Multicellular Tumor Spheroid in an off-lattice VoronoiDelaunay cell model
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细胞和组织的适应、损伤与修复萎缩:atrophy化生:metaplasia变性:degeneration坏死:necrosis坏疽:gangrene机化:organization肉芽组织:granulation tissue炎症炎症:inflammation变质:alteration渗出:exudation蜂窝织炎:phlegmonous inflammation 脓肿:abscess窦道:sinus瘘管:fistula肉芽肿:granuloma局部血液循环障碍淤血:congestion血栓形成:thrombosis血栓:thrombus栓塞:embolism栓子:embolus梗死:infarct肿瘤肿瘤:tumor异型性:atypia转移:metastasis癌:carcinoma肉瘤:sarcoma恶病质:cachexia心血管系统疾病动脉粥样硬化:atherosclerosis高血压:hypertension风湿病:rheumatism呼系统疾病大叶性肺炎:lobar pneumonia小叶性肺炎:lobular pneumonia原发综合症:primary complex消化系统疾病慢性消化性溃疡:chronic peptic ulcer病毒性肝炎:viral hepatitis肝硬化:liver cirrhosis假小叶:pseudolobule泌尿系统疾病肾小球肾炎:glomerulonephritis肾病综合症:nephritic syndrome病生健康:health疾病:disease脑死亡:brain death水肿:edema缺氧:hypoxia血氧饱和度:oxygen saturation心力衰竭:heaert failure呼吸衰竭:respiratory failure肺性脑病:pulmonary encephalopathy 肝性脑病:hepatic encepholopathy。
骨肿瘤影像图例丨杂类肿瘤(恶性)~杂类肿瘤Miscellaneous Tumors不同组织来源:骨髓、血管、平滑肌、脊索组织,来源不能确定的。
大部分表现为非特异性的溶骨性病变。
•良性:朗格汉斯细胞组织细胞增生症(LCH)、骨内血管瘤、骨巨细胞瘤(GCT)、单纯性骨囊肿(SBC)、动脉瘤样骨囊肿(ABC)、骨内脂肪瘤•恶性:Ewing肉瘤、釉质瘤、脊索瘤、淋巴瘤(NHL、HL)、白血病、血管肉瘤、多发性骨髓瘤(浆细胞瘤、POEMS)Ewing肉瘤Ewing Sarcoma•第二常见的儿童骨与软组织肉瘤,仅次于骨肉瘤•大约80%的年龄低于20岁,峰值发病年龄为10-15岁•发病部位:干骺端多于骨干;任何含有红骨髓的骨。
小圆细胞肿瘤•退分化滑膜肉瘤•结缔组织增生性小圆细胞肿瘤•Ewing/PNET•髓母细胞瘤•间叶性软骨肉瘤•神经母细胞瘤•NHL•横纹肌肉瘤•小细胞骨肉瘤Ewing肉瘤。
股骨干穿透样溶骨和硬化混合性病变;MR示骨髓信号异常及巨大软组织肿块,明显不均质强化。
右髂骨Ewing肉瘤。
溶骨和硬化混合性病变,侵袭性骨膜新生骨形成。
软组织肿块在T2WI上显示最佳。
CT能更好的显示骨的穿透和破坏范围。
釉质瘤Adamantinoma•少见,中位年龄25-35岁,男性稍多•在纤维性和纤维骨性基质中包含纤维上皮细胞的低度恶性肿瘤•发病机制:上皮细胞在胚儿发育期内限于骨或骨膜•90%发生于胫骨,几乎均位于前侧骨皮质典型的釉质瘤,表现为狭长的、边缘清晰的溶骨和硬化混合性病变,居于胫骨前侧骨质中心。
肿瘤包含多个圆形溶骨灶,伴有磨砂玻璃样表现和“锯齿状”骨皮质破坏。
釉质瘤。
胫骨前侧骨皮质的两个溶骨和硬化混合性病变,同一骨内的多灶性病变虽表现为各自独立,但在组织学中却是连续的。
CT显示病变以前侧骨皮质为中心并侵及髓腔内松质骨。
脊索瘤Chordoma•起源于胚胎期脊索残迹的低至中度恶性肿瘤•大多数确诊年龄为40-70岁,男性多见•常见于脊柱,60%位于骶尾部,25%位于斜坡•居于椎体中心,通常不累及后侧附件及椎间盘脊索瘤。
巨噬细胞极化英文Macrophage polarization refers to the process by which macrophages, a type of white blood cell, switch from an inactive, resting state to one of two activated states. It is a crucial part of the body's immune response and helps it to adapt its response to different threats.The two activated macrophage states are known as M1 and M2. M1 macrophages, also referred to as classically activated macrophages, are pro-inflammatory and promote immunity to pathogens and cancerous cells. They secrete various pro-inflammatory cytokines and chemokines, such as interferon gamma (IFN-γ) and tumor necrosis factor α (TNF-α). In contrast, M2 macrophages, also referred to as alternatively activated macrophages, are anti-inflammatory and help to repair damaged tissues. They secrete cytokines such as interleukin-10 (IL-10) and transform growth factor β (TGF-β).In certain circumstances, macrophages can shift between both states, allowing them to adapt to changing environments. In response to inflammation, macrophages can become classically activated M1 macrophages. Conversely, in response to wound healing, they can become alternatively activated M2 macrophages.In addition to their role in innate immunity, macrophage polarization has been found to play a role in other conditions, including autoimmune diseases and metabolic disorders. In people with autoimmune diseases, macrophage polarization towards an M2 phenotype has been observed, contributing to a defective immune response. In people withmetabolic disorders, macrophage polarization towards an M1 phenotype has been associated with chronic inflammation and insulin resistance.Overall, macrophage polarization is an essential component of the body’s immune response and helps it to adapt to different threats. Understanding how this process works can provide insight into how to better manage a range of conditions, from autoimmune diseases to metabolic disorders.。
泛生子胶质瘤基础
泛生子胶质瘤(Glioma)是一种源自神经胶质细胞的恶性肿瘤,它通常起源于大脑或脊髓的胶质细胞。
胶质细胞是神经系统中的一类支持细胞,包括星形胶质细胞、少突胶质细胞和髓鞘细胞等。
泛生子胶质瘤的研究涉及到多个领域,包括分子生物学、细胞生物学、遗传学、肿瘤学等。
以下是泛生子胶质瘤基础的一些重要项:
细胞类型:泛生子胶质瘤起源于神经胶质细胞,这些细胞在神经系统中起支持和保护作用。
不同类型的胶质细胞可能形成不同类型的泛生子胶质瘤,如星形细胞胶质瘤、少突细胞胶质瘤等。
分子标志物:泛生子胶质瘤通常会表达一些特定的分子标志物,这些标志物在诊断、分型和治疗方面具有重要价值。
常见的分子标志物包括EGFR( 表皮生长因子受体)、IDH( 异染色质酶)、MGMT 甲基化岛)等。
遗传变异:泛生子胶质瘤的发生和发展与一系列遗传变异密切相关。
例如,IDH突变在一些泛生子胶质瘤中很常见,并与肿瘤的预后和治疗反应相关。
分子通路:多种细胞信号通路在泛生子胶质瘤的发生和发展中扮演重要角色,包括PI3K/AKT/mTOR通路、MAPK通路、Wnt/β-catenin通路等。
