从复杂性科学的角度看瘢痕形成:整体上重新审视生物系统。
Scar formation from the perspective of complexity science: a new look at the biological system as a whole.
机构信息
Department of Plastic Reconstructive and Hand Surgery, Amsterdam Movement Sciences (AMS) Institute, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
Department of Molecular Cell Biology and Immunology, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
出版信息
J Wound Care. 2022 Feb 2;31(2):178-184. doi: 10.12968/jowc.2022.31.2.178.
A burn wound is a complex systemic disease at multiple levels. Current knowledge of scar formation after burn injury has come from traditional biological and clinical studies. These are normally focused on just a small part of the entire process, which has limited our ability to sufficiently understand the underlying mechanisms and to predict systems behaviour. Scar formation after burn injury is a result of a complex biological system-wound healing. It is a part of a larger whole. In this self-organising system, many components form networks of interactions with each other. These networks of interactions are typically non-linear and change their states dynamically, responding to the environment and showing emergent long-term behaviour. How molecular and cellular data relate to clinical phenomena, especially regarding effective therapies of burn wounds to achieve minimal scarring, is difficult to unravel and comprehend. Complexity science can help bridge this gap by integrating small parts into a larger whole, such that relevant biological mechanisms and data are combined in a computational model to better understand the complexity of the entire biological system. A better understanding of the complex biological system of post-burn scar formation could bring research and treatment regimens to the next level. The aim of this review/position paper is to create more awareness of complexity in scar formation after burn injury by describing the basic principles of complexity science and its potential for burn care professionals.
烧伤创面是一种多水平的复杂系统性疾病。目前对烧伤后瘢痕形成的认识来源于传统的生物学和临床研究。这些研究通常只关注整个过程的一小部分,这限制了我们充分理解潜在机制和预测系统行为的能力。烧伤后瘢痕的形成是创伤愈合这一复杂生物系统的结果。它是更大整体的一部分。在这个自组织系统中,许多组成部分相互形成相互作用的网络。这些相互作用网络通常是非线性的,并动态地改变其状态,对环境做出反应并表现出长期的涌现行为。分子和细胞数据与临床现象(特别是关于实现最小瘢痕的烧伤创面的有效治疗)之间的关系很难理清和理解。复杂性科学可以通过将小部分整合到更大的整体中,来帮助弥合这一差距,从而将相关的生物学机制和数据整合到计算模型中,以更好地理解整个生物系统的复杂性。更好地了解烧伤后瘢痕形成的复杂生物学系统,可以使研究和治疗方案达到一个新的水平。本文的目的是通过描述复杂性科学的基本原理及其在烧伤护理专业人员中的应用潜力,来提高对烧伤后瘢痕形成复杂性的认识。