An Analysis of a Mathematical Model Describing Acid-mediated Tumor Invasion
Anderson L. A. de Araujo, Artur C. Fassoni, Lu\'is F. Salvino

TL;DR
This paper analyzes a reaction-diffusion mathematical model that explains how acid production by tumors facilitates their invasion into surrounding tissues, supported by theoretical and numerical results.
Contribution
It offers a rigorous mathematical analysis of a tumor invasion model, including existence, uniqueness, and numerical simulations under different boundary conditions.
Findings
Existence and uniqueness of solutions established.
Numerical simulations illustrate tumor invasion dynamics.
Model supports acid-mediated invasion hypothesis.
Abstract
We present a mathematical analysis of a reaction-diffusion model describing acid-mediated tumor invasion. The model describes the spatial distribution and temporal evolution of tumor cells, normal cells, and excess lactic acid concentration. The model assumes that tumor-induced alteration of microenvironmental pH provides a simple but complete mechanism for cancer invasion. We provide results on the existence and uniqueness of a solution considering Neumann and Dirichlet boundary conditions. We also provide numerical simulations to the solutions considering both boundary conditions.
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An Analysis of a Mathematical Model Describing Acid-mediated Tumor Invasion
Anderson L. A. de Araujo
Departamento de Matemática, Universidade Federal de Viçosa, Viçosa, MG, Brazil
,
Artur C. Fassoni
Instituto de Matemática e Computação, Universidade Federal de Itajubá, Itajubá, MG, Brazil
and
Luís F. Salvino
Instituto de Ciências Exatas, Universidade Federal de Viçosa - Campus Florestal, Florestal, MG, Brazil
Abstract.
We present a mathematical analysis of a reaction-diffusion model describing acid-mediated tumor invasion. The model describes the spatial distribution and temporal evolution of tumor cells, normal cells, and excess lactic acid concentration. The model assumes that tumor-induced alteration of microenvironmental pH provides a simple but complete mechanism for cancer invasion. We provide results on the existence and uniqueness of a solution considering Neumann and Dirichlet boundary conditions. We also provide numerical simulations to the solutions considering both boundary conditions.
Key words and phrases:
Nonlinear system, existence of solutions, tumor growth, acid-mediated tumor invasion
2010 Mathematics Subject Classification:
Primary: 35K45, 35K57 Secundary: 92C50, 92C37
The first author was was partially sponsored by FORTIS POS-GRADUAÇÃO EM MATEMÁTICA - 9389
1. Introduction
The main objective of this work is to perform a rigorous mathematical analysis of a system of nonlinear partial differential equations corresponding to a generalization of a mathematical model describing the growth of a tumor proposed in [5].
To describe the model, let , be an open and bounded set; let also be a given final time of interest and denote the times between and , the space-time cylinder and , the space-time boundary. Then, the system of equations we are considering is the following:
[TABLE]
In [5], Fassoni studied a simplified model given by a system of ODE’s describing the growth of a tumor and its effect in the normal tissue, together with the tissue response to the tumor and the effect of chemotherapeutic treatments. The aim of the authors was to provide some on the description of cancer onset and treatment as transitions between alternative basins of attractions. The model studied in [5] is given by the following ODE system:
[TABLE]
where represents the normal cells in a given tissue of the human body, represents the tumor cells in this tissue and represents the concentration of a drug used to treat such a tumor.
In the model, parameter represents the total constant reproduction of normal cells and their natural mortality. A constant flow for normal cells is considered in the vital dynamics and does not depend on the density, as is the case of logistical growth generally assumed, see [10]. The reason is that in a normal and already formed tissue, the imperative dynamics is not the intraspecific competition of cells for nutrients, but the maintenance of a homeostatic state, through the natural replenishment of old cells, see [13].
In contrast, cancer cells have independence on growth signals and maintain their own growth program, as for example, a growing embryonic tissue, see [6]. Thus, a density-dependent growth is considered for tumor cells. Several growth laws could be used, such as Gompertz, generalized logistic, Von Bertanlanfy and others, see [12], but the logistic growth is chosen due to its simplicity. A natural mortality rate and an extra mortality rate , due to apoptosis, see [3], are also included.
