Stem cell transplantation as a dynamical system: are clinical outcomes deterministic?
Publication/Presentation Date
1-1-2014
Abstract
Outcomes in stem cell transplantation (SCT) are modeled using probability theory. However, the clinical course following SCT appears to demonstrate many characteristics of dynamical systems, especially when outcomes are considered in the context of immune reconstitution. Dynamical systems tend to evolve over time according to mathematically determined rules. Characteristically, the future states of the system are predicated on the states preceding them, and there is sensitivity to initial conditions. In SCT, the interaction between donor T cells and the recipient may be considered as such a system in which, graft source, conditioning, and early immunosuppression profoundly influence immune reconstitution over time. This eventually determines clinical outcomes, either the emergence of tolerance or the development of graft versus host disease. In this paper, parallels between SCT and dynamical systems are explored and a conceptual framework for developing mathematical models to understand disparate transplant outcomes is proposed.
Volume
5
First Page
613
Last Page
613
ISSN
1664-3224
Published In/Presented At
Toor, A. A., Kobulnicky, J. D., Salman, S., Roberts, C. H., Jameson-Lee, M., Meier, J., Scalora, A., Sheth, N., Koparde, V., Serrano, M., Buck, G. A., Clark, W. B., McCarty, J. M., Chung, H. M., Manjili, M. H., Sabo, R. T., & Neale, M. C. (2014). Stem cell transplantation as a dynamical system: are clinical outcomes deterministic?. Frontiers in immunology, 5, 613. https://doi.org/10.3389/fimmu.2014.00613
Disciplines
Medicine and Health Sciences
PubMedID
25520720
Department(s)
Department of Medicine, Hematology-Medical Oncology Division
Document Type
Article