Relouw Freek J A, Kox Matthijs, Taal H Rob, Koch Birgit C P, Prins Menno W J, van Riel Natal A W
Department of Intensive Care Medicine, Radboud university medical center, Nijmegen, The Netherlands.
Department of Neonatal and Paediatric Intensive Care, Division of Neonatology, Erasmus University Medical Center, Rotterdam, The Netherlands.
NPJ Syst Biol Appl. 2024 Dec 5;10(1):146. doi: 10.1038/s41540-024-00473-y.
One in five deaths worldwide is associated with sepsis, which is defined as organ dysfunction caused by a dysregulated host response to infection. An increased understanding of the pathophysiology of sepsis could provide improved approaches for early detection and treatment. Here we describe the development and validation of a mechanistic mathematical model of the inflammatory response, making use of a combination of in vitro and human in vivo data obtained from experiments where bacterial lipopolysaccharide (LPS) was used to induce an inflammatory response. The new model can simulate the responses to both acute and prolonged inflammatory stimuli in an experimental setting, as well as the response to infection in the clinical setting. This model serves as a foundation for a sepsis simulation model with a potentially wide range of applications in different disciplines involved with sepsis research.
全球五分之一的死亡与脓毒症相关,脓毒症被定义为宿主对感染的失调反应导致的器官功能障碍。对脓毒症病理生理学的深入理解可为早期检测和治疗提供更好的方法。在此,我们描述了一种炎症反应机制数学模型的开发与验证,该模型利用了从使用细菌脂多糖(LPS)诱导炎症反应的实验中获得的体外和人体体内数据的组合。新模型可以模拟实验环境中对急性和长期炎症刺激的反应,以及临床环境中对感染的反应。该模型为脓毒症模拟模型奠定了基础,在脓毒症研究涉及的不同学科中可能有广泛的应用。