Estelle Pujos-Guillot, Paolo Tieri, José Basílio, Harald H.H.W. Schmidt, Martin Kuiper, Johannes A. Schmid, Åsmund Flobak, Feng He, Christian Franken, Jeanesse Scerri, Juan Albino Méndez Pérez, Steven Watterson, Tadeja Režen, Damjana Rozman, Kristel Van Steen, Blandine Comte, Nissim Harel, Nataša Debeljak, Sona Vasudevan, Jan Baumbach, Arriel Benis, Unité de Nutrition Humaine (UNH), Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Technische Universität Munchen - Université Technique de Munich [Munich, Allemagne] (TUM), Holon Institut of Technology (HIT), Medizinische Universität Wien = Medical University of Vienna, University of Ljubljana, Norwegian University of Science and Technology (NTNU), St. Olavs Hospital HF (St. Olav's University Hospital), Digital Health Systems, Luxembourg Institute of Health (LIH), University Hospital Essen, Universidad de La Laguna [Tenerife - SP] (ULL), University of Malta [Malta], IAC Institute for Applied Computing, GIGA [Université Liège], Université de Liège, Georgetown University Medical Center, University of Ulster, Maastricht University [Maastricht], and Technical University of Munich (TUM)
Introduction: Network and systems medicine has rapidly evolved over the past decade, thanks to computational and integrative tools, which stem in part from systems biology. However, major challenges and hurdles are still present regarding validation and translation into clinical application and decision making for precision medicine. Methods: In this context, the Collaboration on Science and Technology Action on Open Multiscale Systems Medicine (OpenMultiMed) reviewed the available advanced technologies for multidimensional data generation and integration in an open-science approach as well as key clinical applications of network and systems medicine and the main issues and opportunities for the future. Results: The development of multi-omic approaches as well as new digital tools provides a unique opportunity to explore complex biological systems and networks at different scales. Moreover, the application of findable, applicable, interoperable, and reusable principles and the adoption of standards increases data availability and sharing for multiscale integration and interpretation. These innovations have led to the first clinical applications of network and systems medicine, particularly in the field of personalized therapy and drug dosing. Enlarging network and systems medicine application would now imply to increase patient engagement and health care providers as well as to educate the novel generations of medical doctors and biomedical researchers to shift the current organ- and symptom-based medical concepts toward network- and systems-based ones for more precise diagnoses, interventions, and ideally prevention. Conclusion: In this dynamic setting, the health care system will also have to evolve, if not revolutionize, in terms of organization and management. ª Blandine Comte et al. 2020; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.