bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Июль 4, 2024
Cells
exhibit
a
wide
array
of
morphological
features,
enabling
computer
vision
methods
to
identify
and
track
relevant
parameters.
Morphological
analysis
has
long
been
implemented
specific
cell
types
responses.
Here
we
asked
whether
features
might
also
be
used
classify
transcriptomic
subpopulations
within
Novel
therapeutic
agents
in
clinical
trials
offer
a
paradigm
shift
the
approach
to
battling
this
prevalent
and
destructive
disease,
area
of
cancer
therapy
is
on
precipice
trans
formative
revolution.
Despite
importance
tried-and-true
treatments
like
surgery,
radiation,
chemotherapy,
disease
continues
evolve
adapt,
making
new,
more
potent
methods
necessary.
The
field
currently
witnessing
emergence
wide
range
innovative
approaches.
Immunotherapy,
including
checkpoint
inhibitors,
CAR-T
cell
treatment,
vaccines,
utilizes
host's
immune
system
selectively
target
eradicate
malignant
cells
while
minimizing
harm
normal
tissue.
development
targeted
medicines
kinase
inhibitors
monoclonal
antibodies
has
allowed
for
less
harmful
approaches
treating
cancer.
With
help
genomics
molecular
profiling,
"precision
medicine"
customizes
therapies
each
patient's
unique
genetic
makeup
maximize
efficacy
unwanted
side
effects.
Epigenetic
therapies,
metabolic
interventions,
radio-pharmaceuticals,
an
increasing
emphasis
combination
with
synergistic
effects
further
broaden
landscape.
Multiple-stage
are
essential
determining
safety
these
novel
drugs,
allowing
patients
gain
access
also
furthering
scientific
understanding.
future
rife
promise,
as
integration
artificial
intelligence
big
data
potential
revolutionize
early
detection
prevention.
Collaboration
among
researchers,
healthcare
providers,
active
involvement
remain
bedrock
ongoing
battle
against
In
conclusion,
dynamic
evolving
landscape
provides
hope
improved
treatment
outcomes,
emphasizing
patient-centered,
data-driven,
ethically
grounded
we
collectively
strive
towards
cancer-free
world.
Cancer Research,
Год журнала:
2024,
Номер
84(11), С. 1929 - 1941
Опубликована: Апрель 3, 2024
Standard-of-care
treatment
regimens
have
long
been
designed
for
maximal
cell
killing,
yet
these
strategies
often
fail
when
applied
to
metastatic
cancers
due
the
emergence
of
drug
resistance.
Adaptive
developed
as
an
alternative
approach,
dynamically
adjusting
suppress
growth
treatment-resistant
populations
and
thereby
delay,
or
even
prevent,
tumor
progression.
Promising
clinical
results
in
prostate
cancer
indicate
potential
optimize
adaptive
protocols.
Here,
we
deep
reinforcement
learning
(DRL)
guide
scheduling
demonstrated
that
schedules
can
outperform
current
protocols
a
mathematical
model
calibrated
dynamics,
more
than
doubling
time
The
DRL
were
robust
patient
variability,
including
both
dynamics
monitoring
schedules.
framework
could
produce
interpretable,
based
on
single
burden
threshold,
replicating
informing
optimal
strategies.
had
no
knowledge
underlying
model,
demonstrating
capability
help
develop
novel
complex
settings.
Finally,
proposed
five-step
pathway,
which
combined
mechanistic
modeling
with
integrated
conventional
tools
improve
interpretability
compared
traditional
"black-box"
models,
allow
translation
this
approach
clinic.
Overall,
generated
personalized
consistently
outperformed
standard-of-care
Frontiers in Physiology,
Год журнала:
2024,
Номер
15
Опубликована: Окт. 23, 2024
Cancer
exhibits
substantial
heterogeneity,
manifesting
as
distinct
morphological
and
molecular
variations
across
tumors,
which
frequently
undermines
the
efficacy
of
conventional
oncological
treatments.
Developments
in
multiomics
sequencing
technologies
have
paved
way
for
unraveling
this
heterogeneity.
Nevertheless,
complexity
data
gathered
from
these
methods
cannot
be
fully
interpreted
through
multimodal
analysis
alone.
Mathematical
modeling
plays
a
crucial
role
delineating
underlying
mechanisms
to
explain
sources
heterogeneity
using
patient-specific
data.
Intra-tumoral
diversity
necessitates
development
precision
oncology
therapies
utilizing
multiphysics,
multiscale
mathematical
models
cancer.
This
review
discusses
recent
advancements
computational
methodologies
oncology,
highlighting
potential
cancer
digital
twins
enhance
decision-making
clinical
settings.
We
efforts
building
patient-informed
cellular
tissue-level
propose
framework
that
utilizes
agent-based
an
effective
conduit
integrate
systems
encode
signaling
at
scale
with
twin
predict
response
tumor
microenvironment
customized
patient
information.
Furthermore,
we
discuss
machine
learning
approaches
surrogates
complex
models.
These
can
potentially
used
conduct
sensitivity
analysis,
verification,
validation,
uncertainty
quantification,
is
especially
important
studies
due
their
dynamic
nature.
Computers & Industrial Engineering,
Год журнала:
2024,
Номер
191, С. 110078 - 110078
Опубликована: Март 24, 2024
Cancer
is
a
leading
cause
of
death
and
cost
burden
on
healthcare
systems
worldwide.
