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Integrated Mathematical Oncology Newsletter 1

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This is the first issue of The Moffitt Cancer Centers, Integrated Mathematical Oncology (IMO) department and presents our vision for IMO as well as some articles motivated by a mathematical view of cancer.
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1 That is the definition of integrate and the key word that unifies mathematics with oncology. It is appropriate on more than one level, as the power of mathematical modeling is its ability to integrate multiple interacting variables at once and predict in a dynamic manner how these variables change in space and time. Integration is not the antithesis of reductionism but is in fact a means to bridge the perspectives of reductionism and holism, as the component parts are vitally important but how they interact to produce the emergent whole is also critical. Cancer is a complex, multiscale process, in which genetic mutations occurring at a subcellular level manifest themselves as functional changes at the cellular and tissue scale. The multiscale nature of cancer requires mathematical modeling approaches of a similar nature - within the IMO we have been developing a suite of mathematical and computational models that allow us to consider each of these scales in detail as well as bridge them. We are open minded when it comes to which theoretical tools should be used, be they individual, hybrid, or purely continuum based, in order to better capture the complexity of cancer. Integrate: to combine one thing with another so that they become a whole A crucial part of any mathematicians lab - the blackboard! Dusty, messy brainstorming fun! Gene Protein Pathway Cell Tissue Organ Organism
Transcript
Page 1: Integrated Mathematical Oncology Newsletter 1

1

That is the definition of integrate and the key word that unifies mathematics with oncology. It is appropriate on more than one level, as the power of

mathematical modeling is its ability to integrate multiple interacting variables at once and predict in a dynamic manner how these variables change in

space and time. Integration is not the antithesis of reductionism

but is in fact a means to bridge the perspectives of reductionism

and holism, as the component parts are vitally important but how

they interact to produce the emergent whole is also critical.

Cancer is a complex, multiscale process, in which genetic

mutations occurring at a subcellular level manifest themselves as

functional changes at the cellular and tissue scale. The multiscale

nature of cancer requires mathematical modeling approaches of a

similar nature - within the IMO we have been developing a suite of

mathematical and computational models that allow us to consider

each of these scales in detail as well as bridge them. We are open

minded when it comes to which theoretical tools should be used,

be they individual, hybrid, or purely continuum based, in order to

better capture the complexity of cancer.

Integrate:to combine one thing with another so that they become a whole

A crucial part of

any mathematicians lab - the blackboard!

Dusty, messy brainstorming

fun!

Gene Protein Pathway Cell Tissue Organ Organism

Page 2: Integrated Mathematical Oncology Newsletter 1

2

Dr. Alexander R. A. Anderson

Integrated Mathematical Oncology

H. Lee Moffitt Cancer Center & Research Institute

12902 Magnolia Drive, MRC 3 West

Tampa, Florida, 33612.

Email:[email protected]

Web: labpages.moffitt.org/andersona

Yvette Mieles (Assistant)

Email:[email protected]

Phone: +1-813-745-4316Fax: +1-813-745-6497

Contact us!

Page 3: Integrated Mathematical Oncology Newsletter 1

3

CONTENTS ISSUE 1IMO 1, 4DOES “CURING” CANCER KILL PATIENTS? 5

MEET THE FACULTY 6MEET THE POSTDOCS 7

ECOLOGY AND EVOLUTION OF CANCER 8-9BIG CITY SLUMS AND TUMOR INVASION 10

WORKSHOPS 11IMO SEMINARS 12

BOOK BY IMO MEMBERS 13COMPUTATIONAL IMAGES FROM IMO 14

CAN YOU BUILD ME A MODEL PLEASE? 15LAST WORD 16

Page 4: Integrated Mathematical Oncology Newsletter 1

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IMO - Continued

This bridging nature of mathematical models is also important for

understanding how the different biological scales of cancer impact upon

one another. Mutations at the molecular scale affect protein formation which effect signaling pathways which modulate cell behavior that

transforms the tissue. This complex multiscale process can be broken

down into smaller units that are more amenable to both experimental and

theoretical approaches. Whilst its clear that the M in IMO is a fundamental

tool to bridge the different scales of cancer, it also has the power to make predictions and generate hypothesis. However, we need some means to

validate these mathematical models and to test the predictions they make.

This will require  sophisticated imaging techniques and potentially new

experimental & clinical protocols. As such IMO, is a truly interdisciplinary

group of scientists incorporating experts in the field of experimental biology, mathematics, computer science, imaging, clinical science and

visualization.

One of our major goals is to begin to focus on specific cancers and

their treatment, and develop in silico models both as a compliment to in

vitro and in vivo models but also as a means to bridge them. There is an unspoken void between in vitro and in

vivo models and between in vivo and the

clinic. In silico models have the power to

link these approaches and in doing

so can give some insight into the processes that translate well

between them and those that

don’t.

Focussing on a specific

cancers means we can also consider specific treatments. To this

end we have began to develop specific

models of cancers such as breast, prostate,

melanoma, and myeloma. These models

incorporate specific cellular and microenvironmental properties of these cancers as well as structural and signaling aspects. Treatment is

a natural place for IMO to play a role in because by its very definition

treatment needs to consider a multitude of interacting variables and what

happens to them once they are perturbed. We ultimately see in silico

models as a pre-treatment protocol to suggest the best therapeutic regime or to indicate which should be avoided. They can also be

considered as an adjuvant in terms of adjusting treatment in a more

dynamic manner, where the current patient state determines the therapy

i.e. an adaptive therapy. Patient specific treatments should be a natural

byproduct of properly parameterized in silico models, since changes in parameters can lead to different outcomes. Understanding where the

current state of a patient is in the “parameter space” will allow us to

predict how the cancer will progress and therefore how best to treat it.

This is very much in line with the Total Cancer Care program at Moffitt.

It is important to understand that because cancer is a complex dynamic process does not mean that we cannot fully understand it. In fact

many complex systems are driven by relatively simple laws, therefore the

in silico models IMO develop will not only be specific but must also be

general to address the fundamental underlying mechanisms of cancer

initiation, progression and control. Mathematicians are ideally suited to this task as they have a long history in discovering the laws of nature

(physics, chemistry etc). There may very well be fundamental laws of

cancer, that if defined and formalized would change completely how we

understand and treat cancer as we do today. We are certainly on the right

road to uncovering such laws and one unifying law that must be

integrated into our fundamental understanding of cancer is evolution.

It is generally well accepted that cancer is a genetic disease driven by mutations in key genes that lead to uncontrolled growth and abnormal

cell behavior. However, the fact that the tumor is an evolving system and

therefore subject to selection pressure and adaptation is largely ignored.

Theoretical models tell us that these evolutionary dynamics are what drive

tumor progression, and treatment resistance. Three other key factors that also need to be understood within any unifying theory of cancer are

homeostasis, heterogeneity and ecology. Ecology and evolution are

intimately linked as one provides the players and the field and the other

the mechanism by which cancer progresses, this is discussed in more

detail by David Basanta and myself (Page 6). Ultimately all cancers originate from a cell within an organ or tissue that was functioning

normally i.e. homeostatic. Normal for many cells in this situation is doing

very little, except when there is a need to, such as to occasionally repair a

wound or react to a viral attack. This disruption of homeostasis is often

one of the initiating events in the development of cancer as the normal control mechanisms of the tissue are damaged or ignored.

Heterogeneity within the tumor cell population is

generally well accepted but is it driven by

genotypic or phenotypic means and

did it emerge or was it always there. He te rogene i t y i s ce r t a i n l y

i m p o r t a n t f o r t r e a t m e n t

resistance but it may also drive

or be driven by evolution.

