RT Journal Article SR Electronic T1 From systems biology to P4 medicine: applications in respiratory medicine JF European Respiratory Review JO EUROPEAN RESPIRATORY REVIEW FD European Respiratory Society SP 170110 DO 10.1183/16000617.0110-2017 VO 27 IS 147 A1 Guillaume Noell A1 Rosa Faner A1 Alvar Agustí YR 2018 UL http://err.ersjournals.com/content/27/147/170110.abstract AB Human health and disease are emergent properties of a complex, nonlinear, dynamic multilevel biological system: the human body. Systems biology is a comprehensive research strategy that has the potential to understand these emergent properties holistically. It stems from advancements in medical diagnostics, “omics” data and bioinformatic computing power. It paves the way forward towards “P4 medicine” (predictive, preventive, personalised and participatory), which seeks to better intervene preventively to preserve health or therapeutically to cure diseases. In this review, we: 1) discuss the principles of systems biology; 2) elaborate on how P4 medicine has the potential to shift healthcare from reactive medicine (treatment of illness) to predict and prevent illness, in a revolution that will be personalised in nature, probabilistic in essence and participatory driven; 3) review the current state of the art of network (systems) medicine in three prevalent respiratory diseases (chronic obstructive pulmonary disease, asthma and lung cancer); and 4) outline current challenges and future goals in the field.Systems biology and network medicine have the potential to transform medical research and practice http://ow.ly/r3jR30hf35x