Parameters and encompass in a simplified way the many negative interactions between tumor cells and normal. Parameter encompasses the effects imposed on cancer cells by normal cells, such as competition for nutrients and the release of anti-growth and death signals. In the same way, parameter encompasses mechanisms developed by tumor cells that damage the normal tissue, such as competition, release of death signals and increased local acidity.
The hypotheses that lead to the third equation of (1.2), describing the pharmacokinetics of the chemotherapeutic drug are the following. The drug has a clearance rate . The rates of absorption and deactivation of the drug by normal and cancer cells are described in terms of the law of mass action with rates and . Following the linear hypothesis of [2], the amounts of drug absorbed by normal () and cancer cells () kill such cells at rates and , respectively. Finally, parameter represents a constant infusion rate mimicking a metronomic dosage, i.e., a near continuous and long-term administration of the drug.
System (1.2) is similar to the classic Lotka-Volterra competition model, commonly used in models for tumor growth and biological invasions, but there is a fundamental difference: the use of a constant flux instead of a logistic growth for normal cells breaks the symmetry observed in the classic Lotka-Volterra model, so that there will be no equilibrium for . Thus, normal cells will never be extinct, unlike these models. In [5] the authors believe that this is not a problem, but on the contrary, it is a realistic result. In fact, roughly speaking, cancer does ”don not win” by the fact that it kills all the cells in the tissue, but because it reaches a dangerous size that disrupts the proper functioning of the tissue and threatens the health of the individual. A constant flow term has already been taken in other well-known models of cancer, specifically, to describe the growth of immune cells, see [4].
In this work, we are not interested in analyzing the dynamics of model (1.2), since in [5] a study has already been made on the equilibrium points and questions about stability or instability of such points. Our objective is to study the existence and uniqueness of solutions to the modified system (1.1).
System (1.1) considers the dynamics of normal and tumor cells under the same hypothesis as the system (1.2), and explicitly considers the production of lactic acid by cancer cells. Such acid production is well-known as a mediator of tissue invasion by tumor cells, and is a by-product of the altered metabolism of tumor cells, which exert glucose metabolism not by oxidative phosphorylation (as normal cells), but mainly by glycolysis. This altered metabolism is known as Warburg effect, see [10]. The increased acid concentration in the tissue damages the normal cells, thereby destroying the “barriers” for tumor growth and contributing to tumor persistence and further tissue invasion.
Model (1.1) describes such phenomena by considering the original equations for the normal cells () and cancer cells (), and an additional equation for the concentration of extracellular lactic acid in excess of normal tissue acid concentrations (), produced at a rate by tumor cells, cleared by tissue vasculature at a rate and absorbed by normal cells at a rate , following the mass-action law. The absorbed amount causes a damage to normal cells with rate . The aspect of acid-mediated tumor invasion clearly needs to be considered in a spatial setting, thereby it is better represented by a PDE model instead of an ODE system, which describes a spatially homogeneous tumor. Therefore, we assume a diffusive behavior for both the tumor cells and the extracellular lactic acid excess, with diffusion coefficients and respectively, while normal cells do not move. This is in agreement with previous models, see [10], and regards the additional capability of tumor cells to move within a “rigid” tissue. Previous works approached similar models, but all considering a density dependent growth for normal cells (logistic growth), see ([10]) and references therein.
In this work, we are not interested in the treatment phase, but only on the invasion phase and the establishment of a tumor. In a future work, we may extend model (1.1) by including a differential equation for the chemotherapeutic drug as given by system (1.2).
This paper is organized as follows. In Section 2 we present the technical hypothesis state our main result. In Section 3 we study an auxiliary problem. Using its solution, we prove our main result in Section 4. In Section 5 we present numerical simulations illustrating model behavior.
2. Technical hypotheses and main result
Recall be a domain with boundary , , and denote and . We will use standard notations for Sobolev spaces, i.e., given and , we denote
[TABLE]
when , as usual we denote ; properties of these spaces can be found for instance in Adams [1]. Problem (1.1) will be studied in the standard functional spaces denoted by
[TABLE]
[TABLE]
and
[TABLE]
where is suitable Banach space, and the norm is given by . We remark that . Results concerning these spaces can be found for instance in Ladyzhenskaya [8] and Mikhaylov [11].
Next, we state some hypotheses that will be assumed throughout this article.
2.1. Technical Hypotheses:
- (i)
is a bounded -domain.
- (ii)
, and .
- (iii)
and , satisfying .