Understanding these four key factors and their interplay in

cancer progression is one of our

goals. Here is one possible scenario

that encapsulates all four of them - the

ecology of a given organ, that is the cells, chemicals, signaling and structure that define it, all interact to

ensure that homeostasis is maintained. This homeostasis is not static but

dynamic as it reacts to perturbations (such as wounding) to ensure a

return to homeostasis occurs. Natural heterogeneity within the cell

population may allow some cells to escape this homeostatic control easier than others and with additional (probably genetic insults) a true escape

can occur. This then opens the door to evolution and tumor progression.

Its seems appropriate to end this introductory piece by restating why

IMO was created in the first place, to paraphrase myself: “Cancer is a

dynamic complex multiscale system that can only truly be understood via the integration of theory and experiments. The goal of IMO is to use such

an integrated approach to better understand, predict and treat cancer.”

Integration really is the key and if we are serious about impacting

treatment that integration must also encapsulate the clinic. The schematic

at the center of this page highlights the multiple scales that different researchers, involved in cancer research, are gathering data on.

Traditionally the genes to patient jump is made without considering the

scales in between because researchers tend to work within their specific

scale. Using the expertise in the IMO we now have the means to develop

a mechanistic understanding of how these scales connect in cancer and importantly how changes in one affect the others. As we move forward

this understanding will become critical in the prediction and optimization

of treatment response.

BY SANDY ANDERSON

Page 5: Integrated Mathematical Oncology Newsletter 1

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Patients and politicians increasingly

demand a “cure” for cancer. But controlling the disease may prove to be a better strategy than striving to cure it.

A century ago, the German Nobel laureate

Paul Ehrlich introduced into medicine the concept of “magic bullets” – compounds engineered to target and kill tumor cells or

disease-causing organisms without affecting normal cells. The success of antibiotics 50 years later seemed to validate Ehrlich’s idea. Indeed,

so influential have medicine’s triumphs over bacteria been that the “war on cancer” continues to be driven by the assumption that magic bullets will one day be found for tumor

cells if the search is sufficiently clever and diligent.

Yet lessons learned in dealing with exotic

species, combined with recent mathematical models of the evolutionary dynamics of tumors, indicate that eradicating most cancers may be

impossible. More importantly, trying to do so could worsen the problem.

In 1854, the year Ehrlich was born, the diamondback moth was first observed in Illinois.

Within five decades, the moth had spread throughout North America. It now infests the Americas, Europe, Asia, and Australia. Attempts

to eradicate it using various chemicals worked only fleetingly and, in the late 1980’s, biologists found strains that were resistant to all known

insecticides.So farmers have had to abandon efforts to

eliminate the moth. Instead, most now apply insecticides only when infestation exceeds

some threshold level, with the goal of producing a sustainable and satisfactory crop. Under the banner of “integrated pest management,”

hundreds of invasive species are now successfully controlled by strategies that restrict the pest population growth but do not attempt

to eradicate themThe ability of tumor cells to adapt to a wide

range of environmental conditions, including to toxic chemicals, is similar to the evolutionary

capacities demonstrated by crop pests and other invasive species. As in the case of the Diamondback moth, successful eradication of

disseminated cancer cells is rare. However, despite the paucity of success, the typical goal in cancer therapy remains similar to that of

antimicrobial treatments - killing as many tumor cells as possible under the assumption that this

will, at best, cure the disease and, at worst,

keep the patient alive for as long as possible.To be sure, some types of cancer – for

example, Hodgkin’s lymphoma, testicular cancer, and acute myeloid leukemia – can be

c o n s i s t e n t l y c u re d u s i n g a g g re s s i v e chemotherapy. But these malignant cells seem to have characteristics that make them

particularly responsive to “treatment.” Just as invasive species adapt to pesticides, most cancer cells adapt to therapies. Indeed, the

parallels between cancerous cells and invasive species suggest that the principles for successful cancer therapy might be found not in the magic bullets of microbiology but in the

evolutionary dynamics of applied ecology.Recent research suggests that efforts to

eliminate cancers may actually hasten the

emergence of resistance and tumor recurrence, thus reducing a patient’s chances of survival. The reason arises from a component of tumor

biology not ordinarily investigated: the cost of resistance to treatment. Cancer cells pay a price when they evolve resistance to chemotherapy. For example, to cope with the toxic drugs, a

cancer cell may increase its rate of DNA repair, or actively pump the drug out across the cell membrane. In targeted therapies, in which drugs

interfere with the molecular signaling needed for proliferation and survival, a cell might adapt by activating or following alternative pathways. All

these strategies use up energy that would otherwise be available for invasion into non-cancerous tissues or proliferation, and so reduce a cell’s fitness.

The more complex and costly the mechanisms used, the less fit the resistant population will be. That cancer cells pay a price

for resistance is supported by several observations. Cells in laboratory cultures that are resistant to chemotherapies typically lose

their resistance when the chemicals are removed. Lung cancer cells that are resistant to the chemotherapy gemcitabine are less proliferative, invasive, and motile than their

drug-sensitive counterparts. Although resistant forms are commonly

found in tumors that haven’t yet been exposed

to treatment, they generally occur in small numbers. This suggests that resistant cells are not so unfit that drug-sensitive cells completely

out-competed them, but that they struggle to proliferate when both types are present.

Our models show that in the absence of

therapy, cancer cells that haven’t evolved resistance will proliferate at the expense of the less-fit resistant cells. When a large number of the sensitive cells are killed, say, by aggressive

therapies, resistant types are able to proliferate unconstrained. This means that high doses of chemotherapy might actually increase the

likelihood of a tumor becoming unresponsive to further therapy.

So, just as the judicious use of pesticides

can be used to control invasive species, a therapeutic strategy designed to maintain a stable, tolerable tumor volume could improve a patient’s prospects for survival by allowing

sensitive cells to suppress the growth of resistant ones.

To test this idea, we treated a human

ovarian cancer, grown in mice, with conventional high-dose chemotherapy. The cancer rapidly regressed but then recurred and killed the mice.

Yet when we treated the mice with a drug dose continuously adjusted to maintain a stable tumor volume, the animals, though not cured, survived for a prolonged period of time.

Designing therapies to sustain a stable tumor mass rather than eradicate all cancer cells will require a long-term strategy that looks

beyond the immediate cytotoxic effects of any one treatment. Researchers will need to establish the mechanisms by which cancer cells

achieve resistance and what it costs them. They will also need to understand the evolutionary dynamics of resistant populations, and design strategies to suppress or exploit the adapted

characteristics.I am not sugges t ing tha t cancer

researchers should abandon their search for

ever-more-effective cancer therapies, or even for cures. However, it may be time to temper our quest for Ehrich’s magic bullets and recognize

the cold reality of Darwin’s evolutionary dynamics. Medicine’s goal of a glorious victory over cancer may need to yield to recognition that an uneasy stalemate may be the best we

can achieve.

DOES “CURING” CANCER KILL PATIENTS? BY ROBERT GATENBY

Controlling cancer might be easier than

curing it

Page 6: Integrated Mathematical Oncology Newsletter 1

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MEET THE FACULTYIMO currently has 4 faculty associated with it, Alexander “Sandy” Anderson, Bob Gatenby, Bob

Gillies and Kasia Rejniak. The short biographies below show more info on each of them and their roles at Moffitt.

