VERA: agent-based modeling transmission of antibiotic resistance between human pathogens and gut microbiota

A survey on agents applications in healthcare: Opportunities, challenges and trends

BACKGROUND AND OBJECTIVE

The agent abstraction is a powerful one, developed decades ago to represent crucial aspects of artificial intelligence research. The meaning has transformed over the years and now there are different nuances across research communities. At its core, an agent is an autonomous computational entity capable of sensing, acting, and capturing interactions with other agents and its environment. This review examines how agent-based techniques have been implemented and evaluated in a specific and very important domain, i.e. healthcare research.

METHODS

We survey key areas of agent-based research in healthcare, e.g. individual and collective behaviours, communicable and non-communicable diseases, and social epidemiology. We propose a systematic search and critical review of relevant recent works, introduced by an exploratory network analysis.

RESULTS

Network analysis enables to devise out 5 main research clusters, the most active authors, and 4 main research topics.

CONCLUSIONS

Our findings support discussion of some future directions for increasing the value of agent-based approaches in healthcare.

Agent Based Models of Polymicrobial Biofilms and the Microbiome-A Review

The human microbiome has been a focus of intense study in recent years. Most of the living organisms comprising the microbiome exist in the form of biofilms on mucosal surfaces lining our digestive, respiratory, and genito-urinary tracts. While health-associated microbiota contribute to digestion, provide essential nutrients, and protect us from pathogens, disturbances due to illness or medical interventions contribute to infections, some that can be fatal. Myriad biological processes influence the make-up of the microbiota, for example: growth, division, death, and production of extracellular polymers (EPS), and metabolites. Inter-species interactions include competition, inhibition, and symbiosis. Computational models are becoming widely used to better understand these interactions. Agent-based modeling is a particularly useful computational approach to implement the various complex interactions in microbial communities when appropriately combined with an experimental approach. In these models, each cell is represented as an autonomous agent with its own set of rules, with different rules for each species. In this review, we will discuss innovations in agent-based modeling of biofilms and the microbiota in the past five years from the biological and mathematical perspectives and discuss how agent-based models can be further utilized to enhance our comprehension of the complex world of polymicrobial biofilms and the microbiome.

Modelling approaches for studying the microbiome

Advances in metagenome sequencing of the human microbiome have provided a plethora of new insights and revealed a close association of this complex ecosystem with a range of human diseases. However, there is little knowledge about how the different members of the microbial community interact with each other and with the host, and we lack basic mechanistic understanding of these interactions related to health and disease. Mathematical modelling has been demonstrated to be highly advantageous for gaining insights into the dynamics and interactions of complex systems and in recent years, several modelling approaches have been proposed to enhance our understanding of the microbiome. Here, we review the latest developments and current approaches, and highlight how different modelling strategies have been applied to unravel the highly dynamic nature of the human microbiome. Furthermore, we discuss present limitations of different modelling strategies and provide a perspective of how modelling can advance understanding and offer new treatment routes to impact human health.