这些通路的异常激活可能导致细
胞增殖、生存和转移等异常。
治疗策略:泛生子胶质瘤的治疗通常包括手术切除、放疗和化疗等综合治疗方案。
近年来,针对泛生子胶质瘤的靶向治疗和免疫治疗等新疗法也在不断发展和研究中。
综上所述,泛生子胶质瘤的基础研究涉及多个方面,包括细胞生物学、分子生物学、遗传学等,对于深入了解该疾病的发病机制、诊断和治疗具有重要意义。
银屑病相关的遗传基因-回复银屑病(psoriasis)是一种慢性、复发性皮肤病,常见于身体多个部位。
它的症状包括红肿斑块、鳞屑、瘙痒和疼痛。
很多因素可以诱发银屑病,包括基因遗传和环境因素。
在本文中,我们将探讨与银屑病相关的遗传基因,以及它们对该疾病的发病机制的影响。
银屑病的发病机制非常复杂,与多个基因的相互作用有关。
研究发现,至少有13个与银屑病相关的基因座位于人类基因组上。
这些基因包括HLA-Cw6、IL-23R、TNIP1、IL12B等等。
让我们逐个探讨它们的作用及其对银屑病的影响。
首先,HLA-Cw6(人类白细胞抗原-Cw6)基因是目前已知与银屑病最相关的基因。
HLA-Cw6基因的变异会导致其所编码的蛋白质在免疫系统中发挥异常作用,从而影响T细胞的活动。
T细胞是免疫系统的重要成分之一,在银屑病发病过程中起到至关重要的作用。
HLA-Cw6基因的变异使得T细胞对自身细胞反应异常增强,从而导致皮肤炎症和鳞屑的产生。
其次,IL-23R(白细胞介素-23受体)基因编码了一种受体,它与IL-23的结合对调节免疫反应起到重要作用。
IL-23是一种细胞因子,参与调节T 细胞的分化和功能。
银屑病患者常常显示出IL-23反应异常增强的现象,这与IL-23R基因的变异有关。
IL-23R基因的改变使得该基因编码的受体对IL-23的结合能力增强,从而导致异常的T细胞反应和过度的皮肤炎症。
另外一个与银屑病相关的基因是TNIP1(TNFα诱导蛋白-1)基因。
这个基因编码了一种参与细胞内信号转导的蛋白质。
研究发现,TNIP1基因的变异可能导致其编码的蛋白质功能异常,从而影响免疫细胞的活动。
这可能导致机体对皮肤细胞的攻击增强,从而导致银屑病的发生。
此外,还有其他一些基因,如IL12B(白细胞介素-12亚单位β)基因,被认为与银屑病的发病机制密切相关。
这个基因编码了一种与免疫反应有关的分子。
IL12B基因的变异可能导致编码的分子表达异常,进而影响免疫细胞的功能。
专利名称:循环肿瘤细胞有丝分裂指数在癌症分层和诊断中的应用
专利类型:发明专利
发明人:D·亚当斯,汤家楣
申请号:CN201680043699.7
申请日:20160526
公开号:CN107850587A
公开日:
20180327
专利内容由知识产权出版社提供
摘要:在患者中,循环肿瘤细胞(CTC)与恶性实体肿瘤的转移有关。
这里给出的证据是CTC表现出细胞周期阶段变异性,在有丝分裂细胞周期阶段CTC的数量与受试者长期存活的前景有很强的相关性,所述细胞来自所述受试者。
本文还介绍了从癌症患者中确定CTC的有丝分裂细胞周期阶段的方法,并利用这些信息对恶性实体肿瘤进行分级,并预测患者存活的可能性。
申请人:创新微技术公司
地址:美国马里兰州
国籍:US
代理机构:深圳市百瑞专利商标事务所(普通合伙)
代理人:金辉
更多信息请下载全文后查看。
组织细胞性坏死性淋巴结炎
卢洪洲;尹有宽
【期刊名称】《国外医学:内科学分册》
【年(卷),期】1998(025)008
【摘要】组织细胞性坏死性淋巴结炎(Kikuchi)是一种少见的,良性,自发性疾病,以病因不明的颈部淋巴结肿大的特征,抗生素治疗无效。
病理表现为含细胞核破裂产物的淋巴结灶性坏死,坏死区周围有组织和淋巴细胞聚集,但无粒细胞浸润。
近年研究认为本病细胞死亡的机制是细胞凋亡而不是凝固性坏死。
【总页数】4页(P330-333)
【作者】卢洪洲;尹有宽
【作者单位】上海医科大学华山医院传染病教研组;上海医科大学华山医院传染病教研组
【正文语种】中文
【中图分类】R551.2
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2.临床酷似淋巴瘤的组织细胞性坏死性淋巴结炎65例临床病理分析 [J], 杨映红;郑宇辉;黄建平;杨涛;陈华
3.组织细胞性坏死性淋巴结炎三例报告并文献复习 [J], 石晓;刘一;张波;
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a rX i v:q-bi o/4729v2[q-b io.TO ]18Ma y25q-bio.TO/0407029Multicellular Tumor Spheroid in an off-lattice Voronoi/Delaunay cell model Gernot Schaller Institut f¨u r Theoretische Physik,Technische Universit¨a t Dresden,D-01062Dresden,Germany ∗Michael Meyer-Hermann Centre for Mathematical Biology,Mathematical Institute,24-29St.Giles’,Oxford University,Oxford OX13LB,United Kingdom (Dated:February 5,2008)Abstract We study multicellular tumor spheroids by introducing a new three-dimensional agent-based Voronoi/Delaunay hybrid model.In this model,the cell shape varies from spherical in thin so-lution to convex polyhedral in dense tissues.The next neighbors of the cells are provided by a weighted Delaunay triangulation with in average linear computational complexity.The cellular interactions include direct elastic forces and cell-cell as well as cell-matrix adhesion.The spa-tiotemporal distribution of two nutrients –oxygen and glucose –is described by reaction-diffusion equations.Viable cells consume the nutrients,which are converted into biomass by increasing the cell size during G 1-phase.We test hypotheses on the functional dependence of the uptake rates and use the computer simulation to find suitable mechanisms for induction of necrosis.This is done by comparing the outcome with experimental growth curves,where the best fit leads to an unexpected ratio of oxygenand glucose uptake rates.The model relies on physical quantities and can easily be generalized towards tissues involving different cell types.In addition,it provides many features that can be directly compared with the experiment.PACS numbers:45.05.+x,82.30.-b,87.*,02.70.