and society well for many years, it has serious shortcomings for the modern era of the genomic medicine that stem from its reliance on reductionist principles of experimentation and analysis. Quantitative, holistic systems biology applied to human disease offers a unique approach for diagnosing established disease, defining disease predilection, and developing individualized (personalized) treatment strategies that can take full advantage of modern molecular pathobiology and the comprehensive data sets that are rapidly becoming available for populations and individuals. In this way, systems pathobiology offers the promise of redefining our approach to disease and the field of medicine.
当代对人类疾病的认识基于 19 世纪后期的临床综合征与病理学分析之间的简单相关性。尽管这种疾病诊断、预后和治疗方法多年来一直为医疗机构和社会所服务,但由于其依赖于实验和分析的还原论原则,对于基因组医学的现代时代来说,它存在严重的缺陷。应用于人类疾病的定量、整体系统生物学为诊断既定疾病、定义疾病倾向以及制定个体化(个性化)治疗策略提供了一种独特的方法,这些策略可以充分利用现代分子病理生物学和快速为人群和个体提供的综合数据集。通过这种方式,系统病理生物学有望重新定义我们对疾病和医学领域的认识。