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Unraveling the dangerous duet between cancer cell plasticity and drug resistance 揭开癌细胞可塑性和耐药性之间危险的二重唱
Pub Date : 2023-08-15 DOI: 10.1002/cso2.1051
Namrata Chatterjee, Bhavana Pulipaka, Ayalur Raghu Subbalakshmi, Mohit Kumar Jolly, Radhika Nair

Cancer cell plasticity is the ability of tumor cells to switch phenotypes and is one of the predominant requisites of cancer cells capable of undergoing metastasis. Cancer cell plasticity is also recognized as one of the major contributors to intratumoral heterogeneity, a critical factor underlying the progression of malignant tumors, which is known to modify tumor response and induce resistance against various modes of therapy, thus posing a barrier to efficient cancer management. Cancer cell plasticity is acquired by the subversion of cell signaling pathways like mitogen-activated protein kinase pathway, phosphoinositide-3-kinase, signal transducer and activator of transcription 3, Wnt, Hedgehog and Notch as well as cellular programs such as epithelial to mesenchymal transition and phenotypic plasticity. This complex phenomenon has been studied in many cancer types like pancreatic cancer, colon cancer and breast cancer. This review will explore the current understanding we have in breast cancer on the intrinsic molecular mechanisms of cancer cell plasticity and the resistance to various types of cancer therapy that arise as a result of plasticity. We conclude by exploring the potential novel therapies that specifically target the pathways leading to plasticity and can be leveraged to treat patients living with the disease.

癌症细胞可塑性是肿瘤细胞转换表型的能力,是癌症细胞能够转移的主要条件之一。癌症细胞可塑性也被认为是肿瘤内异质性的主要贡献者之一,这是恶性肿瘤进展的关键因素,已知恶性肿瘤可改变肿瘤反应并诱导对各种治疗模式的抵抗,从而对有效的癌症管理构成障碍。癌症细胞的可塑性是通过颠覆细胞信号通路获得的,如有丝分裂原活化蛋白激酶通路、磷酸肌醇3激酶、信号转导子和转录激活子3、Wnt、Hedgehog和Notch,以及细胞程序,如上皮-间质转化和表型可塑性。这种复杂的现象已经在许多癌症类型中进行了研究,如癌症、癌症和癌症。这篇综述将探讨我们目前对癌症的理解,即癌症细胞可塑性的内在分子机制,以及可塑性导致的对各种类型癌症治疗的抵抗。最后,我们探索了潜在的新疗法,这些疗法专门针对导致可塑性的途径,并可用于治疗该疾病的患者。
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引用次数: 0
Generative adversarial networks applied to gene expression analysis: An interdisciplinary perspective 生成对抗网络应用于基因表达分析:跨学科的观点
Pub Date : 2023-08-03 DOI: 10.1002/cso2.1050
Xusheng Ai, Melissa C Smith, Frank Alex Feltus

The remarkable flexibility and adaptability of generative adversarial networks (GANs) have led to the proliferation of its models in bioinformatics research. Proteomic and transcriptomic profiles have been shown to be promising methods for discovering and identifying disease biomarkers. However, those analyses were performed by trained human examiners making the process tedious, time consuming, and hard to standardize. With the development of GANs, it is now possible to reduce computational costs and human time for bioinformatics analysis to produce effective biomarkers. Moreover, GANs help address the lack of phenotypic state transitional gene expression data as well as avoid protected human data constraints by generating RNA sequencing (RNA-seq) data from random vectors. The purpose of this review is to summarize the use of GAN approaches and techniques to augment RNA-seq expression data and identify clinically useful biomarkers. We compare different studies that use different types of GAN models to examine the biomarkers. Also, we identify research gaps and challenges that apply GANs to bio-informatics. Finally, we propose potential directions for future research.

生成对抗网络(GANs)具有显著的灵活性和适应性,其模型在生物信息学研究中得到了广泛应用。蛋白质组学和转录组学已被证明是发现和鉴定疾病生物标志物的有前途的方法。然而,这些分析是由训练有素的人工审查员执行的,这使得这个过程乏味、耗时,而且很难标准化。随着gan的发展,现在有可能减少计算成本和人工时间用于生物信息学分析,以产生有效的生物标志物。此外,GANs有助于解决表型状态过渡基因表达数据的缺乏问题,并通过从随机载体生成RNA测序(RNA‐seq)数据来避免受保护的人类数据约束。本综述的目的是总结GAN方法和技术在增加RNA - seq表达数据和鉴定临床有用的生物标志物方面的应用。我们比较了使用不同类型GAN模型来检查生物标志物的不同研究。此外,我们还指出了将gan应用于生物信息学的研究差距和挑战。最后,提出了今后的研究方向。
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引用次数: 0
Role of heterogeneity in dictating tumorigenesis in epithelial tissues 异质性在上皮组织肿瘤发生中的作用
Pub Date : 2023-04-24 DOI: 10.1002/cso2.1045
Sindhu Muthukrishnan, Medhavi Vishwakarma