-cI.INTRODUCTIONThe spatiotemporal dynamics of individual cells often leads to the emergence of fas-cinating complex patterns in cellular tissues.For example,during embryogenesis it is hy-pothesized that these complex patterns develop with the aid of mechanisms such as diffusing messengers and cell-cell contact.Sometimes these patterns can be described very well with a simple model.Such mathematical models can help to test hypotheses in in silico experiments thereby circumventing real experiments which are very often expensive and time-consuming. However,since the local nature of cell-cell interactions is not precisely known one is often restricted to compare the global outcome following from different hypotheses with experi-mental data.Unfortunately,there are–unlike in theoretical physics–no establishedfirst principle theories in cell tissue modeling which explains that there is a variety of models on the market,which can be classified as follows:Firstly,there is a class of models where one derives continuum equations for the cell populations.In analogy to many-particle physics one replaces the actual information on every cell by a cellular density.Consequently,the equations of motion can be simplified considerably to a differential equation describing the spatiotemporal dynamics of a cell type. In practice these equations do very often have the type of reaction-diffusion equations[1]. The volume-integral of such equations results in the global dynamics of a whole population (e.g.predator-prey-models),where only the temporal development of the total population is monitored.Note however,that cellular interactions can only be modeled effectively with these approaches.Also,the discrete and individual nature of cells is completely neglected.The discrete nature can be taken into account by deriving master equations for the pop-ulation number on every volume element[2].By mapping these master equations to a Schr¨o dinger equation one is able to identify an Hamilton operator that allows a physicist to apply the mathematical framework of quantumfield theory to systems such as cell tis-sues.For example,in the simple case of Lotka-Volterra equations[1]this method leads to mean-field equations that resemble the Lotka-Volterra equations.The renormalized nu-merical results[3]however may disagree qualitatively with the mean-field approximations. Consequently,the discrete nature of cells may not always be neglected.Still,the above quantization assumes all agents to be identical and indistinguishable and inevitably neglects the individuality of cells.Therefore,features such as cell shape and differences in cell sizeor internal properties are not considered in this class of models.This is different in the third class of agent-based models,where cells are represented by individually interacting objects.Since now every single cell must be included in the computer simulations the computational intensity increases considerably.This however opens often the possibility to choose the interaction rules intuitively from existing observations.These models are usually restricted to a certain cell shape,which enables one to sub-classify them further:In lattice-based models[4,5]the cellular shape is usually already defined by the shape of the elementary cell of the lattice,such as e.g.cubic[6]or hexagonal[7,8].Off-lattice models usually restrict to one special cell form and consider slight perturbations(e.g. deformable spheres[9,10]or deformable ellipsoids[11,12,13]).In other off-lattice models the geometrical Voronoi tessellation[14,15]is used,which allows for more variations in cell shape and size.In addition,it comes very close to the polyhedral shape observed for some cell types[16].An important advantage of off-lattice models is that perturbations from the inert cell shape can give rise to physically well-defined cellular interaction forces,whereas in lattice-based models one is usually forced to introduce effective interaction rules which makes it difficult to relate the model parameters to experimentally accessible quantities.Since cell shape and function are usually closely connected(e.g.fibroblasts in the human skin do have a different shape than melanocytes or keratinocytes),there are some models that try to reproduce any possible cell shape.For example in the extended Potts model [17,18,19,20]one has spins on several lattice nodes describing a single cell.The dynamics of these spins is calculated by minimizing an energy functional.The often-used Metropolis algorithm tests several spinflips for a decrease of the energy.A Metropolis time step is defined as having performed as many checks for spinflips as there are spins.The parameters in the energy functional have to be determined heuristically as it is difficult to map them to experimentally accessible microscopic