Volume 13 Supplement 14
Modelling non-homogeneous stochastic reaction-diffusion systems: the case study of gemcitabine-treated non-small cell lung cancer growth
© Lecca and Morpurgo; licensee BioMed Central Ltd. 2012
Published: 7 September 2012
Reaction-diffusion based models have been widely used in the literature for modeling the growth of solid tumors. Many of the current models treat both diffusion/consumption of nutrients and cell proliferation. The majority of these models use classical transport/mass conservation equations for describing the distribution of molecular species in tumor spheroids, and the Fick's law for describing the flux of uncharged molecules (i.e oxygen, glucose). Commonly, the equations for the cell movement and proliferation are first order differential equations describing the rate of change of the velocity of the cells with respect to the spatial coordinates as a function of the nutrient's gradient. Several modifications of these equations have been developed in the last decade to explicitly indicate that the tumor includes cells, interstitial fluids and extracellular matrix: these variants provided a model of tumor as a multiphase material with these as the different phases. Most of the current reaction-diffusion tumor models are deterministic and do not model the diffusion as a local state-dependent process in a non-homogeneous medium at the micro- and meso-scale of the intra- and inter-cellular processes, respectively. Furthermore, a stochastic reaction-diffusion model in which diffusive transport of the molecular species of nutrients and chemotherapy drugs as well as the interactions of the tumor cells with these species is a novel approach. The application of this approach to he scase of non-small cell lung cancer treated with gemcitabine is also novel.
We present a stochastic reaction-diffusion model of non-small cell lung cancer growth in the specification formalism of the tool Redi, we recently developed for simulating reaction-diffusion systems. We also describe how a spatial gradient of nutrients and oncological drugs affects the tumor progression. Our model is based on a generalization of the Fick's first diffusion law that allows to model diffusive transport in non-homogeneous media. The diffusion coefficient is explicitly expressed as a function depending on the local conditions of the medium, such as the concentration of molecular species, the viscosity of the medium and the temperature. We incorporated this generalized law in a reaction-based stochastic simulation framework implementing an efficient version of Gillespie algorithm for modeling the dynamics of the interactions between tumor cell, nutrients and gemcitabine in a spatial domain expressing a nutrient and drug concentration gradient.
Using the mathematical framework of model we simulated the spatial growth of a 2D spheroidal tumor model in response to a treatment with gemcitabine and a dynamic gradient of oxygen and glucose. The parameters of the model have been taken from recet literature and also inferred from real tumor shrinkage curves measured in patients suffering from non-small cell lung cancer. The simulations qualitatively reproduce the time evolution of the morphologies of these tumors as well as the morphological patterns follow the growth curves observed in patients.
s This model is able to reproduce the observed increment/decrement of tumor size in response to the pharmacological treatment with gemcitabine. The formal specification of the model in Redi can be easily extended in an incremental way to include other relevant biophysical processes, such as local extracellular matrix remodelling, active cell migration and traction, and reshaping of host tissue vasculature, in order to be even more relevant to support the experimental investigation of cancer.
As the name indicates, reaction-diffusion models consist of two components. For systems of molecules and atoms, the first component is a set of biochemical reactions which produce, transform or remove chemical species. The second component is a mathematical description of the diffusion process. At molecular level, diffusion is due to the motion of the molecules in a medium. If solutions of different concentrations are brought into contact with each other, the solute molecules tend to flow from regions of higher concentration to regions of lower concentration, and there is ultimately an equalization of concentration. The conceptual framework of a micro-scale reaction-diffusion system can be also adopted to describe the phenomenology of cellular proliferation in tumor growth. Indeed, reaction-diffusion equations based models have been widely used in the literature for modeling the tumor growth. A comprehensive review of reaction-diffusion models and spatial dynamics of tumor growth can be found in [1–4], while specific literature about different variant of reaction-diffusion models of tumor growth can be found in [2, 5–13]. Recently, there have been also interesting approaches to the adaptation of general reaction-diffusion models to the specific patient [14, 15].
In this application domain, the reaction-diffusion models describe the evolution of the tumors via proliferation of malignant cells and their infiltration into the surrounding healthy tissue (see  for a review). The building block of these models is the reaction-diffusion type partial differential equations expressing the rate of change of the tumor cell density as sum of two terms. These terms correspond to the two phenomena described by the model: the diffusion term models, via the first Fick's law, the migration of tumor cells within the tissue and the reaction term, that is polynomial in the tumor cell density, models the proliferation of tumor cells . Different reaction-diffusion models proposed in the literature mostly differ by the construction of the diffusion tensor in the mathematical expression of the Fick's law and the form of the proliferation term .
