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将患者特定信息整合到复杂疾病的逻辑模型中:急性髓系白血病的应用

Integrating Patient-Specific Information into Logic Models of Complex Diseases: Application to Acute Myeloid Leukemia.

作者信息

Palma Alessandro, Iannuccelli Marta, Rozzo Ilaria, Licata Luana, Perfetto Livia, Massacci Giorgia, Castagnoli Luisa, Cesareni Gianni, Sacco Francesca

机构信息

Department of Biology, University of Rome Tor Vergata, Via delle Ricerca Scientifica 1, 00133 Rome, Italy.

Fondazione Human Technopole, Via Cristina Belgioioso, 171, 20157 Milan, Italy.

出版信息

J Pers Med. 2021 Feb 10;11(2):117. doi: 10.3390/jpm11020117.

Abstract

High throughput technologies such as deep sequencing and proteomics are increasingly becoming mainstream in clinical practice and support diagnosis and patient stratification. Developing computational models that recapitulate cell physiology and its perturbations in disease is a required step to help with the interpretation of results of high content experiments and to devise personalized treatments. As complete cell-models are difficult to achieve, given limited experimental information and insurmountable computational problems, approximate approaches should be considered. We present here a general approach to modeling complex diseases by embedding patient-specific genomics data into actionable logic models that take into account prior knowledge. We apply the strategy to acute myeloid leukemia (AML) and assemble a network of logical relationships linking most of the genes that are found frequently mutated in AML patients. We derive Boolean models from this network and we show that by priming the model with genomic data we can infer relevant patient-specific clinical features. Here we propose that the integration of literature-derived causal networks with patient-specific data should be explored to help bedside decisions.

摘要

诸如深度测序和蛋白质组学等高通量技术在临床实践中日益成为主流,并支持诊断和患者分层。开发能够概括细胞生理学及其在疾病中的扰动的计算模型,是帮助解释高内涵实验结果并制定个性化治疗方案的必要步骤。鉴于实验信息有限和计算问题难以克服,完整的细胞模型很难实现,因此应考虑采用近似方法。我们在此提出一种通过将患者特异性基因组数据嵌入可操作的逻辑模型来对复杂疾病进行建模的通用方法,该逻辑模型会考虑先验知识。我们将该策略应用于急性髓系白血病(AML),并构建了一个逻辑关系网络,该网络连接了在AML患者中经常发现突变的大多数基因。我们从这个网络中推导布尔模型,并表明通过用基因组数据启动模型,我们可以推断出相关的患者特异性临床特征。在此我们建议,应探索将文献衍生的因果网络与患者特异性数据相结合,以辅助床边决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e129/7916657/10e5ef087ad0/jpm-11-00117-g0A1.jpg

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