King Eshan S, Pierce Beck, Hinczewski Michael, Scott Jacob G
Systems Biology and Bioinformatics Program, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Department of Mathematics, Applied Mathematics, and Statistics, Case Western Reserve University, Cleveland, OH.
bioRxiv. 2023 Sep 6:2023.03.09.531899. doi: 10.1101/2023.03.09.531899.
Mutant selection windows (MSWs), the range of drug concentrations that select for drug-resistant mutants, have long been used as a model for predicting drug resistance and designing optimal dosing strategies in infectious disease. The canonical MSW model offers comparisons between two subtypes at a time: drug-sensitive and drug-resistant. In contrast, the fitness landscape model with alleles, which maps genotype to fitness, allows comparisons between genotypes simultaneously, but does not encode continuous drug response data. In clinical settings, there may be a wide range of drug concentrations selecting for a variety of genotypes. Therefore, there is a need for a more robust model of the pathogen response to therapy to predict resistance and design new therapeutic approaches. Fitness seascapes, which model genotype-by-environment interactions, permit multiple MSW comparisons simultaneously by encoding genotype-specific dose-response data. By comparing dose-response curves, one can visualize the range of drug concentrations where one genotype is selected over another. In this work, we show how -allele fitness seascapes allow for *2 unique MSW comparisons. In spatial drug diffusion models, we demonstrate how fitness seascapes reveal spatially heterogeneous MSWs, extending the MSW model to more accurately reflect the selection fo drug resistant genotypes. Furthermore, we find that the spatial structure of MSWs shapes the evolution of drug resistance in an agent-based model. Our work highlights the importance and utility of considering dose-dependent fitness seascapes in evolutionary medicine.
突变选择窗(MSWs),即选择耐药突变体的药物浓度范围,长期以来一直被用作预测耐药性和设计传染病最佳给药策略的模型。传统的MSW模型一次只能比较两种亚型:药物敏感型和耐药型。相比之下,具有等位基因的适应度景观模型将基因型映射到适应度,允许同时比较多种基因型,但不编码连续的药物反应数据。在临床环境中,可能存在广泛的药物浓度选择多种基因型。因此,需要一个更强大的病原体对治疗反应的模型来预测耐药性并设计新的治疗方法。适应度海景模型通过编码特定基因型的剂量反应数据,允许同时进行多个MSW比较。通过比较剂量反应曲线,可以直观地看到一种基因型被另一种基因型取代的药物浓度范围。在这项工作中,我们展示了 - 等位基因适应度海景如何允许进行*2次独特的MSW比较。在空间药物扩散模型中,我们展示了适应度海景如何揭示空间异质性的MSW,将MSW模型扩展到更准确地反映耐药基因型的选择。此外,我们发现在基于主体的模型中,MSW的空间结构塑造了耐药性的进化。我们的工作强调了在进化医学中考虑剂量依赖性适应度海景的重要性和实用性。