In this study we present a multiscale reaction-diffusion model linking the proliferation of malignant cells to (i) the upshot of the interactions between the oncological drug and the tumor cell, (ii) the availability and the rate of uptake of nutrient by the tumor cells, (iii) and, finally the availability and the rate of consumption of oxygen. Moreover, unlike the majority of the existing models of tumor growth, our model is stochastic, i.e. the interactions between tumor cells and drugs, as well as the events of uptake and consumption of nutrients and oxygen are stochastic Markov events. All the reaction-diffusion events are parallel and concurrent. The probability of a given event to be executed is proportional to the number of substrate molecules (for biochemical reactions) or to the number of cells (for interactions like cell proliferation and tumor growth). Recent studies  support this approach and show how the competitive intra-cellular reactions for the uptake and consumption of nutrients and oxygen are crucial in determining the tumor morphology.
We developed a generalization of the Fick's laws to model diffusion of drugs, nutrients and oxygen in the tissue, whereas we use the standard Fick's law to model the tumor cell proliferation and invasion following the gradient of nutrients and oxygen. Namely, the number of tumor cells and their spatial proliferation depend on the diffusion of nutrients, oxygen and drugs through the space and on the results of the interaction of these cell with the anticancer drug.
Before proceeding with a detailed explanation of our model of reaction-diffusion system, we briefly introduce the motivations and the guidelines of our work.
The tumor size provides a measure that is useful for describing the time course of tumor response to the chemotherapic treatment. However, tumor growth changes can be observed only through repeat following-up visits and may require sophisticated and expensive hardware and software imaging techniques especially for monitoring the size of in deep-seated tumors. Due to this reason, the measurements of tumor progression in time and space have yet to gain wide application as an end point for drug effects modelling in clinical trials. The measurements of tumor size are still principally used for tumor stage categorization, whereas in the early-phase clinical trials the measurements of changes in hematologic variables have been used as pharmacodynamic targets . Therefore, a pharmacodynamic model that describes the interactions of tumor cells with the oncological drug and with nutrients, as well as the drug effects may have practical potential as a midterm end point for decision making about drug administration schedule and treatment duration. In this article, we focus on the modelling and simulation of the growth of non-small cell lung cancer treated with gemcitabine. This kind of cancer and its pharmacological treatment have been recently studied and new experimental data concerning both the measurements of the progression of tumor size  and the pharmacokinetics and pharmacodynamics of the gemcitabine  are now available and enable us to use of the computational models presented in this study.
In order to build an accurate and predictive model of tumor growth, the physical and biochemical non-homogeneous environments in which the tumor arises and progresses, a generalization of the current mathematical formalization of reaction-diffusion systems is needed both at the micro-scale of the intra-cellular phenomena and at the meso-scale of inter-cellular and tissue processes. A preponderance of reaction-diffusion models of intra- and inter- cellular kinetics is usually performed on the premise that diffusion is so fast that all concentrations are maintained homogeneous in space. However, recent experimental data on intra- and inter-cellular diffusion constants, indicate that this supposition is not necessarily valid even for small prokaryotic cells [20, 21]. If the system is composed of a sufficiently large number of molecules, the concentration, i. e. the number of molecules per unit volume, can be represented as a continuous and differentiable variable of space and time. In this limit a reaction diffusion system can be modeled using differential equations. In an unstructured solvent, ideally behaving solutes (i.e. solutes for which solute-solute interaction are negligible) obey the Fick's law of diffusion. However in biological systems even for purely diffusive transport phenomena classical Fickian diffusion is, at best, a first approximation [22, 23]. The intra- and the inter-cellular media are not homogeneous mixtures of chemical species, but highly structured environments partitioned into compartments in which the distribution of the biomolecules could be non-homogeneous. The description of diffusion processes in this environment has to start from a model in which diffusion coefficient contains its dependency on the local concentrations of the solutes and solvent.
