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Gene regulatory network transitions reveal the central transcription factors in lung adenocarcinoma progression. 基因调控网络的转变揭示了肺腺癌进展中的中心转录因子。
IF 3.5 2区 生物学 Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2026-01-20 DOI: 10.1038/s41540-025-00640-9
Upasana Ray, Adarsh Singh, Debabrata Samanta, Riddhiman Dhar

Transcription factors play a central role in cancer growth, progression, and metastasis, and contribute to intratumor phenotypic plasticity that enable drug tolerance and cancer relapse. Changes in the regulatory activities of transcription factors in cancer may not always be detected from mutational signatures or differential expression of the transcription factors, as done in traditional analysis. In addition, past studies have focused on the activities of transcription factors in tumor as a whole and thus, have not fully captured the heterogeneity in gene regulation among different cell types within the tumor microenvironment. In this work, through an analysis of the transitions in regulatory network architecture and gene regulation dynamics, we identify the central transcription factors associated with lung adenocarcinoma progression. The gene NR2F1, associated with neurodevelopment and cancer dormancy, emerge as a key transcription factor in the progression of lung adenocarcinoma. We further identify transcription factors that are active in only cancer samples and uncover how changes in gene regulation dynamics influence intratumor heterogeneity. Taken together, our work elucidates the transitions in gene regulatory network during cancer progression, identifies central transcription factors in this process, and reveals the complex regulatory changes cooccurring in different cell types within the tumor microenvironment.

转录因子在癌症的生长、进展和转移中起着核心作用,并有助于肿瘤内表型的可塑性,从而使药物耐受和癌症复发。癌症中转录因子调控活性的变化可能并不总是像传统分析那样,从转录因子的突变特征或差异表达中检测出来。此外,过去的研究主要集中在肿瘤整体中转录因子的活性,因此没有完全捕捉到肿瘤微环境中不同细胞类型之间基因调控的异质性。在这项工作中,通过分析调控网络结构和基因调控动力学的转变,我们确定了与肺腺癌进展相关的中心转录因子。基因NR2F1与神经发育和癌症休眠相关,是肺腺癌进展的关键转录因子。我们进一步确定了仅在癌症样本中有活性的转录因子,并揭示了基因调控动力学的变化如何影响肿瘤内异质性。综上所述,我们的工作阐明了癌症进展过程中基因调控网络的转变,确定了这一过程中的中心转录因子,揭示了肿瘤微环境中不同细胞类型共同发生的复杂调控变化。
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引用次数: 0
Machine learning prediction for AML based on 3D genome selected circRNA. 基于3D基因组选择circRNA的AML机器学习预测。
IF 3.5 2区 生物学 Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2026-01-20 DOI: 10.1038/s41540-025-00638-3
Zhangli Yuan, Wenqian Yan, Ruoyao Wang, Shanshan Yin, Chongchen Pang, Xinyuan Ren, Wenchang Duan, Mika Torhola, Klaus Förger, Henna Kujanen, Yixin Zhang, Haoyan Chen, Hui Shi, Yuqing Lou, Hao Li, Guang He, Yi Shi

Acute myeloid leukemia (AML) is a clinically aggressive hematologic malignancy driven by complex genetic and epigenetic aberrations. Circular RNAs (circRNAs), characterized by covalently closed structures and exceptional stability, have emerged as promising diagnostic biomarkers. However, existing circRNA-based predictive models largely depend on differential expression, overlooking the potential impact of higher-order chromatin organization on circRNA formation and function. Here, we propose a machine learning framework that integrates three-dimensional (3D) genome architecture to refine circRNA selection for AML prediction. By mapping 9,565 circRNAs onto a 3D chromatin model reconstructed from Hi-C data, we analyzed their spatial clustering and biological pathway enrichment. Eighteen pathways exhibited significant 3D aggregation of circRNAs, enabling radial stratification based on nuclear localization. Five circRNA panels were designed using complementary strategies combining expression, pathway, and spatial features. Cross-validation and external validation across six machine learning algorithms showed that the panel derived from the fifth radial layer (Panel-3DG-Radius5) achieved the most robust and consistent performance (ROC-AUC > 0.99). Integrating 3D genomic context reduced feature collinearity while enhancing biological interpretability. Overall, our study establishes a 3D genome-informed paradigm for circRNA biomarker discovery, demonstrating that spatial genome organization can substantially improve the precision and robustness of AML predictive modeling.