properties.For example,volume conservation is usually handled by a penalty term which acts equally strong for both compression and elongation.The usual practice of relating the Monte-Carlo time step to physical time is not unique:There are cellular proliferation times,cellular compression relaxation times etc. Finally,the enormous number of spins required to appropriately describe a single cell leads to an enormous computational complexity that restricts the model to small cell numbers.This problem is circumvented in force-based models.For example in[21]the relation of cell shape and cell motility has been investigated in a model that represents cells as a collection of cellfragments on a lattice.Other models describe cell shape on a2-dimensional hypersurface by a changing number of polygonal nodes[22,23],which is also computationally expensive. In[24],the initial configuration of the nodes bordering the polyhedral cells is deduced from a Voronoi tessellation of the cell centers,whereas the Voronoi concept is discarded during the dynamics,since every border node has its own dynamics.Generally,the latter models always need a large number of general coordinates to define the shape or status of a cell and are therefore restricted to a relatively small number of cells–even at present computational power.Balancing these reasons in the context of the aimed description of in vitro tumor growth data we decided to use an off-lattice agent-based model,where one has the advantage of allowing continuous cell positions.Therefore the extent by which cellular interactions have to be replaced by effective automaton rules is much smaller than in corresponding cellular automata[8].In addition,the model parameters can be directly measured in independent experiments.The enormous computational intensity common to most existing off-lattice models is due to two effects:Firstly,some off-lattice models[5]use effective stochastic in-teraction rules,which require stochastic solution methods such as the Metropolis algorithm. The infinite number of possibilities in a continuous model however requires a large part of the phase space to be tested.Secondly,the determination of the neighborship topology for local interactions requires sophisticated algorithms.Our model uses the weighted Delaunay triangulation which provides the correct neighborship topology for a set of spheres with different radii with in average constant access[15].In addition,the model is dominantly deterministic which abolishes the necessity to test irrelevant parts of the phase space.Unlike in two dimensions,where tumor cells in in vitro setups will proliferate without limitation,there exist growth limitations on tumor cell populations forming solid spheroidal cell aggregates in three dimensions[25].This limitation of growth is presumably due to both contact inhibition–which is also active in two dimensions[10]–and nutrient depletion in the interior of the spheroid.Initially,the cell number grows exponentially and enters a polynomial growth phase after some days in culture.Finally,a saturation of growth is observed for many spheroid systems[26].Thefinal stages of spheroid growth exhibit a typical pattern in the cross-sections:An internal necrotic core is surrounded by a layer of quiescent cells–which do not proliferate–and on the outside one has a layer of proliferating cells[27].Thefinal stage depends critically on the supply with nutrients such as oxygenand glucose.The model we have implemented enables us to model O(105)cells which is in agreement with cell numbers observed in multicellular tumor spheroid systems[26].We will demonstrate that the growth curves measured in[26]for different nutrient concentrations can be reproduced using a single parameter set and simple assumptions for cellular interactions.II.THE CELL MODELIn our model we assume cells to be deformable spheres with dynamic radii,which is motivated by the experimental observation that cells in a solution tend to be spherical–presumably in order to minimize their surface energy.Consequently,we treat all deviations from this spherical form as perturbations from the inert cellular shape.The model is agent-based(sometimes also called