Modelling the effect of vascular status on tumour evolution and outcome after thermal therapy

TL;DR

This study develops a mathematical model to analyze how vascular health influences tumour oxygenation, temperature distribution, and response to thermal therapy, highlighting the importance of blood flow in treatment outcomes.

Contribution

The paper introduces a transport-based PDE model that simulates tumour microenvironment dynamics under various vascular conditions and thermal therapy scenarios.

Findings

Low oxygen correlates with increased temperature in hypoxic cell regions.

Hyperthermia-induced cell death depends on vascular disruption levels.

Cell death leads to increased oxygen levels post-treatment.

Abstract

Microscale oxygenation plays a prominent role in tumour progression. Spatiotemporal variability of oxygen distribution in the tumour microenvironment contributes to cellular heterogeneity and to the emergence of normoxic and hypoxic populations. Local levels of oxygen strongly affect the response of tumours to the administration of different therapeutic modalities and, more generally, to the phenomenon of resistance to treatments. Several interventions have been proposed to improve tumour oxygenation, being the elevation of the local temperature (hyperthermia) an important one. While other factors such as the metabolic activity have to be considered, the proficiency of the tumour vascular system is a key factor both for the tissue oxygenation and for its temperature maps. Consequently, the interplay of these factors has attracted considerable attention from the mathematical modelling perspective. Here we put forward a transport-based system of partial differential equations aimed at describing the dynamics of healthy and tumour cell subpopulations at the microscale in a region placed between two blood vessels. By using this model with diverse flow conditions, we analyse the oxygen and temperature profiles that arise in different scenarios of vascular status, both during free progression and under thermal therapy. We find that low oxygen levels are associated to elevations of temperature in locations preferentially populated by hypoxic cells, and hyperthermia-induced cell death, being strongly dependent on blood flow, would only appear under highly disrupted conditions of the local vasculature. This results in a noticeable effect of heat on hypoxic cells. Additionally, when pronounced cell death occurs, it is followed by a significant increase in the oxygen levels.