Systems medicine holds many promises, but has so far provided only a limited number of proofs of principle. To address this road block, possible barriers and challenges of translating systems medicine into clinical practice need to be identified and addressed. The members of the European Cooperation in Science and Technology (COST) Action CA15120 Open Multiscale Systems Medicine (OpenMultiMed) wish to engage the scientific community of systems medicine and multiscale modelling, data science and computing, to provide their feedback in a structured manner. This will result in follow-up white papers and open access resources to accelerate the clinical translation of systems medicine.

MOTIVATION: Due to their universal applicability, global stochastic optimization methods are popular for designing improvements of biochemical networks. The drawbacks of global stochastic optimization methods are: (i) no guarantee of finding global optima, (ii) no clear optimization run termination criteria and (iii) no criteria to detect stagnation of an optimization run. The impact of these drawbacks can be partly compensated by manual work that becomes inefficient when the solution space is large due to combinatorial explosion of adjustable parameters or for other reasons. RESULTS: SpaceScanner uses parallel optimization runs for automatic termination of optimization tasks in case of consensus and consecutively applies a pre-defined set of global stochastic optimization methods in case of stagnation in the currently used method. Automatic scan of adjustable parameter combination subsets for best objective function values is possible with a summary file of ranked solutions. AVAILABILITY AND IMPLEMENTATION: https://github.com/atiselsts/spacescanner . CONTACT: [email protected]. SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.

Selecting an efficient small set of adjustable parameters to improve metabolic features of an organism is important for a reduction of implementation costs and risks of unpredicted side effects. In practice, to avoid the analysis of a huge combinatorial space for the possible sets of adjustable parameters, experience-, and intuition-based subsets of parameters are often chosen, possibly leaving some interesting counter-intuitive combinations of parameters unrevealed. The combinatorial scan of possible adjustable parameter combinations at the model optimization level is possible; however, the number of analyzed combinations is still limited. The total optimization potential (TOP) approach is proposed to assess the full potential for increasing the value of the objective function by optimizing all possible adjustable parameters. This seemingly unpractical combination of adjustable parameters allows assessing the maximum attainable value of the objective function and stopping the combinatorial space scanning when the desired fraction of TOP is reached and any further increase in the number of adjustable parameters cannot bring any reasonable improvement. The relation between the number of adjustable parameters and the reachable fraction of TOP is a valuable guideline in choosing a rational solution for industrial implementation. The TOP approach is demonstrated on the basis of two case studies.