Lessons from Toxicology: Developing a 21st-Century Paradigm for Medical Research.

Abstract:

:Biomedical developments in the 21st century provide an unprecedented opportunity to gain a dynamic systems-level and human-specific understanding of the causes and pathophysiologies of disease. This understanding is a vital need, in view of continuing failures in health research, drug discovery, and clinical translation. The full potential of advanced approaches may not be achieved within a 20th-century conceptual framework dominated by animal models. Novel technologies are being integrated into environmental health research and are also applicable to disease research, but these advances need a new medical research and drug discovery paradigm to gain maximal benefits. We suggest a new conceptual framework that repurposes the 21st-century transition underway in toxicology. Human disease should be conceived as resulting from integrated extrinsic and intrinsic causes, with research focused on modern human-specific models to understand disease pathways at multiple biological levels that are analogous to adverse outcome pathways in toxicology. Systems biology tools should be used to integrate and interpret data about disease causation and pathophysiology. Such an approach promises progress in overcoming the current roadblocks to understanding human disease and successful drug discovery and translation. A discourse should begin now to identify and consider the many challenges and questions that need to be solved.

authors

Langley G,Austin CP,Balapure AK,Birnbaum LS,Bucher JR,Fentem J,Fitzpatrick SC,Fowle JR 3rd,Kavlock RJ,Kitano H,Lidbury BA,Muotri AR,Peng SQ,Sakharov D,Seidle T,Trez T,Tonevitsky A,van de Stolpe A,Whelan M,Willett C

doi

10.1289/ehp.1510345

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

A268-72

issue

11

eissn

0091-6765

issn

1552-9924

journal_volume

123

pub_type

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