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Lenalidomide-induced pure red cell aplasia analysis

ABSTRACT: The RVd therapy, combining lenalidomide, bortezomib, and dexamethasone, is a mainstay treatment for multiple myeloma. A multiple myeloma patient developed pure red cell aplasia (PRCA) following RVd treatment, despite the absence of common PRCA triggers. In vitro analyses revealed lenalidomide as a pivotal disruptor of erythropoiesis. Single-cell transcriptome analysis unveiled hyperactive CD8+ T cells and impaired erythropoiesis in the patient's bone marrow. Unexpectedly, the patient's erythroid cells displayed abnormally high expression of genes in the antigen presentation pathway, particularly those for major histocompatibility class I (MHC-I) molecules. Functional assays demonstrated that lenalidomide treatment further augmented MHC-I expression in the patient's erythroid cells. Blocking MHC-I or depleting T cells alleviate the defective erythropoiesis of PRCA, suggesting that the interaction between erythroid cells with elevated MHC-I and T cells in the bone marrow might contribute to PRCA. Taken together, our study revealed a novel mechanism underlying lenalidomide-induced PRCA in treating cancer patients.

ORGANISM(S): Homo Sapiens

SUBMITTER: Hsiang-Ying Lee

PROVIDER: PXD055495 | iProX | Tue Sep 03 00:00:00 BST 2024

REPOSITORIES: iProX

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Project description:This a model from the article: A mathematical model of bone remodeling dynamics for normal bone cell populations and myeloma bone disease Bruce P Ayati, Claire M Edwards, Glenn F Webb and John P Wikswo. Biology Direct2010 Apr 20;5(28). 20406449, Abstract: BACKGROUND: Multiple myeloma is a hematologic malignancy associated with the development of a destructive osteolytic bone disease. RESULTS: Mathematical models are developed for normal bone remodeling and for the dysregulated bone remodeling that occurs in myeloma bone disease. The models examine the critical signaling between osteoclasts (bone resorption) and osteoblasts (bone formation). The interactions of osteoclasts and osteoblasts are modeled as a system of differential equations for these cell populations, which exhibit stable oscillations in the normal case and unstable oscillations in the myeloma case. In the case of untreated myeloma, osteoclasts increase and osteoblasts decrease, with net bone loss as the tumor grows. The therapeutic effects of targeting both myeloma cells and cells of the bone marrow microenvironment on these dynamics are examined. CONCLUSIONS: The current model accurately reflects myeloma bone disease and illustrates how treatment approaches may be investigated using such computational approaches. Note: The paper describes three models 1) Zero-dimensional Bone Model without Tumou r, 2) Zero-dimensional Bone Model with Tumour and 3) Zero-dimensional Bone Model with Tumour and Drug Treatment. This model corresponds to the Zero-dimensional Bo ne Model with Tumour and Drug Treatment. Typos in the publication: Equation (4): The first term should be (β1/α1)^(g12/Γ) and not (β2/α2)^(g12/Γ) Equation (14): The first term should be (β1/α1)^(((g12/(1+r12))/Γ) and not (β2/α2)^(((g12/(1+r12))/Γ) Equation (13): The first term should be (β1/α1)^((1-g22+r22)/Γ) and not (β1/α1)^((1-g22-r22)/Γ) All these corrections has been implemented in the model, with the authors agreement. Beyond these, there are several mismatches between the equation numbers that are mentioned in for each equation and the reference that has been made to these equations in the figure legend.

Project description:This a model from the article: A mathematical model of bone remodeling dynamics for normal bone cell populations and myeloma bone disease Bruce P Ayati, Claire M Edwards, Glenn F Webb and John P Wikswo. Biology Direct2010 Apr 20;5(28). 20406449, Abstract: BACKGROUND: Multiple myeloma is a hematologic malignancy associated with the development of a destructive osteolytic bone disease. RESULTS: Mathematical models are developed for normal bone remodeling and for the dysregulated bone remodeling that occurs in myeloma bone disease. The models examine the critical signaling between osteoclasts (bone resorption) and osteoblasts (bone formation). The interactions of osteoclasts and osteoblasts are modeled as a system of differential equations for these cell populations, which exhibit stable oscillations in the normal case and unstable oscillations in the myeloma case. In the case of untreated myeloma, osteoclasts increase and osteoblasts decrease, with net bone loss as the tumor grows. The therapeutic effects of targeting both myeloma cells and cells of the bone marrow microenvironment on these dynamics are examined. CONCLUSIONS: The current model accurately reflects myeloma bone disease and illustrates how treatment approaches may be investigated using such computational approaches. Note: The paper describes three models 1) Zero-dimensional Bone Model without Tumour, 2) Zero-dimensional Bone Model with Tumour and 3) Zero-dimensional Bone Model with Tumour and Drug Treatment. This model corresponds to the Zero-dimensional Bone Model without Tumour. Typos in the publication: Equation (4): The first term should be (β1/α1)^(g12/Γ) and not (β2/α2)^(g12/Γ) Equation (14): The first term should be (β1/α1)^(((g12/(1+r12))/Γ) and not (β2/α2)^(((g12/(1+r12))/Γ) Equation (13): The first term should be (β1/α1)^((1-g22+r22)/Γ) and not (β1/α1)^((1-g22-r22)/Γ) All these corrections has been implemented in the model, with the authors agreement. Beyond these, there are several mismatches between the equation numbers that are mentioned in for each equation and the reference that has been made to these equations in the figure legend.

Project description:This a model from the article: A mathematical model of bone remodeling dynamics for normal bone cell populations and myeloma bone disease Bruce P Ayati, Claire M Edwards, Glenn F Webb and John P Wikswo. Biology Direct2010 Apr 20;5(28). 20406449, Abstract: BACKGROUND: Multiple myeloma is a hematologic malignancy associated with the development of a destructive osteolytic bone disease. RESULTS: Mathematical models are developed for normal bone remodeling and for the dysregulated bone remodeling that occurs in myeloma bone disease. The models examine the critical signaling between osteoclasts (bone resorption) and osteoblasts (bone formation). The interactions of osteoclasts and osteoblasts are modeled as a system of differential equations for these cell populations, which exhibit stable oscillations in the normal case and unstable oscillations in the myeloma case. In the case of untreated myeloma, osteoclasts increase and osteoblasts decrease, with net bone loss as the tumor grows. The therapeutic effects of targeting both myeloma cells and cells of the bone marrow microenvironment on these dynamics are examined. CONCLUSIONS: The current model accurately reflects myeloma bone disease and illustrates how treatment approaches may be investigated using such computational approaches. Note: The paper describes three models 1) Zero-dimensional Bone Model without Tumour, 2) Zero-dimensional Bone Model with Tumour and 3) Zero-dimensional Bone Model with Tumour and Drug Treatment. This model corresponds to the Zero-dimensional Bone Model with Tumour. Typos in the publication: Equation (4): The first term should be (β1/α1)^(g12/Γ) and not (β2/α2)^(g12/Γ) Equation (14): The first term should be (β1/α1)^(((g12/(1+r12))/Γ) and not (β2/α2)^(((g12/(1+r12))/Γ) Equation (13): The first term should be (β1/α1)^((1-g22+r22)/Γ) and not (β1/α1)^((1-g22-r22)/Γ) All these corrections has been implemented in the model, with the authors agreement. Beyond these, there are several mismatches between the equation numbers that are mentioned in for each equation and the reference that has been made to these equations in the figure legend.

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Lenalidomide-induced pure red cell aplasia analysis

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