B cell chronic lymphocytic leukemia - A model with immune response
Seema Nanda - Tata Institute of Fundamental Research, Centre for Applicable Mathematics, Bangalore 560065, India (email)
Abstract: B cell chronic lymphocytic leukemia (B-CLL) is known to have substantial clinical heterogeneity. There is no cure, but treatments allow for disease management. However, the wide range of clinical courses experienced by B-CLL patients makes prognosis and hence treatment a significant challenge. In an attempt to study disease progression across different patients via a unified yet flexible approach, we present a mathematical model of B-CLL with immune response, that can capture both rapid and slow disease progression. This model includes four different cell populations in the peripheral blood of humans: B-CLL cells, NK cells, cytotoxic T cells and helper T cells. We analyze existing data in the medical literature, determine ranges of values for parameters of the model, and compare our model outcomes to clinical patient data. The goal of this work is to provide a tool that may shed light on factors affecting the course of disease progression in patients. This modeling tool can serve as a foundation upon which future treatments can be based.
Keywords: B-CLL, chronic lymphocytic leukemia, mathematical model, NK cell, T cell.
Received: August 2012; Revised: October 2012; Published: February 2013.
2013 5-year IF.937