title: Validation of an integrative mathematical model of dehydration and rehydration in virtual humans.
abstract: Water homeostasis is one of the body's most critical tasks. Physical challenges to the body, including exercise and surgery, almost always coordinate with some change in water handling reflecting the changing needs of the body. Vasopressin is the most important hormone that contributes to short-term water homeostasis. By manipulating vascular tone and regulating water reabsorption in the collecting duct of the kidneys, vasopressin can mediate the retention or loss of fluids quickly. In this study, we validated HumMod, an integrative mathematical model of human physiology, against six different challenges to water homeostasis with special attention to the secretion of vasopressin and maintenance of electrolyte balance. The studies chosen were performed in normal men and women, and represent a broad spectrum of perturbations. HumMod successfully replicated the experimental results, remaining within 1 standard deviation of the experimental means in 138 of 161 measurements. Only three measurements lay outside of the second standard deviation. Observations were made on serum osmolarity, serum vasopressin concentration, serum sodium concentration, urine osmolarity, serum protein concentration, hematocrit, and cumulative water intake following dehydration. This validation suggests that HumMod can be used to understand water homeostasis under a variety of conditions.
authors.affiliation: Department of Physiology, Center for Computational Medicine, University of Mississippi Medical Center, Jackson, Mississippi wpruett@umc.edu.
authors.forename: W Andrew
authors.initials: WA
authors.lastname: Pruett
authors.affiliation: Department of Physiology, Center for Computational Medicine, University of Mississippi Medical Center, Jackson, Mississippi.
authors.forename: John S
authors.initials: JS
authors.lastname: Clemmer
authors.affiliation: Department of Physiology, Center for Computational Medicine, University of Mississippi Medical Center, Jackson, Mississippi.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Hester
mesh_terms: D001834:Body Water / Q000378:metabolism*; D003681:Dehydration / Q000378:metabolism* / Q000503:physiopathology; D005260:Female; D005440:Fluid Therapy / Q000009:adverse effects* / Q000379:methods; D006706:Homeostasis / Q000502:physiology; D006801:Humans; D007668:Kidney / Q000378:metabolism; D007685:Kidney Tubules, Collecting / Q000378:metabolism; D008297:Male; D008962:Models, Theoretical; D009994:Osmolar Concentration; D012964:Sodium / Q000097:blood / Q000378:metabolism; D014556:Urine; D014667:Vasopressins / Q000097:blood / Q000378:metabolism*; D014882:Water-Electrolyte Balance / Q000502:physiology
chemical_list: D014667:Vasopressins; D012964:Sodium
keywords: Dehydration; integrative physiology; mathematical model; vasopressin