Sandy Anderson, PhD is co-director of the Integrated Mathematical Oncology (IMO) department and Senior member at Moffitt Cancer Center. Dr. Anderson performed his doctoral work on hybrid mathematical models of nematode movement in heterogeneous environments at the Scottish Crop Research Institute in Dundee, UK. His postdoctoral work was on hybrid models of tumor-induced angiogenesis with Prof. Mark Chaplain at Bath University, UK. He moved back to Dundee in 1996 where he worked for the next 12 years on developing mathematical models of many different aspects of tumor progression and treatment, including anti-angiogenesis, radiotherapy, tumor invasion, evolution of aggressive phenotypes and the role of the microenvironment. He is widely recognized as one of only a handful of mathematical oncologists that develop truly integrative models that directly impact upon biological experimentation. His pioneering work using evolutionary hybrid cellular automata models has led to new insights into the role of the tumor microenvironment in driving tumor progression. Due to his belief in the crucial role of mathematical models in cancer research he moved his group to the Moffitt Cancer Center in 2008 to establish the Integrated Mathematical Oncology department.

Bob Gatenby, MD is the chairman of the department of Radiology and co-director of the Integrated Mathematical Oncology at H. Lee Moffitt Cancer Center. He joined Moffitt in 2008 from the University of Arizona where he was Professor, Department Radiology and Professor, Department of Applied Mathematics since 2000. Bob received a B.S.E. in Bioengineering and Mechanical Sciences from Princeton University and an M.D. from the University of Pennsylvania. He completed his residency in radiology at the University of Pennsylvania where he served as chief resident. Bob remains an active clinical radiologist specializing in body imaging. While working at the Fox Chase Cancer Center after residency, Bob perceived that cancer biology and oncology were awash in data but lacked coherent frameworks of understanding to organize this information and integrate new results. Since 1990, most of Bob’s research has focused on exploring mathematical methods to generate theoretical models for cancer biology and oncology. His current modeling interests include: 1. the tumor microenvironment and its role in tumor biology. 2. evolutionary dynamics in carcinogenesis, tumor progression and therapy. 3. information flow in living systems and its role in maintaining thermodynamic stability.

Bob Gillies, PhD is vice chair of Radiology and director of research imaging at Moffitt. He received his PhD in Zoology from University California, Davis in 1979 and did post-doctoral work on in-vivo Magnetic Resonance Spectroscopy with Robert Shulman, first at the Bell Labs (Summit, NJ) and then at Yale University. He joined the faculty at Colorado State University as an Assistant Professor of Biochemistry in 1982. He moved to the University of Arizona as an associate professor with tenure in 1988 to establish a research program in biomedical MR spectroscopy, which over the years has grown to include biomedical MRI. He relocated to the Moffitt in 2008 as part of a major investment in radiology and imaging research. Bob has received numerous local, national and international awards for his teaching and research, including the Furrow award for innovative teaching (U. Arizona), the Yuhas award for radiation oncology research (U. Penn), a TEFAF professorship (U. Maastricht) and the distinguished Basic Scientist award from the Academy for Molecular Imaging.. The vision for the Moffitt Imaging Institute ate to develop new applications to diagnose, predict and monitor therapy response using noninvasive imaging. This work spans a breadth from molecular and chemical work, to animal studies and to human clinical trials and patient care. Personally, he is principal investigator on four NIH grants dealing with tumor imaging and tumor physiology.

Kasia Rejniak, PhD is assistant member at Moffitt. Dr. Rejniak performed her doctoral work on the mechanics of growth of a trophoblast tissue at Tulane University under the supervision of Lisa Fauci. Her postdoctoral work has centered around the development of a single-cell-based numerical technique for modeling the growth and development of non-homogenous tissues and multicellular organisms at the Mathematical Biosciences Institute, Ohio State University. Subsequent work at Dundee University, UK with Dr. Anderson led to the development of the IBCell (Immersed Boundary model of a Cell) model to understand the mechanics of the formation of epithelial acini. A unique aspect of the computational models she develops is their ability to accurately represent morphological and biomechanical properties of cells and in particular how these properties differ in cancer versus normal. As part of the group brought from Dundee in 2008, she is also very passionate about integration and sees the IMO as a unique opportunity to fully realize her own computational lab driven by experimental and clinical data.

IMO FACULTY

!

There are currently 4 main faculty within or associated with the IMO. There are also 4 post docs and many other researchers, including clinical faculty, directly involved in the IMO activities.

Alexander Anderson

Robert Gatenby

Robert Gillies

Kasia Rejniak

Page 7: Integrated Mathematical Oncology Newsletter 1

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MEET THE POST DOCSThe diversity of interests of the 4 postdocs that are currently employed by the IMO is precisely

what drives the integrated research that we carry out. Getting to know the group and there interests is one of the reasons for this newsletter and hopefully will stimulate further collaborations both within and outwith Moffitt. We currently have funds for 3 other positions (see the back page) so this list will grow but here are the current team:

David Basanta, PhD is a postdoctoral fellow at the Integrated Mathematical Oncology (IMO) department. He got his undergraduate degree in computer science from the University of Oviedo (Spain) with a thesis on information processing and, after a rather brief stay in industry, performed doctoral work on evolution inspired computing at the department of mechanical engineering at King's College London (University of London, UK). After his PhD, his work shifted to the study of the evolutionary dynamics of cancer, first at the Technical

University of Dresden (Germany) and eventually in Sandy Anderson's group (now at Moffitt). David uses mathematical tools such as Cellular Automata and Evolutionary Game Theory to study how the interactions between tumour cells and other tumour cells and with the tumour microenvironment drive the evolution towards potentially more aggressive cancers. His work has provided novel insights on the role of homeostasis as a set of mechanisms that need to be disrupted during carcinogenesis, and on competition and cooperation's effect on the progression of cancers like glioma and prostate.

Edward Flach, DPhil I arrived recently in Tampa but am feeling integrated already! I came because the ideology of the group is to apply mathematical modeling to practical problems in biology. The other benefit is to be surrounded by actual biologists and even real doctors! This gives the kind of insight that I've never had access to before (and hopefully plenty of hard data to follow). I came from Dresden, Germany most recently where I was working on developmental biology with Andreas Deutsch and Andy Oates. I used the cellular Potts model, which I am now applying to tumour modelling, with a focus on stromal interaction. Before Germany I was in Bloomington, Indiana. There I was looking at models of biochemistry with Santiago Schnell: investigating enzyme action. This style of model is proving useful for understanding the effect of drug application on cell cultures. My doctorate in Philip Maini's group in Oxford was looking at spatial pattern formation with John Norbury. I was interested in travelling wave invasions of pattern. This exploration will give a foundation to a model for predicting clinical progression.

Ariosto Silva, PhD is a research scientist at the Imaging and Integrated Mathematical Oncology (IMO) departments. He got his undergraduate degree in computer engineering from the Instituto Tecnologico de Aeronautica (2000, Brazil) with a thesis on development of e-commerce applications in multiple tiers (presentation, control and business logic). He did his undergraduate internship at Motorola (1998, Brazil) developing embedded applications and at Accenture (2000, Brazil) as a technology consultant in banking industry. After a traineeship

in Portugal Telecom (2001, Portugal) developing web based applications for mobile phone account management, he spent 3 years at Gemalto (former Schlumberger Sema, 2001-2004, France) working with security of electronic transactions.  His PhD comes from the University of Campinas (2008, Brazil) in the department of Genetics and Molecular Biology with the thesis entitled "A computational approach for simulation of biological processes: tridimensional simulation of tumor metabolism and development".  His recent work has focused on the progression and mechanisms of resistance to therapy in Multiple Myeloma, a rare incurable disease where hematologic cancer cells proliferate and take control of the bone marrow. His goal is to use computational models fed by in vitro experiments and clinical specimens to predict optimized forms of therapy by combining drugs in “evolutionarily enlightened” protocols.

