The physiome is the quantitative description of the functioning organism in
normal and pathophysiological states. The human physiome can be regarded a
s the virtual human. It is built upon the morpheme,the quantitative descrip
tion of anatomical structure, chemical and biochemical composition, and mat
erial properties of an intact organism, including its genome, proteome, cel
l, tissue, and organ structures up to those of the whole intact being. The
Physiome Project is a multicentric integrated program to design, develop, i
mplement, test and document, archive and disseminate quantitative informati
on, and integrative models of the functional behavior of molecules, organel
les, cells, tissues, organs, and intact organisms from bacteria to man. A f
undamental and major feature of the project is the databasing of experiment
al observations for retrieval and evaluation. Technologies allowing many gr
oups to work together are being rapidly developed. Internet II will facilit
ate this immensely. When problems are huge and complex, a particular workin
g group can be expert in only a small part of the overall project. The stra
tegies to be worked out must therefore include how to pull models composed
of many submodules together even when the expertise in each is scattered am
ongst diverse institutions. The technologies of bioinformatics will contrib
ute greatly to this effort. Developing and implementing code for large-scal
e systems has many problems. Most of the submodules are complex, requiring
consideration of spatial and temporal events and processes. Submodules have
to be linked to one another in a way that preserves mass balance and gives
an accurate representation of variables in nonlinear complex biochemical n
etworks with many signaling and controlling pathways. Microcompartmentaliza
tion vitiates the use of simplified model structures. The stiffness of the
systems of equations is computationally costly. Faster computation is neede
d when using models as thinking tools and for iterative data analysis. Perh
aps the most serious problem is the current lack of definitive information
on kinetics and dynamics of systems, due in part to the almost total lack o
f databased observations, but also because, though we are nearly drowning i
n new information being published each day, either the information required
for the modeling cannot be found or has never been obtained. "Simple" thin
gs like tissue composition, material properties, and mechanical behavior of
cells and tissues are not generally available. The development of comprehe
nsive models of biological systems is a key to pharmaceutics and drug desig
n, for the models will become gradually better predictors of the results of
interventions, both genomic and pharmaceutic. Good models will be useful i
n predicting the side effects and long term effects of drugs and toxins, an
d when the models are really good, to predict where genomic intervention wi
ll be effective and where the multiple redundancies in our biological syste
ms will render a proposed intervention useless. The Physiome Project will p
rovide the integrating scientific basis for the Genes to Health initiative,
and make physiological genomics a reality applicable to whole organisms, f
rom bacteria to man. (C) 2000 Biomedical Engineering Society. [S0090-6964(0
0)02208-6].