Ng Chin F, Frieboes Hermann B
Department of Bioengineering, University of Louisville, Lutz Hall 419, KY 40208, USA.
Department of Bioengineering, University of Louisville, Lutz Hall 419, KY 40208, USA; James Graham Brown Cancer Center, University of Louisville, KY, USA.
J Theor Biol. 2017 Oct 7;430:245-282. doi: 10.1016/j.jtbi.2017.05.013. Epub 2017 May 18.
We present a three-dimensional nonlinear tumor growth model composed of heterogeneous cell types in a multicomponent-multispecies system, including viable, dead, healthy host, and extra-cellular matrix (ECM) tissue species. The model includes the capability for abnormal ECM dynamics noted in tumor development, as exemplified by pancreatic ductal adenocarcinoma, including dense desmoplasia typically characterized by a significant increase of interstitial connective tissue. An elastic energy is implemented to provide elasticity to the connective tissue. Cancer-associated fibroblasts (myofibroblasts) are modeled as key contributors to this ECM remodeling. The tumor growth is driven by growth factors released by these stromal cells as well as by oxygen and glucose provided by blood vasculature which along with lymphatics are stimulated to proliferate in and around the tumor based on pro-angiogenic factors released by hypoxic tissue regions. Cellular metabolic processes are simulated, including respiration and glycolysis with lactate fermentation. The bicarbonate buffering system is included for cellular pH regulation. This model system may be of use to simulate the complex interactions between tumor and stromal cells as well as the associated ECM and vascular remodeling that typically characterize malignant cancers notorious for poor therapeutic response.
我们提出了一个三维非线性肿瘤生长模型,该模型存在于多组分 - 多物种系统中,由异质细胞类型组成,包括存活细胞、死亡细胞、健康宿主细胞和细胞外基质(ECM)组织类型。该模型具备肿瘤发展过程中所观察到的异常ECM动力学特性,以胰腺导管腺癌为例,其特征为致密的促结缔组织增生,通常表现为间质结缔组织显著增加。引入了弹性能量以赋予结缔组织弹性。癌症相关成纤维细胞(肌成纤维细胞)被建模为这种ECM重塑的关键因素。肿瘤生长由这些基质细胞释放的生长因子以及血管系统提供的氧气和葡萄糖驱动,血管系统与淋巴管会基于缺氧组织区域释放的促血管生成因子而在肿瘤内部及周围被刺激增殖。模拟了细胞代谢过程,包括呼吸作用以及伴有乳酸发酵的糖酵解过程。包含了碳酸氢盐缓冲系统用于调节细胞pH值。该模型系统可能有助于模拟肿瘤细胞与基质细胞之间的复杂相互作用,以及相关的ECM和血管重塑,这些通常是治疗反应不佳的恶性肿瘤的典型特征。