Tedman Torres, PhD obtained his undergraduate degree in physics from Sonoma State University, California.   There he spent time assisting in experiments relating to Near-Field Optical Microscopy.   Following this, he pursued doctoral work at Arizona State University where he worked on experimental and theoretical aspects of Fluorescence Correlation Spectroscopy.  His doctoral degree was completed there in the application of Stochastic Process Theory to Fluorescence Correlation Spectroscopy.  His current work is in developing a model of drug penetration into cancerous tissue.

A place to relax, read, debate...Its only a compact little love seat but has been the center piece for many discussions and late night grant marathons we’ve come to realize this sofa is a truly integral part of IMO.

IMO SOFA

7

Page 8: Integrated Mathematical Oncology Newsletter 1

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It might not seem intuitive, but a small albeit growing number of people found interesting parallels between ecosystems as studied by ecologists (yes, think of the Savannah or the Amazon rain forest or a Coral reef) and tumors. The idea of viewing cancer from an ecological perspective is not just about presenting old facts in a new light but, fundamentally, means that we cannot just consider cancer as a collection of mutated cells but as part of a complex balance o f m a n y i n t e r a c t i n g c e l l u l a r a n d microenvironmental elements. This perspective means that t issues should be seen as sophisticated ecosystems in a homeostatic equilibrium that cancer cells can disrupt. Therefore, as convenient as it would be for cancer biologists to study tumor cells in isolation, that makes as much sense as trying to understand frogs without considering that they tend to live near swamps and feast on insects. Suddenly a frog’s sticky tongue makes much more sense when you consider how convenient it is to have one of those if you want to catch flies. Suddenly it makes sense that a cancer cell that is close to a blood vessel and is capable of producing Vascular Endothelial Growth Factors can benefit from co-opting endothelial cells to grow its very own vasculature and obtain nutrients and oxygen.

An ecosystem is made of individuals (plants, animals, bacteria, independent cells,...) and the environment they inhabit (water, soil, oxygen, nutrients,...). The success of an individual in surviving (and procreating), which is what matters at the evolutionary level, depends on how well it competes (for the existing resources) and cooperates (to produce new ones) with other individuals in the same, or different, species. Even a simplified ecosystem should showcase the interdependence of species and how important the interactions between them are. In a stable ecosystem the number and types of interactions between species does not change significantly over time, leading to a dynamic equilibrium of species and individuals known as ecological homeostasis.

Species that are viable in a homeostatic ecosystem are not necessarily viable in a different one, or in the same one if homeostasis is disrupted.

The local environment is an important factor, not only in traditional ecosystems but also in cancer. This idea dates back to the late 19th century with Paget's well-known seed-soil hypothesis [1] which suggests that in order to understand metastases, the soil (the site of a metastasis) is as important as the seed (the metastatic cells). It is beginning to be accepted that cancer is not just a genetic disease but one in which evolution plays a crucial role [2]. The implications are that tumor cells evolve, adapt to and change the environment in which they live (which includes other cellular species). The ones that fail to do so will eventually become extinct. The ones that do, have a chance to invade and metastasize. The capacity of a tumor cell to adapt to a new environment will thus be determined by the environment and the other cellular species from the original site, to which it has already painstakingly adapted.

Adaptation is  thus a critical process in any system subject to Darwinian evolution, and cancer is no exception [3]. Although it's role in Cancer has recently started to be explored, the full implications have yet to impact the cancer research community at large. Tumor cell adaptation to a complex environment like a tissue ecosystem not only means that finding the roots of the disease got a whole lot more challenging (as it is not restricted to the role of a few genes) but this view also opens new routes to stop or even reverse cancer progression [4]. In most cases the ecosystem maintains a dynamic balance or homeostasis from which it can be disrupted by certain events (such a invading species, drought, or a fire).

Homeostasis is also a crucial feature of normal body tissues (those in which cancer has not been initiated). Evolution selects for homeostatic organisms that are capable of recovering from environmental and genetic insults [5]. The normal form and function of most tissues (defined by the integration of multiple cellular, extracellular, chemical and physical signals/constraints) is to maintain a homeostatic balance and carry out the role they are required to perform. Homeostasis loss is traditionally seen as a key initial step on the route to cancer development [6]. At its simplest tissue homeostasis is the balance between cell proliferation and apoptosis such that the tissue architecture and function remains constant. It is no accident that disruptions in these processes are considered as key features of oncogenic transformation. Fortunately, there are multiple mechanisms that regulate these processes and actively ensure homeostasis maintenance,

main ly through the regulat ion of both proliferation and apoptosis. These mechanisms fall into the two broad camps of cellular (e. g. cell-cell adhesion, cell-ECM adhesion), and environmental (e.g. metabolic factors, growth factors, stroma) although there is a great deal of feedback between these camps with changes in one driving the other. Therefore to escape homeostatic control mutant cells need to significantly modify their baseline phenotypes and effectively ignore environmental signals. This will be profoundly influenced by both cellular (in terms of phenotypic traits such as cell adhesion) and environmental heterogeneity (in terms of metabolite levels and stromal communication) and the feedback between them. The cellular heterogeneity represents an intrinsic variability that may be driven by genetic or non-genetic means but provides the means for homeostatic d is rupt ion . Th is he te rogene i ty fu r the r emphasizes the need to understand interactions that occur within the cancer ecosystem i.e. between cells and between cells and their environment.

Given the complexity of the homeostatic process that emerges from the interactions between individuals and their environment in an ecosystem, how can we hope to understand, never mind cure, cancer? Fortunately for us mathematical oncologists, theoretical ecologists have already developed a number of tools that can be used to study ecosystems, and these tools are suitable for both big and small ecosystems.

One tool that is ideal for this is game theory (GT). Interestingly GT was initially introduced to understand human and sociological behavior. The idea is that one can study games in which the outcome affecting a player depends, not only on the strategy used, but on the strategies employed by the other players. A key aspect is that a strategy to play a game is not good or bad considered in isolation but only when compared with the strategies employed by other players: it is the interactions between the players that matter. John Maynard Smith pioneered the use of this tool to study evolutionary dynamics in ecosystems. This is known as evolutionary game theory (EGT). The GT assumption that players have to be rational is, paradoxically, better suited to the individuals in an ecosystem than to humans playing either games in economics or war. The force of natural selection keeps ecosystem denizens focused on optimizing the bottom line: reproduction. In the games studied by evolutionary game theoreticians, individuals compete for available resources using a variety of strategies, that is, by presenting different features and behaviors that can affect their chances of survival and reproduction. These features and behaviors, known as the phenotypic

THE ECOLOGY & EVOLUTION OF CANCER

A lake ecosystem: it can remain in equilibrium for long periods of time before a disruption sets the ecosystem evolving in a different direction.

BY DAVID BASANTA & SANDY ANDERSON

Page 9: Integrated Mathematical Oncology Newsletter 1

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strategy, determine the winners and losers of the evolutionary race. Simple mathematical analysis using EGT can be used to investigate the evolutionary dynamics. If some equilibrium is achieved then this could form the foundation for homeostasis.

One crucial lesson from EGT for potential anti-cancer therapies, is that focusing on indiscriminately destroying as many cancer cells as possible is not necessarily the smartest thing to do. In EGT, the long term (equilibrium) outcome of a game depends on the interactions between the players, not on the size of the population. A treatment based exclusively on removing cancer cells is likely to have only a temporal effect as in most cases the original number of tumor cells will eventually be restored and exceeded. A more effective alternative would be based on changing the way cells interact with each other and their environment which would affect their fitness and thus, potentially, drive tumor evolution towards less aggressive cell types or at least to a stable coexistence that would be less harmful to the patient [7]. 