- (iv)
and a.e. on
Remark 2.1**.**
The constraints imposed in (iv) on the initial conditions are natural biological requirements.
2.2. Main result:
Theorem 2.2**.**
Assume that the Technical Hypotheses 2.1 hold; then, there exists a unique nonnegative solution of Problem (1.1). Moreover, and are functions satisfying
[TABLE]
and
[TABLE]
where is a constant depending on , , , , , , , , , , , and .
Remark 2.3**.**
The explicit knowledge on how the constant appearing in the above estimates depends on the given data is important to application to related control problems.
2.3. Known technical results:
To ease the references, we also state some technical results to be used in this paper. The first one is consequence of Theorem 5.4, p. 97, in Adams [1]:
Lemma 2.4**.**
Suppose that satisfies the cone property and . The following continuous embeddings hold:
[TABLE]
The next result sometimes is called the Lions-Peetre embedding theorem (see Lions [9], pp.15); it is also a particular case of Lemma 3.3, pp.80, in Ladyzhenskaya [8]: (obtained by taking and ).
Lemma 2.5**.**
Let be a domain of with boundary satisfying the cone property. Then, the functional space is continuously embedded in for satisfying: (i) , if ; (ii) , if and (iii) , if . In particular, for such and any function we have that
[TABLE]
with a constant depending only on , , , , .
In the cases (ii), (iii) or in (i) when , the referred embedding is compact.
Next, we consider the following general and simple parabolic initial-boundary value problem:
[TABLE]
Existence and uniqueness of solutions for this problem is a particular case of Theorem , pp., in Ladyzenskaya [8] for the case of Neumann boundary condition, according to the remarks at the end Chapter IV, section 9, p. 351 in [8]. In the following, we state this particular result, stressing the dependencies certain norms of the coefficients, that will be important in our future arguments.
Proposition 2.6**.**
Let be a bounded domain in , with a boundary , be bounded continuous functions in , and . Assume that
- (1)
, ; is a real positive matrix such that for some positive constant we have for all and all , ; 2. (2)
; 3. (3)
* with either r=\max\big{(}p,n+2\big{)} if or , for any , if ;* 4. (4)
* with either s=\max\big{(}p,(n+2)/2\big{)} if or , for any , if .* 5. (5)
, , and the coefficients satisfy the condition for in , where is the -component of the unitary outer normal vector to in ; 6. (6)
* with and satisfying the compatibility condition *
* on when .*
Then, there exists a unique solution of Problem (2.1); moreover, there is a positive constant such that the solution satisfies
[TABLE]
Such constant depends only on , , , , , , and on the norms , , , and . Moreover, we may assume that the dependencies of on stated the norms are non decreasing.
Remark 2.7**.**
The result set out in Proposition 2.6 can be formulated for the parabolic problem with Dirichlet conditions (see Ladyzenskaya [8, Theorem 9.1, pp.]). In the problem with Dirichlet condition the compatibility condition in Proposition 2.6-() can be replaced by on when . This way, all the results in this paper holds if we replaced the Neumann conditions by Dirichlet conditions.
3. An auxiliary problem
In this section we will prove an auxiliary result to be used in the proof of Theorem 2.2. To cope with difficulties with the signs of certain terms during the derivation of the estimates, we firstly have to consider the following modified problem:
[TABLE]
Now we observe that, since the equation for in this last problem is, for each , an ordinary differential equation which is linear in , we can find an explicit expression for it in terms of and . Using this observation, we introduce the operator , defined by
[TABLE]
where .
Remark 3.1**.**
Thus, is solution of (3.1) if, and only if, , and satisfies the following integro-differential system:
[TABLE]
Remark 3.2**.**
Notice that, to guarantee that , with , and is also a solution of system (1.1), it is enough to prove that the solution of Problem (3.3) is nonnegative.
For the Problem 3.3, we have the following existence result:
Proposition 3.3**.**
Assuming that the Technical Hypotheses 2.1 hold, there exists at least one nonnegative solution of Problem (3.3). Moreover, a.e. in and
[TABLE]
where is a constant depending on , , , , and .
Lemma 3.4**.**
Let differentiable such that and . If , then , for all .
Proof: Since is continuous in , it follows that
[TABLE]
As we have and using the fact that we obtain . Therefore, , which suggests , for all . Thus, , as intended.
