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元分析表明,在临床前研究中,接受变异性可以提高可重复性和普遍性。

Meta-analysis of variation suggests that embracing variability improves both replicability and generalizability in preclinical research.

机构信息

Evolution and Ecology Research Centre and School of Biological, Earth and Environmental Sciences, University of New South Wales, Sydney, Australia.

The Charles Perkins Centre and School of Life and Environmental Sciences, The University of Sydney, Sydney, Australia.

出版信息

PLoS Biol. 2021 May 19;19(5):e3001009. doi: 10.1371/journal.pbio.3001009. eCollection 2021 May.

DOI:10.1371/journal.pbio.3001009
PMID:34010281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8168858/
Abstract

The replicability of research results has been a cause of increasing concern to the scientific community. The long-held belief that experimental standardization begets replicability has also been recently challenged, with the observation that the reduction of variability within studies can lead to idiosyncratic, lab-specific results that cannot be replicated. An alternative approach is to, instead, deliberately introduce heterogeneity, known as "heterogenization" of experimental design. Here, we explore a novel perspective in the heterogenization program in a meta-analysis of variability in observed phenotypic outcomes in both control and experimental animal models of ischemic stroke. First, by quantifying interindividual variability across control groups, we illustrate that the amount of heterogeneity in disease state (infarct volume) differs according to methodological approach, for example, in disease induction methods and disease models. We argue that such methods may improve replicability by creating diverse and representative distribution of baseline disease state in the reference group, against which treatment efficacy is assessed. Second, we illustrate how meta-analysis can be used to simultaneously assess efficacy and stability (i.e., mean effect and among-individual variability). We identify treatments that have efficacy and are generalizable to the population level (i.e., low interindividual variability), as well as those where there is high interindividual variability in response; for these, latter treatments translation to a clinical setting may require nuance. We argue that by embracing rather than seeking to minimize variability in phenotypic outcomes, we can motivate the shift toward heterogenization and improve both the replicability and generalizability of preclinical research.

摘要

研究结果的可重复性一直是科学界日益关注的问题。长期以来,人们一直认为实验标准化会产生可重复性,但最近这种观点也受到了挑战,人们观察到研究内部变异性的减少会导致独特的、特定实验室的结果,这些结果无法复制。另一种方法是,有意引入变异性,即实验设计的“异质化”。在这里,我们在一项对缺血性中风的对照和实验动物模型中观察到的表型结果变异性的元分析中,探索了异质化计划中的一个新视角。首先,通过量化对照组个体间的变异性,我们表明疾病状态(梗死体积)的异质性程度因方法学方法而异,例如,在疾病诱导方法和疾病模型中。我们认为,这些方法可以通过在参考组中创建多样化和代表性的基线疾病状态分布,从而提高可重复性,以便评估治疗效果。其次,我们说明了如何同时使用元分析评估疗效和稳定性(即平均效应和个体间变异性)。我们确定了具有疗效且可推广到人群水平(即个体间变异性低)的治疗方法,以及那些在反应中个体间变异性高的治疗方法;对于这些治疗方法,向临床环境的转化可能需要细微差别。我们认为,通过接受而不是试图最小化表型结果的变异性,我们可以推动向异质化的转变,并提高临床前研究的可重复性和通用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c2/8168858/c664272abd2f/pbio.3001009.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c2/8168858/daf152f115fe/pbio.3001009.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c2/8168858/aee188df151b/pbio.3001009.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c2/8168858/c664272abd2f/pbio.3001009.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c2/8168858/daf152f115fe/pbio.3001009.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c2/8168858/aee188df151b/pbio.3001009.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c2/8168858/c664272abd2f/pbio.3001009.g003.jpg

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