Predicting treatment-free remission in chronic myeloid leukemia patients using an integrated model of tumor-immune dynamics
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
Abstract
The interactions between tumor and the immune system are main factors in determining cancer treatment outcomes. In Chronic Myeloid Leukemia (CML), considerable evidence shows that the dynamics between residual leukemia and the patient's immune system can result in either sustained disease control, leading to treatment-free remission (TFR), or disease recurrence. The question remains how to integrate mechanistic and data-driven models to support prediction of treatment outcomes. Starting from classical ecological modeling concepts, which allow to explicitly account for immune interactions at the cellular level, we incorporate time-course data on natural killer (NK) cell number, function, and their tumor-induced suppression into our general model of CML treatment. We identify relevant time scales governing treatment and immune response, enabling refined model calibration using tumor and NK cell time courses from different datasets. While the model successfully describes patient-specific response dynamics, critical parameters for predicting treatment outcome remain uncertain. However, by explicitly incorporating tumor load changes in response to TKI dose alterations, these parameters can be estimated and used to derive model predictions for treatment cessation. Further exploring dynamic changes in the number of functional immune cells, we suggest specific measurement strategies of immune effector cell populations to enhance prediction accuracy for CML recurrence following treatment cessation. The generalizability and flexibility of our approach represent a significant step towards quantitative, personalized medicine that integrates tumor-immune dynamics to guide clinical decisions and optimize dynamic cancer therapies.
Details
| Original language | English |
|---|---|
| Article number | 115 |
| Journal | npj systems biology and applications |
| Volume | 11 |
| Issue number | 1 |
| Publication status | Published - 16 Oct 2025 |
| Peer-reviewed | Yes |
External IDs
| PubMedCentral | PMC12533171 |
|---|---|
| Scopus | 105018963798 |
| ORCID | /0000-0002-2524-1199/work/195442198 |
Keywords
Sustainable Development Goals
Keywords
- Humans, Leukemia, Myelogenous, Chronic, BCR-ABL Positive/immunology, Killer Cells, Natural/immunology, Remission Induction, Treatment Outcome, Models, Biological