Frontiers in systems biology最新文献

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Contribution of farms to the microbiota in the swine value chain 猪场对猪价值链中微生物群的贡献
Frontiers in systems biology Pub Date : 2023-07-12 DOI: 10.3389/fsysb.2023.1183868
Pascal Laforge, A. T. Vincent, C. Duchaine, Perrine Feutry, Annick Dion-Fortier, Pier-Luc Plante, Éric Pouliot, S. Fournaise, L. Saucier
{"title":"Contribution of farms to the microbiota in the swine value chain","authors":"Pascal Laforge, A. T. Vincent, C. Duchaine, Perrine Feutry, Annick Dion-Fortier, Pier-Luc Plante, Éric Pouliot, S. Fournaise, L. Saucier","doi":"10.3389/fsysb.2023.1183868","DOIUrl":"https://doi.org/10.3389/fsysb.2023.1183868","url":null,"abstract":"Introduction: A thorough understanding of the microbial ecology within the swine value chain is essential to develop new strategies to optimize the microbiological quality of pork products. To our knowledge, no study to date has followed the microbiota through the value chain from live farm animals to the cuts of meat obtained for market. The objective of this study is to evaluate how the microbiota of pigs and their environment influence the microbial composition of samples collected throughout the value chain, including the meat plant and meat cuts.Method and results: Results from 16S rDNA sequencing, short-chain fatty acid concentrations and metabolomic analysis of pig feces revealed that the microbiota from two farms with differing sanitary statuses were distinctive. The total aerobic mesophilic bacteria and Enterobacteriaceae counts from samples collected at the meat plant after the pre-operation cleaning and disinfection steps were at or around the detection limit and the pigs from the selected farms were the first to be slaughtered on each shipment days. The bacterial counts of individual samples collected at the meat plant did not vary significantly between the farms. Alpha diversity results indicate that as we move through the steps in the value chain, there is a clear reduction in the diversity of the microbiota. A beta diversity analysis revealed a more distinct microbiota at the farms compared to the meat plant which change and became more uniform as samples were taken towards the end of the value chain. The source tracker analysis showed that only 12.92% of the microbiota in shoulder samples originated from the farms and 81% of the bacteria detected on the dressed carcasses were of unknown origin.Discussion: Overall, the results suggest that with the current level of microbial control at farms, it is possible to obtain pork products with similar microbiological quality from different farms. However, broader studies are required to determine the impact of the sanitary status of the herd on the final products.","PeriodicalId":73109,"journal":{"name":"Frontiers in systems biology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48725784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of machine learning in combination with mechanistic modeling to predict plasma exposure of small molecules 机器学习与机械建模相结合的应用,以预测小分子等离子体暴露
Frontiers in systems biology Pub Date : 2023-06-20 DOI: 10.3389/fsysb.2023.1180948
P. D. Mavroudis, D. Teutonico, A. Abos, Nikhil Pillai
{"title":"Application of machine learning in combination with mechanistic modeling to predict plasma exposure of small molecules","authors":"P. D. Mavroudis, D. Teutonico, A. Abos, Nikhil Pillai","doi":"10.3389/fsysb.2023.1180948","DOIUrl":"https://doi.org/10.3389/fsysb.2023.1180948","url":null,"abstract":"Prediction of a new molecule’s exposure in plasma is a critical first step toward understanding its efficacy/toxicity profile and concluding whether it is a possible first-in-class, best-in-class candidate. For this prediction, traditional pharmacometrics use a variety of scaling methods that are heavily based on pre-clinical pharmacokinetic (PK) data. We here propose a novel framework based on which preclinical exposure prediction is performed by applying machine learning (ML) in tandem with mechanism-based modeling. In our proposed method, a relationship is initially established between molecular structure and physicochemical (PC)/PK properties using ML, and then the ML-driven PC/PK parameters are used as input to mechanistic models that ultimately predict the plasma exposure of new candidates. To understand the feasibility of our proposed framework, we evaluated a number of mechanistic models (1-compartment, physiologically based pharmacokinetic (PBPK)), PBPK distribution models (Berezhkovskiy, PK-Sim standard, Poulin and Theil, Rodgers and Rowland, and Schmidt), and PBPK parameterizations (using in vivo, or in vitro clearance). For most of the scenarios tested, our results demonstrate that PK profiles can be adequately predicted based on the proposed framework. Our analysis further indicates some limitations when liver microsomal intrinsic clearance (CLint) is used as the only clearance pathway and underscores the necessity of investigating the variability emanating from the different distribution models when providing PK predictions. The suggested approach aims at earlier exposure prediction in the drug development process so that critical decisions on molecule screening, chemistry design, or dose selection can be made as early as possible.","PeriodicalId":73109,"journal":{"name":"Frontiers in systems biology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44324832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A practical guide for the generation of model-based virtual clinical trials 生成基于模型的虚拟临床试验的实用指南
