Department of Mathematical Science "G. L. Lagrange", Politecnico di Torino, Italy.
Department of Mathematics "F. Casorati", University of Pavia, and Institute for Applied Mathematics and Information Technologies of CNR, Pavia, Italy.
J Theor Biol. 2021 Apr 7;514:110579. doi: 10.1016/j.jtbi.2021.110579. Epub 2021 Jan 13.
The mathematical modeling of tumor growth has a long history, and has been mathematically formulated in several different ways. Here we tackle the problem in the case of a continuous distribution using mathematical tools from statistical physics. To this extent, we introduce a novel kinetic model of growth which highlights the role of microscopic transitions in determining a variety of equilibrium distributions. At variance with other approaches, the mesoscopic description in terms of elementary interactions allows to design precise microscopic feedback control therapies, able to influence the natural tumor growth and to mitigate the risk factors involved in big sized tumors. We further show that under a suitable scaling both the free and controlled growth models correspond to Fokker-Planck type equations for the growth distribution with variable coefficients of diffusion and drift, whose steady solutions in the free case are given by a class of generalized Gamma densities which can be characterized by fat tails. In this scaling the feedback control produces an explicit modification of the drift operator, which is shown to strongly modify the emerging distribution for the tumor size. In particular, the size distributions in presence of therapies manifest slim tails in all growth models, which corresponds to a marked mitigation of the risk factors. Numerical results confirming the theoretical analysis are also presented.
肿瘤生长的数学建模历史悠久,已经以几种不同的方式进行了数学公式化。在这里,我们使用统计物理学的数学工具来解决连续分布情况下的问题。在这方面,我们引入了一种新的生长动力学模型,该模型强调了微观跃迁在确定各种平衡分布中的作用。与其他方法不同,基于基本相互作用的介观描述允许设计精确的微观反馈控制疗法,能够影响自然肿瘤生长并减轻大肿瘤中涉及的风险因素。我们进一步表明,在适当的标度下,自由和受控生长模型都对应于生长分布的福克-普朗克类型方程,其扩散和漂移系数是变量,在自由情况下的稳定解由一类广义伽马密度给出,这些密度可以用胖尾来描述。在这种标度下,反馈控制会对漂移算子产生明显的修正,这会强烈改变肿瘤大小的分布。特别是,治疗存在时的大小分布在所有生长模型中都表现出苗条的尾巴,这对应于风险因素的显著减轻。还提出了确认理论分析的数值结果。