急性髓性白血病(AML)是一种临床侵袭性血液系统恶性肿瘤,由复杂的遗传和表观遗传畸变驱动。环状rna (circRNAs)具有共价封闭结构和异常稳定性的特点,已成为有希望的诊断生物标志物。然而,现有的基于circRNA的预测模型在很大程度上依赖于差异表达,忽略了高阶染色质组织对circRNA形成和功能的潜在影响。在这里,我们提出了一个集成三维(3D)基因组结构的机器学习框架,以改进用于AML预测的circRNA选择。通过将9565个环状rna映射到基于Hi-C数据重建的三维染色质模型上,我们分析了它们的空间聚类和生物途径富集。18条通路表现出明显的环状rna三维聚集,使基于核定位的径向分层成为可能。使用结合表达、通路和空间特征的互补策略设计了五个circRNA面板。跨六种机器学习算法的交叉验证和外部验证表明,来自第5径向层的面板(panel - 3dg - radius5)获得了最稳健和一致的性能(ROC-AUC > 0.99)。整合三维基因组背景减少了特征共线性,同时增强了生物可解释性。总的来说,我们的研究为circRNA生物标志物的发现建立了一个三维基因组信息范式,表明空间基因组组织可以大大提高AML预测建模的准确性和稳健性。
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引用次数: 0
Association of copy number alterations with the immune transcriptomic landscape in cancer. 癌症中拷贝数改变与免疫转录组景观的关联。
IF 3.5 2区 生物学 Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2026-01-17 DOI: 10.1038/s41540-026-00649-8
Stefan Loipfinger, Arkajyoti Bhattacharya, Carlos G Urzúa-Traslaviña, Marcel A T M van Vugt, Marco de Bruyn, Rudolf S N Fehrmann

Tumors with high copy number alteration (CNA) burden often respond poorly to immune checkpoint inhibitor therapy. However, how CNAs affect the anti-cancer immune response remains unclear. To address this, we set out to capture the transcriptional effects of CNAs and define a comprehensive landscape of immune-related transcriptional patterns. Hereto, we applied consensus independent component analysis to 294,159 bulk transcriptomic profiles. We demonstrated the predictive power of these patterns for immunotherapy response, their reproducibility across platforms, and their applicability to bulk, single-cell, and spatial transcriptomic data. Our analysis identified both novel inverse and positive associations between high CNA burden and immune-related transcriptional patterns across various cancer types. For example, higher CNA burden correlated with increased immunosuppression, including IL-17-producing cells and regulatory T cells. This resource, along with the classification of these transcriptional patterns as immune-suppressive and immune-stimulatory, may provide insights to improve immunotherapy efficacy in tumors with high CNA burden.

高拷贝数改变(CNA)负荷的肿瘤通常对免疫检查点抑制剂治疗反应较差。然而,CNAs如何影响抗癌免疫反应仍不清楚。为了解决这个问题,我们着手捕捉CNAs的转录效应,并定义免疫相关转录模式的综合景观。在此,我们对294,159个大量转录组谱应用了共识独立成分分析。我们证明了这些模式对免疫治疗反应的预测能力,它们在平台上的可重复性,以及它们对大量、单细胞和空间转录组数据的适用性。我们的分析发现,在各种癌症类型中,高CNA负担与免疫相关转录模式之间存在新的负相关和正相关关系。例如,较高的CNA负荷与免疫抑制增加相关,包括产生il -17的细胞和调节性T细胞。这一资源,连同将这些转录模式分类为免疫抑制和免疫刺激,可能为提高高CNA负担肿瘤的免疫治疗效果提供见解。
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引用次数: 0
Asthma-mediated control of optic glioma growth via T cell-microglia interactions: A mathematical model. 哮喘介导的T细胞-小胶质细胞相互作用对视神经胶质瘤生长的控制:一个数学模型。
IF 3.5 2区 生物学 Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2026-01-16 DOI: 10.1038/s41540-026-00647-w
Donggu Lee, Sean Lawler, Yangjin Kim