individual-based),i.e.every biologi-cal cell is represented by an individual object.These objects interact locally with their next neighbors(those that follow from the weighted Delaunay triangulation)and with a reaction-diffusion grid(for nutrients or growth signals).Each cell is characterized by sev-eral individual parameters such as position,a radius,the type corresponding to biological classifications,the status(position in the cell cycle),cellular tension,receptor and ligand concentrations on the cell membrane,an internal clock,and cell-type specific coupling con-stants for elastic and adhesive interactions.Since we assume the inert cell shape to be spherical,the power-weighted Delaunay triangulation[15]is a perfect tool to determine the neighborship topology.A.Elastic and adhesive Cell-Cell interactionsFollowing a model of Hertz[28,29]–which has already been used in the framework of cell tissues[10,30]–the absolute value of the elastic force between two spheres with radii R i and R j can,for small deformations,be described ash3/2ij(t)R i(t)+1F el ij(t)=4 1−ν2i E jFIG.1:Two-dimensional illustration of inter-penetrating spheres with maximum overlap h ij and sphere contact surface A ij (marked bold).In reality,the spheres will deform and generate a repulsive force.FIG.2:Within dense tissues,many-sphere-overlaps can occur.If in this case the Voronoi contact surface(marked with a bold line)is smaller than the sphere contact sur-face,it will provide a more realistic estimate of the cellular contact surfaces.the repulsive force resulting from(1)could be overturned since it does not diverge for large overlaps.However,additional mechanisms(contact inhibition)insure that in practice the cells will respect a minimum distance from each other.In addition,the overlaps lead to a deviation of the actual cell volume(set intersection of Voronoi and sphere volume)from the intrinsic(target)cell volume.Therefore the cell volume is only approximately conserved within this approach.In reality this model might not be adequate for cells:Firstly,the mechanics of the cytoskeleton is not well represented which might yield other than purely elastic responses (see e.g.[11,31]).Secondly,equation(1)represents only afirst order approximation which is valid for small virtual overlaps h ij≪min{R i,R j}only.As cellular mechanics is known tobe not only viscoelastic but also viscoplastic[32],a more exact approach would follow[12,13] by replacing cells by equivalent networks containing elastic and viscous(internal cell friction) elements.However,the parameters required for such a model should either be measured for every cell type independently or they should be derived from a microscopic model of the cytoskeleton such as e.g.tensegrity structures[33,34],which is beyond the scope of this article.Consequently,internal cell friction is neglected.In addition,the Hertz model is only valid for two-body contacts,since for an exact treatment prestress and the difficult elastic problem of multiple overlaps will have to be considered as well.Therefore,especially in the case of multiple sphere overlaps(cf.figure2)the Hertz model will underestimate the actualrepulsion.However,in this article we would like to restrict to the simple purely elastic model(1), since it allows the independently measurable experimental quantitiesνi and E i to be directly included.Intercellular adhesion in a tissue is mediated by receptor and ligand molecules that are distributed on the cell membranes.For simplicity,we neglect a possible dynamical clustering of adhesion molecules and assume them to be–in average–uniformly distributed.The resulting average adhesive forces between two cells should then scale with their contact area A ij(see also e.g.