Frontiers in systems biology Pub Date : 2023-06-16 DOI: 10.3389/fsysb.2023.1174647
M. Craig, J. Gevertz, I. Kareva, K. Wilkie
{"title":"A practical guide for the generation of model-based virtual clinical trials","authors":"M. Craig, J. Gevertz, I. Kareva, K. Wilkie","doi":"10.3389/fsysb.2023.1174647","DOIUrl":"https://doi.org/10.3389/fsysb.2023.1174647","url":null,"abstract":"Mathematical modeling has made significant contributions to drug design, development, and optimization. Virtual clinical trials that integrate mathematical models to explore patient heterogeneity and its impact on a variety of therapeutic questions have recently risen in popularity. Here, we outline best practices for creating virtual patients from mathematical models to ultimately implement and execute a virtual clinical trial. In this practical guide, we discuss and provide examples of model design, parameter estimation, parameter sensitivity, model identifiability, and virtual patient cohort creation. Our goal is to help researchers adopt these approaches to further the use of virtual population-based analysis and virtual clinical trials.","PeriodicalId":73109,"journal":{"name":"Frontiers in systems biology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43841623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
A computational framework for identifying chemical compounds to bind Apolipoprotein E4 for Alzheimer’s disease intervention 用于识别结合载脂蛋白E4的化合物用于阿尔茨海默病干预的计算框架
Frontiers in systems biology Pub Date : 2023-06-14 DOI: 10.3389/fsysb.2023.1188430
Tianhua Zhai, Emily Krass, Fangyuan Zhang, Z. Huang
{"title":"A computational framework for identifying chemical compounds to bind Apolipoprotein E4 for Alzheimer’s disease intervention","authors":"Tianhua Zhai, Emily Krass, Fangyuan Zhang, Z. Huang","doi":"10.3389/fsysb.2023.1188430","DOIUrl":"https://doi.org/10.3389/fsysb.2023.1188430","url":null,"abstract":"Alzheimer’s disease (AD), a neurodegenerative disorder, is characterized by its ability to cause memory loss and damage other cognitive functions. Aggregation of amyloid beta (Aβ) plaques and neurofibrillary tangles in the brain are responsible for the development of Alzheimer’s disease (AD). While attempts targeting Aβ and tau proteins have been extensively conducted in the past decades, only two FDA-approved drugs (i.e., monoclonal antibodies) tackle the underlying biology of Alzheimer’s disease. In this study, an integrated computational framework was developed to identify new drug targets for Alzheimer’s disease and identify small molecules as potential therapeutical options. A systematic investigation of the gene networks firstly revealed that the Apolipoprotein E4 (ApoE4) gene plays a central role among genes associated with Alzheimer’s disease. The ApoE4 protein was then chosen as the protein target based on its role in the main pathological hallmarks of AD, which has been shown to increase Aβ accumulation by directly binding to Aβ as well as interfering with Aβ clearance that is associated with other receptors. A library of roughly 1.5 million compounds was then virtually screened via a ligand-protein docking program to identify small-molecule compounds with potential binding capacity to the ApoE4 N-terminal domain. On the basis of compound properties, 312 compounds were selected, analyzed and clustered to further identify common structures and essential functional groups that play an important role in binding ApoE4. The in silico prediction suggested that compounds with four common structures of sulfon-amine-benzene, 1,2-benzisothiazol-3-amine 1,1-dioxide, N-phenylbenzamide, and furan-amino-benzene presented strong hydrogen bonds with residues E27, W34, R38, D53, D153, or Q156 in the N terminal of ApoE4. These structures might also form strong hydrophobic interactions with residues W26, E27, L28, L30, G31, L149, and A152. While the 312 compounds can serve as drug candidates for further experiment assays, the four common structures, along with the residues for hydrogen bond or hydrophobic interaction, pave the foundation to further optimize the compounds as better binders of ApoE4.","PeriodicalId":73109,"journal":{"name":"Frontiers in systems biology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49187584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Single-cell technologies for multimodal omics measurements 用于多模式组学测量的单细胞技术