Optic glioma, a slow-growing tumor, is associated with Neurofibromatosis type 1 (NF1) mutations and increased midkine (MDK) production. A connection between asthma and optic glioma has previously been observed, but the mechanisms are unclear. To elucidate the role of asthma in the regulation of glioma formation, we investigated the role of T cells and the subsequent pathways in the regulation of microglia, a key player in the glioma tumor microenvironment (TME). While asthma is often linked to chronic inflammation, our mathematical analysis and experimental evidence suggest that inflammation can play a key role in suppressing the proliferation of optic glioma cells via immune reprogramming of T cells and the delicate control of signaling networks in microglia. Our mathematical model unveils the complex interactions between tumor and immune cells in optic glioma. Our results indicate that asthma-induced T cell reprogramming inhibits tumor growth by promoting the release of decorin and a subsequent suppression of CCR8 and the intercellular binding kinetics in microglia, followed by blocking of CCL5 production in TME via suppression of NFκB. We developed anti-cancer strategies by leveraging this asthma-induced immune regulation.

视神经胶质瘤是一种生长缓慢的肿瘤,与1型神经纤维瘤病(NF1)突变和midkine (MDK)产生增加有关。以前曾观察到哮喘和视神经胶质瘤之间的联系,但其机制尚不清楚。为了阐明哮喘在胶质瘤形成调控中的作用,我们研究了T细胞及其后续途径在小胶质细胞调控中的作用,小胶质细胞是胶质瘤肿瘤微环境(TME)的关键参与者。虽然哮喘通常与慢性炎症有关,但我们的数学分析和实验证据表明,炎症可以通过T细胞的免疫重编程和小胶质细胞信号网络的微妙控制,在抑制视神经胶质瘤细胞的增殖中发挥关键作用。我们的数学模型揭示了视神经胶质瘤中肿瘤和免疫细胞之间复杂的相互作用。我们的研究结果表明,哮喘诱导的T细胞重编程通过促进decorin的释放、随后抑制CCR8和小胶质细胞间结合动力学来抑制肿瘤生长,随后通过抑制NFκB来阻断TME中CCL5的产生。我们通过利用这种哮喘诱导的免疫调节来开发抗癌策略。
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引用次数: 0
Data driven network inference and longitudinal transcriptomics unveil dynamic regulation in Chronic Lymphocytic Leukaemia models. 数据驱动的网络推断和纵向转录组学揭示了慢性淋巴细胞白血病模型的动态调节。
IF 3.5 2区 生物学 Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2026-01-15 DOI: 10.1038/s41540-025-00645-4
Malvina Marku, Hugo Chenel, Julie Bordenave, Marcelo Hurtado, Marcin Domagala, Flavien Raynal, Mary Poupot, Loïc Ysebaert, Andrei Zinovyev, Vera Pancaldi

How do cancer cells respond to their environment, and what are the key regulators behind their behaviour? While immune cell reprogramming in the tumour microenvironment (TME) has been extensively studied, the dynamic regulatory changes within cancer cells in response to interactions with immune cells remain poorly understood. In Chronic Lymphocytic Leukaemia (CLL), this knowledge gap limits our ability to fully grasp the disease progression and to design effective, personalised interventions. To tackle this, we combine time-series transcriptomics with data-driven gene regulatory network (GRN) inference to uncover the temporal regulatory mechanisms driving CLL cell behaviour within a reconstituted in vitro TME. Using cultures of peripheral blood from CLL patients or of purified patient-derived CLL cells, we profile gene expression across five time points spanning 14 days under these experimental conditions. By inferring GRNs from transcription factor activity, we capture patient-specific and temporally resolved regulatory interactions that highlight how immune signals drive cancer cell phenotypic changes. Our network analysis reveals distinct gene modules associated with critical processes such as cytokine signalling, metabolic reprogramming and differentiation, hallmarks of immune-cancer cell interaction. Intriguingly, we found that while the presence of immune cells in the environment significantly alters CLL cell activation, their survival trajectories are predominantly governed by intrinsic features. This study not only offers mechanistic insights into how immune cell presence influences CLL cell fate but also presents a robust computational framework for integrating time-series transcriptomics with GRN inference, which can then be used to study the long-term behaviour of the CLL cells through dynamical modelling.