Biological systems across various length and time scales are noisy, including tissues. Why are biological tissues inherently chaotic? Does heterogeneity play a role in determining the physiology and pathology of tissues? How do physical and biochemical heterogeneity crosstalk to dictate tissue function? In this review, we begin with a brief primer on heterogeneity in biological tissues. Then, we take examples from recent literature indicating functional relevance of biochemical and physical heterogeneity and discuss the impact of heterogeneity on tissue function and pathology. We take specific examples from studies on epithelial tissues to discuss the potential role of inherent tissue heterogeneity in tumorigenesis.

跨越不同长度和时间尺度的生物系统是嘈杂的,包括组织。为什么生物组织本质上是混乱的?异质性是否在决定组织的生理和病理中起作用?物理和生化异质性是如何相互影响来决定组织功能的?在这篇综述中,我们首先简要介绍了生物组织的异质性。然后,我们从最近的文献中举例说明生物化学和物理异质性的功能相关性,并讨论异质性对组织功能和病理的影响。我们从上皮组织的研究中采取具体的例子来讨论固有的组织异质性在肿瘤发生中的潜在作用。
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引用次数: 0
A review of computational modeling, machine learning and image analysis in cancer metastasis dynamics 癌症转移动力学的计算建模、机器学习和图像分析综述
Pub Date : 2023-01-09 DOI: 10.1002/cso2.1044
Shreyas U. Hirway, Seth H. Weinberg

Cancer is a life-threatening process that stems from genetic mutations in cells, which leads to the formation of tumors, and is a major cause of deaths in the United States, with secondary metastasis being a major driver of fatality. The development of an optimal metastatic environment is an essential process prior to tumor metastasis. This process, called pre-metastatic niche formation, involves the activation of resident fibroblast-like cells and macrophages. Tumor-mediated factors introduced to this environment transform resident cells that secrete additional growth factors and remodel the extracellular matrix, which is thought to promote tumor colonization and metastasis in the secondary environment. Furthermore, an important component of metastasis is the biological process of epithelial–mesenchymal transition, which can be exploited by cancer cells to change their phenotype, to migrate and proliferate as necessary. In this review, we discuss recent advances in the investigation of cancer growth and migration. Computational models that focus on biochemical signaling and multicellular dynamics are examined. Machine learning models and image analysis that classify cancer-related data are also explored. Through this review, we highlight advances in the study of important aspects of cancer and metastasis signaling and computational tools to study these dynamics.

癌症是一种危及生命的过程,源于细胞中的基因突变,导致肿瘤的形成,是美国死亡的主要原因,继发性转移是死亡的主要驱动因素。最佳转移环境的形成是肿瘤转移前必不可少的过程。这个过程被称为转移前生态位形成,涉及到常驻成纤维细胞样细胞和巨噬细胞的激活。引入这种环境的肿瘤介导因子转化驻留细胞,分泌额外的生长因子并重塑细胞外基质,这被认为促进肿瘤在继发性环境中的定植和转移。此外,转移的一个重要组成部分是上皮-间质转化的生物学过程,癌细胞可以利用这一过程改变其表型,根据需要进行迁移和增殖。在这篇综述中,我们讨论了癌症生长和迁移研究的最新进展。计算模型的重点是生化信号和多细胞动力学检查。还探讨了机器学习模型和分类癌症相关数据的图像分析。通过这篇综述,我们重点介绍了癌症和转移信号的重要方面的研究进展以及研究这些动态的计算工具。
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引用次数: 0
Mutations in a set of ancient matrisomal glycoprotein genes across neoplasia predispose to disruption of morphogenetic transduction 在一组古老的基质糖蛋白基因突变中,肿瘤易导致形态发生转导的破坏
Pub Date : 2022-12-08 DOI: 10.1002/cso2.1042
Jimpi Langthasa, Satyarthi Mishra, Monica U, Ronak Kalal, Ramray Bhat

