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评估人类内毒素血症中生理变异性的转化应用。

Translational applications of evaluating physiologic variability in human endotoxemia.

机构信息

Department of Biomedical Engineering, Rutgers University, Piscataway, NJ 08854, USA.

出版信息

J Clin Monit Comput. 2013 Aug;27(4):405-15. doi: 10.1007/s10877-012-9418-1. Epub 2012 Dec 1.

DOI:10.1007/s10877-012-9418-1
PMID:23203205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3664105/
Abstract

Dysregulation of the inflammatory response is a critical component of many clinically challenging disorders such as sepsis. Inflammation is a biological process designed to lead to healing and recovery, ultimately restoring homeostasis; however, the failure to fully achieve those beneficial results can leave a patient in a dangerous persistent inflammatory state. One of the primary challenges in developing novel therapies in this area is that inflammation is comprised of a complex network of interacting pathways. Here, we discuss our approaches towards addressing this problem through computational systems biology, with a particular focus on how the presence of biological rhythms and the disruption of these rhythms in inflammation may be applied in a translational context. By leveraging the information content embedded in physiologic variability, ranging in scale from oscillations in autonomic activity driving short-term heart rate variability to circadian rhythms in immunomodulatory hormones, there is significant potential to gain insight into the underlying physiology.

摘要

炎症反应失调是许多临床上具有挑战性的疾病(如败血症)的关键组成部分。炎症是一种旨在导致愈合和恢复的生物过程,最终恢复体内平衡;然而,如果未能完全实现这些有益的结果,患者可能会处于危险的持续炎症状态。在该领域开发新疗法的主要挑战之一是炎症由相互作用的复杂途径网络组成。在这里,我们通过计算系统生物学讨论了解决该问题的方法,特别关注生物节律的存在以及炎症中这些节律的破坏如何在转化背景下应用。通过利用从自主活动驱动的短期心率变异性中的波动到免疫调节激素的昼夜节律等生理变异性中嵌入的信息内容,有很大的潜力深入了解潜在的生理学。

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本文引用的文献

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Linking Inflammation, Cardiorespiratory Variability, and Neural Control in Acute Inflammation via Computational Modeling.通过计算建模将急性炎症中的炎症、心肺变异性和神经控制联系起来。
Front Physiol. 2012 Jul 2;3:222. doi: 10.3389/fphys.2012.00222. eCollection 2012.
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Entrainment of peripheral clock genes by cortisol.皮质醇对周围时钟基因的驯化作用。
Physiol Genomics. 2012 Jun 1;44(11):607-21. doi: 10.1152/physiolgenomics.00001.2012. Epub 2012 Apr 17.
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A two-compartment mathematical model of endotoxin-induced inflammatory and physiologic alterations in swine.
一种基于个性化特征与时间疗法的平台,用于提高脓毒症治疗效果。
Front Physiol. 2019 Dec 19;10:1542. doi: 10.3389/fphys.2019.01542. eCollection 2019.
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On the analysis of complex biological supply chains: From Process Systems Engineering to Quantitative Systems Pharmacology.论复杂生物供应链分析:从过程系统工程到定量系统药理学
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Asymmetry in Signal Oscillations Contributes to Efficiency of Periodic Systems.信号振荡中的不对称性有助于周期性系统的效率。
Crit Rev Biomed Eng. 2016;44(3):193-211. doi: 10.1615/CritRevBiomedEng.2017019658.
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Natural small molecule FMHM inhibits lipopolysaccharide-induced inflammatory response by promoting TRAF6 degradation via K48-linked polyubiquitination.天然小分子FMHM通过K48连接的多聚泛素化促进TRAF6降解,从而抑制脂多糖诱导的炎症反应。
Sci Rep. 2015 Oct 1;5:14715. doi: 10.1038/srep14715.
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Does heart rate variability reflect the systemic inflammatory response in a fetal sheep model of lipopolysaccharide-induced sepsis?在脂多糖诱导的败血症胎羊模型中,心率变异性是否反映全身炎症反应?
Physiol Meas. 2015 Oct;36(10):2089-102. doi: 10.1088/0967-3334/36/10/2089. Epub 2015 Aug 19.
8
Human metabolic response to systemic inflammation: assessment of the concordance between experimental endotoxemia and clinical cases of sepsis/SIRS.人类对全身炎症的代谢反应:实验性内毒素血症与脓毒症/全身炎症反应综合征临床病例之间的一致性评估。
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Math Biosci. 2015 Feb;260:54-64. doi: 10.1016/j.mbs.2014.10.006. Epub 2014 Oct 31.
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Math Biosci. 2014 Jun;252:36-44. doi: 10.1016/j.mbs.2014.03.010. Epub 2014 Mar 26.
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