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Systems medicine of metabolic syndrome and its comorbidities

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Seminar Wageningen Centre for Systems Biology (WCSB) Dec. 9, 2014 Natal van Riel Eindhoven University of Technology, the Netherlands Dept. of Biomedical Engineering, [email protected] Systems Biology and Metabolic Diseases @nvanriel
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Page 1: Systems medicine of metabolic syndrome and its comorbidities

Seminar Wageningen Centre for Systems Biology (WCSB)

Dec. 9, 2014

Natal van Riel

Eindhoven University of Technology, the Netherlands

Dept. of Biomedical Engineering,

[email protected]

Systems Biology and Metabolic Diseases

@nvanriel

Page 2: Systems medicine of metabolic syndrome and its comorbidities

Systems Biology of Disease Progression

2http://www.youtube.com/watch?v=x54ysJDS7i8

Page 3: Systems medicine of metabolic syndrome and its comorbidities

/ biomedical engineering PAGE 310-12-2014

Page 4: Systems medicine of metabolic syndrome and its comorbidities

/ biomedical engineering PAGE 410-12-2014

Liver X Receptor

Page 5: Systems medicine of metabolic syndrome and its comorbidities

Novel cholesterol lowering medication

• Liver X Receptor (LXR, nuclear receptor),

induce transcription of multiple genes

modulating metabolism of fatty acids,

triglycerides, and

lipoproteins

• LXR agonists stimulate cellular cholesterol

efflux from peripheral tissues (including

macrophages)

• LXR as target for anti-atherosclerotic

therapy?

/ biomedical engineering PAGE 510-12-2014

Page 6: Systems medicine of metabolic syndrome and its comorbidities

Preclinical study of pharmaceutical

intervention

• control, treated with T0901317 for 1, 2, 4, 7, 14, and 21 days

/ biomedical engineering PAGE 610-12-2014

0 10 200

100

200Hepatic TG

Time [days]

[um

ol/g]

0 10 200

1

2

3Hepatic CE

Time [days]

[um

ol/g]

0 10 200

2

4

6Hepatic FC

Time [days]

[um

ol/g]

0 10 200

50

100Hepatic TG

Time [days]

[um

ol]

0 10 200

0.5

1

1.5Hepatic CE

Time [days]

[um

ol]

0 10 200

2

4Hepatic FC

Time [days]

[um

ol]

0 10 200

1000

2000

3000Plasma CE

Time [days]

[um

ol/L]

0 10 200

1000

2000

3000HDL-CE

Time [days]

[um

ol/L]

0 10 200

500

1000

1500Plasma TG

Time [days]

[um

ol/L]

0 10 206

8

10

12VLDL clearance

Time [days]

[-]

0 10 20100

200

300

400ratio TG/CE

Time [days]

[-]

0 10 200

5

10

15VLDL diameter

Time [days]

[nm

]

0 10 200

1

2

3VLDL-TG production

Time [days]

[um

ol/h]

0 10 201

2

3Hepatic mass

Time [days]

[gra

m]

0 10 200

0.2

0.4DNL

Time [days]

[-]

Grefhorst et al. Atherosclerosis, 2012, 222: 382– 389

Liver section of mice

treated 4 days with LXR

agonist T0901317

Oil-Red-O staining for

neutral fat

hepatic steatosis

Page 7: Systems medicine of metabolic syndrome and its comorbidities

/ biomedical engineering PAGE 710-12-2014

WHY/ HOW?

BENEFIT WITHOUT

SIDE -EFFECT?

measuringmodelling

Page 8: Systems medicine of metabolic syndrome and its comorbidities

/ biomedical engineering PAGE 810-12-2014

Page 9: Systems medicine of metabolic syndrome and its comorbidities

/ biomedical engineering PAGE 910-12-2014

Page 10: Systems medicine of metabolic syndrome and its comorbidities

Physiology of lipid and lipoprotein metabolism

• Coarse-grained when possible,

detailed when necessary

/ biomedical engineering PAGE 1010-12-2014

Page 11: Systems medicine of metabolic syndrome and its comorbidities

Computational modeling

/ biomedical engineering PAGE 1110-12-2014

• 1.0 Tiemann et al, 2011 BMC Syst Biol

• 2.0 Tiemann et al, 2013 PLOS Comput Biol

• 3.0 Tiemann et al, 2015 PLOS ONE

Page 12: Systems medicine of metabolic syndrome and its comorbidities

Tiemann 2.0

/ biomedical engineering PAGE 1210-12-2014

1. Fluxes

-VLDL-TG production

-Hepatic HDL cholesterol uptake

-Hepatic cholesterol synthesis

-Biliary cholesterol excretion

-Biliary bile acid excretion

-Fecal cholesterol excretion

-Fecal bile acid excretion

-Transintestinal cholesterol excretion

-Beta-oxidation (available but not included yet)