Misexpression and remodeling of the extracellular matrix is a canonical hallmark of cancer, although the extent of cancer-associated aberrations in the genes coding for extracellular matrix (ECM) proteins and the consequences thereof are not well understood. In this study, we examined the alterations in core matrisomal genes across a set of nine cancers. These genes, especially the ones encoding for ECM glycoproteins (GP), were observed to be more susceptible to mutations than copy number variations across cancers. We classified the glycoprotein genes based on the ubiquity of their mutations across the nine cancer groups and estimated their evolutionary age using phylostratigraphy. To our surprise, the ECM glycoprotein genes commonly mutated across all cancers were predominantly unicellular in origin, whereas those commonly showing mutations in specific cancers evolved mostly during and after the unicellular-multicellular transition. Pathway annotation for biological interactions revealed that the most pervasively mutated glycoprotein set regulated a larger set of inter-protein interactions and constituted more cohesive interaction networks relative to the cancer-specific mutated set. In addition, ontological prediction revealed the pervasively mutated set to be strongly enriched for basement membrane (BM) dynamics. Our results suggest that ancient unicellular-origin ECM GP were canalized into playing critical tissue morphogenetic roles, and when disrupted through matrisomal gene mutations, associated with neoplastic transformation of a wide set of human tissues.

细胞外基质的错误表达和重塑是癌症的典型标志,尽管细胞外基质(ECM)蛋白编码基因中与癌症相关的畸变程度及其后果尚不清楚。在这项研究中,我们检查了9种癌症中核心基质基因的变化。这些基因,尤其是编码ECM糖蛋白(GP)的基因,在癌症中比拷贝数变异更容易发生突变。我们根据糖蛋白基因在九个癌症组中突变的普遍性对其进行了分类,并利用系统地层学估计了它们的进化年龄。令我们惊讶的是,在所有癌症中常见的ECM糖蛋白基因突变主要是单细胞起源,而在特定癌症中常见的突变主要是在单细胞-多细胞转变期间和之后进化的。生物学相互作用的途径注释显示,相对于癌症特异性突变集,最普遍突变的糖蛋白集调节了更大的蛋白质间相互作用集,并构成了更有凝聚力的相互作用网络。此外,本体论预测显示,普遍突变的集合在基底膜(BM)动力学中被强烈富集。我们的研究结果表明,古老的单细胞来源的ECM GP被分析为发挥关键的组织形态发生作用,当被基质基因突变破坏时,与广泛的人类组织的肿瘤转化有关。
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引用次数: 0
Modeling the role of HIF in the regulation of metabolic key genes LDH and PDH: Emergence of Warburg phenotype 模拟HIF在代谢关键基因LDH和PDH调控中的作用:Warburg表型的出现
Pub Date : 2022-08-24 DOI: 10.1002/cso2.1040
Kévin Spinicci, Pierre Jacquet, Gibin Powathil, Angélique Stéphanou

Oxygenation of tumors and the effect of hypoxia on cancer cell metabolism is a widely studied subject. Hypoxia-inducible factor (HIF), the main actor in the cell response to hypoxia, represents a potential target in cancer therapy. HIF is involved in many biological processes such as cell proliferation, survival, apoptosis, angiogenesis, iron metabolism, and glucose metabolism. This protein regulates the expressions of lactate dehydrogenase (LDH) and pyruvate dehydrogenase (PDH), both essential for the conversion of pyruvate to be used in aerobic and anaerobic pathways. HIF upregulates LDH, increasing the conversion of pyruvate into lactate which leads to higher secretion of lactic acid by the cell and reduced pH in the microenvironment. HIF indirectly downregulates PDH, decreasing the conversion of pyruvate into acetyl coenzyme A, which leads to reduced usage of the tricarboxylic acid (TCA) cycle in aerobic pathways. Upregulation of HIF may promote the use of anaerobic pathways for energy production even in normal extracellular oxygen conditions. Higher use of glycolysis even in normal oxygen conditions is called the Warburg effect. In this paper, we focus on HIF variations during tumor growth and study, through a mathematical model, its impact on the two metabolic key genes PDH and LDH, to investigate its role in the emergence of the Warburg effect. Mathematical equations describing the enzyme regulation pathways were solved for each cell of the tumor represented in an agent-based model to best capture the spatio-temporal oxygen variations during tumor development caused by cell consumption and reduced diffusion inside the tumor. Simulation results show that reduced HIF degradation in normoxia can induce higher lactic acid production. The emergence of the Warburg effect appears after the first period of hypoxia before oxygen conditions return to a normal level. The results also show that targeting the upregulation of LDH and the downregulation of PDH could be relevant in therapy.