Frontiers in systems biology Pub Date : 2023-04-21 DOI: 10.3389/fsysb.2023.1155990
Dongsheng Bai, Chenxu Zhu
{"title":"Single-cell technologies for multimodal omics measurements","authors":"Dongsheng Bai, Chenxu Zhu","doi":"10.3389/fsysb.2023.1155990","DOIUrl":"https://doi.org/10.3389/fsysb.2023.1155990","url":null,"abstract":"The recent surge in single-cell genomics, including the development of a wide range of experimental and computational approaches, has provided insights into the complex molecular networks of cells during development and in human diseases at unprecedented resolution. Single-cell transcriptome analysis has enabled high-resolution investigation of cellular heterogeneity in a wide range of cell populations ranging from early embryos to complex tissues—while posing the risk of only capturing a partial picture of the cells’ complex molecular networks. Single-cell multiomics technologies aim to bridge this gap by providing a more holistic view of the cell by simultaneously measuring multiple molecular types from the same cell and providing a more complete view of the interactions and combined functions of multiple regulatory layers at cell-type resolution. In this review, we briefly summarized the recent advances in multimodal single-cell technologies and discussed the challenges and opportunities of the field.","PeriodicalId":73109,"journal":{"name":"Frontiers in systems biology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47942337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An approach to learn regulation to maximize growth and entropy production rates in metabolism 一种学习调节的方法,以最大限度地提高新陈代谢的生长和熵产率
Frontiers in systems biology Pub Date : 2023-04-05 DOI: 10.3389/fsysb.2023.981866
Ethan King, Jesse T. Holzer, J. North, W. Cannon
{"title":"An approach to learn regulation to maximize growth and entropy production rates in metabolism","authors":"Ethan King, Jesse T. Holzer, J. North, W. Cannon","doi":"10.3389/fsysb.2023.981866","DOIUrl":"https://doi.org/10.3389/fsysb.2023.981866","url":null,"abstract":"Elucidating cell regulation remains a challenging task due to the complexity of metabolism and the difficulty of experimental measurements. Here we present a method for prediction of cell regulation to maximize cell growth rate while maintaining the solvent capacity of the cell. Prediction is formulated as an optimization problem using a thermodynamic framework that can leverage experimental data. We develop a formulation and variable initialization procedure that allows for computing solutions of the optimization with an interior point method. The approach is applied to photoheterotrophic growth of Rhodospirilium rubrum using ethanol as a carbon source, which has applications to biosynthesis of ethylene production. Growth is captured as the rate of synthesis of amino acids into proteins, and synthesis of nucleotide triphoshaptes into RNA and DNA. The method predicts regulation that produces a high rate of protein and RNA synthesis while DNA synthesis is reduced close to zero in agreement with production of DNA being turned off for much of the cell cycle.","PeriodicalId":73109,"journal":{"name":"Frontiers in systems biology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42614125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: Education in systems biology 2022 社论:系统生物学教育2022
Frontiers in systems biology Pub Date : 2023-03-13 DOI: 10.3389/fsysb.2023.1176588
E. Saccenti
{"title":"Editorial: Education in systems biology 2022","authors":"E. Saccenti","doi":"10.3389/fsysb.2023.1176588","DOIUrl":"https://doi.org/10.3389/fsysb.2023.1176588","url":null,"abstract":"The launch of the Research Topic dedicated to Education in Systems Biology 2022 (https://www.frontiersin.org/research-topics/28852/education-in-systems-biology2022#overview) originated from the recognition by the Editorial Board of Frontiers in Systems Biology of the crucial role that education at the graduate and post-graduate level can play in fostering systems thinking through the use of mathematical reasoning and modeling. This Research Topic aimed to emphasize the importance of educating and training students from both biological and mathematical backgrounds in how to think in a systematic way to address modern biological and biomedical problems. We invited manuscripts that address questions such as effective methods for teaching math and computation applied to biological systems, available software tools for teaching systems biology research, best practices for teaching students with different backgrounds, core concepts of systems science and how these concepts can be taught, and fundamental mathematical tools required for systems reasoning. This Research Topic was also aimed at offering the possibility of publication