癌细胞是如何对环境做出反应的?它们行为背后的关键调控因素是什么?虽然肿瘤微环境(TME)中的免疫细胞重编程已被广泛研究,但癌细胞内响应与免疫细胞相互作用的动态调节变化仍然知之甚少。在慢性淋巴细胞白血病(CLL)中,这种知识差距限制了我们完全掌握疾病进展和设计有效的个性化干预措施的能力。为了解决这个问题,我们将时间序列转录组学与数据驱动的基因调控网络(GRN)推断相结合,揭示了在重构的体外TME中驱动CLL细胞行为的时间调控机制。使用CLL患者外周血或纯化的患者来源的CLL细胞培养物,我们在这些实验条件下分析了跨越14天的五个时间点的基因表达。通过从转录因子活性推断grn,我们捕获了患者特异性和暂时解决的调节相互作用,突出了免疫信号如何驱动癌细胞表型变化。我们的网络分析揭示了与关键过程相关的不同基因模块,如细胞因子信号传导、代谢重编程和分化、免疫-癌细胞相互作用的标志。有趣的是,我们发现,尽管环境中免疫细胞的存在显著改变了CLL细胞的激活,但它们的生存轨迹主要由内在特征控制。这项研究不仅提供了免疫细胞存在如何影响CLL细胞命运的机制见解,而且还提供了一个强大的计算框架,将时间序列转录组学与GRN推断相结合,然后可以通过动态建模来研究CLL细胞的长期行为。
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引用次数: 0
Modeling the microRNA regulation of TGF-β/SMAD signaling pathways for seizure control in temporal lobe epilepsy. 模拟TGF-β/SMAD信号通路对颞叶癫痫发作控制的调控。
IF 3.5 2区 生物学 Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2026-01-15 DOI: 10.1038/s41540-025-00643-6
Kurt J A Pumares, Daniel P Martins, Aiman Khalil, Jochen H M Prehn, Deirdre Kilbane

Temporal lobe epilepsy (TLE) is the most prevalent type of focal epilepsy. Recent developments in sequencing, proteomics and network analysis tools provide new avenues for investigating potential molecular therapeutic targets. Both the TGF-β/SMAD signaling pathways and subsets of microRNAs (including miR-21a-5p, miR-142a-5p, and miR-10a-5p) have been shown to be altered in several preclinical models of epilepsy and were mathematically modeled in this study. Using prior systems-based findings, a changeover between 'seizure' and 'anti-seizure' cellular states has been identified upon inhibition of microRNA activity achieved by the injection of antagomirs. Methods for seizure suppression were explored under various antagomir dosages as well as the regulatory effect of each microRNA in order to ascertain intracellular responses. Promising antagomir administration strategies were then identified, which may offer new avenues for seizure suppression.

颞叶癫痫(TLE)是最常见的局灶性癫痫类型。测序、蛋白质组学和网络分析工具的最新发展为研究潜在的分子治疗靶点提供了新的途径。TGF-β/SMAD信号通路和microrna亚群(包括miR-21a-5p、miR-142a-5p和miR-10a-5p)在几种癫痫临床前模型中都被证明发生了改变,本研究对此进行了数学建模。利用先前基于系统的研究结果,通过注射安塔戈米抑制microRNA活性,确定了“癫痫”和“抗癫痫”细胞状态之间的转换。探讨不同阿塔戈莫剂量下癫痫发作的抑制方法以及各microRNA的调控作用,以确定细胞内反应。然后确定了有希望的安他哥莫给药策略,这可能为癫痫发作抑制提供新的途径。
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引用次数: 0
Mechanisms of rectified gap junctional coupling enhancing pacemaking activity of biologically engineered pacemaker cells. 整流间隙连接耦合增强生物工程起搏器细胞起搏活性的机制。
IF 3.5 2区 生物学 Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2026-01-12 DOI: 10.1038/s41540-025-00646-3
Yacong Li, Jun Liu, Xiangyun Bai, Qince Li, Dong Sui, Deyan Yang, Lei Ma, Kuanquan Wang, Henggui Zhang

Bio-pacemakers offer a potential alternative to electronic devices, yet their stable implementation at cellular and tissue levels remains unresolved. In this computational study, we aimed to investigate possible effects of the electrotonic interaction between cardiac cells and the spatial distribution of the bio-pacemaker on the initiation and conduction of cardiac pacemaking action potentials to surrounding quiescent cardiac tissues. Simulation results demonstrated that (i) a combination of weak gap junctional electrical coupling among PMs; and (ii) rectified coupling arising from heterotypic gap junction expressions between the PM and ventricle yielded the best stable and robust bio-pacemaker for pacing and driving surrounding ventricular tissue. Furthermore, Isolated or septal placement improved ventricular pacing efficacy. This study adopts a digital health approach, providing an important theoretical foundation for the simulation of new clinical therapies.