肿瘤的氧合作用及缺氧对肿瘤细胞代谢的影响是一个被广泛研究的课题。缺氧诱导因子(Hypoxia Inducible Factor, HIF)是细胞对缺氧反应的主要参与者,是癌症治疗的潜在靶点。HIF参与细胞增殖、存活、凋亡、血管生成、铁代谢、葡萄糖代谢等多种生物学过程。该蛋白调节乳酸脱氢酶(LDH)和丙酮酸脱氢酶(PDH)的表达,两者都是丙酮酸转化为有氧和厌氧途径所必需的。HIF上调乳酸脱氢酶,增加丙酮酸转化为乳酸,导致细胞分泌更多乳酸,降低微环境pH。HIF间接下调PDH,减少丙酮酸转化为乙酰辅酶A,从而减少有氧途径中三羧酸(TCA)循环的使用。即使在正常的细胞外氧条件下,HIF的上调也可能促进厌氧途径用于能量生产。即使在正常氧气条件下,糖酵解的高使用率也被称为沃伯格效应。在本文中,我们关注HIF在肿瘤生长过程中的变化,并通过数学模型研究其对两个代谢关键基因PDH和LDH的影响,以探讨其在Warburg效应出现中的作用。描述酶调控途径的数学方程在基于代理的模型中为肿瘤的每个细胞求解,以最好地捕捉肿瘤发展过程中由细胞消耗和肿瘤内扩散减少引起的时空氧变化。模拟结果表明,在常氧条件下降低HIF降解可以诱导更高的乳酸产量。沃伯格效应的出现出现在氧气条件恢复到正常水平之前的第一个缺氧期。结果还表明,针对LDH的上调和PDH的下调在治疗中可能是相关的。
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引用次数: 0
Inference on spatial heterogeneity in tumor microenvironment using spatial transcriptomics data 利用空间转录组学数据推断肿瘤微环境的空间异质性。
Pub Date : 2022-08-11 DOI: 10.1002/cso2.1043
Antara Biswas, Bassel Ghaddar, Gregory Riedlinger, Subhajyoti De

In the tumor microenvironment (TME), functional interactions among tumor, immune, and stromal cells and the extracellular matrix play key roles in tumor progression, invasion, immune modulation, and response to treatment. Intra-tumor heterogeneity is ubiquitous not only at the genetic and transcriptomic levels but also in the composition and characteristics of TME. However, quantitative inference on spatial heterogeneity in the TME is still limited. Here, we propose a framework to use network graph-based spatial statistical models on spatially annotated molecular data to gain insights into modularity and spatial heterogeneity in the TME. Applying the framework to spatial transcriptomics data from pancreatic ductal adenocarcinoma samples, we observed significant global and local spatially correlated patterns in the abundance score of tumor cells; in contrast, immune cell types showed dispersed patterns in the TME. Hypoxia, EMT, and inflammation signatures contributed to intra-tumor spatial variations. Spatial patterns in cell type abundance and pathway signatures in the TME potentially impact tumor growth dynamics and cancer hallmarks. Tumor biopsies are integral to the diagnosis and clinical management of cancer patients; our data suggest that owing to intra-tumor non-genetic spatial heterogeneity, individual biopsies may underappreciate the extent of clinically relevant, functional variations across geographic regions within tumors.

在肿瘤微环境(TME)中,肿瘤、免疫细胞、基质细胞和细胞外基质之间的功能相互作用在肿瘤进展、侵袭、免疫调节和对治疗的反应中起着关键作用。肿瘤内的异质性不仅在遗传和转录水平上普遍存在,而且在TME的组成和特征上也普遍存在。然而,对TME空间异质性的定量推断仍然有限。在这里,我们提出了一个框架,利用基于网络图的空间统计模型对空间标注的分子数据进行分析,以深入了解TME的模块性和空间异质性。将该框架应用于胰腺导管腺癌样本的空间转录组学数据,我们观察到肿瘤细胞丰度评分中显著的全局和局部空间相关模式;相比之下,免疫细胞类型在TME中呈现分散模式。缺氧、EMT和炎症特征有助于肿瘤内的空间变化。细胞类型丰度的空间模式和TME中的通路特征可能影响肿瘤生长动力学和癌症特征。肿瘤活检是癌症患者诊断和临床管理不可或缺的一部分;我们的数据表明,由于肿瘤内的非遗传空间异质性,个体活检可能低估了肿瘤内跨地理区域的临床相关功能差异的程度。
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引用次数: 5
Cell geometry distinguishes migration-associated heterogeneity in two-dimensional systems 细胞几何区分迁移相关的异质性在二维系统
Pub Date : 2022-08-04 DOI: 10.1002/cso2.1041
Sagar S Varankar, Kishore Hari, Sharon Kartika, Sharmila A Bapat, Mohit Kumar Jolly