Another potential application of EGT emerging from the cancer-ecosystem viewpoint is the study evolutionary dynamics leading to the emergence of cooperation [8]. A common misunderstanding about evolution is that the survival of the fittest means that only the strongest and meanest survive. But nature is abundant with examples of inter and intra species cooperation. The trick is that cooperation can only emerge within the constraints of selection, so it can only be sustainable when everybody (or their genes) benefits. Which is not to say that all parties should benefit equally.

EGT is particularly useful at studying the interactions between the players, how those affect tumor evolution (as in Darwinian evolution), and how evolution might lead to or away from homeostatic equilibrium. However, they do not incorporate space, individual based models (IBM) do consider both space and time explicitly and treat each  cell as a distinct entities, offer and ideal methodology to integrate some features of EGT within a spatial framework. Specifically they

can incorporate detailed descriptions of the individual (tumor cell, fish, fox etc) defining its behavior (migrate, reproduce, die etc) in a given context (Savannah, lake, muscle tissue etc). IBMs therefore capture the spatial and temporal variation that characterizes real ecosystems allowing us to explore the robustness of key homeostatic mechanisms.  Moreover, they have been extensively used by the modeling community to look at many different biological systems [9] focussing on how individuals and their interactions collectively drive different evolutionary outcomes.

Traditionally the ecological perspective is firmly grounded at the scale of the phenotype (a fox, fish, rabbit etc) and essentially ignores anything below this scale. However, it tends to be more encompassing at the phenotype scale and embraces all the different players of the ecosystem. In contrast with this perspective, the cancer biology view is very much centered on the genetic and molecular scales for which there is a wealth of data. Whilst this provides a solid foundation to work from, this data is unbalanced due to the poorly quantified phenotypic-scale. This imbalance is the result of the dominance and success of reductionism in cancer research. Reductionism is undoubtedly responsible for the exquisite level of understanding of the several genes and pathways that are involved in tumor initiation and progression in a variety of tissues. Unfortunately both of these approaches have limitations but also have their own strengths that in fact compliment one another. Ideally we want to unify this biological-gene-centric view with the ecological-phenotype-centric view, however, experimentally this is difficult if not impossible, without the aid of theoretical approaches discussed above. In fact, IBMs can explicitly bridge the genotypic-phenotypic scales [10-12].

The ecosystem view is, ultimately, a holistic one that sees cancer progression as a process that emerges from the interactions between multiple cellular species and interactions with the tumor microenvironment. An ecosystem may be either under homeostat ic control or in evolutionary driven escape. These states have intr iguing implications for invasion and metastasis. Are metastatic cells the ones that represent the best and most adapted cells at the primary site? Or, on the contrary, does metastasis and invasion represent the only alternative for the less successful phenotypes, capable of escaping the primary site but unable to compete with better adapted ones locally?  May it only be a by-product of tumor cells acquiring the abilities to move and detach from the main body of the tumor? Is it the result of cooperation or competition? Regardless of the answer to this question, an ecological interpretation of cancer would predict that metastasis will occur to sites in which the tumor cells will have a better chance of survival and colonization. This will depend not only on  the

distance from the primary site or on the availability of lymphatic or blood vessels but also on the suitability of the new site for colonization. Since these cells are likely to be reasonably adapted to specific environmental conditions. A secondary site that somewhat resembles key features of the primary one while providing the metastatic cells with nutrients and room for growth will always be a more likely target for a secondary tumor.

The timing for an ecosystemic view of cancer could not be better: with the development of high throughput automated microscopy the ability to gather substantial amounts of cellular information is becoming a reality. With this new information the cancer ecosystem is becoming more complete and therefore theoretical oncologists will have a better understanding of the key phenotypic strategies and mechanisms of interaction that tumor cells, and other relevant cells employ. Clearly this means we are more likely to be successful at producing models that are both holistic (taking into account the multiple scales at which cancer takes place) and quantitative (in which model parameters and predictions can be compared with experiments) i.e. qolistic approaches [13].

The heart of the matter is that an ecological view of tumors does not invalidate but complements and builds upon  decades of cancer research and undoubtedly this will lead to a better understanding of the biology of cancer and to new and improved therapies. If we may use the old analogy but framed slightly differently: we need to properly understand the trees (e.g. every leaf, twig and branch) before we can understand the forest but we cannot afford to ignore the forest because the trees are so interesting on their own.

1. Paget, S. (1889). Lancet 1889; 1:571-3.2. Crespi, B. and K. Summers (2005). Trends Ecol Evol 20: 545-52.3. Anderson, A. R. A., A. M. Weaver, et al. (2006). Cell 127: 905-15.4. Gatenby, R. A., A. S. Silva, et al. (2009). Cancer Res 69: 4894-903.5. Basanta, D., M. Miodownik, et al. (2008). PLoS Comp Biol 4: e1000030.6. Hanahan, D. and R. A. Weinberg (2000). Cell 100(1): 57-70. 7. Gatenby, R. A. (2009). Nature 459(7246): 508-9.8. Axelrod, R., D. E. Axelrod, et al. (2006). Proc Natl Acad Sci 103:13474-9.9. Anderson, A. R. A., Rejniak, K.A. & Chaplain M.A.J. (2008) MBI Book.10.Mansury, Y., M. Diggory, et al. (2006). J. Theor. Biol.238: 146-156.11.Basanta, D., H. Hatzikirou, et al. (2008). Eur. Phys. J. B 63: 393–397.12.Gerlee, P. and A. R. A. Anderson (2008). J. Theor. Biol. 250: 705-22.13.Anderson, A. R. and V. Quaranta (2008). Nat Rev Cancer 8: 227-34.

Parasitism: Parasitic wasp cocoons attached to a caterpillar.

Symbiosis. Both the bee & flower derive benefit from their interaction.

Page 10: Integrated Mathematical Oncology Newsletter 1

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I n t h i s a r t i c l e w e c o m p a re t w o

p h e n o m e n a : t u m o r i g e n e s i s a n d t h e development of slums in big cities, and

propose that not only are the rules that control

their existence similar but also that the strategies used to eradicate them are

equivalent and as such can we learn lessons from one problem to resolve the other.

Slums are a grave problem in big cities in

underdeveloped and developing countries. In 2007 in São Paulo, the biggest city in Brazil,

there were approximately 2,000 slums with a total population of more than 400,000 families

living in sub-human conditions. Besides the

social problems of this population, deprived of minimum sanitary conditions, slums are also a

safe haven for organized crime and drug dealers. Slums gradually grow by engulfing

neighborhoods of the city whose real-state is

downgraded by the proximity with them.Tumors are believed to be created by the

relentless replication of genetically unstable cells that, through mutations and selection

from the microenvironment, acquire a set of

phenotypes that allow them to invade healthy tissue, promote angiogenesis and colonize new

regions of the host and create new tumors [1, 2], eventually reaching a state of tumor burden

that is fatal to the host.

Both phenomena, slums and tumors,

often develop in the periphery of the host (carcinomas develop from epithelial tissue

separated from the host by basement

membrane while slums have their origin in the outskirts of towns where real state is less

expensive) where resources are limited and uncontrolled growth leads to gradients of

resources and harsh conditions.

