LAPSE:2019.0494
Published Article
LAPSE:2019.0494
A Model-Based Investigation of Cytokine Dynamics in Immunotherapies
Brooks Hopkins, Yiming Pan, Matthew Tucker, Zuyi (Jacky) Huang
April 9, 2019
With the advent of effective immunotherapies to battle cancers and diseases, an obstacle in recovery has become the potential side effects, specifically cytokine release syndrome (CRS). As there is little quantitative understanding of risks for developing CRS and the degree of its severity, this work explored a model-based approach to produce a library of in silico patients through sensitivity analysis of cytokine interaction parameters and a Monte Carlo sampling. The objective of producing the in silico patients was to correlate a known grading system of cytokine release syndrome severity and thus design a new formula for grading CRS. Using our CRS grading system as the foundation, this work produced not only a formula which related the in silico patient data to the different grades, but we effectively demonstrated a selective approach to reduce the grade of CRS with sequential cytokine inhibition targets. We achieved the reduction of grades by applying the insight from the sensitivity analysis, beginning with the most sensitive targets. Cytokines IL-1, IL-8, TNF-α, INF-γ, IL-6, IL-2, IL-4, IL-10, and IL-12 were in turn the best targets for inhibition to alleviate CRS. Using this approach, patient cytokine time profiles in real-time can be related to the CRS grading system and if the grade is severe enough, action can be taken earlier during the treatment to prevent potentially life-threatening symptoms. What’s more, the identified inhibition sequence of the 9 cytokines provides guidance for clinical intervention of CRS.
Keywords
cytokine release syndrome, hierarchical clustering, immunotherapy, Monte Carlo sampling, principal component analysis, sensitivity analysis
Subject
Suggested Citation
Hopkins B, Pan Y, Tucker M, Huang Z(. A Model-Based Investigation of Cytokine Dynamics in Immunotherapies. (2019). LAPSE:2019.0494
Author Affiliations
Hopkins B: Department of Chemical Engineering, Villanova University, Villanova, PA 19085, USA
Pan Y: Friends Select School, Philadelphia, PA 19103, USA
Tucker M: Department of Chemical Engineering, Villanova University, Villanova, PA 19085, USA
Huang Z(: Department of Chemical Engineering, Villanova University, Villanova, PA 19085, USA
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Journal Name
Processes
Volume
7
Issue
1
Article Number
E12
Year
2018
Publication Date
2018-12-30
Published Version
ISSN
2227-9717
Version Comments
Original Submission
Other Meta
PII: pr7010012, Publication Type: Journal Article
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LAPSE:2019.0494
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doi:10.3390/pr7010012
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Apr 9, 2019
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CC BY 4.0
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[v1] (Original Submission)
Apr 9, 2019
 
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Apr 9, 2019
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Original Submitter
Calvin Tsay
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