-Hepatic FFA uptake (available but not included yet)

-VLDL catabolism/clearance from the plasma

2. Metabolite concentrations

-Hepatic FC

-Hepatic CE

-Hepatic TG

-Plasma FFA

-Plasma TG

-Plasma total cholesterol

-HDL cholesterol

-Hepatic fractional DNL (de novo triglycerides)

-Nascent VLDL particle diameter

Page 13: Systems medicine of metabolic syndrome and its comorbidities

Uncertainty

• Data uncertainty

• Parameter uncertainty

• Prediction uncertainty

/ biomedical engineering PAGE 1312/10/2014

Computational

modelParameter space

Solution / prediction

space

forward

Data space

inverse

Vanlier et al, Bioinformatics. 2012; 28(8):1130-5

Vanlier et al, Math Biosci. 2013; 246(2):305-14

Page 14: Systems medicine of metabolic syndrome and its comorbidities

‘Connecting’ the longitudinal data

in time, and with each other

/ biomedical engineering PAGE 1410-12-2014

• Data: mice, 3

weeks (black bars

and white dots)

differences in

data accuracy

• Model: (the darker

the more likely)

differences in

uncertainties

Page 15: Systems medicine of metabolic syndrome and its comorbidities

• Calculating unobserved quantities

• Does LXR agonist improve lipid/lipoprotein profile?

Flux Distribution Analysis

/ biomedical engineering PAGE 1512/10/2014

white lines enclose the central

67% of the densities

Page 16: Systems medicine of metabolic syndrome and its comorbidities

Analysis: HDL cholesterol

/ biomedical engineering PAGE 1610-12-2014

Analysis: increased excretion of cholesterol

Observation: increased concentration of HDL

(the good cholesterol)

Page 17: Systems medicine of metabolic syndrome and its comorbidities

• SR-B1

• Protein expression/ activity:

Experimental testing of model prediction

• HDL excretion and uptake flux

are increased

• Transcription:

/ biomedical engineering PAGE 1710-12-2014

Transcription of cholesterol efflux transporters

Tiemann et al., PLOS Comput Biol 2013

SR-B1 protein content is decreased in

hepatic membranes

Srb1 mRNA

expression not

changed

model: decreased

hepatic capacity to

clear cholesterol

Page 18: Systems medicine of metabolic syndrome and its comorbidities

Summary first part

• Metabolism and metabolic modeling as ‘foundation’

• Combining data and modelling

• Improved understanding

• Testable predictions

• Importance of fluxes (both data and model)

/ biomedical engineering PAGE 1810-12-2014

Page 19: Systems medicine of metabolic syndrome and its comorbidities

Translation

FP7-HEALTH Systems medicine: Applying systems biology

approaches for understanding multifactorial human diseases

and their co-morbidities

Preclinical testing of interventions in mouse models of age and age-related diseases

/ biomedical engineering PAGE 1910-12-2014

http://www.cost.eu/COST_Actions/bmbs/Actions/BM1402

AGE

Page 20: Systems medicine of metabolic syndrome and its comorbidities

/ biomedical engineering PAGE 2010-12-2014

Human Metabolic Phenotyping

Page 21: Systems medicine of metabolic syndrome and its comorbidities

Metabolic challenge test – Metabolic flexibility

• Cross-sectional (comparing phenotypes)

• Different time-scale

/ biomedical engineering PAGE 2110-12-2014

Krug et al, 2012 FASEB J. 26(6): 2607-19 Tiemann et al, 2011 BMC Syst. Biol.