[13])and can be estimated as1F ad ij=A ij f addivides space into Voronoi regions–convex polyhedra that may in some sense be associated with the space occupied by cell i(seefigures2and3).This correspondence however is deceptive,as one can easily show that equation(3)leads to infinitely large intercellular contact surfaces at the boundary of the convex hull of the points{r i}.In addition,inthe case of a low cellular density the surfaces and volumes defined by the purely geometric approach(3)will evidently overshoot the actual cellular contact surfaces and volumes by orders of magnitude.On the other hand,Voronoi contact surfaces have been shown to approximate the cell shape in tissues remarkably well–at least in two-dimensional cross-sections[16].Therefore,in order to have a contact surface estimate valid for different modeling environments we use a combination of the two approaches by settingA ij=min A sphere ij,A Voronoi ij .(4) In order to use the Voronoi surface,cells do not only have to be in contact,but the Voronoi contact surface must be smaller than the spherical contact surface,which can be the case for multiple cell contacts,comparefigure2.This combination leads to upper bounds of intercel-lular contact surfaces on tissue boundaries and preserves the Voronoi surfaces within dense tissues by yielding a continuous transition between the two estimates.The underestimation of the repulsive forces in dense tissues within the Hertz model is in parts compensated by using the Voronoi-based decreased adhesive forces thereby leading to an increased net re-pulsion.Depending on the local cellular deformations the difference between the spherical and the Voronoi contact surface can be in the range of30%within dense tissues.Note that equations(1)and(2)allow for different cell types by introducing varying radii,elastic moduli and receptor and ligand concentrations.All forces act in the di-rection of the normals to the next neighbors and on the center of the spheres.The to-tal force on the cell i is then determined by performing a sum over the next neighbors = j∈NN(i) F ad ij−F el ij ·n ij and in addition we record the sum of the normal tensionsFiP i= j∈NN(i)|F ij·n ij|FIG.3:Visualization of two intersecting circles(spheres)and their corresponding Voronoi domains in two(three)dimensions.Position and orientation of the Voronoi contact line(plane)coincides with the circle(sphere)intersection.The Voronoi surfaces are also determined by the positions of other cells(not shown here).corresponding spatial step can be computed from the equations of motion[11,12]m i¨rαi(t)=Fαi(t)− βγαβi˙rβi(t)− β jγαβij ˙rβi(t)−˙rβj(t) ,(6) where the upper Greek indicesα,β∈{0,1,2}denote the coordinates and the lower Latin indices i,j∈{0,1,...,N−1}the index of the cell under consideration.The adhesive or repulsive forces as well as possible random forces on cell i are contained in the term Fαi, whereas the coefficientsγαβi andγαβij represent cell-medium and cell-cell friction,respectively.A common isotropic choice for cell-medium friction is the normal Stokes relation=6πηR iδαβ,(7)γαβ,visciwhich describes the friction of a sphere with radius R i within a medium of viscosityη.Most tissue simulations use the over-damped approximation m i¨rαi(t)≈0∀i,α,t, which is an adequate approximation for cell movement in medium[36],since the estimated Reynolds-numbers are extremely small[11].Evidently,since additional adhesive bindings are at work,cellular movement in a tissue is even more damped[37].In the over-damped approximation,equation(6)reduces to a3N×3N linear system,that is sparsely populated and therefore can in principle be solved using an iterative method[11].However,the large number of cells involved in larger multicellular tumor spheroids would make this approach inefficient–both in terms of storage and execution time–and limits the simulations to O(105)cells.It is also not clear whether this intercellular drag force term significantly contributes.We have omitted this term and compensate for this by a modified friction modelwhich respects that the movement of bound cells is considerably inhibited.In addition,one should keep in mind that within dense tissues many intercellular contacts are mediated by the extracellular matrix (with zero velocity).Such a friction term will rather contribute to the diagonal part of the dampening matrix.Therefore,we chose to approximate the term with the velocity differences by increasing the isotropic cell-medium friction coefficient by another term,i.e.,γαβi =γαβ,visc i +γαβ,ad i =γi δαβwithγαβ,ad i =γmax δαβj ∈NN (i )A ij 1|F i | ××1γi .