PT - JOURNAL ARTICLE AU - Thiele, Ines AU - Sahoo, Swagatika AU - Heinken, Almut AU - Heirendt, Laurent AU - Aurich, Maike K. AU - Noronha, Alberto AU - Fleming, Ronan M.T. TI - When metabolism meets physiology: Harvey and Harvetta AID - 10.1101/255885 DP - 2018 Jan 01 TA - bioRxiv PG - 255885 4099 - http://biorxiv.org/content/early/2018/01/29/255885.short 4100 - http://biorxiv.org/content/early/2018/01/29/255885.full AB - Precision medicine is an emerging paradigm that requires realistic, mechanistic models capturing the complexity of the human body. We present two comprehensive molecular to physiological-level, gender-specific whole-body metabolism (WBM) reconstructions, named Harvey, in recognition of William Harvey, and Harvetta. These validated, knowledge-based WBM reconstructions capture the metabolism of 20 organs, six sex organs, six blood cells, the gastrointestinal lumen, systemic blood circulation, and the blood-brain barrier. They represent 99% of the human body weight, when excluding the weight of the skeleton. Harvey and Harvetta can be parameterized based on physiological, dietary, and omics data. They correctly predict inter-organ metabolic cycles, basal metabolic rates, and energy use. We demonstrate the integration of microbiome data thereby allowing the assessment of individual-specific, organ-level modulation of host metabolism by the gut microbiota. The WBM reconstructions and the individual organ reconstructions are available under http://vmh.life. Harvey and Harvetta represent a pivotal step towards virtual physiological humans.