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Computers & Chemical Engineering, Vol.51, 187-196, 2013
A model of neutrophil dynamics in response to inflammatory and cancer chemotherapy challenges
A mathematical model of neutrophil and granulocyte colony stimulating factor (G-CSF) dynamics is developed to capture the response of circulating neutrophil levels to inflammatory and anticancer drug challenges. Severe infection or trauma induces inflammation, leading to: (i) the recruitment of neutrophils to the site of infection; (ii) misdirected neutrophil recruitment to healthy tissue, which may cause tissue damage; and (iii) an increase in neutrophil production through the G-CSF signaling cascade. The model is calibrated using fast (endotoxin challenge) and slow (docetaxel chemotherapy) response data and used to examine neutrophil dynamics in response to different chemotherapy schedules and G-CSF mitigation of, or rescue from, neutropenia. The explicit incorporation of biology in this model provides a superior structure for use in designing and evaluating treatments aimed at modulating neutrophil dynamics in chemotherapy and responses to severe infection or trauma. (C) 2012 Elsevier Ltd. All rights reserved.
Keywords:Nonlinear dynamic modeling;Biomedical systems;Inflammation;Cancer chemotherapy;Neutrophils;LPS;G-CSF