大数据:医疗保健转化和产业研究的挑战与机遇

R. Rossi, R. Grifantini
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引用次数: 7

摘要

研究和创新一直是医疗保健行业的必需品:医学、生物学和生物技术支持它,最近计算和数据驱动的学科获得了相关性,以处理该行业正在产生和将产生的大量数据。为了在转化和医疗保健行业研究中有效,生命科学领域的大数据需要被组织、注释、编目、关联和集成:手头的数据孤岛越大,对组织和整洁的需求就越强。这种组织的程度标志着战略决策从数据到知识的转变。因此,在工业研究中使用大数据面临的挑战是,是否有可能拥有有效和连贯的数据注释,旨在整合异构领域,如不同的组学和非组学(传统)数据源。因此,通常由机器学习方法驱动的全面方法可以实现对大数据的公认管理,从而引发工业研究的变革,加速从发现到产品交付的过程。例如,疫苗或药物开发的工业研发过程的主要支柱包括初步发现、早期和晚期临床前、工业化前、临床阶段和最后的注册——商业化。从一个步骤过渡到另一个步骤是由严格的通过/不通过标准规定的。研发过程的瓶颈通常以动物和人类研究为代表,这些研究可以通过替代的体外试验以及预测性的分子和细胞特征和模型来合理化。大数据在医疗保健产业研究中的作用就是通过提供可操作的信息和新知识来解决这些瓶颈,从而以具有成本效益的方式加快开发进程。将讨论有效利用电子健康记录、利用网络分析方法重新利用药物以及开发针对人类病理的疫苗等方面的案例研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Big Data: Challenge and Opportunity for Translational and Industrial Research in Healthcare
Research and innovation are constant imperatives for the healthcare sector: medicine, biology and biotechnology support it, and more recently computational and data-driven disciplines gained relevance to handle the massive amount of data this sector is and will be generating. To be effective in translational and healthcare industrial research, big data in the life science domain need to be organized, well annotated, catalogued, correlated and integrated: the biggest the data silos at hand, the stronger the need for organization and tidiness. The degree of such organization marks the transition from data to knowledge for strategic decision making. Thus the challenge for the use of big data in industrial research is the possibility to have effective and coherent data annotation, aimed at integration of heterogeneous domains such as different OMICs and non-OMICs (traditional) data sources. Holistic approaches enabling an acknowledged management of big data, often driven by machine learning methods, can thus trigger a change of industrial research accelerating the process from discovery to product delivery. For instance, the main pillars of industrial R&D processes for vaccines or drug development, include initial discovery, early - late pre clinics, pre-industrialization, clinical phases and finally registration - commercialization. The passage from one step to another is regulated by stringent pass/fail criteria. Bottlenecks of the R&D process are often represented by animal and human studies, which could be rationalized by surrogate in vitro assays as well as by predictive molecular and cellular signatures and models. The impact of big data in healthcare industrial research is to address such bottlenecks by providing actionable information and new knowledge so as to accelerate the development process in a cost effective way. Case studies will be discussed for the effective use of electronic health records, the leverage of network analysis methods for drug repurposing and the development of vaccines towards human pathologies.
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