Mathematical modeling of tumor-immune system interactions: the effect of rituximab on breast cancer immune response
Vasiliki Bitsouni, Vasilis Tsilidis

TL;DR
This paper develops a mathematical model to analyze how immune cells interact with breast cancer and assesses the impact of rituximab, a monoclonal antibody, on tumor-immune dynamics and therapy effectiveness.
Contribution
It introduces a novel mathematical framework incorporating rituximab effects and validates the functional response of NK cell-mediated lysis as ratio-dependent.
Findings
Rituximab influences immune cell interactions with breast cancer.
The model confirms ratio-dependent lysis of cancer cells by NK cells.
Simulations suggest optimal dosing strategies for rituximab.
Abstract
tBregs are a newly discovered subcategory of B regulatory cells, which are generated by breast cancer, resulting in the increase of Tregs and therefore in the death of NK cells. In this study, we use a mathematical and computational approach to investigate the complex interactions between the aforementioned cells as well as CD8 T cells, CD4 T cells and B cells. Furthermore, we use data fitting to prove that the functional response regarding the lysis of breast cancer cells by NK cells has a ratio-dependent form. Additionally, we include in our model the concentration of rituximab - a monoclonal antibody that has been suggested as a potential breast cancer therapy - and test its effect, when the standard, as well as experimental dosages, are administered.
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