Using nonlinear model predictive control to find optimal therapeutic strategies to modulate inflammation

Modulation of the inflammatory response has become a key focal point in the treatment of critically ill patients. Much of the computational work in this emerging field has been carried out with the goal of unraveling the primary drivers, interconnections, and dynamics of systemic inflammation. To tr...

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Main Authors: Judy Day, Jonathan Rubin, Gilles Clermont
Format: Article
Language:English
Published: AIMS Press 2010-09-01
Series:Mathematical Biosciences and Engineering
Subjects:
Online Access:https://www.aimspress.com/article/doi/10.3934/mbe.2010.7.739
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author Judy Day
Jonathan Rubin
Gilles Clermont
author_facet Judy Day
Jonathan Rubin
Gilles Clermont
author_sort Judy Day
collection DOAJ
description Modulation of the inflammatory response has become a key focal point in the treatment of critically ill patients. Much of the computational work in this emerging field has been carried out with the goal of unraveling the primary drivers, interconnections, and dynamics of systemic inflammation. To translate these theoretical efforts into clinical approaches, the proper biological targets and specific manipulations must be identified. In this work, we pursue this goal by implementing a nonlinear model predictive control (NMPC) algorithm in the context of a reduced computational model of the acute inflammatory response to severe infection. In our simulations, NMPC successfully identifies patient-specific therapeutic strategies, based on simulated observations of clinically accessible inflammatory mediators, which outperform standardized therapies, even when the latter are derived using a general optimization routine. These results imply that a combination of computational modeling and NMPC may be of practical use in suggesting novel immuno-modulatory strategies for the treatment of intensive care patients.
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spelling doaj-art-95796f6fc29d403ebf415770f39d2dd22025-01-24T02:00:58ZengAIMS PressMathematical Biosciences and Engineering1551-00182010-09-017473976310.3934/mbe.2010.7.739Using nonlinear model predictive control to find optimal therapeutic strategies to modulate inflammationJudy Day0Jonathan Rubin1Gilles Clermont2Mathematical Biosciences Institute, The Ohio State University, 1735 Neil Ave, 377 Jennings Hall, Columbus, OH 43210Mathematical Biosciences Institute, The Ohio State University, 1735 Neil Ave, 377 Jennings Hall, Columbus, OH 43210Mathematical Biosciences Institute, The Ohio State University, 1735 Neil Ave, 377 Jennings Hall, Columbus, OH 43210Modulation of the inflammatory response has become a key focal point in the treatment of critically ill patients. Much of the computational work in this emerging field has been carried out with the goal of unraveling the primary drivers, interconnections, and dynamics of systemic inflammation. To translate these theoretical efforts into clinical approaches, the proper biological targets and specific manipulations must be identified. In this work, we pursue this goal by implementing a nonlinear model predictive control (NMPC) algorithm in the context of a reduced computational model of the acute inflammatory response to severe infection. In our simulations, NMPC successfully identifies patient-specific therapeutic strategies, based on simulated observations of clinically accessible inflammatory mediators, which outperform standardized therapies, even when the latter are derived using a general optimization routine. These results imply that a combination of computational modeling and NMPC may be of practical use in suggesting novel immuno-modulatory strategies for the treatment of intensive care patients.https://www.aimspress.com/article/doi/10.3934/mbe.2010.7.739dosing control.inflammationimmuno-modulationnonlinear model predictive control
spellingShingle Judy Day
Jonathan Rubin
Gilles Clermont
Using nonlinear model predictive control to find optimal therapeutic strategies to modulate inflammation
Mathematical Biosciences and Engineering
dosing control.
inflammation
immuno-modulation
nonlinear model predictive control
title Using nonlinear model predictive control to find optimal therapeutic strategies to modulate inflammation
title_full Using nonlinear model predictive control to find optimal therapeutic strategies to modulate inflammation
title_fullStr Using nonlinear model predictive control to find optimal therapeutic strategies to modulate inflammation
title_full_unstemmed Using nonlinear model predictive control to find optimal therapeutic strategies to modulate inflammation
title_short Using nonlinear model predictive control to find optimal therapeutic strategies to modulate inflammation
title_sort using nonlinear model predictive control to find optimal therapeutic strategies to modulate inflammation
topic dosing control.
inflammation
immuno-modulation
nonlinear model predictive control
url https://www.aimspress.com/article/doi/10.3934/mbe.2010.7.739
work_keys_str_mv AT judyday usingnonlinearmodelpredictivecontroltofindoptimaltherapeuticstrategiestomodulateinflammation
AT jonathanrubin usingnonlinearmodelpredictivecontroltofindoptimaltherapeuticstrategiestomodulateinflammation
AT gillesclermont usingnonlinearmodelpredictivecontroltofindoptimaltherapeuticstrategiestomodulateinflammation