and research credits for teaching efforts, which are an integral (and often very relevant) part of the activity of academic researchers but are often not acknowledged due to the lack of appropriate journals dedicated to education. The Research Topic “Education in Systems Biology 2022” published four articles: three were dedicated to teaching strategies and course development in systems biology, while the fourth addressed, from a didactical point, the fundamental problem of parameter estimation. The article “Research-driven education: An introductory course to systems and synthetic biology” by Smith et al., presents an approach to teaching systems and synthetic biology to undergraduate students based on the DBTL (Design-Build-Test-Learn) framework. It introduces a course designed to provide students with hands-on experience in conducting research in these fields as well as to introduce them to the latest tools and technologies used in these areas. The course presented is structured around a research project in which students work in teams to design and execute experiments, analyze data, and present their findings. The authors highlight the benefits of this approach, including the development of critical thinking skills, the promotion of scientific communication, and the enhancement of scientific literacy. The article provides an overview of the course structure, including the learning objectives, the research project covered, and the assessment methods used. The authors also discuss the challenges and opportunities associated with implementing this approach, OPEN ACCESS","PeriodicalId":73109,"journal":{"name":"Frontiers in systems biology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45964745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mapping out the gut microbiota-dependent trimethylamine N-oxide super pathway for systems biology applications 为系统生物学应用绘制肠道微生物群依赖性三甲胺氮氧化物超级途径
Frontiers in systems biology Pub Date : 2023-03-08 DOI: 10.3389/fsysb.2023.1074749
Isabel M. E. Valenbreder, S. Balăn, M. Breuer, M. Adriaens
{"title":"Mapping out the gut microbiota-dependent trimethylamine N-oxide super pathway for systems biology applications","authors":"Isabel M. E. Valenbreder, S. Balăn, M. Breuer, M. Adriaens","doi":"10.3389/fsysb.2023.1074749","DOIUrl":"https://doi.org/10.3389/fsysb.2023.1074749","url":null,"abstract":"The metabolic axis linking the gut microbiome and heart is increasingly being researched in the context of cardiovascular health. The gut microbiota-derived trimethylamine/trimethylamine N-oxide (TMA/TMAO) pathway is responsible along this axis for the bioconversion of dietary precursors into TMA/TMAO and has been implicated in the progression of heart failure and dysbiosis through a positive-feedback interaction. Systems biology approaches in the context of researching this interaction offer an additional dimension for deepening the understanding of metabolism along the gut-heart axis. For instance, genome-scale metabolic models allow to study the functional role of pathways of interest in the context of an entire cellular or even whole-body metabolic network. In this mini review, we provide an overview of the latest findings on the TMA/TMAO super pathway and summarize the current state of knowledge in a curated pathway map on the community platform WikiPathways. The pathway map can serve both as a starting point for continual curation by the community as well as a resource for systems biology modeling studies. This has many applications, including addressing remaining gaps in our understanding of the gut-heart axis. We discuss how the curated pathway can inform a further curation and implementation of the pathway in existing whole-body metabolic models, which will allow researchers to computationally simulate this pathway to further understand its role in cardiovascular metabolism.","PeriodicalId":73109,"journal":{"name":"Frontiers in systems biology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45467279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Network motifs and hypermotifs in TGFβ-induced epithelial to mesenchymal transition and metastasis tgf β诱导的上皮向间质过渡和转移中的网络基序和高基序
Frontiers in systems biology Pub Date : 2023-03-03 DOI: 10.3389/fsysb.2023.1099951
Gottumukkala Sai Bhavani, A. Palanisamy