Page 22: Systems medicine of metabolic syndrome and its comorbidities

• Metabolic challenge test

• Metabolic flexibility

Longitudinal - Treatment in time

/ biomedical engineering PAGE 2210-12-2014

Page 23: Systems medicine of metabolic syndrome and its comorbidities

The computational method: ADAPT

• ADAPT: Analysis of Dynamic Adaptations in Parameter Trajectories

/ biomedical engineering PAGE 2310-12-2014

? ? ?

Page 24: Systems medicine of metabolic syndrome and its comorbidities

/ biomedical engineering PAGE 2410-12-2014

ADAPT

Page 25: Systems medicine of metabolic syndrome and its comorbidities

• Dynamic system

• Maximum Likelihood Estimation

/ biomedical engineering PAGE 2510-12-2014

Van Riel et al. (2013) Interface Focus, 3(2): 20120084

Page 26: Systems medicine of metabolic syndrome and its comorbidities

Introducing time-dependent parameters

Dividing the simulation of the system in Nt steps of Dt time period

/ biomedical engineering PAGE 2610-12-2014

Page 27: Systems medicine of metabolic syndrome and its comorbidities

Modelling phenotype transition (1)

27

treatment

disease progression

longitudinal discrete data: different phenotypes

Page 28: Systems medicine of metabolic syndrome and its comorbidities

Parameter estimation (1)

28

steady state model

Page 29: Systems medicine of metabolic syndrome and its comorbidities

Parameter estimation (2)

29

steady state model

iteratively calibrate model to data: estimate parameters over time

minimize difference between data and model simulation

Page 30: Systems medicine of metabolic syndrome and its comorbidities

Parameter estimation (2)

30

steady state model

iteratively calibrate model to data: estimate parameters over time

Page 31: Systems medicine of metabolic syndrome and its comorbidities

Parameter estimation (2)

31

steady state model

iteratively calibrate model to data: estimate parameters over time

Page 32: Systems medicine of metabolic syndrome and its comorbidities

Modelling phenotype transition (3)

longitudinal discrete data: different phenotypes

estimate continuous data: ensemble of cubic smooth spline

incorporate uncertainty in data: multiple describing functions

/ biomedical engineering PAGE 3210-12-2014

Page 33: Systems medicine of metabolic syndrome and its comorbidities

Propagation of Uncertainty

• ADAPT accounts for uncertainty in the data

/ biomedical engineering PAGE 3310-12-2014

Gaussian distribution

Sampling replicates from error model

( , )d d NVanlier et al. Math Biosci. 2013 Mar 25

Vanlier et al. Bioinformatics. 2012, 28(8):1130-5

Page 34: Systems medicine of metabolic syndrome and its comorbidities

Propagation of Uncertainty

• ADAPT accounts for uncertainty in the model

/ biomedical engineering PAGE 3410-12-2014

Page 35: Systems medicine of metabolic syndrome and its comorbidities

Estimated parameter trajectories

/ biomedical engineering PAGE 3512/10/2014

physiologically

unrealistic

Page 36: Systems medicine of metabolic syndrome and its comorbidities

Regularization of parameter trajectories

• Identifying minimal adaptations that are necessary to describe

the change in phenotype

/ biomedical engineering PAGE 3610-12-2014

changing a parameter is costly

Page 37: Systems medicine of metabolic syndrome and its comorbidities

Regularization of parameter trajectories

• Determine adequate regularization strength

/ biomedical engineering PAGE 3710-12-2014

Page 38: Systems medicine of metabolic syndrome and its comorbidities

ADAPT – time-varying parameters

/ biomedical engineering PAGE 3810-12-2014

Page 39: Systems medicine of metabolic syndrome and its comorbidities

ADAPT

/ biomedical engineering PAGE 3910-12-2014

Page 40: Systems medicine of metabolic syndrome and its comorbidities

ADAPT toolbox

• Model simulation

• MEX files - CVode

• Parameter estimation

• ADAPT

• Parallel

/ biomedical engineering PAGE 4010-12-2014

Page 41: Systems medicine of metabolic syndrome and its comorbidities

Acknowledgements

• Peter Hilbers

• Christian Tiemann

• Joep Vanlier

• Yvonne Rozendaal

• Fianne Sips

• Bert Groen

• Jan Albert Kuivenhoven

• Maaike Oosterveer

• Brenda Hijmans

• Yared Paalvast

• Yanan Wang

• Partrick Rensen

• Ko Willems-van Dijk

/ biomedical engineering PAGE 4110-12-2014


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