In order to tackle this problem, this paper presents a new model of diffusion coefficient for a non-homogeneous non-well-stirred reaction-diffusion system. In this model the diffusion coefficient explicitly depends on the local concentration, frictional coefficient of the particles of the systems, and of the temperature of the reaction environment. In turn, the rates of diffusion of the biochemical species are expressed in terms of these concentration-dependent diffusion coefficients. In this study the purely diffusive transport phenomena of non-charged particles, and, in particular, the case in which diffusion is driven by a chemical potential gradient in the x direction only (the generalization to the three-dimensional case easily ensues) are considered. The generalization of the Fick's law introduced in this work, consists of five main steps: 1. calculation of the local virtual force F per molecules as the spatial derivative of the chemical potential; 2. calculation of the particles mean drift velocity in terms of F and the local frictional coefficient f; 3. estimation of the flux J as the product of the mean drift velocity and the local concentration; 4. definition of diffusion coefficients as function of local activity and frictional coefficients and concentration; and 5. calculation of diffusion rates as the negative first spatial derivative of the flux J.
The diffusion events are modeled as reaction events and the spatial domain of the reaction chamber is divided into N s sub-volumes (or meshes) of size l, that from now on will be called meshes. The movement of a molecule A from box i to box j is represented by the reaction , where A i denotes the molecule A in the box i and A j denotes the molecule A in the box j. The reaction-diffusion system is thus modeled as a pure reaction system in which the diffusion events are first order reactions whose rate coefficients k are expressed in terms of state-dependent diffusion coefficients. The time evolution of the system is computed by a Gillespie-like algorithm  that selects at each simulation step in each mesh the fastest reaction, compares the velocities of the N s selected reactions and finally executes the reaction that is by far the fastest.
The paper outlines as follows. First we describe our generalization of the Fick's law, then we briefly describe how it can be incorporated in a stochastic simulation framework. Finally, we present a model of tumor growth and the simulation results.
We summarize here the main passages of the generalization of the Fick's first law. We refer the reader to Lecca et al. for a more comprehensive description of the mathematical structures and passages.
A generalization of Fick's law for modeling diffusion
where is the standard chemical potential of the species i (i.e. the Gibbs energy of 1 mol of species i at a pressure of 1 bar), R = 8.314 J · K - 1 · mol-1 is the ideal gas constant, and T the absolute temperature.
where f i α c i is the frictional coefficient, and v i is the mean drift speed.
i.e. the number of molecules per unit volume multiplied by the linear distance traveled per unit time.
where is the diffusion coefficient midway between the mesh points.
where k f is an empirical constant, whose value can be derived from the ratio R = k f /[η ]: Accordingly to the Mark-Houwink equation , [η ] = kM α is the intrinsic viscosity coefficient, α is related to the shape of the molecules of the solvent, and M is the molecular mass of the solute. If the molecules are spherical, the intrinsic viscosity is independent of the size of the molecules, so that α = 0. All globular proteins, regardless of their size, have essentially the same [η ]. If a protein is elongated, its molecules are more effective in increasing the viscosity and [η ] is larger. Values of 1.3 or higher are frequently obtained for molecules that exist in solution as extended chains. Long-chain molecules that are coiled in solution give intermediate values of is α, frequently in the range from 0.6 to 0.75 . For globular macromolecules, R has a value in the range of 1.4 - 1.7, with lower values for more asymmetric particles .
An estimate of B is given by truncating the infinite series of functions to j = 4, since simulation results not shown here prove that taking into account the additional terms, obtained for j > 4, does not significantly influence the simulation results .
Modelling the stochasticity
Both diffusion and reactions are modelled as reaction events whose dynamics is driven by the First Reaction Method of the Gillespie algorithm.
In particular, the diffusion events are modeled as first-order reactions. namely, the movement of a molecule A from box i to box j is represented by the reaction , where A i denotes the molecule A in the mesh i and A j denotes the molecule A in the mesh j. In this way, the reaction-diffusion system is modeled as a pure reaction system.
The space domain of the system is divided into a number N s of squared meshes of size l. The time evolution of the system is computed by the First reaction Method of Gillespie  that at each simulation step selects in each mesh the fastest reaction, compares the velocities of the N s selected reactions and finally executes the reaction that is by far the fastest. The fastest reaction is defined as the reaction whose waiting time is the smallest.
where and are the number of chemical species that diffuse and the number of those the undergo to reactions, respectively. In general , since some species both diffuse and react. In Eq. (30), r i (diff)is the kinetic rate associated to the jumps between neighboring subvolumes, whereas in Eq. (31), r i (react)is the stochastic rate constants of the i-th reaction.
