Abstract

Opportunistic fungal pathogens can cause bloodstream infection and severe sepsis upon entering the blood stream of the host. The early immune response in human blood comprises the elimination of pathogens by antimicrobial peptides and innate immune cells, such as neutrophils or monocytes. Mathematical modeling is a predictive method to examine these complex processes and to quantify the dynamics of pathogen-host interactions. Since model parameters are often not directly accessible from experiment, their estimation is required by calibrating model predictions with experimental data. Depending on the complexity of the mathematical model, parameter estimation can be associated with excessively high computational costs in terms of run time and memory. We apply a strategy for reliable parameter estimation where different modeling approaches with increasing complexity are used that build on one another. This bottom-up modeling approach is applied to an experimental human whole-blood infection assay for Candida albicans. Aiming for the quantification of the relative impact of different routes of the immune response against this human-pathogenic fungus, we start from a non-spatial state-based model (SBM), because this level of model complexity allows estimating a priori unknown transition rates between various system states by the global optimization method simulated annealing. Building on the non-spatial SBM, an agent-based model (ABM) is implemented that incorporates the migration of interacting cells in three-dimensional space. The ABM takes advantage of estimated parameters from the non-spatial SBM, leading to a decreased dimensionality of the parameter space. This space can be scanned using a local optimization approach, i.e., least-squares error estimation based on an adaptive regular grid search, to predict cell migration parameters that are not accessible in experiment. In the future, spatio-temporal simulations of whole-blood samples may enable timely stratification of sepsis patients by distinguishing hyper-inflammatory from paralytic phases in immune dysregulation.

Highlights

  • The human fungal pathogen Candida albicans is part of the normal microbial flora in more than half of the global population

  • We applied a bottom-up modeling approach to simulate an experimental infection assay for C. albicans in human blood

  • To include the immune response mediated by monocytes and granulocytes (PMN), in this work we modified the P-State-based models (SBM) into a SBM that does as well-explicitly account for the immune cell states and is referred to as PI-SBM

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Summary

Introduction

The human fungal pathogen Candida albicans is part of the normal microbial flora in more than half of the global population. In immunocompromised patients it can become invasive and may enter the blood stream via medical devices, e.g., catheters, or translocation in the gut and can cause severe systemic infections. Applying a systems biology approach, we quantified individual processes and in this way revealed the main route of the immune response against C. albicans in human blood (Hünniger et al, 2014) This was achieved by an iterative systems biology cycle involving experiment, mathematical modeling, hypothesis generation and further experimental investigation

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