Since in the proof of existence of solutions of (3.3) the expression of will play important roles, we state in the following some of their properties:
Lemma 3.5**.**
If , then for any and for almost everything , there holds
[TABLE]
Proof (i): By expression (3.2) it is immediate that . To prove that we observe that
[TABLE]
Fixed , we define
[TABLE]
and using the Lemma 3.4 with , it follow that
[TABLE]
Proof (ii): We firstly need to observe that, due to the mean value inequality, given any , there is such that ; in particular, for any we also have and thus
[TABLE]
Secondly, we note that
[TABLE]
By the inequality (3.4) and by , , we obtain
[TABLE]
Thirdly, we observe that
[TABLE]
Study analogous to that done in (3.5), prove that
[TABLE]
Finally, the expression in (3.2) suggests
[TABLE]
and using the estimates obtained in (3.5) and (3.6) and making the possible simplifications, we obtain
[TABLE]
for almost everything , i.e.,
[TABLE]
3.1. Proof of Proposition 3.3
To not overburden the notation, in this subsection we denote as a generic solution of the equations that follows.
To get a solution of problem (3.3), we will apply the Leray-Schauder fixed point theorem to the mapping defined as follows:
[TABLE]
where is the unique solution of
[TABLE]
with given by (3.2).
We affirm that the operator defined in (3.7) is well defined if the problems
[TABLE]
and
[TABLE]
have a unique solution.
3.2. Existence and uniqueness of solution to problems (3.9) and (3.10)
Step 1: To determine a solution for the problem (3.9), start by studying the following modified problem:
[TABLE]
In order to prove that problem (3.11) admits solution, we define the operator
[TABLE]
where is the unique solution to the problem
[TABLE]
To ensure that we can apply the Leray-Schauder fixed point theorem, we present next a sequence of lemmas:
Lemma 3.6**.**
Suppose and . Then the mapping is well defined.
Proof: Note that the coefficients of the problem (3.13) satisfy the hypotheses of the Proposition 2.6. For example, it is immediate that , because and by Lemma 3.5, . Thus, we conclude that there is a unique solution of problem (3.13). Moreover, satisfies the following estimate:
[TABLE]
Finally, from Lemma 2.5, we have , and we conclude that the operator in well defined.
Lemma 3.7**.**
Suppose a solution of (3.13) and a.e. in , then a.e. in .
Proof: Multiplying the first equation in by and integrating into , we get
[TABLE]
Thus,
[TABLE]
and using the Gronwall’s inequality and the fact that a.e. in , we obtain
[TABLE]
that is, for all , where we conclude that a.e. in and therefore a.e. in .
Lemma 3.8**.**
For each fixed , the mapping is compact, i.e., it is continuous and maps bounded sets into relatively compacts sets.
Proof: The functions and satisfy the problem
[TABLE]
with ; letting , we have
[TABLE]
Since , , from Proposition 2.6, we get
[TABLE]
Then, by Lemma 2.5, we finally have
[TABLE]
where depends on , , , , , and the immersion constant.
To show that is compact, we use the fact that immersion is compact and that is the composition between the inclusion operator and the solution operator, i.e., .
Lemma 3.9**.**
Given a bounded subset , for each , the mapping is continuous, uniformly with respect to .
Proof: Since is bounded, there is such that, for any , we have . Now, let us fix and consider and denote , and . Then, satisfies
[TABLE]
Since , , from Proposition 2.6, we get
[TABLE]
Then, by Lemma 2.5, we finally have
[TABLE]
where depends on , , , , , , and the immersion constant.
Lemma 3.10**.**
Suppose a.e. in , then there exists a number such that, for any and any possible fixed point of , there holds .
Proof: Let be a possible fixed point of associated to a given ; then satisfies
[TABLE]
since by the Lemma 3.7, .
We observe that the first equation in (3.17) can be rewritten as
[TABLE]
Now, multiplying by and integrating in , we obtain
[TABLE]
Thus, using the Gronwall’s inequality and the fact that a.e. in , it follow that
[TABLE]
that is, for all and therefore a.e. in , and we conclude that a.e. in .
Thus, , which suggests .
Lemma 3.11**.**
The mapping has a unique fixed point.
Proof: Indeed, letting in(3.13), is a fixed point of if, and only if, is the unique solution to the problem
[TABLE]
By Proposition 2.6, we have the existence of a unique solution of this problem; therefore has a unique fixed point in .
