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Strobl, M.

Publications and source records attributed to Strobl, M..

12 recordsLinked to original sources

75 Years of Mathematical Oncology

Constructing a comprehensive overview of any scientific field requires accurate literature selection, yet conventional keyword-based searches are susceptible to false positives. This problem is magnified in growing or interdisciplinary fields such as mathematical modeling in oncology that contain a rich but heterogeneous body of literature. Here, a generalizable, context-enriched artificial intelligence pipeline based on large language models (LLMs) curates large scientific corpora according to a user-defined field: mathematical modeling in oncology (>35k publications). Benchmarking against expert evaluation demonstrates high accuracy (ROC AUC[~]0.95) and agreement with human judgement (correlation[~]0.68), outperforming zero-shot LLM curation Analysis of the curated corpus ([~]14k) suggests that Mathematical Oncology s distinct from either Systems Biology and Pharmacokinetics/Pharmacodynamics despite employing overlapping methods. Co-occurring citation network analysis defines nine research clusters focused on a range of applications including drug delivery, optimal control, stochastic modeling, tumor microenvironment, radiation, cancer evolution, and spatial multiscale modeling. Significance StatementA generalizable, context-enriched artificial intelligence pipeline accurately curates large scientific corpora Analysis of the curated dataset applied to the se of mathematics n oncology provides comprehensive view of mathematical modeling in oncology across 140 years, revealing its shift from fundamental cancer biology towards therapeutic modelling.

cancer biology↗

Evolutionary antifragile therapy

A population of cells within a tumor can be described as antifragile (the opposite of fragile) if they derive a benefit from fluctuations or perturbations in environmental conditions induced by treatment. We hypothesized that treatment fluctuations may either promote (antifragile tumor) or inhibit (fragile tumor) the evolution of treatment resistance to targeted therapies. Analysis of the convexity of dose response curves provides a direct prediction of response to prescribed fluctuations in treatment. Theory predicts that continuous treatment protocols (i.e. zero prescribed fluctuations in treatment) will outperform uneven protocols when dose response is convex. We apply this theory to predict in vivo response to targeted therapy and validate these predictions by experimentally testing high/low intermittent dosing (uneven dosing) and continuous dosing (even dosing) schedules. Convexity (and its inverse, concavity) explains two phenomena: dose response is a convex (fragile) function but resistance onset rate is a concave (antifragile) function. Thus, we design, propose, and validate alternative treatment schedules which maximize response while maintaining prolonged sensitivity to treatment. These analyses provide supporting evidence that fluctuations alter the evolutionary trajectory of tumors in response to targeted therapy, even without altering the cumulative dose. This insight is used to design alternative, switching treatment protocols to limit the evolution of resistance, a process which we call evolutionary antifragile therapy.

cancer biology↗

Using spatial statistics to infer game-theoretic interactions in an agent-based model of cancer cells

Drug resistance in cancer is shaped not only by evolutionary processes but also by eco-evolutionary interactions between tumor subpopulations. These interactions can support the persistence of resistant cells even in the absence of treatment, undermining standard aggressive therapies and motivating drug holiday-based approaches that leverage ecological dynamics. A key challenge in implementing such strategies is efficiently identifying interaction between drug-sensitive and drug-resistant subpopulations. Evolutionary game theory provides a framework for characterizing these interactions. We investigate whether spatial patterns in single time-point images of cell populations can reveal the underlying game theoretic interactions between sensitive and resistant cells. To achieve this goal, we develop an agent-based model in which cell reproduction is governed by local game-theoretic interactions. We compute a suite of spatial statistics on single time-point images from the agent-based model under a range of games being played between cells. We quantify the informativeness of each spatial statistic and demonstrate that a simple machine learning model can classify the type of game being played. Our findings suggest that spatial structure contains sufficient information to infer ecological interactions. This work represents a step toward clinically viable tools for identifying cell-cell interactions in tumors, supporting the development of ecologically informed cancer therapies. Author summaryDrug resistance is a major challenge in cancer treatment, often leading to relapse despite initially successful therapy. While mutations are a key driver, ecological interactions between drug-sensitive and drug-resistant cells also play a critical role. These interactions are complex and dynamic, and few molecular biomarkers exist, making them difficult to study and account for in treatment planning. We use evolutionary game theory, a framework for quantifying interactions between cells, to investigate whether it is possible to infer these interactions using just a single time-point image of the cells. We develop an agent-based model where cells reproduce based on local interactions and quantify the resulting patterns in how cells are distributed across space using a suite of spatial statistics. We find that specific interaction types produce distinct spatial patterns that are evident in these metrics, and we train a simple machine learning model to classify the interaction type based on the metrics. Our results suggest that spatial data alone can offer valuable insights into tumor dynamics, potentially enabling more informed and adaptable cancer treatments based on eco-evolutionary principles.

cancer biology↗

Increase in ER-mitochondria contacts and mitochondrial fusion are hallmarks of mitochondrial activation during embryogenesis