Here we describe the model of tumor growth implemented with the toll Redi. Redi is a software prototype Redi  that has been recently developed by Lecca et al. [25, 34] to simulate the mathematical model of stochastic reaction-diffusion system that we have described in the previous section. We refer the reader to the references [25, 34–36] for technical details about the implementation and for a user manual of this software.
Model of tumor growth
The reaction-diffusion system modelling tumor growth involves four components: (i) the drug, gemcitabine, (ii) the tumor cell, (iii) oxygen, and (iv) glucose. The reaction events we modeled are the following:
R1. gemcitabine injection;
R2. gemcitabine diffusion;
R3. gemcitabine degradation (rate parameter k1);
R4. effective interaction of gemcitabine and death of tumor cell (rate parameter k2);
R5. ineffective interaction of gemcitabine: the tumor cell survives to the drug (rate parameter k3);
R6. tumor growth (rate parameter k4);
R7. glucose uptake (rate parameter k5);
R8. oxygen uptake (rate parameter k6);
R9. glucose diffusion;
R10. oxygen diffusion;
R11. tumor turnover (rate parameter k7).
values of parameters and variables in the three models.
Nr. of tumor cell per mesh
Amount of gemcitabine per mesh
10 μg *
Amount of glucose per mesh
Amount of oxygen per mesh
Gemcitabine infusion rate (k0)
Gemcitabine degradation (k1)
2.78 × 10-5 sec-1
Gemcitabine efficacy (k2)
8.33 × 10-7 (mm · sec) -1
Rate constant of resistance appearance (k3)
2.78 × 10-8
Tumor growth rate (k4)
5.56 × 10-5 mm/sec
Glucose uptake rate constant(k5)
Oxygen uptake rate constant (k6)
Tumor turnover (k7)
218 mm · week
Molecular weight of gemcitabine
Molecular weight of gslucose
Molecular weight of oxygen
categorization of patients and average values of gemcitabine efficacy.
Category of patient
Median value of efficacy
0.03817219 (cm · hours)-1
0.03815441 (cm · hours)-1
0.02937583 (cm · hours)-1
0.07753538 (cm · hours)-1
0.03815441 (cm · hours)-1
According to reactions R9 and R10, tissues receive glucose and oxygen perfusing through the vessel wall and diffusing in the extracellular space.
Finally, the event R11 (tumor turnover) refers to the replacement of old tumor cells with newly generated ones from the existing ones. Tumor turnover is measured in units of sec · mm, and its value (k7) for non-small lung cancer cell has been measured by Tham et al. .
We simulated the morphological changes of an irregular 2D spheroidal tumor having an initial diameter of 3 mm. The size of the computational space is 40 × 40 squared meshes each of which represents a squared portion of tissue having a side of 1 mm. If we assume that the cells have a diameter of 50 μ m, a mesh of 1 mm2 is approximately occupied by 2457 cells.
All the events R1-R11 are modelled as reaction-events as in the following
R1. gemcitabine injection: zeroth-order reaction ∅ → gemcitabine
R2. gemcitabine diffusion: first order reaction modelling the movement of gemcitabine molecules from mesh k to the mesh k': gemcitabine k gemcitabine k', where defined by Eq. (32);
R3. gemcitabine degradation (rate parameter k1);
R4. effective interaction of gemcitabine and death of tumor cell (rate parameter k2);
R5. ineffective interaction of gemcitabine: the tumor cell survives to the drug (rate parameter k3);
R6. tumor growth (rate parameter k4);
R7. glucose uptake (rate parameter k5): zeroth-order reaction glucose;
R8. oxygen uptake (rate parameter k6): : zeroth-order reaction ; oxygen;
R9. glucose diffusion: first order reaction modelling the movement of gemcitabine molecules from mesh k to the mesh k': glucose k glucose k' , where r(diff) is defined by Eq. (32);
R10. oxygen diffusion: first order reaction modelling the movement of gemcitabine molecules from mesh k to the mesh k': oxygen k oxygen k' , where r(diff) is defined by Eq. (32);
R11. tumor turnover (rate parameter k7): a zeroth-order reaction describes the generation of new tumor cells from the existing ones; a subsequent first order reaction specifies the replacement of old tumor cells with newly generated ones.