Both systems invade by “trashing” their surroundings: tumors invade healthy tissue by

both degradation of the extracellular matrix and by causing death of healthy cells; it is known

that tumors constitutively metabolize glucose

anaerobically producing lactic acid [3, 4] even

in the presence of oxygen. It has been proposed that this glycolytic phenotype could

be a mechanism through which tumors

intoxicate their surroundings in order to kill healthy tissue and make room for new tumor

cells [4]. A similar mechanism is found in the periphery of growing slums: a wave of

devaluation of real state moves outwards of the

slum propagated by criminality which imposes a “bad reputation” on the neighborhood,

scaring the residents away and leaving room for new tenants from the slum periphery or

from outside of the system.

Solid tumors are often avascular during the early steps of tumorigenesis and are only

able to promote angiogenesis as they achieve a critical mass. The fragile infrastructure of

slums is no different from solid tumors: as one

progresses into the settlement, the roads become narrower until cars cannot travel,

which considerably reduces efficiency of law enforcement. This lack of law enforcement and

a minimum infrastructure for the survival of the

slums is similar to what happens in solid tumors. On one hand poor perfusion prevents a

faster growth of the tumor but on the other hand it protects the tumor by preventing the

action of the immune system, chemotherapy

and radiotherapy by limiting diffusion of drugs, inducing quiescence in hypoxic tumor cells and

by generating a heterogeneous tumor microenvironment that confers a greater

robustness to therapeutic attack [5].

We have discussed some aspects on how carcinomas and slums develop in a similar

manner, notably by uncontrolled population growth in an area at the edge of the host/city

with poor infrastructure but also with small or

no interference from immune system/law enforcement, as is the case with carcinomas

which are separate from immune system by a basement membrane.

Both systems appear to be robust to

brute force attacks (toxins and drugs in cancer, and law enforcement and eviction in slums) not

only because these approaches cause higher side effects in the “host” than in the target but

also because the forces that promoted the

initial development of these systems remain u n c h a n g e d ( g e n e t i c i n s t a b i l i t y a n d

microenvironment-imposed selection for cancer, and social inequality in slums) and thus

will promote regrowth of the original system or

similar systems in other areas.

We propose that the most promising

strategies for eradicating and preventing carcinomas and slums are those that target the

forces that promote their emergence. For

carcinomas these strategies would focus on intratumoral pH normalization, use of glucose

inhibitors, use the minimum amount of therapy necessary to arrest tumor growth and delay

patient relapse, and finally assess tumor

response to therapy in a closed-loop approach. For slums, whose emergence is due to a

considerable mass of poor people, the most promising approach would be to invest

resources into bringing this share of the society

into more equal conditions, which can be achieved by full-time public education with

meals and recreational activities in order to keep the children away from one environment

permeated by violence, drugs and poverty.

Work laws that ensure minimum wages and social programs to provide credit to families to

finance homes are also more immediate actions. Finally, the problem of slums in big

cities will never be solved if the flow of

migrants from poorer underdeveloped regions of the same country remains. It is important

thus that such an action for reduction of social disparities happens country-wide.

As a final note, we would like to stress

that even though slums carry within criminality and major social and public health problems,

they only exist and grow because of the initial advantage of cheap labor they offer to the

richer population of the cities. An interesting

point is that in carcinomas the cells that develop as tumors are exactly those that are

isolated in the periphery of the host and considered as “expendable”.

1. Goldie JH: Drug resistance in cancer: a perspective. Cancer Metastasis Rev 2001, 20:63-68.2. Hanahan D, Weinberg RA: The hallmarks of cancer. Cell 2000, 100:57-70.3. Gatenby RA, Gillies RJ: A microenvironmental model of carcinogenesis. Nat Rev Cancer 2008, 8:56-61.4. Gatenby RA, Gawlinski ET, Gmitro AF, Kaylor B, Gillies RJ: Acid-mediated

tumor invasion: a multidisciplinary study. Cancer Res 2006, 66:5216-5223.

5. Kitano H: Cancer robustness: tumor tactics. Nature 2003, 426:125

BIG CITY SLUMS AND TUMOR INVASION

BY ARIOSTO SILVA

Page 11: Integrated Mathematical Oncology Newsletter 1

11

WORKSHOPSIts been a busy start to the 2009 for the

IMO with two major meetings being co-

organized by our members. An MBI workshop

and a three part SIAM symposium both dealing

with in silico models of cancer but with their

own distinct focus.

MBI Workshop: Cancer Development, Angiogenesis, Progression, & Invasion

The Mathematical Biosciences Institute

(MBI), is an institute dedicated to the

application of mathematics to biology with the

goal of enhancing both research and education

to foster the growth of an international

community of researchers in this new field.

Co-organized by Kristin Swanson and

Sandy Anderson this workshop was based on

the premise that a deeper understanding of

cancer requ i res sc ient is ts w i l l i ng to

communicate and interact extensively across

disciplinary boundaries. By inviting a truly

interdisciplinary team of scientists to attend as

well as a shared platform for both experienced

modelers, state-of-the art experimentalists and

clinician-scientists to present their work

covering every scale of cancer growth.

Each day of the workshop, consisted of 3

primary speakers split between experimental,

mathematical and imaging such that the

experimentalist presented the biological

problem, a mathematical modeler described

modeling approaches and a imaging specialist

described the type of data available for model

validation and development. Other attendees

were invited to present posters at the poster

session and every day one poster was chosen

to give a short presentation to the group.

Each day was broadly themed with

f o c u s e s o n c a n c e r d e v e l o p m e n t ,

angiogenesis, progression, invasion and

treatment. We deliberately left 30 minutes after

every presentation for discussion which really

caused the whole workshop to be a hive of

discussion with each talk leading to extended

debates between the interdisciplinary audience

and the speaker. This created a vibrant and

exciting atmosphere that really made the whole

workshop far more successful than we had

hoped.

An interesting aside is that the MBI had to

close halfway through the meeting due to a

“snow emergency” (see pic above) that

led to a very impromptu take over of the

holiday inn meeting facilities (where most of the

participants were staying) where the talks

proceeded as planned.

For further information regarding the

workshop, including participants, abstracts and

some talks that were presented can be found

at the following link:

http://mbi.osu.edu/2008/ws4description.html

SIAM Symposium: State of the art in Computational modeling of Cancer

This three part symposia was aimed at

bringing together all of the key computational

modelers in the Cancer field to discuss the

diversity of new techniques that have recently

been deployed and/or developed. Co-

organized by Kasia Rejniak and Sandy

Anderson at the SIAM Conference on

Computational Science and Engineering.

One of the participants called this

minisymposium "a family reunion" - we actually

really liked this interpretation. We invited 12

scientists, from USA and abroad, working on

different aspects of cancer modeling to share

there scientific experience and results. Thanks

Yi, Andreas, James, Sasha, Heiko, Bruce,

David, Yangjin, Zhihui, Fang for coming.

The minisymposium covered many

aspects of cancer - tumor in i t iat ion,

progression, agiogenesis, metastasis,

avascular/vascular tumor growth, and cancer

treatment. Techniques presented included

continuous models, various types of individual-

cell based models, Monte-Carlo simulations,

game theory and fluid-dynamics approach.

MBI Cancer

Workshop organizers

Ohio

Page 12: Integrated Mathematical Oncology Newsletter 1

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The first Integrated Mathematical Oncology

seminar, on Thursday September 4th 2008,

gathered together the only five existing

members, speaker included, i.e. the core of the

mathematical modeling group: Bob, Sandy,

Kasia, David and Ariosto who gave a

ta lk on "Adapt ive Therapy: an

a l t e r na t i ve cance r t rea tment " .