Mitochondrial ATP production is essential for development, yet the mechanisms underlying the continuous increase in mitochondrial activity during embryogenesis remain elusive. Using zebrafish as a model system for vertebrate development, we comprehensively profile mitochondrial activity, morphology, metabolome, proteome and phospho-proteome as well as respiratory chain enzymatic activity. Our data show that the increase in mitochondrial activity during embryogenesis does not require mitochondrial biogenesis, is not limited by metabolic substrates at early stages, and occurs without an increase in the abundance of respiratory chain complexes or their in vitro activity. Our analyses pinpoint a previously unexplored increase in mitochondrial-ER association during early stages in combination with changes in mitochondrial morphology at later stages as possible contributors to the rise in mitochondrial activity during embryogenesis. Overall, our systematic profiling of the molecular and morphological changes to mitochondria during embryogenesis provides a valuable resource for further studying mitochondrial function during embryogenesis.

developmental biology↗

eIF4E1b is a non-canonical eIF4E required for maternal mRNA dormancy

Maternal mRNAs are essential for protein synthesis during oogenesis and early embryogenesis. To adapt translation to specific needs during development, maternal mRNAs are translationally repressed by shortening the polyA tails. While mRNA deadenylation is associated with decapping and degradation in somatic cells, maternal mRNAs with short polyA tails are stable. Here we report an essential role for the germline-specific paralog of the mRNA cap-binding factor eIF4E, known as eIF4E1b, in the storage and repression of maternal mRNAs with short polyA tails. eIF4E1b binds to the mRNA cap and is targeted to ribonucleoprotein complexes through its direct interaction with eIF4ENIF1/4E-T. In early embryos, eIF4E1b binds to a specific set of translationally repressed mRNAs with short or no polyA tails, such as histone mRNAs, which are translated later on during embryogenesis. Consistent with an important role in maternal mRNA dormancy, mutation of eIF4E1b in zebrafish impairs female germline development. Understanding the mechanism and function of eIF4E1B provides new insights into fundamental post-transcriptional regulatory principles governing early vertebrate development.

developmental biology↗

Learning to Adapt - Deep Reinforcement Learning in Treatment-Resistant Prostate Cancer

Standard-of-care treatment regimes have long been designed to for maximal cell kill, yet these strategies often fail when applied to treatment-resistant tumors, resulting in patient relapse. Adaptive treatment strategies have been developed as an alternative approach, harnessing intra-tumoral competition to suppress the growth of treatment resistant populations, to delay or even prevent tumor progression. Following recent clinical implementations of adaptive therapy, it is of significant interest to optimise adaptive treatment protocols. We propose the application of deep reinforcement learning models to provide generalised solutions within adaptive drug scheduling, and demonstrate this framework can outperform the current adaptive protocols, extending time to progression by up to a quarter. This strategy is robust to varying model parameterisations, and the underlying tumor model. We demonstrate the deep learning framework can produce interpretable, adaptive strategies based on a single tumor burden threshold, replicating and informing a novel, analytically-derived optimal treatment strategy with no knowledge of the underlying mathematical tumor model. This approach is highly relevant beyond the simple, analytically-tractable tumor model considered here, demonstrating the capability of deep learning frameworks to help inform and develop treatment strategies in complex settings. Finally, we propose a pathway to integrate mechanistic modelling with DRL to tailor generalist treatment strategies to individual patients in the clinic, generating personalised treatment schedules that consistently outperform clinical standard-of-care protocols.

cancer biology↗

Adaptive therapy for ovarian cancer: An integrated approach to PARP inhibitor scheduling

Toxicity and emerging drug resistance are important challenges in PARP inhibitor (PARPi) treatment of ovarian cancer. Recent research has shown that evolutionary-inspired treatment algorithms which adapt treatment to the tumors treatment response (adaptive therapy) can help to mitigate both. Here, we present a first step in developing an adaptive therapy protocol for PARPi treatment by combining mathematical modelling and wet-lab experiments to characterize the cell population dynamics under different PARPi schedules. Using data from in vitro Incucyte Zoom time-lapse microscopy experiments and a step-wise model selection process we derive a calibrated and validated ordinary differential equation model, which we then use to test different plausible adaptive treatment schedules. Our model can accurately predict the in vitro treatment dynamics, even to new schedules, and suggests that treatment modifications need to be carefully timed, or one risks losing control over tumour growth, even in the absence of any resistance. This is because our model predicts that multiple rounds of cell division are required for cells to acquire sufficient DNA damage to induce apoptosis. As a result, adaptive therapy algorithms that modulate treatment but never completely withdraw it are predicted to perform better in this setting than strategies based on treatment interruptions. Pilot experiments in vivo confirm this conclusion. Overall, this study contributes to a better understanding of the impact of scheduling on treatment outcome for PARPis and showcases some of the challenges involved in developing adaptive therapies for new treatment settings.

cancer biology↗

The sum and the parts: dynamics of multiple and individual metastases during adaptive therapy

