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髓源性抑制细胞介导的肿瘤诱导免疫抑制的数学模型:对治疗靶向策略的启示

Mathematical modeling of tumor-induced immunosuppression by myeloid-derived suppressor cells: Implications for therapeutic targeting strategies.

作者信息

Shariatpanahi Seyed Peyman, Shariatpanahi Seyed Pooya, Madjidzadeh Keivan, Hassan Moustapha, Abedi-Valugerdi Manuchehr

机构信息

Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran; Breast Cancer Research Center, ACECR, Tehran, Iran.

School of Computer Science, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran.

出版信息

J Theor Biol. 2018 Apr 7;442:1-10. doi: 10.1016/j.jtbi.2018.01.006. Epub 2018 Jan 11.

Abstract

Myeloid-derived suppressor cells (MDSCs) belong to immature myeloid cells that are generated and accumulated during the tumor development. MDSCs strongly suppress the anti-tumor immunity and provide conditions for tumor progression and metastasis. In this study, we present a mathematical model based on ordinary differential equations (ODE) to describe tumor-induced immunosuppression caused by MDSCs. The model consists of four equations and incorporates tumor cells, cytotoxic T cells (CTLs), natural killer (NK) cells and MDSCs. We also provide simulation models that evaluate or predict the effects of anti-MDSC drugs (e.g., l-arginine and 5-Fluorouracil (5-FU)) on the tumor growth and the restoration of anti-tumor immunity. The simulated results obtained using our model were in good agreement with the corresponding experimental findings on the expansion of splenic MDSCs, immunosuppressive effects of these cells at the tumor site and effectiveness of l-arginine and 5-FU on the re-establishment of antitumor immunity. Regarding this latter issue, our predictive simulation results demonstrated that intermittent therapy with low-dose 5-FU alone could eradicate the tumors irrespective of their origins and types. Furthermore, at the time of tumor eradication, the number of CTLs prevailed over that of cancer cells and the number of splenic MDSCs returned to the normal levels. Finally, our predictive simulation results also showed that the addition of l-arginine supplementation to the intermittent 5-FU therapy reduced the time of the tumor eradication and the number of iterations for 5-FU treatment. Thus, the present mathematical model provides important implications for designing new therapeutic strategies that aim to restore antitumor immunity by targeting MDSCs.

摘要

髓源性抑制细胞(MDSCs)属于未成熟的髓细胞,在肿瘤发展过程中产生并积累。MDSCs强烈抑制抗肿瘤免疫,为肿瘤进展和转移提供条件。在本研究中,我们提出了一个基于常微分方程(ODE)的数学模型,以描述由MDSCs引起的肿瘤诱导的免疫抑制。该模型由四个方程组成,纳入了肿瘤细胞、细胞毒性T细胞(CTLs)、自然杀伤(NK)细胞和MDSCs。我们还提供了模拟模型,用于评估或预测抗MDSC药物(如L-精氨酸和5-氟尿嘧啶(5-FU))对肿瘤生长和抗肿瘤免疫恢复的影响。使用我们的模型获得的模拟结果与关于脾MDSCs扩增、这些细胞在肿瘤部位的免疫抑制作用以及L-精氨酸和5-FU对抗肿瘤免疫重建的有效性的相应实验结果高度一致。关于后一个问题,我们的预测模拟结果表明,单独使用低剂量5-FU进行间歇治疗可以根除肿瘤,无论其起源和类型如何。此外,在肿瘤根除时,CTLs的数量超过癌细胞数量,脾MDSCs的数量恢复到正常水平。最后,我们的预测模拟结果还表明,在间歇5-FU治疗中添加L-精氨酸补充剂可缩短肿瘤根除时间和5-FU治疗的迭代次数。因此,本数学模型为设计旨在通过靶向MDSCs恢复抗肿瘤免疫的新治疗策略提供了重要启示。

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