Harmonizing animal and human study design is a paradigm shift for biomedical research.
Traditional animal research practices promote controlling and standardizing as many things as possible, which can lead to spurious results that do not generalize to other contexts. Adopting clinical research practices used in human research (referred to elsewhere as "treating animals as patients") means recognizing that individual variability exists in animals and cannot (and should not) be removed. Embracing individual variability is the future of animal research, just as embracing variability has been central to human research and clinical practice for decades.
Viewing animals as patients creates new experimental approaches for researchers:
- The world is one enormous ongoing natural experiment, and epidemiology allows us to study it. Epidemiological approaches (observational population studies, rather than direct manipulation) can identify risk factors for disease, behavior, and well-being issues. Epidemiological studies have improved the quality of life of animals, identified new options for improved veterinary care, and led to the development of new models.
- Studies on spontaneously and naturally developing diseases in lab, companion, and farm animals can help improve our understanding of human and animal pathology without experimentally inducing disease.
- Harmonizing experimental design and data analysis allows our approach to animal studies to match our approach to human studies (e.g. controlled heterogeneity of subjects) and optimizes the likelihood of reproducibility and translation.
- Appropriate housing and husbandry can reduce confounding stressors (e.g., provision of nesting material to mice supports a behavioral need and allows for individual control over thermoregulation).
- Biomarker-based and personalized medicine models cannot exist without individual variation between animals. Viewing animals as patients has led to exciting innovations including successful first-in-human biomarker-based drug trials.
In this new paradigm, better science, animal well-being, reproducibility, and translation are all fundamentally connected. We can go Beyond3Rs by adopting gold standard clinical research practices when working with animals. These include accounting for the psychological impacts of experimentation, appropriate use of blinding during data collection and analysis, recognizing and utilizing variation among research animals, and adopting a mindset of treating animals as patients. This has far-reaching implications for human health — one major reason why in vivo experiments fail to translate to humans is because they do not account for natural variation within the population.
Research: Embracing Variability in Preclinical Trials
When we are used to seeing mice in barren standardized environments, with standardized chow, and standardized genetics, it is easy to fall into the trap of thinking of them more as little furry test tubes ... If we think of animals as patients, not tools, it forces us to think about all the aspects of the experimental background that differ from humans that we might otherwise ignore.
From "Introducing Therioepistomology"
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