{"title":"Network motifs and hypermotifs in TGFβ-induced epithelial to mesenchymal transition and metastasis","authors":"Gottumukkala Sai Bhavani, A. Palanisamy","doi":"10.3389/fsysb.2023.1099951","DOIUrl":"https://doi.org/10.3389/fsysb.2023.1099951","url":null,"abstract":"Epithelial to mesenchymal transition (EMT) is a complex, non-linear, dynamic multistep process that plays an integral role in the development of metastatic cancers. A diverse range of signaling molecules, along with their associated pathways, were observed to be involved in promoting EMT and cancer metastasis. Transforming growth factor–β (TGFβ), through its SMAD-dependent and SMAD-independent signaling, orchestrates numerous regulators that converge on key EMT transcription factors (TFs). These TFs further govern the phenotypic transition of cancer cells from epithelial to mesenchymal states. This study explores the TGFβ signaling pathway and its unique network architecture to understand their information processing roles in EMT. Two coherent type 1 feed forward network motifs regulating the expression of SNAIL and N-cadherin were observed. SNAIL, which is one of the crucial regulators of EMT, links both the coherent type 1 feed forward loops (C1FFLs) leading to hypermotif-like structure (Adler and Medzhitov, 2022). Systems modeling and analysis of these motifs and hypermotifs illustrated several interesting emergent information processing roles of the regulators involved. The known roles of these regulators, as described in the literature, were highly correlated with the emergent properties observed. The motifs illustrated persistence detection and noise filtration in regulating the expression of SNAIL and N-cadherin. Along with these system-level properties, the hypermotif architecture also exhibited temporal expression of GLI, SNAIL, ZEB, and N-cadherin. Furthermore, a hypothetical three-layered C1FFL hypermotif was postulated and analyzed. The analysis revealed various interesting system-level properties. However, possible existence of such real biological networks needs further exploration both theoretically and experimentally. Deciphering these network motifs and hypermotifs has provided an additional understanding of the complex biological phenomenon, such as EMT in cancer metastasis.","PeriodicalId":73109,"journal":{"name":"Frontiers in systems biology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41965113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in multimorbidity burden over a 3–5 year period among people with HIV HIV感染者3-5年多发病负担的变化
Frontiers in systems biology Pub Date : 2023-02-27 DOI: 10.3389/fsysb.2023.1136999
Luxsena Sukumaran, D. De Francesco, A. Winston, P. Mallon, N. Doyle, Jane Anderson, M. Boffito, I. Williams, F. Post, J. Vera, M. Sachikonye, Margaret A. Johnson, C. Sabin
{"title":"Changes in multimorbidity burden over a 3–5 year period among people with HIV","authors":"Luxsena Sukumaran, D. De Francesco, A. Winston, P. Mallon, N. Doyle, Jane Anderson, M. Boffito, I. Williams, F. Post, J. Vera, M. Sachikonye, Margaret A. Johnson, C. Sabin","doi":"10.3389/fsysb.2023.1136999","DOIUrl":"https://doi.org/10.3389/fsysb.2023.1136999","url":null,"abstract":"Introduction: As people living with HIV age, the increasing burden of multimorbidity poses a significant health challenge. The aims of this study were to identify common patterns of multimorbidity and examine changes in their burden, as well as their associations with risk factors, over a 3–5 year period in people with HIV, enrolled in the Pharmacokinetic and clinical Observations in PeoPle over fiftY (POPPY) study. Methods: Common multimorbidity patterns were identified in POPPY participants with HIV using principal component analysis, based on Somers’ D statistic. Multimorbidity burden scores were calculated for each participant/pattern at study entry/follow-up and were standardised relative to the mean in the sample at baseline (scores >0 thus reflect a greater number of comorbidities relative to the mean). Two multivariable linear regression models were fitted to examine the associations between risk factors and burden z-scores at baseline and change in z-scores over a 3–5 year period. Results: Five patterns were identified among the 1073 POPPY participants with HIV {median age [interquartile range (IQR)], 52 (47–59) years; 85% male and 84% white}: Cardiovascular diseases (CVDs), Sexually transmitted diseases (STDs), Neurometabolic, Cancer and Mental-gastro-joint. The multivariable linear regression showed that older age, behavioural factors (i.e., body mass index (BMI), history of injection drug use, current recreational drug use and sex between men), and HIV-specific factors (i.e., duration since HIV diagnosis and a prior AIDS diagnosis) were associated with higher multimorbidity burden at baseline. However, only three of the factors (age, BMI and duration since HIV diagnosis) were significantly associated with an increase in burden across specific patterns over time. Discussion: Key modifiable and non-modifiable factors contributing to an increase in burden of multimorbidity were identified. Our findings may inform the development of more targeted interventions and guidelines to effectively prevent and manage the rising burden of multimorbidity in people with HIV.","PeriodicalId":73109,"journal":{"name":"Frontiers in systems biology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45387682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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