The
mainstay
treatment
chemotherapy
which
most
often
administered
empirically.
Optimizing
the
frequency
drug
administration
would
benefit
patients
by
avoiding
overtreatment
reducing
costs.
In
this
work,
optimization
regimens
using
mathematical
programming
techniques
demonstrated
developing
simple
model
for
fictitious
drug.
question
to
be
answered
solution
how
should
so
that
tumor
size
does
not
exceed
predefined
reaches
minimum
value.
proposed
computer-implemented
well-established
system,
thus
keeping
effort
obtaining
results
low.
An
example
used
demonstrate
superiority
approach
over
approach.
Abstract
Antifragility
characterizes
the
benefit
of
a
dynamical
system
derived
from
variability
in
environmental
perturbations.
carries
precise
definition
that
quantifies
system’s
output
response
to
input
variability.
Systems
may
respond
poorly
perturbations
(fragile)
or
(antifragile).
In
this
manuscript,
we
review
range
applications
antifragility
theory
technical
systems
(e.g.,
traffic
control,
robotics)
and
natural
cancer
therapy,
antibiotics).
While
there
is
broad
overlap
methods
used
quantify
apply
across
disciplines,
need
for
precisely
defining
scales
at
which
operates.
Thus,
provide
brief
general
introduction
properties
applied
relevant
literature
both
systems’
antifragility.
We
frame
within
three
common
systems:
intrinsic
(input–output
nonlinearity),
inherited
(extrinsic
signals),
induced
(feedback
control),
with
associated
counterparts
biological
ecological
(homogeneous
systems),
evolutionary
(heterogeneous
interventional
(control).
use
noun
designing
exhibit
antifragile
behavior
guide
reader
along
spectrum
fragility–adaptiveness–resilience–robustness–antifragility,
principles
behind
it,
its
practical
implications.
Cancer
treatment
optimizations
select
the
most
optimum
combinations
of
drugs,
sequencing
schedules,
and
appropriate
doses
that
would
limit
toxicity
yield
an
improved
patient
quality
life.
However,
these
often
lack
adequate
consideration
cancer's
near-infinite
potential
for
evolutionary
adaptation
to
therapeutic
interventions.
Adapting
cancer
therapy
based
on
monitored
tumor
burden
clonal
composition
is
intuitively
sound
approach
as
inherently
complex
adaptive
system.
The
be
driven
by
clinical
outcome
setpoints
embodying
aims
thwart
resistance
maintain
a
long-term
management
disease
or
even
cure.
given
nonlinear,
stochastic
dynamics
response
interventions,
strategies
may
at
least
need
one-step-ahead
prediction
their
control
over
growth
dynamics.
article
explores
feasibility
state
feedback
assuming
cell
fitness
underlying
source
phenotypic
plasticity
pathway
entropy
biomarker
trajectory.
exploration
undertaken
using
deterministic
models
PLoS Computational Biology,
Год журнала:
2025,
Номер
21(2), С. e1012815 - e1012815
Опубликована: Фев. 14, 2025
Biological
and
dynamic
mechanisms
by
which
Drug-tolerant
persister
(DTP)
cells
contribute
to
the
development
of
acquired
drug
resistance
have
not
been
fully
elucidated.
Here,
integrating
multidimensional
data
from
drug-treated
PC9
cells,
we
developed
a
novel
multiscale
mathematical
model
an
evolutionary
perspective
that
encompasses
epigenetic
cellular
population
dynamics.
By
coupling
stochastic
simulation
with
quantitative
analysis,
identified
instability
as
most
prominent
kinetic
feature
related
emergence
DTP
cell
subpopulations
effectiveness
intermittent
treatment.
Moreover,
revealed
optimal
schedule
for
treatment,
including
area
therapeutic
time
holidays.
leveraging
single-cell
RNA-seq
characterizing
tolerance
lung
cancer,
validated
predictions
made
our
further
previously
unrecognized
biological
features
such
autophagy
migration,
well
new
biomarker
genes
tolerance.
Our
work
only
provides
paradigm
integration
models
newly
emerging
genomics
but
also
improves
understanding
crucial
roles
offers
guidance
developing
treatment
strategies
against
in
cancer.
bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 17, 2025
SUMMARY
Adaptive
therapy
(AT)
improves
cancer
treatment
by
controlling
the
competition
between
sensitive
and
resistant
cells
via
holidays.
This
study
highlights
critical
role
of
treatment-pausing
thresholds
in
AT
for
tumors
composed
drug-sensitive
cells.
Using
a
Lotka-Volterra
model,
research
compares
with
maximum
tolerated
dose
intermittent
therapy,
showing
that
AT’s
success
largely
depends
on
threshold
at
which
is
paused
resumed,
as
well
Three
scenarios
comparison
others
are
identified:
uniform-decline,
conditionalimprove,
uniform-improve,
illustrating
optimizing
crucial
effectiveness.
Tumor
composition,
including
initial
tumor
burden
proportion
cells,
influences
outcomes.
Adjusting
values
enables
to
suppress
subclones,
preserving
ultimately
improving
progression-free
survival.
These
findings
underscore
importance
personalized
strategies
management
enhancing
long-term
therapeutic