Open AccessQuantifying Drug‐Induced Bone Marrow Toxicity Using a Novel Haematopoiesis Systems Pharmacology Model
Author(s) -
Fornari Chiara,
Oplustil O'Connor Lenka,
Pin Carmen,
Smith Aaron,
Yates James W.T.,
Cheung S.Y. Amy,
Jodrell Duncan I.,
Mettetal Jerome T.,
Collins Teresa A.
Publication year - 2019
Publication title -
cpt: pharmacometrics and systems pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.53
H-Index - 37
ISSN - 2163-8306
DOI - 10.1002/psp4.12459
Subject(s) - haematopoiesis , bone marrow , carboplatin , progenitor cell , biology , toxicity , homeostasis , cancer research , stem cell , immunology , pharmacology , microbiology and biotechnology , chemotherapy , medicine , cisplatin , genetics
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.