In vitro migration assays are a cornerstone of cell biology and have found extensive utility in research. Over the past decade, several variations of the two-dimensional (2D) migration assay have improved our understanding of this fundamental process. However, the ability of these approaches to capture the functional heterogeneity during migration and their accessibility to inexperienced users has been limited. We downloaded published time-lapse 2D cell migration data sets and subjected them to feature extraction with the Fiji software. We used the “Analyze Particles” tool to extract 10 cell geometry features (CGFs), which were grouped into “shape,” “size,” and “position” descriptors. Next, we defined the migratory status of cells using the “MTrack2” plugin. All data obtained from Fiji were further subjected to rigorous statistical analysis with R version 4.0.2. We observed consistent associative trends between size and shape descriptors and validated our observations across four independent data sets. We used these descriptors to identify and characterize “nonmigrator (NM)” and “migrator (M)” subsets. Statistical analysis allowed us to identify considerable heterogeneity in the NM subset. Interestingly, differences in 2D-packing appeared to affect CGF trends and heterogeneity within the migratory subsets. We developed an analytical pipeline using open source tools, to identify and morphologically characterize functional migratory subsets from label-free, time-lapse imaging data. Our quantitative approach identified heterogeneity between nonmigratory cells and predicted the influence of 2D-packing on migration.

体外迁移试验是细胞生物学的基石,在研究中有广泛的应用。在过去的十年中,二维(2D)迁移分析的几种变化提高了我们对这一基本过程的理解。然而,这些方法在迁移过程中捕捉功能异质性的能力以及对没有经验的用户的可访问性受到限制。我们下载了已发布的延时2D细胞迁移数据集,并使用Fiji软件对其进行特征提取。我们使用“Analyze Particles”工具提取了10个细胞几何特征(CGFs),这些特征被分为“形状”、“大小”和“位置”描述符。接下来,我们使用“MTrack2”插件定义细胞的迁移状态。从斐济获得的所有数据进一步用R 4.0.2版进行严格的统计分析。我们观察到尺寸和形状描述符之间一致的关联趋势,并通过四个独立的数据集验证了我们的观察结果。我们使用这些描述符来识别和描述“非迁移者(NM)”和“迁移者(M)”子集。统计分析使我们确定了NM子集中相当大的异质性。有趣的是,2D-packing的差异似乎会影响迁移亚群内的CGF趋势和异质性。我们使用开源工具开发了一个分析管道,从无标签的延时成像数据中识别和形态学表征功能迁移子集。我们的定量方法确定了非迁移细胞之间的异质性,并预测了2d包装对迁移的影响。
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引用次数: 0
Establishing combination PAC-1 and TRAIL regimens for treating ovarian cancer based on patient-specific pharmacokinetic profiles using in silico clinical trials 基于计算机临床试验的患者特异性药代动力学特征,建立PAC-1和TRAIL联合治疗卵巢癌的方案
Pub Date : 2022-06-15 DOI: 10.1002/cso2.1035
Olivia Cardinal, Chloé Burlot, Yangxin Fu, Powel Crosley, Mary Hitt, Morgan Craig, Adrianne L. Jenner

