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系统医学:临床实践的新方法。

Systems medicine: a new approach to clinical practice.

作者信息

Cardinal-Fernández Pablo, Nin Nicolás, Ruíz-Cabello Jesús, Lorente José A

机构信息

Servicio de Medicina Intensiva, Hospital Universitario de Getafe, Madrid, España; CIBER de Enfermedades Respiratorias, Madrid, España.

CIBER de Enfermedades Respiratorias, Madrid, España; Servicio de Medicina Intensiva, Hospital Universitario de Torrejón, Madrid, España.

出版信息

Arch Bronconeumol. 2014 Oct;50(10):444-51. doi: 10.1016/j.arbres.2013.10.010. Epub 2014 Jan 5.

Abstract

Most respiratory diseases are considered complex diseases as their susceptibility and outcomes are determined by the interaction between host-dependent factors (genetic factors, comorbidities, etc.) and environmental factors (exposure to microorganisms or allergens, treatments received, etc.) The reductionist approach in the study of diseases has been of fundamental importance for the understanding of the different components of a system. Systems biology or systems medicine is a complementary approach aimed at analyzing the interactions between the different components within one organizational level (genome, transcriptome, proteome), and then between the different levels. Systems medicine is currently used for the interpretation and understanding of the pathogenesis and pathophysiology of different diseases, biomarker discovery, design of innovative therapeutic targets, and the drawing up of computational models for different biological processes. In this review we discuss the most relevant concepts of the theory underlying systems medicine, as well as its applications in the various biological processes in humans.

摘要

大多数呼吸系统疾病被认为是复杂疾病,因为它们的易感性和预后是由宿主相关因素(遗传因素、合并症等)与环境因素(接触微生物或过敏原、接受的治疗等)之间的相互作用决定的。疾病研究中的还原论方法对于理解系统的不同组成部分至关重要。系统生物学或系统医学是一种互补方法,旨在分析一个组织层面(基因组、转录组、蛋白质组)内不同组成部分之间的相互作用,然后是不同层面之间的相互作用。系统医学目前用于解释和理解不同疾病的发病机制和病理生理学、生物标志物发现、创新治疗靶点的设计以及不同生物过程的计算模型的制定。在这篇综述中,我们讨论了系统医学理论的最相关概念,以及它在人类各种生物过程中的应用。

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