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Quantifying Drug-Induced Bone Marrow Toxicity Using a Novel Haematopoiesis Systems Pharmacology Model.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Fornari, Chiara 
Oplustil O'Connor, Lenka 
Pin, Carmen 
Smith, Aaron 
Yates, James WT 

Abstract

Haematological toxicity associated with cancer therapeutics is monitored by changes in blood cell count, and their primary effect is on proliferative progenitors in the bone marrow. Using observations in rat bone marrow and blood, we characterize a mathematical model that comprises cell proliferation and differentiation of the full haematopoietic phylogeny, with interacting feedback loops between lineages in homeostasis as well as following carboplatin exposure. We accurately predicted the temporal dynamics of several mature cell types related to carboplatin-induced bone marrow toxicity and identified novel insights into haematopoiesis. Our model confirms a significant degree of plasticity within bone marrow cells, with the number and type of both early progenitors and circulating cells affecting cell balance, via feedback mechanisms, through fate decisions of the multipotent progenitors. We also demonstrated cross-species translation of our predictions to patients, applying the same core model structure and considering differences in drug-dependent and physiology-dependent parameters.

Description

Keywords

Animals, Bone Marrow, Carboplatin, Cell Differentiation, Cell Proliferation, Hematopoiesis, Homeostasis, Humans, Models, Theoretical, Rats, Systems Biology

Journal Title

CPT Pharmacometrics Syst Pharmacol

Conference Name

Journal ISSN

2163-8306
2163-8306

Volume Title

8

Publisher

Wiley
Sponsorship
Cancer Research UK (CB4270)