Ovarian cancer is commonly diagnosed in its late stages, and new treatment modalities are needed to improve patient outcomes and survival. We have recently established the synergistic effects of combination tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) and procaspase activating compound (PAC-1) therapies in granulosa cell tumors (GCT) of the ovary, a rare form of ovarian cancer, using a mathematical model of the effects of both drugs in a GCT cell line. Here, to understand the mechanisms of combined TRAIL and PAC-1 therapy, study the viability of this treatment strategy, and accelerate preclinical translation, we leveraged our mathematical model in combination with population pharmacokinetics (PKs) models of both TRAIL and PAC-1 to expand a realistic heterogeneous cohort of virtual patients and optimize treatment schedules. Using this approach, we investigated treatment responses in this virtual cohort and determined optimal therapeutic schedules based on patient-specific PK characteristics. Our results showed that schedules with high initial doses of PAC-1 were required for therapeutic efficacy. Further analysis of individualized regimens revealed two distinct groups of virtual patients within our cohort: one with high PAC-1 elimination and one with normal PAC-1 elimination. In the high elimination group, high weekly doses of both PAC-1 and TRAIL were necessary for therapeutic efficacy; however, virtual patients in this group were predicted to have a worse prognosis when compared to those in the normal elimination group. Thus, PAC-1 PK characteristics, particularly clearance, can be used to identify patients most likely to respond to combined PAC-1 and TRAIL therapy. This work underlines the importance of quantitative approaches in preclinical oncology.

卵巢癌通常在晚期被诊断出来,需要新的治疗方式来改善患者的预后和生存率。我们最近建立了肿瘤坏死因子相关凋亡诱导配体(TRAIL)和原aspase激活化合物(PAC-1)联合治疗卵巢颗粒细胞瘤(GCT)的协同作用,这是一种罕见的卵巢癌,使用两种药物在GCT细胞系中的作用的数学模型。在这里,为了了解TRAIL和PAC-1联合治疗的机制,研究这种治疗策略的可行性,并加速临床前转化,我们利用我们的数学模型结合TRAIL和PAC-1的群体药代动力学(PKs)模型来扩大虚拟患者的现实异质队列并优化治疗计划。使用这种方法,我们在这个虚拟队列中调查了治疗反应,并根据患者特定的PK特征确定了最佳治疗方案。我们的研究结果表明,高初始剂量的PAC-1计划是治疗效果所必需的。对个体化治疗方案的进一步分析显示,在我们的队列中有两组不同的虚拟患者:一组PAC-1消除率高,一组PAC-1消除率正常。在高消除组,高剂量的PAC-1和TRAIL是治疗效果所必需的;然而,与正常消除组相比,该组的虚拟患者预计预后更差。因此,PAC-1 PK特征,特别是清除率,可用于识别最有可能对PAC-1和TRAIL联合治疗有反应的患者。这项工作强调了定量方法在临床前肿瘤学中的重要性。
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引用次数: 0
Quantitative models for the inference of intratumor heterogeneity 推断肿瘤内异质性的定量模型
Pub Date : 2022-06-08 DOI: 10.1002/cso2.1034
Tom van den Bosch, Louis Vermeulen, Daniël M. Miedema

Intratumor heterogeneity (ITH) is an omnipresent property of cancers and predicts poor survival in most types of cancer. The propensity to metastasize and the regrowth of tumors after therapy are both associated with ITH. Quantification of the level of ITH in a malignancy is hence of great interest, and accurate inference of ITH could guide clinical decision making. However, ITH is an emergent property of billions of cells and requires mathematical modeling for inference from a limited number of measurements. Over the last decade, numerous mathematical and computational models have been introduced to infer ITH from variant-allele frequencies, copy number variations, or from data of experimental model systems. These quantitative modeling efforts have advanced the understanding of tumor evolution, underlined poor prognosis associated with ITH, and elucidated the importance of functional heterogeneity, that is, cancer stem cells. Yet, a comprehensive overview of the different mathematical models, their underlying assumptions, their limitations, and their strengths is missing. In this Perspective, we highlight the achievements of mathematical modeling and present a framework which allows better understanding of the mathematical models themselves.

肿瘤内异质性(ITH)是癌症普遍存在的特性,在大多数类型的癌症中预示着较差的生存率。治疗后肿瘤的转移倾向和再生都与ITH有关。因此,恶性肿瘤中ITH水平的量化具有重要意义,ITH的准确推断可以指导临床决策。然而,ITH是数十亿细胞的紧急属性,需要数学建模才能从有限数量的测量中进行推断。在过去的十年中,已经引入了许多数学和计算模型来从变异等位基因频率、拷贝数变化或实验模型系统的数据中推断ITH。这些定量建模工作促进了对肿瘤进化的理解,强调了ITH相关的不良预后,并阐明了功能异质性(即癌症干细胞)的重要性。然而,对不同的数学模型、它们的潜在假设、它们的局限性和它们的优势的全面概述是缺失的。在这个视角中,我们强调了数学建模的成就,并提出了一个框架,可以更好地理解数学模型本身。
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引用次数: 1
期刊
Computational and systems oncology
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