UNIVERSITY OF MALTA LIFE SCIENCE RESEARCH SEMINARS Web: http://www.um.edu.mt/events/scisem/ Email: scisem@um.edu.mt Abstract form Title: Systems pharmacology: bridging bottom-up and top-down paradigms Presenter: Dr Masoud Jamei Contact address: The Blades Enterprise Centre, John Street, Sheffield, S2 4SU Tel: +44-(0)114 292 2327 Fax: +44-(0)114 292 2333 Email: m.jamei@simcyp.com Presentation date: 25 May 2011 Abstract Systems pharmacology can be defined as the quantitative analysis of the dynamic interactions between several components of a biological system with the goal of understanding the behaviour of the system as a whole, as opposed to the behaviour of its separate components. In this context, three elements, namely characteristics of the system (i.e. the attributes of the human body for each subject), the characteristics of the drug and the conditions of the clinical study, which define the outcome of clinical studies and covariates affecting the observations, are all integrated together (Jamei et al. 2009). The system or populations datasets are generally independent of any specific drug or trial design but contain all the elements for the compound and trial design datasets to interact with. These include, but are not restricted to: data on enzymes/transporters and their abundances, including genotypes, rates of synthesis and degradation, intestinal and stomach motility, intestinal surface area and fluid dynamics, circulating levels of plasma proteins and red blood cells, organ size composition and organ blood flow. Systems pharmacology involves integrating building blocks of the system, in vitro- in vivo extrapolation algorithms, and the relevant covariates; therefore it is a “bottomup” approach. However, the traditional “top-down” paradigm deals with clinical data analysis where model building and covariates recognition starts from observed data which are usually spars. The presentation focuses on the contrasts between these two methods and highlights how the strengths of the two techniques can be combined. This bridging helps with rationalising covariate model building and the design of studies. Reference Jamei M, Dickinson GL and Rostami-Hodjegan A (2009) A Framework for Assessing Interindividual Variability in Pharmacokinetics Using Virtual Human Populations and Integrating General Knowledge of Physical Chemistry, Biology, Anatomy, Physiology and Genetics: A Tale of 'Bottom-Up' vs 'TopDown' Recognition of Covariates. Drug Metab Pharmacokinet 24:53-75.