Computational Methods

1 Parameter Estimation

Model parameters (\(\mathbf{\theta}\)) must be estimated from experimental data. For ME/CFS models, data sources include metabolomics (Naviaux et al. 2016) (Germain et al. 2020), cytokine panels (Hornig et al. 2015) (Montoya et al. 2017), two-day cardiopulmonary exercise testing (CPET) (Keller et al. 2024), and autonomic function assessments (Newton et al. 2007). Parameter estimation proceeds by minimizing the discrepancy between model predictions \(\hat{\mathbf{y}}(\mathbf{\theta})\) and observed data \(\mathbf{y}\):

$ = arg min_{} _{i=1}^{N} ( y_i - _i () )^2 / _i^2 $ {#eq-least-squares}

where \(\sigma_i\) is the measurement uncertainty for observation \(i\). For nonlinear ODE models, this optimization problem is typically non-convex, requiring global optimization methods (e.g., differential evolution, simulated annealing) or Bayesian approaches.

2 Bayesian Inference

Bayesian methods are preferred when parameter uncertainty must be quantified—a critical requirement for ME/CFS models given the limited and heterogeneous data available. Bayes’ theorem gives the posterior distribution over parameters:

$ p( | ) = $ {#eq-bayes}

where \(p(\mathbf{y} | \mathbf{\theta})\) is the likelihood, \(p(\mathbf{\theta})\) is the prior (encoding existing biological knowledge), and \(p(\mathbf{y})\) is the marginal likelihood (model evidence). Posterior distributions are typically computed via Markov chain Monte Carlo (MCMC) sampling. The resulting credible intervals on parameters propagate directly to credible intervals on model predictions, providing honest uncertainty quantification.

3 Sensitivity Analysis

Sensitivity analysis determines which parameters most strongly influence model outputs, guiding both experimental priorities and intervention design. Local sensitivity coefficients are defined as:

$ S_{i j} = dot $ {#eq-sensitivity}

where \(S_{i j}\) is the normalized sensitivity of state variable \(x_i\) to parameter \(\theta_j\). Global sensitivity analysis (e.g., Sobol indices) partitions output variance across parameters and their interactions, accounting for nonlinearities and parameter correlations. Parameters with high sensitivity indices are candidate intervention targets; parameters with low sensitivity indices indicate robustness of the model output to biological variability.

References

Germain, Arnaud, Dinesh K Barupal, Susan M Levine, and Maureen R Hanson. 2020. “Comprehensive Circulatory Metabolomics in ME/CFS Reveals Disrupted Metabolism of Acyl Carnitines and Fatty Acids.” Metabolites 10 (1): 34. https://doi.org/10.3390/metabo10010034.
Hornig, Mady, José G Montoya, Nancy G Klimas, Susan Levine, Donna Felsenstein, Lucinda Bateman, Daniel L Peterson, et al. 2015. “Distinct Plasma Immune Signatures in ME/CFS Are Present Early in the Course of Illness.” Science Advances 1 (1): e1400121. https://doi.org/10.1126/sciadv.1400121.
Keller, Betsy A, Candace N Receno, Carl J Franconi, Sebastian Harenberg, Jared Stevens, Xiangling Mao, Staci R Stevens, et al. 2024. “Cardiopulmonary and Metabolic Responses During a 2-Day CPET in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Translating Reduced Oxygen Consumption to Impairment Status to Treatment Considerations.” Journal of Translational Medicine 22 (1): 627. https://doi.org/10.1186/s12967-024-05410-5.
Montoya, Jose G, Tyson H Holmes, Jill N Anderson, Holden T Maecker, Yael Rosenberg-Hasson, Ian J Valencia, Lily Chu, Jarred W Younger, Cristina M Tato, and Mark M Davis. 2017. “Cytokine Signature Associated with Disease Severity in Chronic Fatigue Syndrome Patients.” Proceedings of the National Academy of Sciences 114 (34): E7150–58. https://doi.org/10.1073/pnas.1710519114.
Naviaux, Robert K., Jane C. Naviaux, Kefeng Li, A. Taylor Bright, William A. Alaynick, Lin Wang, Asha Baxter, Neil Nathan, Wayne Anderson, and Eric Gordon. 2016. “Metabolic Features of Chronic Fatigue Syndrome.” Proceedings of the National Academy of Sciences 113 (37): E5472–80. https://doi.org/10.1073/pnas.1607571113.
Newton, Julia L, Alison L Harte, Winnifred Man, David E Jones, David A Pyke, Ian J Deary, and Wan-Fai Ng. 2007. “Fatigue in Primary Sjögren’s Syndrome: A Comparison with Chronic Fatigue Syndrome.” Rheumatology 46 (12): 1817–21. https://doi.org/10.1093/rheumatology/kem235.