Abstract

BackgroundThe physics of cancer dormancy, the time between initial cancer treatment and re-emergence after a protracted period, is a puzzle. Cancer cells interact with host cells via complex, non-linear population dynamics, which can lead to very non-intuitive but perhaps deterministic and understandable progression dynamics of cancer and dormancy.ResultsWe explore here the dynamics of host-cancer cell populations in the presence of (1) payoffs gradients and (2) perturbations due to cell migration.ConclusionsWe determine to what extent the time-dependence of the populations can be quantitively understood in spite of the underlying complexity of the individual agents and model the phenomena of dormancy.

Highlights

  • The physics of cancer dormancy, the time between initial cancer treatment and re-emergence after a protracted period, is a puzzle

  • We do not address the emergence of resistance here but rather the dynamics of dormancy and progression, the emergence of resistance is a critical part of cancer progression (Han et al 2016)

  • Frequency of breast cancer recurrence rate indicates while non-metastatic instance follows exponential decay, metastatic instance may be a critical system which follows power law

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Summary

Background

Dormancy is the relatively long period between treatment for cancer and the progression (return) and spreading of the cancer. After initial surgery and/or chemotherapy, the cancer apparently ceases to grow and is said to be in remission, or dormancy if the period is substantially longer than typical progression times for that cancer and treatment. The main focus of this work in connecting cancer emergence and dormancy is the proposed phenomena of criticality in interacting cancer cell dynamics. Near the threshold of criticality strong amplification of fluctuations emerges in response to external perturbations (Sornette 2000). In a finite system exhibiting noncritical behavior, the distribution of systematic response to external perturbation can be characterized by the moments of mean and variance. In critical systems, probability distributions of response follow power law decays, P(s) ∼ s−b. We propose that dormancy and recurrence is a criticality problem, and use a game theoretical approach to analytically describe the phenomena

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