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Modeling Tumor Growth. Mathematics Clinic. Prof. Lisette de Pillis. Dr. Yi Jiang. Cris Cecka, Alan Davidson, Tiffany Head, Dana Mohamed, and Liam Robinson. Los Alamos National Lab. Operated by : University of California For : Department of Energy Location : Northern New Mexico
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Modeling Tumor Growth Mathematics Clinic Prof. Lisette de Pillis Dr. Yi Jiang Cris Cecka, Alan Davidson, Tiffany Head, Dana Mohamed, and Liam Robinson
Los Alamos National Lab • Operated by: University of California • For: Department of Energy • Location: Northern New Mexico • Missions: • National Security • Scientific Research
Social Implications • Cancer - the 2nd leading cause of death in the U.S. • Chemotherapy harmful to patient • Better tumor models can help to develop more effective treatments
Given: • Model of a tumor spheroid • No blood vessels • Very small • Goals: • To extend model to include blood vessels • Different vasculature structures • To study chemotherapy treatments Scanning Electron Micrograph The Main Goal *http://www.vet.purdue.edu/cristal/sem-spheroid1-black.gif
Model Description • The three cell types within the model are: • proliferating cells: alive, can divide and grow • quiescent cells: alive, but dormant • necrotic cells: dead
Tumor described on 3 biological levels: • Cellular: • 3D grid of ‘sites’ created • Cells can grow and occupy multiple sites • Extracellular: • Nutrients, waste, chemicals diffuse through tumor cells • Subcellular: • Chemical concentrations cause the cells to respond Model Description
Simulated Model Cross-Section • Grid site • Tumor cell
Initialize Monte Carlo Movement Solve Diffusion Equation Determine Protein Expression Chemicals/Volume Favorable? Quiescent/Necrotic Time to Divide? Possible Cell Shedding if on Surface Divide into 2 Cells *Adapted from a flow chart in: Yi Jiang et. al. “A Multiscale Model for Avascular Tumor Growth”
Monte Carlo • A stochastic algorithm • Strategy • Make a random change • Find a border • Change cell ownership • Calculate the difference in energy • Accept/Reject change • Boltzmann factor
Chemical Diffusion • Chemicals the cells use in this model: • O2, Glucose, Waste, Growth Factors, and Inhibitory Factors • Modeling the time-dependent chemical diffusion equation: • Finite Difference Approximations • yields a linear system of equations
E2F Cell Cycle Proliferating Cells Quiescent Cells GSK3b TGFb SCF SMAD P15 P27 P21 CyCD, CDK4 CyCE, CDK2 Rb S phase *Adapted from a flow chart in Yi Jiang et. al. “A Multiscale Model for Avascular Tumor Growth” *www.bmb.psu.edu/courses/biotc/489/biointeract.htm
Addition of Vasculature • New blood vessel ‘cell’ type added: • can occupy sites • constant chemical concentrations • Reasonable as the speed of the relevant chemical diffusion is slow compared to the rate of blood flow through the vessel.
Vasculature Structure • Can select one of three different vasculature structures • Single Vein • Grid Lattice Structure • Hexagonal Lattice Structure • Have been observed in biological tumors • Adds a greater degree of flexibility to the model • Allows for more structural options to be added later
Extending the Monte Carlo • Extend the J-matrix to include vasculature • Vasculature should be static • Other cells should not encroach upon vasculature • The vasculature should not grow
PDE Solver • Recall the time-dependent diffusion equation: • To solve with arbitrary boundary conditions • We use a Backwards Euler approximation • Stable Linear System • Solve linear system with Gauss-Seidel method • Iterative method • Stable, guaranteed convergence for our system • Strictly (but weakly) Diagonally Dominant
Vasculature and BCs • Treat vasculature as boundary conditions • Can be in an arbitrary geometry • PDE solver supports this applying the identity iteration.
Grid Sites 200 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 Avascular vs Vascularized Tumor No Vasculature Constant Line Vasculature
Grid Sites 200 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 Delayed vs Constant Vasculature Line Delayed Constant
Grid Sites 200 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 Delayed vs Constant Vasculature Square Grid Delayed Constant
Grid Sites 200 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 Delayed vs Constant Vasculature Hexagonal Grid Delayed Constant
Types of Chemotherapeutic Agents • Cell Cycle Specific vs. Non Cell Cycle Specific • Alkylating Agents • Nitrosoureas • Antimetabolites • Anthracyclines • Topoisomerase II Inhibitors • Mitotic Inhibitors • Corticosteroid Hormones
Apoptosis vs. Necrosis • Two types of cell death: • Apoptosis • Necrosis While necrosis leaves debris after cell death occurs, apoptosis does not. This has implications for the diffusion of chemicals.
Drug Pharmacokinetics • Cancerboard.ab.ca, www.Canceractive.com • Route of administration • Dose administered • Dosing interval • Plasma drug concentrations
Modeling Chemotherapy • Added cyclophosphamide as a new chemical • Regularly scheduled doses once the vasculature is created • Blood plasma concentration • Constant boundary condition during each step • Changes from step to step to simulate AUC profile • Stochastic model determines if cells become apoptotic based on drug concentration • Apoptotic cells replaced by medium
Limitations of the Model for Chemo • Hardware constraints • Patient toxicity • Chemotherapy drug cocktails
Grid Sites 200 Grid Sites 200 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 Chemotherapy Treatments 37 MCS Low Dose Chemotherapy High Dose Chemotherapy No Treatment
Grid Sites 200 Grid Sites 200 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 Chemotherapy Treatments 40 MCS Low Dose Chemotherapy High Dose Chemotherapy No Treatment
Grid Sites 200 Grid Sites 200 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 Chemotherapy Treatments 50 MCS Low Dose Chemotherapy High Dose Chemotherapy No Treatment
Grid Sites 200 Grid Sites 200 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 Chemotherapy Treatments 60 MCS Low Dose Chemotherapy High Dose Chemotherapy No Treatment
Grid Sites 200 Grid Sites 200 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 0 Grid Sites 200 Chemotherapy Treatments 64 MCS Low Dose Chemotherapy High Dose Chemotherapy No Treatment
Chemotherapy Treatments Low Dose Chemotherapy High Dose Chemotherapy No Treatment
Future Work • Chemotherapy experiments that allow the tumor to reach a detectable size • Inclusion of multiple chemotherapy drugs, including cell cycle specific varieties • Patient toxicity simulation • Optimal control • Treatment schedule • Dose level
Acknowledgments • Prof. Lisette DePillis, Advisor • Dr. Yi Jiang, Liason • Prof. Michael Raugh, Clinic Director • Los Alamos National Lab, Sponsor • Barbara Schade, Administrative Assistant • Claire Connelly, System Administrator