(9)As an option the model is capable of including random forces in order to mimic random cellular movement.However,the corresponding physiologic cellular diffusion coefficients are in the range of O (10−4µm 2/s),which leads to small displacements only.In the case of growing tumor spheroids,the proliferation-driven tumor front will generally overtake cells that have separated due to random movements.The stochastic nature contained in the mitotic direction and the duration of the cell cycle obviously suffices to yield isotropic tumor spheroids.The simulations shown here have therefore been performed without an additional stochastic force,unless otherwise noted.B.The cell cycleIn our model,cells have different internal states,which we chose to closely follow the cell cycle in order to make comparisons with experimental data as intuitive as possible.Consequently,the cellular status determines the actions of the cellular agents.We distinguish between 5states:G 1-phase,S /G 2-phase,M-phase,G 0-phase,and necrotic,see also figure5.S/G (m)critFIG.4:The extent to which adhesive bondscontribute to friction depends on the direc-tion of movement and on the contact sur-faces.If total force and normal vector areparallel,the corresponding contact surfacewill not contribute at all to the friction coef-ficient in equation (8),whereas the contribu-tion will be strongest with force and normalvector being antiparallel.FIG.5:During cell division,cells reside inthe M-phase for τ(m ).Afterwards,the cell volume increases at a constant rate in the G 1-phase,until the pre-mitotic radius R (m)has been reached.At the end of the G 1-phase,the cell can either continue the cell cy-cle or enter the G 0-phase,if the normal ten-sion P i exceeds a threshold.The S /G 2-phase lasts for a time τS /G 2,after which mitosis is deterministically initiated.The necroticstate can be entered at all times in the cellcycle.During G 1-phase,the cell volume grows at a constant rate r V ,i.e.the radius increasesaccording to ˙R=(4πR 2)−1r V ,until the cell reaches its final mitotic radius R (m).The volume growth rate r V is deduced by assuming that cell growth is only performed during during G 1-phaser V =2π R (m) 3thresholds or–alternatively–if toxic substances exceed certain thresholds.In the present paper we will restrict to interpreting cellular quiescence as contact inhibition,since there is experimental evidence that in case of EMT6/Ro cells quiescence is not induced by lack of nutrients[38,39].During the S-phase the DNA for the new cell division is synthesized,whereas during G2-phase the quality of the produced DNA is controlled.In our model we do not distinguish between S-phase and G2-phase.At the beginning of the phase the individual phase duration is determined using a normally-distributed random number generator[40]with a given mean and width.After this individual time has passed,the cells enter mitosis.At the beginning of the mitotic phase–which lasts for about half an hour for most cell types–a mother cell divides and is replaced by two daughter cells.In the model these are slightly displaced in random direction,see subsection II C.Afterwards the daughter cells are left to their initially dominating repulsive forces(1).As in the S/G2-phase the individual duration of the M-phase is determined using a normally-distributed random number gener-ator.Afterwards the daughter cells enter the G1-phase thus closing the cell cycle.Note that we do not differentiate between the internal phases of mitosis.During G0-phase,the cellular tension is monitored.Cells re-enter the cell cycle where they left it(i.e.at the beginning of the S/G2-phase)if the cellular tension falls below the critical threshold P crit.Similar to the S/G2-phase no growth is performed.Therefore in our model,the difference between the S/G2-phase and the G0-phase is that the duration of the first is determined by the normally distributed individual time,whereas for the duration of the latter the cellular tension is the determining factor.Consequently,the cells in G0-phase can serve as a reservoir of cells ready to start proliferating as soon as there is enough space available,which is common to many wound-healing models[10].Intuitively,cells enter necrosis as soon as the nutrient