Proposition 3.12**.**
There is a nonnegative solution of the problem (3.9).
Proof: From Lemmas 3.6, 3.8, 3.9, 3.10 and 3.11, we conclude that the mapping satisfies the hypotheses of the Leray-Schauder’s fixed point theorem (see Friedman [7, pp. 189, Theorem 3]). Thus, there exists such that . Moreover, by Lemmas 3.6 and 3.7, is nonnegative and is the required solution of (3.9).
Lemma 3.13**.**
Suppose a solution of (3.9) and a.e. in , then a.e. in .
Proof: Analogous to Lemma 3.10.
Proposition 3.14**.**
The solution of the problem (3.9) is unique.
Proof: Let and be solutions to the problem (3.9); if , then satisfies the o problem
[TABLE]
Multiplying the first equation of (3.18) by and integrating in , we obtain
[TABLE]
Therefore,
[TABLE]
and by the Gronwall’s inequality, we obtain
[TABLE]
that is, for all , which suggests a.e. in and therefore a.e. in .
Step 2: The existence and uniqueness of solution for the problem (3.10) is given by combining Propositions 3.12 and 3.14 and the following result:
Proposition 3.15**.**
Suppose and . Then the problem (3.10) has a unique solution.
Proof: It’s immediate that the coefficients of the problem (3.10) satisfy the hypotheses of Proposition 2.6, and we conclude that there is a unique solution of the problem . Moreover, satisfies the following estimate:
[TABLE]
Lemma 3.16**.**
Suppose a solution do problem (3.10) and a.e. in , then a.e. in .
Proof: Multiplying the first equation in (3.10) by and integrating in , we get
[TABLE]
Using the fact that , we obtain
[TABLE]
Therefore, using the Gronwall’s inequality and the fact that a.e. on , it follow that for all , that is, a.e. in , which suggests a.e. in .
3.3. Continuation of Proof of Proposition 3.3
To guarantee that we can apply the Leray-Schauder fixed point theorem, we present next a sequence of lemmas.
Lemma 3.17**.**
The mapping is well defined.
Proof: Just combine the Propositions 3.12, 3.14 and 3.15.
Lemma 3.18**.**
For each fixed , the mapping is compact, i.e., it is continuous and maps bounded sets into relatively compacts sets.
Proof: Consider such that ; if and , we have that and satisfy the following problems, respectively:
[TABLE]
[TABLE]
We observe that the system (3.20) satisfies the hypothesis of Proposition 2.6, therefore using the Lemmas 3.5 and 3.13, satisfies the following estimates
[TABLE]
Thus, by Proposition 2.5, we obtain
[TABLE]
where depends on and the immersion constant.
We observe that the system (3.21) satisfies the hypothesis of Proposition 2.6, therefore using the Lemma 3.5, satisfies the following estimates
[TABLE]
therefore, using the estimate (3.22) and Proposition 2.5, we obtain
[TABLE]
where depends on , , , , , , and immersion constants.
Adding the inequalities obtained in (3.22) and (3.23), finally we get
[TABLE]
To show that is compact, we use the fact that immersion is compact and that is the composition between the inclusion operator and the solution operator, i.e., .
Lemma 3.19**.**
Given a bounded subset , for each , the mapping is continuous, uniformly with respect to .
Proof: Since is bounded, there is such that, for any we have . Now, let us fix and consider and denote , ; if and , we have that and satisfy the following problems, respectively:
[TABLE]
[TABLE]
We observe that the problem (3.24) satisfies the hypothesis of Proposition 2.6, therefore using the Lemmas 3.5 and 3.13, satisfies the following estimates
[TABLE]
Thus, by Proposition 2.5, we obtain
[TABLE]
where depends on , , , , , , , and the immersion constant.
We observe that the system (3.25) satisfies the hypothesis of Proposition 2.6, therefore using the Lemma 3.5, satisfies the following estimates
[TABLE]
therefore, using the estimate (3.26) and Proposition 2.5, we obtain
[TABLE]
where depends on , , , , , , , , , , and immersion constants.
Adding the inequalities obtained in (3.26) and (3.27), finally we get
[TABLE]
Lemma 3.20**.**
There exists a number such that, for any and any possible fixed point of , there holds .