生物起搏器为电子设备提供了一种潜在的替代方案,但其在细胞和组织水平上的稳定实施仍未解决。在这项计算研究中,我们旨在研究心脏细胞之间的电紧张相互作用和生物起搏器的空间分布对心脏起搏动作电位的启动和传导到周围静止心脏组织的可能影响。仿真结果表明:(1)pmms之间存在弱间隙结电耦合组合;(ii)由PM和心室之间的异型间隙连接表达引起的整流耦合产生了最稳定和强大的生物起搏器,用于起搏和驱动周围心室组织。此外,孤立或间隔放置可提高心室起搏效果。本研究采用数字健康方法,为临床新疗法的模拟提供了重要的理论基础。
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引用次数: 0
Cross-platform metabolomics imputation using importance-weighted autoencoders. 使用重要性加权自编码器的跨平台代谢组学输入。
IF 3.5 2区 生物学 Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2026-01-10 DOI: 10.1038/s41540-025-00644-5
Alexander Smith, Rui Pinto, Loukas Zagkos, Ioanna Tzoulaki, Paul Elliott, Abbas Dehghan

Metabolomics data are often generated through different platforms and quantification methods which makes their synthesis and large-scale replication challenging. This study developed an ensemble of importance-weighted autoencoders to perform cross-platform metabolomics imputation between two metabolomics platforms, Metabolon and National Phenome Centre (NPC) at Imperial College, using 979 samples from the Airwave Health Monitoring Study. The generated samples were highly correlated with real values across all metabolites (µρ = 0.61 (0.55-0.67)). The well-imputed subset contained 199 metabolites (22%), capturing ≥ 55% variance (R² ≥ 0.55) with minimal uncertainty (R² variance ≤ 0.025), including 43 metabolites unique to Metabolon. The concordance of associations in 2,971 validation samples between real and imputed metabolites with two clinical outcomes, body mass index (BMI) and C-reactive protein (CRP), were highly correlated (ρBMI = 0.93; ρCRP = 0.89) with minimal mean difference (BMI µΔ = 0.005 (0.04); CRP µΔ = 0.005 (0.04)). Similar concordance occurred with equivalent UK Biobank (BMI µΔ = -0.007 (0.05); CRP µΔ = 0.01 (0.04)) and NPC (BMI µΔ = -0.013 (0.04); CRP µΔ = -0.019 (0.04)) metabolites. This methodological innovation offers a scalable and accurate method for cross-platform imputation, enabling the aggregation of metabolomics data from different epidemiological studies for replication and meta-analyses.

代谢组学数据通常是通过不同的平台和量化方法生成的,这使得它们的合成和大规模复制具有挑战性。本研究开发了一个重要加权自动编码器集合,在两个代谢组学平台(Metabolon和Imperial College的National phenoome Centre (NPC))之间进行跨平台代谢组学imputation,使用来自Airwave健康监测研究的979个样本。生成的样品与所有代谢物的实际值高度相关(µρ = 0.61(0.55-0.67))。纳入的子集包含199种代谢物(22%),捕获≥55%方差(R²≥0.55),最小不确定性(R²方差≤0.025),其中包括43种代谢物。在2971个验证样本中,真实代谢物和估算代谢物与体重指数(BMI)和c反应蛋白(CRP)两项临床结果的相关性高度相关(ρBMI = 0.93; ρCRP = 0.89),平均差异极小(BMIµΔ = 0.005 (0.04);CRPµΔ = 0.005(0.04))。相同的UK Biobank也出现了类似的一致性(BMIµΔ = -0.007 (0.05);CRPµΔ= 0.01(0.04))和全国人大(BMIµΔ= -0.013 (0.04);CRPµΔ = -0.019(0.04))代谢物。这一方法学创新提供了一种可扩展且准确的跨平台插补方法,可以将来自不同流行病学研究的代谢组学数据聚合起来进行复制和荟萃分析。
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引用次数: 0
Quantifying and comparing causal patterns in stochastic chemical reaction networks. 量化和比较随机化学反应网络中的因果模式。
IF 3.5 2区 生物学 Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2026-01-08 DOI: 10.1038/s41540-025-00625-8
Ozan Kahramanoğulları

