2010
DOI: 10.1007/s10637-010-9603-3
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A simultaneous analysis of the time-course of leukocytes and neutrophils following docetaxel administration using a semi-mechanistic myelosuppression model

Abstract: A joint semi-mechanistic myelosuppression model describing the time-course of leukocytes and neutrophils following docetaxel administration was developed. The data supported a more complex model compared to the previous model developed by Friberg et al. (2002), and increased the model's capacity to accurately describe the time-course of neutrophils following docetaxel therapy. The combined model also illustrates the differences between the cell types and allows prediction of neutrophil counts from leukocyte me… Show more

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Cited by 54 publications
(44 citation statements)
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“…The current model assumes a steady state; application to non-steady-state situations such as trauma and sepsis may be attained by the inclusion of a feedback loop affecting proliferation, as has been done before in studies of myelosuppression upon antitumor treatment. 45,51,52 Similarly, circadian oscillations are not included within the steady-state model. Blood neutrophil counts follow a circadian rhythm, 53,54 which may be due to changes in proliferation, transit/release, or death/disappearance.…”
Section: Discussionmentioning
confidence: 99%
“…The current model assumes a steady state; application to non-steady-state situations such as trauma and sepsis may be attained by the inclusion of a feedback loop affecting proliferation, as has been done before in studies of myelosuppression upon antitumor treatment. 45,51,52 Similarly, circadian oscillations are not included within the steady-state model. Blood neutrophil counts follow a circadian rhythm, 53,54 which may be due to changes in proliferation, transit/release, or death/disappearance.…”
Section: Discussionmentioning
confidence: 99%
“…Docetaxel is known to induce myelosuppression and reduce WBC counts in a time and dose-dependent fashion (7,8,40) and data from this study suggest that PSK may mitigate these effects while enhancing antitumor responses. With respect to direct immunological effects, docetaxel treatment in mice bearing syngeneic transplanted tumors induced a significant increase in T cell and NK cell infiltration into tumors (41).…”
Section: Discussionmentioning
confidence: 68%
“…Docetaxel acts by stabilizing microtubules in mitotic spindles, directly inhibiting the cell division process (5,6). Because docetaxel is cytotoxic to all dividing cells, it induces myelosuppression and neutropenia at therapeutic doses (7,8), limiting its therapeutic potential.…”
Section: Introductionmentioning
confidence: 99%
“…The ANC dynamics component of the model was represented by a catenary chain of four compartments to mimic the production and maturation of neutrophils in the bone marrow . The receptors were tracked through the production, maturation and turnover of neutrophils, which were represented by stem cells ( R SM ), cells undergoing mitosis ( R MT ) and the two precursor states in the bone marrow ( R PM 1 and R PM 2 ).…”
Section: Methodsmentioning
confidence: 99%