Evidence map›Paper›PMID 35595830›Full record

ReviewNPJ digital medicine2022

Building digital twins of the human immune system: toward a roadmap.

R Laubenbacher, A Niarakis, T Helikar, G An, B Shapiro, R S Malik-Sheriff, T J Sego, A Knapp, P Macklin, J A Glazier

Abstract readReview
In one paragraph

Review in NPJ digital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Digital Twins and Health Care: an Umbrella Review.Journal of medical systems · 2025
    Pooled it
  2. Review
  3. Causal graph neural networks for healthcare.Nature biomedical engineering · 2026
    Review
  4. Article
  5. Review
  6. Translational barriers to digital twins in radiation oncology.Physics and imaging in radiation oncology · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. The Potential of Digital Twins for Pediatric Rare Diseases.CPT: pharmacometrics & systems pharmacology · 2026
    Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

R LaubenbacherDepartment of Medicine, University of Florida, Gainesville, FL, USA. reinhard.laubenbacher@medicine.ufl.edu.ORCID http://orcid.org/0000-0002-9143-9451
A NiarakisUniversité Paris-Saclay, Laboratoire Européen de Recherche pour la Polyarthrite rhumatoïde - Genhotel, Univ Evry, Evry, France.ORCID http://orcid.org/0000-0002-9687-7426
T HelikarDepartment of Biochemistry, University of Nebraska-Lincoln, Lincoln, NE, USA.
G AnDepartment of Surgery, Larner College of Medicine, University of Vermont, Burlington, VT, USA.ORCID http://orcid.org/0000-0003-4549-9004
B ShapiroDepartment of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0003-3130-4659
R S Malik-SheriffEuropean Bioinformatics Institute, European Molecular Biology Laboratory (EMBL-EBI), Hinxton, Cambridge, UK.ORCID http://orcid.org/0000-0003-0705-9809
T J SegoBiocomplexity Institute and Department of Intelligent Systems Engineering, Indiana University, Bloomington, IN, USA.
A KnappDepartment of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-5719-6003
P MacklinBiocomplexity Institute and Department of Intelligent Systems Engineering, Indiana University, Bloomington, IN, USA.
J A GlazierBiocomplexity Institute and Department of Intelligent Systems Engineering, Indiana University, Bloomington, IN, USA.ORCID http://orcid.org/0000-0003-3634-190X

Funding

Multiscale modeling of the role of heme during invasive pulmonary aspergillosisR01AI135128 · NIAID · UNIVERSITY OF FLORIDA · PI REINHARD LAUBENBACHER, Borna Mehrad · 2018 to 2026
$4.9M
Software for collaborative construction, simulation, and analysis of mechanistic computational models of biological systemsR35GM119770 · NIGMS · UNIVERSITY OF NEBRASKA LINCOLN · PI Tomas Helikar · 2016 to 2026
$4.4M
Modular design of multiscale models, with an application to the innate immune response to fungal respiratory pathogens.U01EB024501 · NIBIB · UNIVERSITY OF FLORIDA · PI LAUBENBACHER, REINHARD, MEHRAD, BORNA · 2017 to 2020
$2.9M
Agent-based Models to address the Crisis of Reproducibility and Precision MedicineU01EB025825 · NIBIB · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI AN, GARY, FAISSOL, DANIEL M · 2018 to 2021
$2.3M
Control of heterogeneous microbial communities using model-based multi-objective optimizationR01GM127909 · NIGMS · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI DONGARI-BAGTZOGLOU, ANNA I, LAUBENBACHER, REINHARD · 2018 to 2021
$1.8M
Competitive Renewal of Development, Improvement and Extension of the Tissue Simulation Environment - CompuCell3DR01GM122424 · NIGMS · TRUSTEES OF INDIANA UNIVERSITY · PI GLAZIER, JAMES ALEXANDER · 2017 to 2020
$1.7M
Dissemination of libRoadRunner and CompuCell3DU24EB028887 · NIBIB · UNIVERSITY OF WASHINGTON · PI GLAZIER, JAMES ALEXANDER, SAURO, HERBERT M. · 2019 to 2023
$1.5M
NIAID NIH HHS R01 AI135128NIBIB NIH HHS U01 EB024501NIBIB NIH HHS U01 EB025825NIBIB NIH HHS U24 EB028887NIGMS NIH HHS R01 GM122424NIGMS NIH HHS R01 GM127909NIGMS NIH HHS R35 GM119770NSF | Directorate for Computer and Information Science and Engineering (Directorate for Computer & Information Science & Engineering) CBET-1750183NSF | Directorate for Engineering (ENG/OAD) 1720625United States Department of Defense | Defense Advanced Research Projects Agency (DARPA) HR00111950027U.S. Department of Health & Human Services | NIH | National Institute of Allergy and Infectious Diseases (NIAID) 1R01AI135128-01U.S. Department of Health & Human Services | NIH | National Institute of Biomedical Imaging and Bioengineering (NIBIB) 1U01EB024501-01U.S. Department of Health & Human Services | NIH | National Institute of Biomedical Imaging and Bioengineering (NIBIB) UO1EB025825U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) 1R01GM127909-01U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) 2R35GM119770-06
6 · The paper itself

Abstract

Digital twins, customized simulation models pioneered in industry, are beginning to be deployed in medicine and healthcare, with some major successes, for instance in cardiovascular diagnostics and in insulin pump control. Personalized computational models are also assisting in applications ranging from drug development to treatment optimization. More advanced medical digital twins will be essential to making precision medicine a reality. Because the immune system plays an important role in such a wide range of diseases and health conditions, from fighting pathogens to autoimmune disorders, digital twins of the immune system will have an especially high impact. However, their development presents major challenges, stemming from the inherent complexity of the immune system and the difficulty of measuring many aspects of a patient's immune state in vivo. This perspective outlines a roadmap for meeting these challenges and building a prototype of an immune digital twin. It is structured as a four-stage process that proceeds from a specification of a concrete use case to model constructions, personalization, and continued improvement.

Identifiers

PMID35595830
PMCPMC9122990

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.