Evidence map›Paper›PMID 33863290›Full record

ArticleBMC bioinformatics2021

Cancer immune control dynamics: a clinical data driven model of systemic immunity in patients with metastatic melanoma.

Harold P Frisch, Allan Sprau, Virginia F McElroy, James D Turner, Laura R E Becher, Wendy K Nevala, Alexey A Leontovich, Svetomir N Markovic

Open access · goldAbstract read
In one paragraph

Article in BMC bioinformatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 55% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Harold P Frisch *Payload Systems Engineering Branch, Emeritus, NASA, Annapolis, MD, USA.
Allan Sprau *Math for Medicine, Inc., Rochester, MN, USA.
Virginia F McElroy *Math for Medicine, Inc., Rochester, MN, USA.
James D Turner *Retired Aerospace Consultant, Texas A&M University, College Station, TX, USA.
Laura R E BecherDepartment of Medical Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Wendy K Nevala *Department of Oncology Research, Mayo Clinic, Rochester, MN, USA.
Alexey A Leontovich *Department of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA.
Svetomir N Markovic *Department of Medical Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. markovic.svetomir@mayo.edu.ORCID http://orcid.org/0000-0002-9238-4325
Mayo Clinic · USMayo Clinic in Florida · USTexas A&M University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent clinical advances in cancer immuno-therapeutics underscore the need for improved understanding of the complex relationship between cancer and the multiple, multi-functional, inter-dependent, cellular and humoral mediators/regulators of the human immune system. This interdisciplinary effort exploits engineering analysis methods utilized to investigate anomalous physical system behaviors to explore immune system behaviors. Cancer Immune Control Dynamics (CICD), a systems analysis approach, attempts to identify differences between systemic immune homeostasis of 27 healthy volunteers versus 14 patients with metastatic malignant melanoma based on daily serial measurements of conventional peripheral blood biomarkers (15 cell subsets, 35 cytokines). The modeling strategy applies engineering control theory to analyze an individual's immune system based on the biomarkers' dynamic non-linear oscillatory behaviors. The reverse engineering analysis uses a Singular Value Decomposition (SVD) algorithm to solve the inverse problem and identify a solution profile of the active biomarker relationships. Herein, 28,605 biologically possible biomarker interactions are modeled by a set of matrix equations creating a system interaction model. CICD quantifies the model with a participant's biomarker data then computationally solves it to measure each relationship's activity allowing a visualization of the individual's current state of immunity.

resultsCICD results provide initial evidence that this model-based analysis is consistent with identified roles of biomarkers in systemic immunity of cancer patients versus that of healthy volunteers. The mathematical computations alone identified a plausible network of immune cells, including T cells, natural killer (NK) cells, monocytes, and dendritic cells (DC) with cytokines MCP-1 [CXCL2], IP-10 [CXCL10], and IL-8 that play a role in sustaining the state of immunity in advanced cancer.

conclusionsWith CICD modeling capabilities, the complexity of the immune system is mathematically quantified through thousands of possible interactions between multiple biomarkers. Therefore, the overall state of an individual's immune system regardless of clinical status, is modeled as reflected in their blood samples. It is anticipated that CICD-based capabilities will provide tools to specifically address cancer and treatment modulated (immune checkpoint inhibitors) parameters of human immunity, revealing clinically relevant biological interactions.

Indexed as

MelanomaBiomarkersCytokinesHumansT-LymphocytesBiomarkersCytokinesMath modelingMelanomaOncologyPeripheral blood biomarkersSystemic immunity

Identifiers

PMID33863290
PMCPMC8052714
OpenAlexW3155414154

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.