Oncology and mechanics: landmark studies and promising clinical applications

in Advances in Applied Mechanics (2022), 55

Clinical management of cancer has continuously evolved for several decades. Biochemical, molecular and genomics approaches have brought and still bring numerous insights into cancerous diseases. It is now ... [more ▼]

Clinical management of cancer has continuously evolved for several decades. Biochemical, molecular and genomics approaches have brought and still bring numerous insights into cancerous diseases. It is now accepted that some phenomena, allowed by favorable biological conditions, emerge via mechanical signaling at the cellular scale and via mechanical forces at the macroscale. Mechanical phenomena in cancer have been studied in-depth over the last decades, and their clinical applications are starting to be understood. If numerous models and experimental setups have been proposed, only a few have led to clinical applications. The objective of this contribution is to propose to review a large scope of mechanical findings which have consequences on the clinical management of cancer. This review is mainly addressed to doctoral candidates in mechanics and applied mathematics who are faced with the challenge of the mechanics-based modeling of cancer with the aim of clinical applications. We show that the collaboration of the biological and mechanical approaches has led to promising advances in terms of modeling, experimental design and therapeutic targets. Additionally, a specific focus is brought on imaging-informed mechanics-based models, which we believe can further the development of new therapeutic targets and the advent of personalized medicine. We study in detail several successful workflows on patient-specific targeted therapies based on mechanistic modeling. [less ▲]

Thermodynamically constrained averaging theory for cancer growth modelling

in IFAC-PapersOnLine (2016), 49(26), 289-294

In Systems Biology, network models are often used to describe intracellular mechanisms at the cellular level. The obtained results are difficult to translate into three-dimensional biological systems of ... [more ▼]

In Systems Biology, network models are often used to describe intracellular mechanisms at the cellular level. The obtained results are difficult to translate into three-dimensional biological systems of higher order. The multiplicity and time dependency of cellular system boundaries, mechanical phenomena and spatial concentration gradients affect the intercellular relations and communication of biochemical networks. These environmental effects can be integrated with our promising cancer modelling environment, that is based on thermodynamically constrained averaging theory (TCAT). Especially, the TCAT parameter viscosity can be used as critical player in tumour evolution. Strong cell-cell contacts and a high degree of differentiation make cancer cells viscous and support compact tumour growth with high tumour cell density and accompanied displacement of the extracellular material. In contrast, dedifferentiation and losing of cell-cell contacts make cancer cells more fluid and lead to an infiltrating tumour growth behaviour without resistance due to the ECM. The fast expanding tumour front of the invasive type consumes oxygen and the limited oxygen availability behind the invasive front results automatically in a much smaller average tumour cell density in the tumour core. The proposed modelling technique is most suitable for tumour growth phenomena in stiff tissues like skin or bone with high content of extracellular matrix. [less ▲]