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Digital twin frameworks for Hepatitis C: Toward predictive and personalised management
Ruqaiyyah Siddiqui1, Naveed Ahmed Khan2
1Institute of Biological Chemistry, Biophysics and Bioengineering, Heriot-Watt University Edinburgh, EH14 4AS, UK; Microbiota Research Center, Istinye University, Istanbul, 34010, Turkey.
Insights
Digital twins, adaptive computational models, offer a new approach to managing Hepatitis C (HCV) care. These models can personalize treatment and improve public health strategies for HCV elimination.
Area of Science:
- Hepatology and Viral Hepatitis
- Computational Biology and Bioinformatics
- Public Health and Epidemiology
Background:
- Hepatitis C (HCV) remains a significant global health issue, affecting over 50 million people, with persistent transmission and serious long-term complications.
- Disease progression, treatment outcomes, and transmission dynamics in HCV are complex and influenced by numerous host, viral, and environmental factors.
- Current management strategies face challenges in addressing the heterogeneity and dynamism of HCV infection and its complications.
Purpose of the Study:
- To introduce the concept of digital twins as a transformative approach for predictive and personalized Hepatitis C care.
- To outline a conceptual framework for developing digital twins tailored to Hepatitis C.
- To explore the potential clinical and public health applications of digital twins in combating HCV.
Main Methods:
- The study proposes the integration of diverse data streams including virological, immunological, biochemical, behavioral, and environmental factors.
- A conceptual framework for constructing adaptive computational models (digital twins) that continuously mirror an individual's biological and clinical state is presented.
- The methodology emphasizes leveraging these integrated data within digital twin models for predictive analytics.
Main Results:
- Digital twins have the potential to enable real-time forecasting of Hepatitis C disease progression.
- These models can optimize antiviral therapy, facilitate early detection of treatment failure or reinfection.
- Digital twins can support precision targeting of public health interventions for HCV elimination.
Conclusions:
- Digital twins represent a promising paradigm shift for personalized Hepatitis C management and care.
- Successful implementation requires addressing significant ethical, technical, and translational challenges.
- The development and application of digital twins are crucial for advancing global strategies towards Hepatitis C elimination.
Abstract:
Despite the availability of antivirals, Hepatitis C remains a major global public health challenge, with over 50 million people living with chronic infection and many remaining undiagnosed or untreated. Transmission persists in marginalised populations, reinfection occurs in high-risk groups, and long-term complications including cirrhosis and hepatocellular carcinoma continue to drive morbidity and mortality. Disease progression, treatment response, and transmission risk are highly heterogeneous and dynamic, shaped by host genetics, immune status, viral kinetics, comorbidities, behavioural exposures, and health-system access. Digital twins, defined as adaptive computational models that continuously mirror an individual's biological and clinical state, offers a transformative approach for predictive and personalised Hepatitis C care. By integrating virological, immunological, biochemical, behavioural, and environmental data, digital twins could enable real-time forecasting of disease progression, optimisation of antiviral therapy, early detection of treatment failure or reinfection, and precision targeting of public-health interventions. This article outlines a conceptual framework for constructing digital twins for Hepatitis C, discusses clinical and population-level applications, and examines the ethical, technical, and translational challenges that must be addressed to support global elimination strategies.
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