Department of Electrical Engineering, University of Zanjan, Zanjan, Iran.
Sci Rep. 2024 May 18;14(1):11387. doi: 10.1038/s41598-024-62209-6.
Identifying and controlling tumor escape mechanisms is crucial for improving cancer treatment effectiveness. Experimental studies reveal tumor hypoxia and adenosine as significant contributors to such mechanisms. Hypoxia exacerbates adenosine levels in the tumor microenvironment. Combining inhibition of these factors with dendritic cell (DC)-based immunotherapy promises improved clinical outcomes. However, challenges include understanding dynamics, optimal vaccine dosages, and timing. Mathematical models, including agent-based, diffusion, and ordinary differential equations, address these challenges. Here, we employ these models for the first time to elucidate how hypoxia and adenosine facilitate tumor escape in DC-based immunotherapy. After parameter estimation using experimental data, we optimize vaccination protocols to minimize tumor growth. Sensitivity analysis highlights adenosine's significant impact on immunotherapy efficacy. Its suppressive role impedes treatment success, but inhibiting adenosine could enhance therapy, as suggested by the model. Our findings shed light on hypoxia and adenosine-mediated tumor escape mechanisms, informing future treatment strategies. Additionally, identifiability analysis confirms accurate parameter determination using experimental data.
识别和控制肿瘤逃逸机制对于提高癌症治疗效果至关重要。实验研究表明,肿瘤缺氧和腺苷是这些机制的重要贡献者。缺氧会加剧肿瘤微环境中的腺苷水平。将这些因素的抑制与基于树突状细胞(DC)的免疫疗法相结合,有望带来更好的临床效果。然而,挑战包括了解动力学、最佳疫苗剂量和时间。数学模型,包括基于代理、扩散和常微分方程的模型,解决了这些挑战。在这里,我们首次将这些模型用于阐明缺氧和腺苷如何促进基于 DC 的免疫疗法中的肿瘤逃逸。使用实验数据进行参数估计后,我们优化了接种方案以最大程度地减少肿瘤生长。敏感性分析强调了腺苷对免疫疗法疗效的重大影响。它的抑制作用阻碍了治疗的成功,但模型表明抑制腺苷可以增强治疗效果。我们的研究结果揭示了缺氧和腺苷介导的肿瘤逃逸机制,为未来的治疗策略提供了信息。此外,可识别性分析证实了使用实验数据准确确定参数。
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