A listing of projects and publications that use specific versions of Hummod.
Mechanisms of Blood Pressure Salt Sensitivity: New Insights from Mathematical Modeling
Clemmer JS, Pruett WA, Coleman TG, Hall JE, Hester RL. Pub Med ID
Excess salt intake increases blood pressure and the risk for cardiovascular disease. Chronic experimental studies investigating the mechanisms of salt sensitivity are rare and, in most cases, devoid of the hormonal, neural, renal and hemodynamics changes that take place under more chronic conditions. In HumMod, certain types of kidney dysfunction, such as low kidney mass or impaired regulation of angiotensin II, were associated with salt sensitivity. However, increased preglomerular resistance, increased renal sympathetic nerve activity, or inability to decrease peripheral resistance does not appear to influence salt sensitivity. This model provides a platform for testing competing concepts of long-term blood pressure control during changes in salt intake.
Validation of an integrative mathematical model of dehydration and rehydration in virtual humans
Pruett WA, Clemmer JS, Hester RL. Pub Med ID
The body utilizes multiple interacting systems to maintain water homeostasis, reflecting this task’s overall importance in preserving life. Vasopressin is an acutely acting hormone that contributes to short-term water homeostasis. In this study, we validated HumMod against six challenges to water homeostasis, emphasizing changes in vasopressin, electrolytes, and water balance. The chief perturbations were dehydration via water restriction (Lifestyle/Diet/Control) or by hypertonic saline infusion (Intervention/Fluids/IVDrip). The main observations were ADH (Hormones/ADH/Pool), serum sodium (Electrolytes/Na), and the components of urine (Organs/Kidney/Excretion/Urine).
Simulating a virtual population’s sensitivity to salt and uninephrectomy
John S. Clemmer, Robert L. Hester, and W. Andrew Pruett
Reduced functional renal mass plays an important role in causing salt sensitive hypertension for many individuals. Factors that are important during decreased renal mass and how they affect blood pressure or salt sensitivity are unclear. We used HumMod to create a heterogeneous population of 1000 virtual patients by randomly varying physiological parameters. After simulating uninephrectomy in the virtual population, topological data analysis identified three salt sensitive clusters associated with a blunted increase in renal blood flow and higher increases in distal sodium reabsorption as compared to the salt resistant population. These methodologies could potentially be used to discover patterns in patient’s sensitivity to dietary change or intervention and could be a revolutionary tool in personalizing medicine.