Excited to share our latest preprint!
We show that you can predict how lymphoma cells will respond to drugs that target apoptosis, using simulations.

Lead by Ielyaas Cloete + collaborators at Leicester + Frankfurt

↓Tutorial Below↓

https://doi.org/10.1101/2023.02.01.526592

#LeukaemiaUK #UKRIFLF

The work was inspired by a great paper from Martin Dyer's group in Leicester.
(https://haematologica.org/article/view/9988) where they show that response to BH3-mimetics is not as simple as more MCL1=better response to MCL1-targeting inhibitors. But in fact a complex interaction network is at play.
Q: Can we model this?
Specific interactions of BCL-2 family proteins mediate sensitivity to BH3-mimetics in diffuse large B-cell lymphoma | Haematologica

A: Sadly not with existing models of apoptosis :(
So Ielyaas, thanks to many chats with experts in apoptotsis, built a math model focusing on the the mitochondrial membrane and its complex interaction network.
First test: can we predict how a cell line responds to drugs?
A: Yes!
We used initial conditions from IPs and Co-IPs. We modelled cell-to-cell variability, which we measured before (https://pnas.org/doi/10.1073/pnas.1715639115). Simulations correctly predicted the most effective drugs.
Okay, so it works with one cell line, but they all respond so differently!?
We found the exact same approach works with a library of cell lines, that all respond differently to BH3-mimetics.
Simulations gave accurate predictions of the which is the right drug for the right DLBCL cell line. Predictions get even better when we consider mutations.
Finally, we wondered if we could predict how drugs combine, and found that some cells are predicted to respond synergistically to combinations of BH3-mimetics. We tested this exciting prediction with new experiments in the lab and were so happy to see the same result.
We hope this is a foundation for using systems biology to get the right drugs into the right patients (stay tuned)!
Thanks to the dream team: Ielyaas Cloete, Chris Pepper, Andrea Pepper, Martin Dyer and team + Meike Vogler.
Leukaemia UK and the UKRI FLF for funding.