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Published on: May 8, 2021
Clinical Applications of System Regulation Medicine
Massimo Fioranelli1, Alireza Sepehri1, Maria Grazia Roccia1
1Department of Nuclear Physics, Sub-nuclear and Radiation, G. Marconi University, Rome, Italy.
System Medicine offers a new approach to chronic diseases by viewing them as biological network dysregulations. This paradigm shift allows for early, network-focused interventions, potentially preventing disease progression and reducing ineffective drug use.
Area of Science:
- Systems Biology
- Translational Medicine
- Computational Biology
Background:
- Chronic non-communicable diseases (NCDs) have increasing incidence and poor outcomes in Western populations.
- Current guideline-based treatments are often based on low-quality evidence, with significant numbers of patients experiencing no benefit from common drugs.
- Reductionist, linear medicine fails to address preclinical disease stages and the complexity of biological networks.
Purpose of the Study:
- To propose System Medicine as a paradigm shift for treating NCDs.
- To highlight the potential of targeting biological network dysregulations in the preclinical phase of disease.
- To advocate for a network-centric approach to reduce polypharmacy and improve treatment efficacy.
Main Methods:
- Conceptual framework development based on System Medicine principles.
- Analysis of current limitations in evidence-based medicine and drug efficacy.
- Exploration of biological network dynamics in disease pathogenesis and comorbidity development.
Main Results:
- System Medicine conceptualizes diseases as dynamic dysregulations within biological networks.
- Intervening in preclinical, dysregulated networks offers opportunities for disease prevention and reversal.
- Targeting shared biological networks, rather than individual symptoms, can decrease drug utilization and improve outcomes.
Conclusions:
- System Medicine provides a framework to address the limitations of current NCD treatment strategies.
- Early intervention in preclinical disease by targeting network dysregulations is a promising approach.
- A shift towards network-based treatments can enhance therapeutic effectiveness and reduce reliance on ineffective medications.
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