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Exploring human organs with computers  153




                                 9.3 Designing drugs
                                 Car crashworthiness design involves the manufacture of a new system, but
                                 each stage of the process requires an understanding of the operation of an
                                 existing system. This is analogous to most research in biology. However,
                                 in contrast to crashworthiness design, investigations into the operation of
                                 biological organs are still dominated by experimental approaches. There
                                 are some exceptions, such as in the development of therapeutic drugs to
                                 combat disease. In the past this was performed purely in a brute-force trial-
                                 and-error manner. Cell cultures, animals or humans were subjected to
                                 many variations of a likely candidate for a drug, with the final choice being
                                 chosen on the basis of best performance with the minimum adverse side
                                 affects. This is analogous to building thousands of car prototypes simulta-
                                 neously, each with slight differences in design, and then subjecting them
                                 all to the rigors of experimental crash testing. The best model is that
                                 which, largely by chance, survives best. If car crashworthiness was still
                                 designed in this way, only the very rich would be able to afford the end
                                 product. Fortunately, computer models are now being used to ‘experiment’
                                 with the effects that changes in structure will have on the potency of the
                                 drug, with corresponding reductions in production costs.
                                    Each organ in the human body plays a crucial life-sustaining role, and
                                 understanding how each works is of profound interest for many reasons,
                                 from the possibility of widespread treatment, or even the prevention of
                                 disease, to the possible engineering applications of the unique types of
                                 signal processing employed by each organ. It is natural to describe the func-
                                 tion of an organ, and hence model its behaviours, in terms of the compo-
                                 nents at the next level down in the biological hierarcy, the cell (Figure 9.2).
                                 Both the behaviour of the cells in isolation and all of the interactions
                                 between them must be considered. A finite-element computer model that
                                 represents an organ at the level of the cell allows us to observe the individ-
                                 ual interactions between tens of thousands of cells simultaneously. Such
                                 experiments are impossible to perform on the real system. Finite-element
                                 modelling of biological systems has already begun in a number of areas,
                                 including bone, skin and brain mechanics, intercellular communication
                                 within tissues, and heart contraction.
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