Evolutionary therapies, such as adaptive therapy, have shown promise in delaying treatment resistance in late-stage cancers. By alternating between drug applications and drug-free vacations, competition between sensitive and resistant cells can be exploited to maximize the time to progression. However, the optimal schedule of this dosing regimen depends on the properties of the tumor, which often are not directly measurable in clinical practice. In this work, we propose that the initial cycle of adaptive therapy can be used as a tool to probe the relevant tumor properties. We present a framework for estimating individual and collective components of a metastatic system through tumor response dynamics, which uses a system of off-lattice agent-based models to represent individual metastatic lesions within independent domains, all of which are subject to the same systemic therapy. We find that the first cycle of adaptive therapy delineates several features of the computational metastatic system: larger metastases have longer cycles; a higher proportion of drug resistant cells slows the cycles; and a faster cell turnover rate speeds up drug response time and slows the regrowth time. The number of metastases does not affect cycle times, as response dynamics are dominated by the largest tumors rather than the aggregate. In addition, the heterogeneity of the system is also a guide for therapeutic approaches: generally, systems with more between-tumor (intertumor) heterogeneity had better success with continuous therapy, while systems with more within-tumor (intratumor) heterogeneity responded better to adaptive therapy. Intertumor heterogeneity was found to correlate more with dynamics from patients with high and low Gleason scores while intratumor heterogeneity was correlated with dynamics from patients with intermediate Gleason scores.

systems biology↗

Antifragile therapy

Antifragility is a recently coined word used to describe the opposite of fragility. Systems or organisms can be described as antifragile if they derive a benefit from systemic variability, volatility, randomness, or disorder. Herein, we introduce a mathematical framework to quantify the fragility or antifragility of cancer cell lines in response to treatment variability. This framework enables straightforward prediction of the optimal dose treatment schedule for a range of treatment schedules with identical cumulative dose. We apply this framework to non-small-cell lung cancer cell lines with evolved resistance to ten anti-cancer drugs. We show the utility of this antifragile framework when applied to 1) treatment resistance, and 2) collateral sensitivity of sequential monotherapies.

cancer biology↗

Harnessing patient-specific response dynamics to optimize evolutionary therapies for metastatic clear cell renal cell carcinoma - Learning to adapt

Renal cell carcinoma (RCC) is one of the ten most common and lethal cancers in the United States. Tumor heterogeneity and development of resistance to treatment suggest that patient-specific evolutionary therapies may hold the key to better patients prognosis. Mathematical models are a powerful tool to help develop such strategies; however, they depend on reliable biomarker information. In this paper, we present a dynamic model of tumor-immune interactions, as well as the treatment effect on tumor cells and the tumor-immune environment. We hypothesize that the neutrophil-to-lymphocyte ratio (NLR) is a powerful biomarker that can be used to predict an individual patients response to treatment. Using randomly sampled virtual patients, we show that the model recapitulates patient outcomes from clinical trials in RCC. Finally, we use in silico patient data to recreate realistic tumor behaviors and simulate various treatment strategies to find optimal treatments for each virtual patient.

cancer biology↗

Connecting the Microenvironmental Niche to Treatment Response in Ovarian Cancer

Ovarian cancer has the highest mortality rate of all gynecologic cancers, which may be attributed to an often late stage diagnosis, when the cancer is already metastatic, and rapid development of treatment resistance. We propose that the metastatic disease could be better characterized by observing interactions within the microenvironmental niche of the primary site that shapes the tumors early phenotypic progression. We present a mechanistic mathematical model of ovarian cancer that considers spatial interactions between tumor cells and several key stromal components. We demonstrate how spatial biomarker imaging data from the primary tumor can be analyzed to define a patient-specific microenvironment in the mathematical model. We then show preliminary results, using this model, that demonstrate how differences in the niche composition of a tumor affects phenotypic evolution and treatment response.

cancer biology↗

Combining radiomics and mathematical modeling to elucidate mechanisms of resistance to immune checkpoint blockade in non-small cell lung cancer

Immune therapies have shown promise in a number of cancers, and clinical trials using the anti-PD-L1/PD-1 checkpoint inhibitor in lung cancer have been successful for a number of patients. However, some patients either do not respond to the treatment or have cancer recurrence after an initial response. It is not clear which patients might fall into these categories or what mechanisms are responsible for treatment failure. To explore the different underlying biological mechanisms of resistance, we created a spatially explicit mathematical model with a modular framework. This construction enables different potential mechanisms to be turned on and off in order to adjust specific tumor and tissue interactions to match a specific patient's disease. In parallel, we developed a software suite to identify significant computed tomography (CT) imaging features correlated with outcome using data from an anti-PDL-1 checkpoint inhibitor clinical trial for lung cancer and a tool that extracts these features from both patient CT images and \"virtual CT\" images created from the cellular density profile of the model. The combination of our two toolkits provides a framework that feeds patient data through an iterative pipeline to identify predictive imaging features associated with outcome, whilst at the same time proposing hypotheses about the underlying resistance mechanisms.

cancer biology↗