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Christèle Etchegaray

Publications and source records attributed to Christèle Etchegaray.

8 recordsLinked to original sources

Interpretable Multi-Instance Learning Enables Early Prediction of Key Molecular Alterations from Routine Flow Cytometry in Acute Myeloid Leukemia

Background: Molecular testing for NPM1 and FLT3-ITD mutations guides critical early treatment decisions in acute myeloid leukemia (AML), but results can take weeks, long after these decisions must be made. Flow cytometry, already performed within hours of admission as part of routine care, may carry enough signal to predict these mutations directly, without added cost or delay. Methods: We developed an interpretable multi-instance learning classifier based on a decision tree, in which each patient sample is modeled as a collection of individual cells and mutation status is inferred from cell-level predictions. The model was benchmarked against a random forest trained on clinical variables and a deep convolutional neural network adapted for multitube flow cytometry data. Performance was assessed by cross-validation on a discovery cohort of 197 patients and tested on an independent cohort of 161 patients, using the area under the receiver operating characteristic curve (AUROC) and positive predictive value. Results: In cross-validation on the discovery cohort, the MIL model achieved mean AUROCs of 0.96 (SD=0.05) for NPM1 and 0.86 (SD=0.10) for FLT3-ITD, outperforming the clinical baseline and matching deep learning approaches. The model then successfully generalized to the independent test cohort of 161 patients, reaching AUROCs of 0.90 (NPM1) and 0.82 (FLT3-ITD), with positive predictive values of 0.87 and 0.68, respectively. Cell-level interpretation recovered established immunophenotypic signatures (CD33${}^{+}$ /CD34___ for NPM1-mutated cases, CD33${}^{+}$ /low side-scatter for FLT3-ITD), directly linking model predictions to known biology. Conclusions: These results show that an interpretable model applied to data already collected in routine care can predict AML molecular status within hours, offering a practical route to earlier, biology-informed treatment decisions.

cs.LG↗

Deciphering circulating tumor cells binding in a microfluidic system thanks to a parameterized mathematical model

The spread of metastases is a crucial process in which some questions remain unanswered. In this work, we focus on tumor cells circulating in the bloodstream, the so-called Circulating Tumor Cells (CTCs). Our aim is to characterize their trajectories under the influence of hemodynamic and adhesion forces. We focus on already available in vitro measurements performed with a microfluidic device corresponding to the trajectories of CTCs -- without or with different protein depletions -- interacting with an endothelial layer. A key difficulty is the weak knowledge of the fluid velocity that has to be reconstructed. Our strategy combines a differential equation model -- a Poiseuille model for the fluid velocity and an ODE system for the cell adhesion model -- and a robust and well-designed calibration procedure. The parameterized model quantifies the strong influence of fluid velocity on adhesion and confirms the expected role of several proteins in the deceleration of CTCs. Finally, it enables the generation of synthetic cells, even for unobserved experimental conditions, opening the way to a digital twin for flowing cells with adhesion.

q-bio.TO↗

Survival criterion for a population subject to selection and mutations ; Application to temporally piecewise constant environments

We study a parabolic Lotka-Volterra type equation that describes the evolution of a population structured by a phenotypic trait, under the effects of mutations and competition for resources modelled by a nonlocal feedback. The limit of small mutations is characterized by a Hamilton-Jacobi equation with constraint that describes the concentration of the population on some traits. This result was already established in Barles-Perthame 2008, Barles-Mirrahimi-Perthame 2009, Lorz-Mirrahimi-Perthame 2011 in a time-homogenous environment, when the asymptotic persistence of the population was ensured by assumptions on either the growth rate or the initial data. Here, we relax these assumptions to extend the study to situations where the population may go extinct at the limit. For that purpose, we provide conditions on the initial data for the asymptotic fate of the population. Finally, we show how this study for a time-homogenous environment allows to consider temporally piecewise constant environments.

math.AP↗

Analysis of a non-local and non-linear Fokker-Planck model for cell crawling migration

