Evidence map›Paper›PMID 39627216›Full record

ArticleNPJ systems biology and applications2024

A multiscale model of immune surveillance in micrometastases gives insights on cancer patient digital twins.

Heber L Rocha, Boris Aguilar, Michael Getz, Ilya Shmulevich, Paul Macklin

Abstract read
In one paragraph

Article in NPJ systems biology and applications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Heber L RochaIntelligent Systems Engineering, Indiana University, Bloomington, IN, USA.ORCID 0000-0002-5876-2644
Boris AguilarInstitute for Systems Biology, Seattle, WA, USA.
Michael GetzIntelligent Systems Engineering, Indiana University, Bloomington, IN, USA.
Ilya ShmulevichInstitute for Systems Biology, Seattle, WA, USA.
Paul MacklinIntelligent Systems Engineering, Indiana University, Bloomington, IN, USA. macklinp@iu.edu.ORCID 0000-0002-9925-0151

Funding

National Science Foundation (NSF) 1720625U.S. Department of Energy (DOE) Grant DE-SC0021631
6 · The paper itself

Abstract

Metastasis is the leading cause of death in patients with cancer, driving considerable scientific and clinical interest in immunosurveillance of micrometastases. We investigated this process by creating a multiscale mathematical model to study the interactions between the immune system and the progression of micrometastases in general epithelial tissue. We analyzed the parameter space of the model using high-throughput computing resources to generate over 100,000 virtual patient trajectories. We demonstrated that the model could recapitulate a wide variety of virtual patient trajectories, including uncontrolled growth, partial response, and complete immune response to tumor growth. We classified the virtual patients and identified key patient parameters with the greatest effect on the simulated immunosurveillance. We highlight the lessons derived from this analysis and their impact on the nascent field of cancer patient digital twins (CPDTs). While CPDTs could enable clinicians to systematically dissect the complexity of cancer in each individual patient and inform treatment choices, our work shows that key challenges remain before we can reach this vision. In particular, we show that there remain considerable uncertainties in immune responses, unreliable patient stratification, and unpredictable personalized treatment. Nonetheless, we also show that in spite of these challenges, patient-specific models suggest strategies to increase control of clinically undetectable micrometastases even without complete parameter certainty.

Indexed as

Immunologic SurveillanceNeoplasm MicrometastasisNeoplasmsComputer SimulationHumansModels, BiologicalNeoplasm Metastasis

Identifiers

PMID39627216
PMCPMC11614875

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.