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Disambiguating “Mechanisms” in Pharmacy: Lessons from Mechanist Philosophy of Science

机译:歧义药房的“机制”:机械师理念的科学课程

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摘要

Talk of mechanisms is ubiquitous in the natural sciences. Interdisciplinary fields such as biochemistry and pharmacy frequently discuss mechanisms with the assistance of diagrams. Such diagrams usually depict entities as structures or boxes and activities or interactions as arrows. While some of these arrows may indicate causal or componential relations, others may represent temporal or operational orders. Importantly, what kind of relation an arrow represents may not only vary with context but also be underdetermined by empirical data. In this manuscript, we investigate how an analysis of pharmacological mechanisms in terms of producing and underlying mechanisms—as discussed in the contemporary philosophy of science—may shed light on these issues. Specifically, we shall argue that while pharmacokinetic mechanisms usually describe causal chains of production, pharmacodynamics tends to focus on mechanisms of action underlying the in vivo effects of a drug. Considering the action of thyroid gland hormones in the human body as a case study, we further demonstrate that pharmacodynamic schemes tend to incorporate entities and interactions on multiple levels. Yet, traditional pharmacodynamic schemes are sketched “flat”, i.e., non-hierarchically. We suggest that transforming flat pharmacodynamic schemes into mechanistic multi-level representations may assist in disentangling the different kinds of mechanisms and relations depicted by arrows in flat schemes. The resulting Baumkuchen model provides a powerful and practical alternative to traditional flat schemes, as it explicates the relevant mechanisms and relations more clearly. On a more general note, our discussion demonstrates how pharmacology and related disciplines may benefit from applying concepts from the new mechanist philosophy to guide the interpretation of scientific diagrams.
机译:谈论机制在自然科学中无处不在。诸如生物化学和药房之类的跨学科领域经常讨论在图表的帮助下讨论机制。这些图通常将实体描绘为结构或框和活动或箭头的相互作用。虽然这些箭头中的一些可能表示因果或成分关系,但其他箭头可以代表时间或运营订单。重要的是,箭头表示的关系是什么样的关系可能不仅可以随着上下文而变化,而且也可以通过经验数据来减少。在这一稿件中,我们调查如何在生产和潜在机制方面分析药理机制 - 如在当代科学哲学中讨论的 - 可能会在这些问题上阐明。具体而言,我们认为,虽然药代动力学机制通常描述原因链的生产,但药效动动力学倾向于关注潜在药物的体内效应的作用机制。考虑到甲状腺激素在人体中的作用作为案例研究,我们进一步证明了药物动力学计划倾向于将实体和相互作用掺入多个水平。然而,传统的药效动物方案被勾勒出来“平坦”,即非分层。我们建议将平面的药效表明转变为机械多级表示,可以帮助解开不同种类的机制和关系中的不同种类和关系。由此产生的Baumkuchen模型为传统的平面方案提供了一种强大而实用的替代品,因为它更清楚地阐述了相关机制和关系。在更一般的说明中,我们的讨论证明了药理学和相关学科如何从新的机械师哲学中应用概念来指导科学图表的解释。

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