Attendance has increased significantly

when the Molecular and Functional

Imaging group, headed by Bob Gillies,

moved in to town. Moreover, we can

proudly announce that some of our

invited speakers have enjoyed the

friendly but brainstorming atmosphere

of IMO seminars so much, that they

have became affiliates of the IMO and join us

every Thursday at lunch time to actively

participate in both questions and discussion.

Many local Moffitt scientists have given

talks summarizing their research interests and

experimental approaches, and discussed with

us possible areas where mathematical/

computational modeling approaches could be

useful. This has fortunately led to the initiation of

several new collaborations within Moffitt.

We have also hosted a few outside

speakers, including both collaborators and

visiting guests from many different disciplines:

mathematicians, experimentalists, image

s c i e n t i s t s , r a d i o l o g i s t s , p h y s i c i s t s ,

pharmaceutical scientists, pathologists and

clinicians.

To see a list of the past, present and future

s p e a k e r s p l e a s e l o o k h e r e : h t t p : / /

www.moffitt.org/imo/seminars. If you are

interested in participating or presenting an IMO

seminar please contact our seminar organizer

Kasia Rejniak ([email protected]).

IMO SEMINARSA WEEKLY SEMINAR WHICH BRINGS TOGETHER THE WHOLE IMO AND ANYONE ELSE INTERESTED IN SYSTEMS RESEARCH

Simon Hayward

(Vanderbilt) presenting to

IMO

SIAM symposium - Continued Each of the three IMO members presented

their current work with Kasia opening the 1st

session and Sandy closing the 3rd and final

session. It proved to be a very successful

meeting - so much so that Kasia and Sandy

decided to put together a special issue of the

IMA Journal Mathematical Medicine & Biology.

This will be a double bumper issue and will

collate the recent work of all who attended.

To celebrate our move from Scotland to

Florida, we invited our minisymposium

speakers and a few other friends for dinner in

a very cosy Italian restaurant called La Loggia

located in Downtown Miami. It was not only a

nice culinary experience but a challenging one.

We learned that half of the German population

(at least those present at the table) speaks

fluent Norwegian! And we had a lively

discussion-competition to determine what

temperature has the same numerical value in

C and F. Well, it took a few approximations and

actually solving one linear equation to find out

that it is -40 :o)

For further information regarding the

workshop, including participants and abstracts

of the talks that were presented, can be found

at the following link:

http://www.siam.org/meetings/cse09/

P r e s e n t i n g o u r work at the SIAM meeting in Miami. Members of the IMO: Kasia Rejniak, Sandy Anderson and David Basanta (Left to Right).

Page 13: Integrated Mathematical Oncology Newsletter 1

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Sandy Anderson and Kasia Rejniak: The

book we have edited together with Mark

Chaplain has been recently published by

Birkhauser-Verlag in the Mathematics and

Biosciences in Interaction (MBI) series. It

contains 12 chapters from leading authors in the

field of single-cell-based computational models

that can be applied in various areas of biology

and medic ine, inc luding development,

morphogenesis, tumoriogenesis, blood clotting,

vascularization, t issue folding and cell

chemotactic and haptotactic movement.

Kasia: It is fascinating to watch live cells

under the microscope, to see how they move,

divide and interact with one another. As a

biomathematician, I was always interested in

making computational models that allow for

simulations of cells and cell processes on the

computer screen. It turns out I was not the only

one.

Sandy: Indeed, mathematical modeling of

biological phenomena is not a new trend. One

may trace modeling of tumor growth to the work

of Archibald Hill from 1928 in which the author

uses mathematical approaches to study how the

diffusion of dissolved substances through cells

and t issues determines cel l metabol ic

processes. However, these early mathematical

models use a purely continuous approach and

represent tumors as well mixed masses of cells

that respond to external cues in an averaged

manner. Whilst these models are able to capture

the tumor structure at the tissue level, they fail

to describe the tumor at the cellular level.

Kasia: So, the development of single-cell-

based models was a natural way to overcome

the limitations of continuous models.

Sandy: Yes, to adequately describe

complex spatio-temporal processes that occur

in multi-cellular organisms, a class of models is

required that simultaneously takes into account

differences between individual cells as well as

their ability to communicate and interact with

one another and their environment. Single-cell-

based models form a framework that allows for

the explicit incorporation of different properties

of individual cells, but at the same time enables

all cells to act together as one collective body.

This leads ultimately to more biologically

realistic models of heterogeneous tissues and

multi-cellular organisms and allows for a better

understanding of the principles underlying the

complex biological processes occurring during

the formation, growth and maintenance of multi-

cellular bodies.

Kasia: We noticed that over the last few

years severa l b iomathemat ic ians and

biophysicists have been working on different

computational models in which cells are

represented as individual entities. These models

e m p l o y v e r y d i f f e re n t c o m p u t a t i o n a l

approaches: Monte-Carlo simulations, energy

minimization techniques, volume conservation

laws, solutions of the equations of motion for

each individual cell or for each point on

the cell membrane. They also differ in

the level of detail that defines the cell

structure and subsequently differ in the

number of individual cells that the

model can incorporate. So, the

existence of numerous mathematical

models dealing with individual cells brought us

to the idea of putting together a collection of

papers where different computational models

are described by their authors.

Sandy: Therefore, one can use the book to

survey what is new in modern mathematics,

because very different mathematical and

computational techniques are used to define the

range of models included in our book. In some

of them cells are represented as points on the

lattice, in others as small spheres or ellipsoids,

or they have deformable shapes and contain

elastic boundaries filled with fluid. If one wants

to focus on mechanical properties of cells, there

are models that capture that level of detail but

at the expense of limiting the number of

cells the model can handle. If on the other hand

one wants to model tumor growth, then millions

of cells may need to be represented and

therefore considering the cells more simply as

single points may be more appropriate.

Kasia: Moreover, the book is accompanied

by a DVD containing simulation movies that

show all discussed models in action! They are

applied to a quite diverse set of problems, such

as tumor growth, limb development, blood

clotting, vascularization, cell chemotactic

movement, development of Dictyostelium

discoideum, tissue folding or the formation of

epithelial layers.

Sandy: And on top of that, numerous

applications presented in the book are

accompanied by experimental results and

images, since continued interactions with

experimentalists working on cellular systems is

essent ia l for bu i ld ing and

understanding good predictive

mathematical models.

Kasia: Right, mathematical models will not

eliminate biological experiments but instead will

help motivate them by generating hypotheses

and determining the key factors and processes

that need to be tested. To build a mathematical

model of a cell, we have to make it much

simpler than in reality by taking into account

only the most important features, but we also

want to represent differences between individual

cells as well as their ability to communicate and

interact with one another and their surroundings.

Single-cell-based models are ideal for these

purposes and allow for a more realistic

representation of biological tissues and multi-

cellular organisms as they can capture the

principles underlying the complex biological

processes.

Sandy: And therefore, we would like to

address this book equally to scientists already

modeling multi-cellular processes and to

students starting their research in the field of

mathematical biology to give them a flavor of

the different techniques that they can use in

their studies. We asked our contributing authors

to include a detailed description of their

particular model and an extensive review of

suitable biological and medical applications.

And, of course, all simulation movies of the

presented models and applications are on the

DVD!

Kasia and Sandy: So, we hope that the

readers will enjoy using this book as much as

we have enjoyed working on it.