Proof: Let be a possible fixed point of associated to a given ; then satisfies
[TABLE]
By Proposition 3.15, we know that satisfies the estimate (3.15), that is,
[TABLE]
Then, by Lemma 2.5, we have
[TABLE]
Therefore, by Lemma 3.10, we have
[TABLE]
which suggests we take
[TABLE]
Lemma 3.21**.**
The mapping has a unique fixed point.
Proof: Indeed, letting in (3.8), is a fixed point of if, and only if, is the unique solution to the problem
[TABLE]
Analogous to what was done in Subsection 3.2, we guarantee the existence of a unique solution of this last problem; therefore has a unique fixed point in .
Proposition 3.22**.**
There is a nonnegative solution of problem (3.3).
Proof: From Lemmas 3.17, 3.18, 3.19, 3.20 and 3.21, we conclude that the mapping satisfies the hipotheses of the Leray-Schauder’s fixed point theorem (see Friedman [7, pp. 189, Theorem 3]). Thus, there exists such that . Moreover, by Lemmas 3.7, 3.12, 3.15 and 3.16, is nonnegative, meets the estimates (3.14), (3.15) and is the required solution of (3.3).
4. Proof of Theorem 2.2
Proposition 4.1**.**
There is a nonnegative solution of the modified problem (3.1).
Proof: Just combine the Proposition 3.22, the Remark 3.1 and the Lemma 3.5.
Remark 4.2**.**
We affirm that . Indeed, of the Lemma 3.5 we know that . Moreover, returning to the first equation of (3.1), using the Lemmas 3.5 and 3.13 and the fact that , it follow that:
[TABLE]
a.e. in , i.e., .
Proposition 4.3**.**
There is a nonnegative solution of problem (1.1).
Proof: Just combine the Proposition 4.1 and the Remarks 3.2 and 4.2.
Proposition 4.4**.**
The solution of the problem (1.1) is unique.
Proof: Let and be solutions to the problem (1.1); if and , then , and satisfy the following problems, respectively:
[TABLE]
[TABLE]
[TABLE]
Multiplying the first equation of (4.2) by , integrating into , using the fact that and the inequality of Young, we have
[TABLE]
where depends on , , , , and .
Now, multiplying the first equation of (4.3) by , integrating into , using the fact that and the inequality of Young, we obtain
[TABLE]
where depends on , and .
Lastly, multiplying the first equation of (4.4) by , integrating into , using the fact that and the inequality of Young, we obtain
[TABLE]
where depends on , and .
Thus,
[TABLE]
and using the Gronwall’s inequality, we obtain
[TABLE]
that is, , for all , where we conclude a.e. in and therefore and a.e. in .
5. Numerical simulations
In this section, we illustrate model behavior with numerical simulations. The simulations settings are the following. We consider the spatial domain as a square, , with , discritised with steps . The coupled ODEs arising from the spatial discretisation are solved with the method of lines in Mathematica. The simulations run from time until .
To avoid large numbers and numerical instabilities, we rescale the populations with respect to their possible maximum values, setting and . Therefore, the population sizes range from [math] to . The parameter values used to simulate the model were
[TABLE]
[TABLE]
These values were chosen to describe: normal cells that reach the equilibrium at absence of tumor cells; a tumor with the same carrying capacity of normal cells (), and that causes more damage to normal cells than the contrary () but is not able to invade the tissue without production of lactic acid (see simulation 1 below); a faster lactic acid diffusion in comparison with tumor cells (); and a acid damage high enough to allow tumor invasion (, see simulations below).
The initial conditions for numerical simulations were ,
[TABLE]
and , with , , . These initial condition describe the normal cells at the tissue normal homoeostatic state and the onset of a very small tumor in the middle of the tissue, with zero initial concentration of lactic acid (see Figure 1).
We present the following simulation results. In the first simulation (Figure 1), we set the lactic acid production to zero (), to observe the extinction of tumor cells with no ability to produce lactic acid. In the second simulation, we set the parameters as stated above and observe the invasion of a tumor and substantial reduction of normal cells (Figure 2). In the third simulation, we replace the Neuman homogeneus conditions on tumor cells and lactic acid by Dirichlet homogeneous conditions, representing a situation where the tissue boundary () is hostile to the tumor (Figure 3). We observe a similar behavior, with exception that in the boundary the normal cells remain at high numbers, due to the low presence of tumor cells and lactic acid.
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