Abstract

SummaryA biological system is more than the sum of its parts – it accomplishes many functions via synergy. Deconstructing the system down to the molecular mechanism level necessitates the complement of reconstructing functions on all levels, i.e., in our conceptualization of biology and its perturbations, our experimental models and computer modelling. Toxicology contains the somewhat arbitrary subclass “systemic toxicities”; however, there is no relevant toxic insult or general disease that is not systemic. At least inflammation and repair are involved that require coordinated signaling mechanisms across the organism. However, the more body components involved, the greater the challenge to recapitulate such toxicities using non-animal models. Here, the shortcomings of current systemic testing and the development of alternative approaches are summarized.We argue that we need a systematic approach to integrating existing knowledge as exemplified by systematic reviews and other evidence-based approaches. Such knowledge can guide us in modelling these systems using bioengineering and virtual computer models, i.e., via systems biology or systems toxicology approaches. Experimental multi-organon-chip and microphysiological systems (MPS) provide a more physiological view of the organism, facilitating more comprehensive coverage of systemic toxicities, i.e., the perturbation on organism level, without using substitute organisms (animals). The next challenge is to establish disease models, i.e., micropathophysiological systems (MPPS), to expand their utility to encompass biomedicine. Combining computational and experimental systems approaches and the challenges of validating them are discussed. The suggested 3S approach promises to leverage 21st century technology and systematic thinking to achieve a paradigm change in studying systemic effects.

Highlights

  • Systematic, systemic, and systems sound very much alike, but they represent three different approaches in the life sciences.We will argue here that synergy between them is necessary to achieve meaningful understanding in biomedicine

  • This paper suggests that the traditional 3Rs approach, which has served us well to replace a substantial part of acute and topical toxicities, might need approaches along the 3S for systemic toxicity testing replacement

  • We focus on two main points, one concerning opportunities for application in biology and other non-toxicology biomedical sciences, and the other framing the utility of systematic review in the context of systemic toxicities and systems toxicology

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Summary

Introduction

Systematic, systemic, and systems sound very much alike, but they represent three different approaches in the life sciences. Systemic views are primarily organism-level views on problems (the big-picture view), the opposite of studying smaller and smaller elements of the machinery. It is thinking in terms of functionalities. Systems approaches require sufficient biological and physiological detail about the relevant molecular pathways, associated cellular behaviors, and complex tissue-level interactions, as well as computational models that adequately represent biological complexity while offsetting mathematical complexity. This paper suggests that the traditional 3Rs approach, which has served us well to replace a substantial part of acute and topical toxicities, might need approaches along the 3S for systemic toxicity testing replacement It suggests that systematic organization of existing knowledge be combined with experimental and computational systems approaches to model the complexity of (patho-)physiology

Systematic biology and toxicology
Systemic biology and toxicology
Findings
Conclusions
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