Antonini Elia, Mu Gang, Sansaloni-Pastor Sara, Varma Vishal, Kabak Ryme
Cilag GmbH International, 6300 Zug, Switzerland.
Actelion Pharmaceuticals Ltd., 4123 Allschwil, Switzerland.
Cancers (Basel). 2024 Sep 11;16(18):3132. doi: 10.3390/cancers16183132.
Chimeric antigen receptor (CAR)-T cell therapy represents a breakthrough in treating resistant hematologic cancers. It is based on genetically modifying T cells transferred from the patient or a donor. Although its implementation has increased over the last few years, CAR-T has many challenges to be addressed, for instance, the associated severe toxicities, such as cytokine release syndrome. To model CAR-T cell dynamics, focusing on their proliferation and cytotoxic activity, we developed a mathematical framework using ordinary differential equations (ODEs) with Bayesian parameter estimation. Bayesian statistics were used to estimate model parameters through Monte Carlo integration, Bayesian inference, and Markov chain Monte Carlo (MCMC) methods. This paper explores MCMC methods, including the Metropolis-Hastings algorithm and DEMetropolis and DEMetropolisZ algorithms, which integrate differential evolution to enhance convergence rates. The theoretical findings and algorithms were validated using Python and Jupyter Notebooks. A real medical dataset of CAR-T cell therapy was analyzed, employing optimization algorithms to fit the mathematical model to the data, with the PyMC library facilitating Bayesian analysis. The results demonstrated that our model accurately captured the key dynamics of CAR-T cell therapy. This conclusion underscores the potential of parameter estimation to improve the understanding and effectiveness of CAR-T cell therapy in clinical settings.
嵌合抗原受体(CAR)-T细胞疗法是治疗难治性血液系统癌症的一项突破。它基于对从患者或供体转移而来的T细胞进行基因改造。尽管在过去几年中其应用有所增加,但CAR-T仍有许多挑战需要解决,例如相关的严重毒性,如细胞因子释放综合征。为了模拟CAR-T细胞动力学,重点关注其增殖和细胞毒性活性,我们使用带有贝叶斯参数估计的常微分方程(ODE)建立了一个数学框架。贝叶斯统计用于通过蒙特卡罗积分、贝叶斯推理和马尔可夫链蒙特卡罗(MCMC)方法估计模型参数。本文探讨了MCMC方法,包括Metropolis-Hastings算法以及整合了差分进化以提高收敛速度的DEMetropolis和DEMetropolisZ算法。理论结果和算法使用Python和Jupyter Notebook进行了验证。分析了CAR-T细胞疗法的真实医学数据集,采用优化算法使数学模型与数据拟合,PyMC库助力贝叶斯分析。结果表明,我们的模型准确捕捉了CAR-T细胞疗法的关键动力学。这一结论强调了参数估计在提高临床环境中对CAR-T细胞疗法的理解和疗效方面的潜力。