BOOK BY IMO MEMBERSThe “Single-Cell-Based Models in Biology and Medicine” book in the eyes of its editors Sandy Anderson & Kasia Rejniak

“We hope that readers will

enjoy this book as much as we have enjoyed working

on it”

Page 14: Integrated Mathematical Oncology Newsletter 1

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Here we present a small selection of the images

generated using the mathematical and computational models

that we are developing within the IMO. Aesthetically

interesting and visually diverse they represent many different

aspect of cancer, including initiation, growth, angiogenesis,

invasion and treatment. The visual representation of in silico model output is an important aspect of

IMO as it drives much of the communication between the multiple disciplines that interact with us. To

paraphrase the old analogy: a picture speaks of... a thousand cubic millimeters! The spatial variation

that occurs in both cancer and its immediate microenvironment are of great interest to the IMO as we

believe that this heterogeneity is what promotes tumor development and inhibits treatment.

Understanding how variations in tissue density, oxygen distribution, drug concentration, and stroma

interact with and regulate tumor cell heterogeneity is a central question were are interested in.

Spatial variation however, is only one part of this picture the other is temporal dynamics. Many

of the images shown here have animated counterparts that dynamically represent the time evolution

of the development/growth/treatment process often from a single initiating cell. Both the spatial and

temporal dynamics of cancer are natural outputs of in silico models, which are often difficult to

obtain with the same detail or frequency form in vitro or in vivo systems. Quantification of these

dynamics and calibration with experimentally measured snapshots via imaging will be a cornerstone

for model validation.

We are currently developing both graphically rich and interactive simulation tools for several of our computational models such that our

experimental colleagues can have their own hands on in silico experience. Eventually, these tools will be available online for all to use and hopefully

facilitate further collaboration and integration.

COMPUTATIONAL IMAGES FROM IMO RESEARCH

Page 15: Integrated Mathematical Oncology Newsletter 1

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CAN YOU BUILD ME A MODEL PLEASE?

BY SANDY ANDERSON One of the most common responses that

IMO receives when we try to init iate

collaborations is either that in silico modeling is

far too simple to produce anything informative

or it has some magical property that solves

complex problems without any experimental

input. These two extremes highlight a real lack

of understanding that we must address

directly, after all we are the strangers in a

strange land. The schematic on the right

represents an over simplified attempt to

explain how we can build cancer models

together. It does not encompass all possible

scenarios and we are not constrained by only

this approach.

The single most important aspect of

developing mathematical models is the

motivation i.e. what question do we want to

answer? In the context of cancer this might be

one specific to a given type or might be

relevant to all cancers. Often finding the

question (or the right question) is the biggest

hurdle to start a collaboration. Critical to

defining the question, however, is the dialogue

- we need to talk to each other, perhaps

several times. This dialogue really is where the

common language begins to develop, allowing

us to tease out the key variables and core

processes of the system and how best to

represent them theoretically. This reduces the

complexity of the model and aids in the

subsequent understanding of the results,

however, its worth pointing out that its natural

to always want to add more complexity. Thats

why the integrated approach is so important,

the biological-mathematical dialogue should

converge on a minimal model.

Minimal models make for simpler

visualization and parameterization. There are

then some technical aspects that need to be

addressed in terms of the precise modeling

approach to be used, how it will be solved and

presented - this is where the IMOs diversity

becomes important. The different backgrounds

and interests of the group ensure we take the

best approach, and visualization is something

we take great pride in (see page 12).

It is important to realize that what sets In

si l ico models apart from other useful

quantitative approaches (such statistics or

i n f o r m a t i c s ) i s m e c h a n i s m . We a re

fundamentally interested in understanding why

certain outcomes occur. By integrating the

relevant biological processes within our

theoretical framework we can generate

testable predictions and hypothesize novel

mechan i sms . V i t a l t o t h i s i s mode l

parameterization (and validation) which can

only be achieved via experimental testing and

o b s e r v a t i o n . I n s i l i c o m o d e l d r i v e n

experimentation and imaging are precisely why

we believe being integrated within Moffitt will

be beneficial.

H a v i n g a c c u r a t e e x p e r i m e n t a l

measurements of the variables and processes

that are driving the system will allow for much

more accurate model predictions. It will also

highlight the model limitations and where

refinements need to be made. Having a fully

parameterized model that is sufficiently refined

will allow us to make predictions of the tumor

growth dynamics, how it will respond to

different treatments and how best to optimize a

given treatment. Ultimately, this means that we

can tailor in silico models to a specific patient

and make predictions directly relevant to that

patient.

Hopefully his will lead to in silico models

becoming an integrated part of treatment. The

schematic loop below, shows how data based

on analysis of the current patient state (e.g. via

biopsies, imaging) can parameterize models to

make predictions regarding cancer growth and

treatment that can be tested experimentally

before being applied to the patient. This should

result in tailored treatments that are optimized

for the cancer of this patient. This optimization

can continue with subsequent analysis and

repeats of the whole loop. The resulting

therapy will be by definition adaptive to the

changing needs of the patient.

This will, however, take time. We are

constrained by the experimental and clinical

data that we can obtain. Also, the resolution

and scope of this data will dictate to what

degree we can validate the in silico model

results. We are also constrained by the level of

complexity we want to incorporate into our

models, the trade-off between understanding

and sophistication is difficult to balance. There

are multiple modeling approaches at our

disposal and they cover a wide range of

resolution and scale. Choosing the

appropriate in silico approach (or combination

of approaches) should be driven by both the

question and the experimental system to which

it will be validated against. This further

emphasizes the need for integrat ion:

experiments should drive models and models

should drive experiments. This feedback

hopefully converging on novel insights into our

understanding of cancer growth and critically

the development of novel treatments.

Page 16: Integrated Mathematical Oncology Newsletter 1

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Issue 1

LAST WORD FROM THE EDITOR Moving to Moffitt from a mathematics department in

Dundee, Scotland seemed like a monumental task. There was

always going to be a transitionary period and dealing with the

personal issues that a move of this scale presents. There is no denying it

was difficult at times and could have went smoother. One of the main

sticking points was the fact that we are mainly a computational group

and therefore needed very different computational facilities. Thankfully,

this issue has been directly addressed with the updated Moffitt cluster

and better support for our Mac centric world. Its worth stating however,

that even though its only been just over a year and a half, IMO feels like

home. Moffitt has made us feel welcome and we’ve already made

friends and collaborators. As we develop over the coming year, we

hope to integrate further with Moffitt, building new collaborations and

working in new areas. Since we have recently outgrown our space in

MRC, we’re looking forward to moving into our new space in SRB -

specially refurbished to enhance the collaborative nature of our research.

This is the first issue of the IMO newsletter, and I hope you’ve

found it interesting. I realize thats its probably unusual to produce this

type of document but I see this medium as the perfect opportunity to let

anyone interested know we are here, what we are doing and where we

are going. I’d be happy to receive any feedback, both negative and

positive, on the current issue as well as ideas for future content. This

issue would not have been possible without the numerous contributions

from IMO members and I’d personally like to thank David

Basanta, Bob Gatenby, Kasia Rejniak and Ariosto Silva for their

articles and last but not least Edward Flach for his creative flare

on the numerous schematics throughout.

I’d like to end the newsletter on a positive note - the good news is

that we’ve been fortunate enough to secure funding from two major NCI

programs, the new Physical Sciences in Oncology (PSOC) program and

the Integrative Cancer Biology program (ICBP). Both of these programs

support the application of theoretical and computational models to

cancer research. Clearly this is what IMO already does and so we are

grateful to be part of them! This should certainly keep IMO busy for the

next 5 years or so!

Enjoy the rest of 2010, and look for issue 2 next year!

Sandy Anderson (Editor).

We’re HIrINg•Several Post DOC PosItIoNs are avaIlable NOW!•MathematIcIaNs, PhysIcIsts or computer scIeNtIsts•please CoNtact US! www.moffitt.org/Imo/jobs

The Ever

Growing IMO

16


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