Forum on immune digital twins: a meeting report

Reinhard LaubenbacherDepartment of Medicine, University of Florida, Gainesville, FL, Fred AdlerDepartment of Mathematics and School of Biological Sciences, University of Utah, Salt Lake City, UT, Gary AnDepartment of Surgery, University of Vermont, Burlington, VT, Filippo CastiglioneBiotechnology Research Center, Technology Innovation Institute, Abu Dhabi, United Arab Emirates, Stephen EubankBiocomplexity Institute and Initiative, University of Virginia, Charlottesville, VA, Luis L. FonsecaDepartment of Medicine, University of Florida, Gainesville, FL, James GlazierDepartment of Intelligent Systems Engineering, Indiana University, Bloomington, IN, Tomas HelikarDepartment of Biochemistry, University of Nebraska, Lincoln, NE, Marti Jett-TiltonU.S. Walter Reed Army Institute of Research, Silver Spring, MD, Denise KirschnerDepartment of Microbiology and Immunology, University of Michigan, Ann Arbor, MI, Paul MacklinDepartment of Intelligent Systems Engineering, Indiana University, Bloomington, IN, Borna MehradDepartment of Medicine, University of Florida, Gainesville, FL, Beth MooreDepartment of Microbiology and Immunology, University of Michigan, Ann Arbor, MI, Virginia PasourU.S. Army Research Office, Research Triangle Park, NC, Ilya ShmulevichInstitute for Systems Biology, Seattle, WA, Amber SmithDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, Isabel VoigtCenter for Clinical Neuroscience, Carl Gustav Carus University Hospital, Dresden, Germany, Thomas E. YankeelovDepartment of Biomedical Engineering, Oden Institute for Computational Engineering and Sciences, Departments of Biomedical Engineering, Diagnostic Medicine, Oncology, The University of Texas, Austin, TX, and Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Tjalf ZiemssenCenter for Clinical Neuroscience, Carl Gustav Carus University Hospital, Dresden, Germany
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Abstract

Medical digital twins are computational models of human biology relevant to a given medical condition, which can be tailored to an individual patient, thereby predicting the course of disease and individualized treatments, an important goal of personalized medicine. The immune system, which has a central role in many diseases, is highly heterogeneous between individuals, and thus poses a major challenge for this technology. If medical digital twins are to faithfully capture the characteristics of a patient's immune system, we need to answer many questions, such as: What do we need to know about the immune system to build mathematical models that reflect features of an individual? What data do we need to collect across the different scales of immune system action? What are the right modeling paradigms to properly capture immune system complexity? In February 2023, an international group of experts convened in Lake Nona, FL for two days to discuss these and other questions related to digital twins of the immune system. The group consisted of clinicians, immunologists, biologists, and mathematical modelers, representative of the interdisciplinary nature of medical digital twin development. A video recording of the entire event is available. This paper presents a synopsis of the discussions, brief descriptions of ongoing digital twin projects at different stages of progress. It also proposes a 5-year action plan for further developing this technology. The main recommendations are to identify and pursue a small number of promising use cases, to develop stimulation-specific assays of immune function in a clinical setting, and to develop a database of existing computational immune models, as well as advanced modeling technology and infrastructure.
免疫数字双胞胎论坛:会议报告
医学数字双胞胎是与特定医疗条件相关的人类生物学计算模型,可以针对单个患者进行定制,从而预测疾病进程和个性化治疗,这是个性化医疗的一个重要目标。免疫系统在许多疾病中起着核心作用,但在个体之间具有高度异质性,因此对该技术提出了重大挑战。如果医学数字双胞胎要忠实地捕捉病人免疫系统的特征,我们需要回答许多问题,例如:我们需要知道什么关于免疫系统的知识来建立反映个体特征的数学模型?我们需要从免疫系统的不同层面收集哪些数据?什么是正确的建模范式来正确地捕捉免疫系统的复杂性?2023年2月,一个国际专家小组在佛罗里达州诺纳湖召开了为期两天的会议,讨论这些问题以及与免疫系统数字双胞胎相关的其他问题。该小组由临床医生、免疫学家、生物学家和数学建模师组成,代表了医学数字双胞胎发展的跨学科性质。整个事件的视频记录是可用的。本文简要介绍了正在进行的数字孪生项目在不同进展阶段的讨论和简要描述。它还提出了进一步发展这项技术的五年行动计划。主要建议是确定和追求少数有前途的用例,在临床环境中开发免疫功能的刺激特异性分析,并开发现有计算免疫模型的数据库,以及先进的建模技术和基础设施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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