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Journal of Clinical Monitoring and Computing

, Volume 27, Issue 4, pp 405–415 | Cite as

Translational applications of evaluating physiologic variability in human endotoxemia

  • Jeremy D. Scheff
  • Panteleimon D. Mavroudis
  • Steve E. Calvano
  • Ioannis P. Androulakis
Review

Abstract

Dysregulation of the inflammatory response is a critical component of many clinically challenging disorders such as sepsis. Inflammation is a biological process designed to lead to healing and recovery, ultimately restoring homeostasis; however, the failure to fully achieve those beneficial results can leave a patient in a dangerous persistent inflammatory state. One of the primary challenges in developing novel therapies in this area is that inflammation is comprised of a complex network of interacting pathways. Here, we discuss our approaches towards addressing this problem through computational systems biology, with a particular focus on how the presence of biological rhythms and the disruption of these rhythms in inflammation may be applied in a translational context. By leveraging the information content embedded in physiologic variability, ranging in scale from oscillations in autonomic activity driving short-term heart rate variability to circadian rhythms in immunomodulatory hormones, there is significant potential to gain insight into the underlying physiology.

Keywords

Systemic inflammation Heart rate variability Cortisol Circadian rhythms Decomplexification 

Notes

Acknowledgments

PDM and IPA acknowledge support from NIH GM082974. PDM, JDS, and SEC are supported, in part, from NIH GM34695.

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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Jeremy D. Scheff
    • 1
  • Panteleimon D. Mavroudis
    • 2
  • Steve E. Calvano
    • 3
  • Ioannis P. Androulakis
    • 1
    • 2
    • 3
  1. 1.Department of Biomedical EngineeringRutgers UniversityPiscatawayUSA
  2. 2.Department of Chemical and Biochemical EngineeringRutgers UniversityPiscatawayUSA
  3. 3.Department of SurgeryUMDNJ-Robert Wood Johnson Medical SchoolNew BrunswickUSA

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