Cell movement has essential functions in development, immunity and cancer. Various cell migration patterns have been reported and a general rule has recently emerged, the so-called UCSP (Universal Coupling between cell Speed and cell Persistence), [30]. This rule says that cell persistence, which quantifies the straightness of trajectories, is robustly coupled to migration speed. In [30], the advection of polarity cues by a dynamic actin cytoskeleton undergoing flows at the cellular scale was proposed as a first explanation of this universal coupling. Here, following ideas proposed in [30], we present and study a simple model to describe motility initiation in crawling cells. It consists of a non-linear and non-local Fokker-Planck equation, with a coupling involving the trace value on the boundary. In the one-dimensional case we characterize the following behaviours: solutions are global if the mass is below the critical mass, and they can blow-up in finite time above the critical mass. In addition, we prove a quantitative convergence result using relative entropy techniques.

math.AP↗

A stochastic model for cell adhesion to the vascular wall

This paper deals with the adhesive interaction arising between a cell circulating in the blood flow and the vascular wall. The purpose of this work is to investigate the effect of the blood flow velocity on the cell dynamics, and in particular on its possible adhesion to the vascular wall. We formulate a model that takes into account the stochastic variability of the formation of bonds, and the influence of the cell velocity on the binding dynamics: the faster the cell goes, the more likely existing bonds are to disassemble. The model is based on a nonlinear birth-and-death-like dynamics, in the spirit of Joffe and Metivier (1986); Ethier and Kurtz (2009). We prove that, under different scaling regimes, the cell velocity follows either an ordinary differential equation or a stochastic differential equation, that we both analyse. We obtain both the identification of a shear-velocity threshold associated with the transition from cell sliding and its firm adhesion, and the expression of the cell mean stopping time as a function of its adhesive dynamics.

math.AP↗

A stochastic model for protrusion activity

In this work we approach cell migration under a large-scale assumption, so that the system reduces to a particle in motion. Unlike classical particle models, the cell displacement results from its internal activity: the cell velocity is a function of the (discrete) protrusive forces exerted by filopodia on the substrate. Cell polarisation ability is modeled in the feedback that the cell motion exerts on the protrusion rates: faster cells form preferentially protrusions in the direction of motion. By using the mathematical framework of structured population processes previously developed to study population dynamics [Fournier and M{é}l{é}ard, 2004], we introduce rigorously the mathematical model and we derive some of its fundamental properties. We perform numerical simulations on this model showing that different types of trajectories may be obtained: Brownian-like, persistent, or intermittent when the cell switches between both previous regimes. We find back the trajectories usually described in the literature for cell migration.

q-bio.CB↗

Crawling migration under chemical signalling: a stochastic particle model

Cell migration is a fundamental process involved in physiological phenomena such as the immune response and morphogenesis, but also in pathological processes, such as the development of tumor metastasis. These functions are effectively ensured because cells are active systems that adapt to their environment. In this work, we consider a migrating cell as an active particle, where its intracellular activity is responsible for motion. Such system was already modeled in a previous model where the protrusion activity of the cell was described by a stochastic Markovian jump process. The model was proven able to capture the diversity in observed trajectories. Here, we add a description of the effect of an external chemical attractive signal on the protrusion dynamics, that may vary in time. We show that the resulting stochastic model is a well-posed non-homogeneous Markovian process, and provide cell trajectories in different settings, illustrating the effects of the signal on long-term trajectories.

q-bio.CB↗

Numerical solutions of a 2D fluid problem coupled to a nonlinear non-local reaction-advection-diffusion problem for cell crawling migration in a discoidal domain

In this work, we present a numerical scheme for the approximate solutions of a 2D crawling cell migration problem. The model, defined on a non-deformable discoidal domain, consists in a Darcy fluid problem coupled with a Poisson problem and a reaction-advection-diffusion problem. Moreover, the advection velocity depends on boundary values, making the problem nonlinear and non local. \parFor a discoidal domain, numerical solutions can be obtained using the finite volume method on the polar formulation of the model. Simulations show that different migration behaviours can be captured.

math.NA↗