Chemical reaction networks (CRNs) are broadly used to study biological systems via simulations. Gillespie's Stochastic Simulation Algorithm (SSA) is commonly used to perform stochastic simulations with CRNs. Comparing two CRNs in such a setting relies on ad hoc signals obtained from the time series, which the simulations output by discarding causal patterns. To this end, we introduce a general method and its implementation for quantitatively comparing CRNs' dynamic behaviour based on causal dependencies in stochastic simulations. Our method detects causal patterns, as in Petri nets, as resource dependencies between reactions during simulation. We present our method within a conservative extension of SSA that tracks and logs these dependencies in simulations as weighted directed graphs. These graphs provide discrete structures that quantify the CRNs' stochastic dynamic behaviour, complementing the simulations' time series output. We use these graphs to compare the behaviour of any two CRNs for the resource dependencies of their components for any time interval. We measure the similarity of the two CRNs via a distance metric. We illustrate different use cases of our method on models of various molecular mechanisms, including gene regulation and drug metabolism.

化学反应网络(crn)被广泛用于通过模拟来研究生物系统。Gillespie随机模拟算法(SSA)是常用的crn随机模拟算法。在这种情况下比较两个crn依赖于从时间序列中获得的临时信号,模拟通过丢弃因果模式输出。为此,我们介绍了一种通用方法及其实现,用于定量比较随机模拟中基于因果关系的crn动态行为。我们的方法检测因果模式,如在Petri网中,作为模拟过程中反应之间的资源依赖关系。我们在SSA的保守扩展中提出了我们的方法,该方法以加权有向图的形式跟踪和记录模拟中的这些依赖关系。这些图提供了离散结构,量化了crn的随机动态行为,补充了模拟的时间序列输出。我们使用这些图来比较任意两个crn在任何时间间隔内其组件的资源依赖关系的行为。我们通过距离度量来测量两个crn的相似性。我们举例说明了我们的方法在各种分子机制模型上的不同用例,包括基因调控和药物代谢。
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引用次数: 0
Delaying cancer progression by integrating toxicity constraints in a model of adaptive therapy. 通过在适应性治疗模型中整合毒性限制来延缓癌症进展。
IF 3.5 2区 生物学 Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2026-01-08 DOI: 10.1038/s41540-025-00635-6
Jana L Gevertz, Harsh Vardhan Jain, Irina Kareva, Kathleen P Wilkie, Joel Brown, Yitong Pepper Huang, Eduardo Sontag, Vladimir Vinogradov, Mark Davies

Cancer therapies often fail when intolerable toxicity or drug-resistant cancer cells undermine otherwise effective treatment strategies. Over the past decade, adaptive therapy has emerged as a promising approach to postpone emergence of resistance by altering dose timing based on tumor burden thresholds. Despite encouraging results, these protocols often overlook the crucial role of toxicity-induced treatment breaks, which may permit tumor regrowth. Herein, we explore the following question: would incorporating toxicity feedback improve or hinder the efficacy of adaptive therapy? To address this question, we propose a mathematical framework for incorporating toxic feedback into treatment design. We find that the degree of competition between sensitive and resistant populations, along with the growth rate of resistant cells, critically modulates the impact of toxicity feedback on time to progression. Further, our conceptual model identifies circumstances where strategic treatment breaks, which may be based on either tumor size or toxicity, can mitigate overtreatment and extend time to progression, both at the baseline parameterization and across a heterogeneous virtual population. Taken together, these findings highlight the importance of integrating toxicity considerations into the design of adaptive therapy.

当无法忍受的毒性或耐药癌细胞破坏了其他有效的治疗策略时,癌症治疗往往会失败。在过去的十年中,适应性治疗已经成为一种有希望的方法,通过根据肿瘤负荷阈值改变剂量时间来推迟耐药性的出现。尽管结果令人鼓舞,但这些方案往往忽略了毒性诱导的治疗中断的关键作用,这可能允许肿瘤再生。在此,我们探讨以下问题:纳入毒性反馈是否会提高或阻碍适应性治疗的疗效?为了解决这个问题,我们提出了一个将毒性反馈纳入治疗设计的数学框架。我们发现,敏感和耐药群体之间的竞争程度,以及耐药细胞的生长速度,对毒性反馈对进展时间的影响有着关键的调节作用。此外,我们的概念模型确定了策略治疗中断的情况,可能基于肿瘤大小或毒性,可以减轻过度治疗并延长进展时间,无论是在基线参数化还是在异质虚拟人群中。综上所述,这些发现强调了将毒性考虑纳入适应性治疗设计的重要性。
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引用次数: 0
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NPJ Systems Biology and Applications
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