Advancing precision medicine

Molecular Systems Physiology Group
Projects
The Virtual Metabolic Human
The world of biomedical knowledge at your fingertips...

Further Reading:
Metabolism plays a pivotal role in many human diseases and is modulated by intrinsic and extrinsic factors.
The Virtual Metabolic Human database (VMH) explicitly connects human metabolism with genetics, human-associated microbial metabolism, nutrition, and diseases. At its core, there are genome-scale reconstructions of human and gut microbial metabolism, which have been assembled based on manually curated genomic, biochemical, and phenotypic information. These metabolic reconstructions are amenable for computational modeling and can be downloaded from the VMH. All VMH entities are i) accompanied with comprehensive data on their biochemical properties, ii) interconnected through a common nomenclature, allowing for complex search queries across its diverse information, and iii) connected to over 50 external databases. Importantly, the VMH also host human metabolic maps, allowing for query and overlay of experimental and computational data, as well as a genotype-to-phenotype map for Leigh disease.
We are continuously expanding the database content and its links to biomedical and clinical information. The VMH targets researchers from all life science domains, including metabolomics, microbiome, and systems biomedicine.
Predicting the effects of gut microbiota and diet on an individual’s drug response and safety
Precision medicine is an emerging paradigm that aims at maximizing the benefits and minimizing the harm of drugs. Realistic mechanistic models are needed to understand and limit heterogeneity in drug responses. Consequently, novel approaches are required that explicitly account for individual variations in response to environmental influences, in addition to genetic variation. The human gut microbiota metabolizes drugs and is modulated by diet, and it exhibits significant variation among individuals. However, the influence of the gut microbiota on drug failure or drug side effects is under-researched. In this project, we will combine whole-body, genome-scale molecular resolution modeling of human metabolism and human gut microbial metabolism, which represents a network of genes, proteins, and biochemical reactions, with physiological, clinically relevant modeling of drug responses. We will perform two pilot studies on human subjects to illustrate that this innovative, versatile computational modeling framework can be used to stratify patients prior to drug prescription and to optimize drug bioavailability through personalized dietary intervention. With these studies, BugTheDrug will advance mechanistic understanding of drug-microbiota-diet interactions and their contribution to individual drug responses. We will perform the first integration of cutting-edge approaches and novel insights from four distinct research areas: systems biology, quantitative systems pharmacology, microbiology, and nutrition. BugTheDrug conceptually and technologically addresses the demand for novel approaches to the study of individual variability, thereby providing breakthrough support for progress in precision medicine.

Further Reading:
Bug the drug
Parkinson's Disease
Identification of biomarker signatures from metagenomic and metabolomic data
Increasing evidence suggests a role of human gut microbes in the development and progression of Parkinson's Disease (PD). However, how the underlying mechanisms remain to be understood. To this end, we use our comprehensive metabolic models of human gut microbes to identify potential links between the microbial and host metabolism. In particular, we are collaborating with numerous PD experts in Europe to analyse plasma metabolomic and metagenomic data from well-defined Parkinson’s disease patients and healthy controls. We are using advanced statistics together with our computational, metabolic models of human gut microbes and the human host to identify candidate biomarker signature for disease diagnosis and patient stratification. Ultimately, using the host-microbiome models we aim at identifying personalised nutritional therapeutic approaches.
Further Reading:

Host-Microbiome Co-Metabolism
What are the functional consequences of changes in the human gut microbiota in health and disease?
Using the COBRA approach, we have generated the first physiologically resolved whole-body, gender-specific metabolic models (WBMs) based on extensive organ-specific proteomic and metabolomic data, as well as through literature curation. The WBMs capture the metabolism of 26 anatomically interconnected organs, the gastrointestinal lumen, the systemic blood circulation, and the blood-brain barrier, represented by >80,000 reactions, >50,000 metabolites, and >1,700 gene products. We have demonstrated that the WBMs could accurately predict known blood biomarker metabolites for 57 inherited metabolic diseases. We have also generated >800 genome-scale gut microbial metabolic models containing 205 genera and 605 species based on literature-derived experimental data. The microbial models have been combined into a generic microbial community model and integrated with the WBMs. These generic microWBMs can be personalised based on, e.g., metagenomic, genetic, physiological, and dietary data. In average, 90% of the reads can be mapped onto the captured microbial genomes.
We use personalised microWBMs to systematically investigate host-microbiome co-metabolism, with particular emphasis along the diet-gut-brain axis.

Further Reading:
MicroMaps
This student-driven project aims at visualising microbial metabolism on a large-scale.
MicroMaps is the VMH flagship undergraduate research experience with the mission to craft a valuable learning experience for each other. In a digital-first approach, programme participants are immersed in a systematic team environment to tackle current challenges in digital health, foster a diverse social network, and develop new skills for their future careers.
