Recent progress in genetic techniques has shed light on the complex co-evolution of malignant cell clones in leukemias. However, several aspects of clonal selection still remain unclear. In this paper, we present a multi-compartmental continuously structured population model of selection dynamics in acute leukemias, which consists of a system of coupled integro-differential equations. Our model can be analysed in a more efficient way than classical models formulated in terms of ordinary differential equations. Exploiting the analytical tractability of this model, we investigate how clonal selection is shaped by the self-renewal fraction and the proliferation rate of leukemic cells at different maturation stages. We integrate analytical results with numerical solutions of a calibrated version of the model based on real patient data. In summary, our mathematical results formalise the biological notion that clonal selection is driven by the self-renewal fraction of leukemic stem cells and the clones that possess the highest value of this parameter are ultimately selected. Moreover, we demonstrate that the self-renewal fraction and the proliferation rate of non-stem cells do not have a substantial impact on clonal selection. Taken together, our results indicate that interclonal variability in the self-renewal fraction of leukemic stem cells provides the necessary substrate for clonal selection to act upon.
A structured population model of clonal selection in acute leukemias with multiple maturation stages / Lorenzi, T.; Marciniak-Czochra, A.; Stiehl, T.. - In: JOURNAL OF MATHEMATICAL BIOLOGY. - ISSN 0303-6812. - ELETTRONICO. - 79:5(2019), pp. 1587-1621.
|Titolo:||A structured population model of clonal selection in acute leukemias with multiple maturation stages|
|Data di pubblicazione:||2019|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1007/s00285-019-01404-w|
|Appare nelle tipologie:||1.1 Articolo in rivista|
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