We developed three models, by changing the values of the glucose uptake, the dose of gemcitabine and the number of tumor cell per mesh. In vivo and in vitro experiments carried on in the last decade highlight the crucial role of these variables in governing the dynamics of tumor growth. Some reference experimental studies in this regards are reported in [44–47]. Table 1 reports the initial values of the variables as well as the values of the parameters in the three models. The Model 1 is the reference model whose parameter have physiological values and the dose of gemcitabine is the one usually administered in vivo and in vitro clinical trials. In Model 2 we decreased the number of tumor cells per mesh and the rate of glucose uptake (100 cells per mesh instead of 2547 cells per mesh). In Model 3, we increased the dose of gemcitabine (10 μg instead of 1 μg). The orders of magnitude of changes of the parameter values in Model 2 and Model 3 are those that cause a significant change in the tumor growth progression.
Figure 3 shows the simulation of Model 3, where we increased the dose of gemcitabine by a factor 10 to explore the behavior of the tumor mass for the extreme limit of an unrealistic dosage configuration. The rate of glucose uptake is the same as in Model 1. We observed a behavior similar to the one observed in the simulation of Model 1.
As expected, from these simulations we deduced that the effect of gemcitabine is stronger (i) at the early stage of the tumor (i.e. when the number of tumor cells is still low) and the rate of glucose uptake is also low (Model 2), or (ii) if the dose if greater them 1,000 mg.
At the best of our knowledge our study is the first attempt to model and simulate the tumor growth of non-small cell lung cancer in space and time. We validated our models by comparing the time behavior of the longitudinal size of the tumor ellipsoid with the theoretical and experimental results of Tham et al. : we found a good agreement between the experimental data and the predictions of Model 2 and Model 3, such as the dosage of body gemcitabine necessary to slow down and arrest the growth of tumor (about 10 μg of body dose as in ), and the rate of tumor growth in the case of an insufficient amount of drug (between 0.5 an 1 mm per week as in the graph reported in ). Moreover these models confirm the correlation between glucose uptake and pharmacological treatment as reported by Duhaylongsod et al. in . Namely, comparing the results of Model 2 and Model 3 with those of Model 1 we confirmed the necessity of a higher dose of gemcitabine or conversely of the reduction of the glucose uptake [18, 48] for obtaining a significant increment of tumor shrinkage.
We have presented a computational framework for modeling and simulating the spatial dynamics of the diffusion of biological entities at micro- and meso-scale in a non-homogeneous medium. We use these mathematical and computational structure to model and simulate a non-small cell lung cancer treated with gemcitabine. The drug efficacy and the rate constant of resistance appearance have been estimated from real tumor growth curves recorded in 56 patients. The other parameters have been obtained from the literature reporting the in vitro experiments of the last decade. We explored the behavior of the model under different conditions concerning the rate of glucose uptake, the number of tumor cells and the dose of gemcitabine. The proposed models reproduce the expected tumor growth rate at the optimal body concentration of gemcitabine and confirm the correlation between glucose uptake and the response to the chemotherapy. At the best of our knowledge, this study is the first attempt to build a reaction-diffusion model of non-small cell lung cancer by integrating data from in vivo experiments and by inferring kinetic parameters from the tumor shrinkage curves of patients with the purpose to provide in silico-generated dynamical images of the morphology of this kind of tumor.
Nonlinear models of cancer growth are needed to understand the phenomenon of realistic cancer growth. Simulations of such models conducted to determine the patterns of cancer growth and cancer response to drug and nutrient supply could support the design of the administration schedule and the duration of the therapy. Moreover, a computational model of a reaction-diffusion system taking into account the stochasticity of the interaction between drugs and tumor cells as well as the non-homogeneity of the intra- and inter-cellular medium may be a contribution toward this direction. Further extensions of this study are in progress and consider the opportunity to include immunological and angiogenic factors and interactions to make the current models more accurate, realistic and of greater medical interest.
The authors would like to thank Corrado Priami of the Microsoft Research - University of Trento Centre for Computational and Systems Biology of Trento (Italy), and University of Trento, for his valuable suggestions, R. A. Soo of the Department of Hematology-Oncology, National University Hospital of Singapore, and Lai San Tham of the Lilly-NUS Centre for Clinical Pharmacology for their indications.
This article has been published as part of BMC Bioinformatics Volume 13 Supplement 14, 2012: Selected articles from Research from the Eleventh International Workshop on Network Tools and Applications in Biology (NETTAB 2011). The full contents of the supplement are available online at http://www.biomedcentral.com/bmcbioinformatics/supplements/13/S14
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