concentration at the cellular po-sition falls below a critical threshold.We study different mechanisms for the induction of necrosis within the model and will be able to rule out possible candidates(see subsection III A).Naturally,necrotic cells do not consume any nutrients and do slowly decay.In our model this is represented by removing these cells from the simulation at a rate r necr–without performing prior shrinking.Note that the only stochastic elements involved so far are the direction of mitosis and the durations of the M-phase and S/G2-phase.Thefirst is required by the local assumption ofFIG.6:Illustration of the cell configuration right at proliferation(left)and at the end of the M-phase(right).At cell division,the radii of the daughter cells R(d)are decreased to ensure conservation of the target volume during M-phase.The resulting strong repulsive forces drive the cells apart quickly.An adaptive timestep control ensures that the mitotic partners do not lose contact during M-phase.isotropy,whereas the latter is required by the fact that proliferating cells having a common progenitor desynchronize rather quickly(usually after about5generations[41]):For these small systems of O(25)cells mechanisms such as nutrient depletion or contact inhibition cannot explain the desynchronization.C.ProliferationA cell will divide when the end of the S/G2phase has been reached.The initial direction of mitosis is chosen randomly from a uniform distribution on the unit sphere[40],which is the simplest possible assumption.Note however that since the cellular movement during the M-phase is not only determined by the mitotic partners but also by the surrounding cells the effective direction of mitosis may generally change during M-phase–depending on the configuration of the next neighbors.The radii of the daughter cells are decreased R(d)=R(m)2−1/3to ensure conservation of the target volume during M-phase and the daughter cells are placed at the distance d0ij=2R(m)(1−2−1/3)to ensure that initially the deformations of surrounding cells do not change drastically,seefigure6.One should be aware that at this stage the forces calculated in equation(1)cannot represent the actual mitotic separation forces,since the considerable overlap h=R(m)(25/3−2)generates strongelastic forces in equation(1)which has then been applied far beyond its validity for small deformations.Therefore,to ensure for numerical stability,an adaptive step-size control hasto be applied in the numerical solution of equation(6)–see the appendix–since otherwise the contact between the daughter cells might be lost immediately.Still,with an adaptive timestep,the initial separation of mitosis will happen on a timescale shorter than in reality. To the sake of simplicity we will not use modified mitotic forces within this article.One should keep in mind that the relative shortness of the M-phase in comparison with the complete cell cycle leads to a small fraction of cells being in the M-phase.Therefore,we expect the consequences of our simplifying assumption to be relatively small.Infigure6two cells are shown at proliferation and right after the M-phase.The bell-shape during mitosis resulting from the model is in qualitative agreement with the physiologic appearance of mitosis.One can also see that further intercellular contacts may be lost,if the neighboring cells reside perpendicularly to the direction of mitosis.The direction of mitosis will generally change during M-phase–and thus considerably differ fromfigure6 right panel–and thereby the temporarily lost contact will in average be re-established,since the net forces will point to regions of low cell density and thus lead to closure of gaps.At the boundary of the spheroid however,cells may temporarily detach due to this mechanism. Though this had not been intended,it does not seem in contradiction to reality,since there exists experimental evidence[42]that EMT6/Ro tumor spheroids loose cells at the boundary due to mitotic loosening.A macroscopic detachment of cells from the spheroid boundary has not been observed in the simulation,since the spheroid growth velocity has always been large enough to re-establish contact after some time.However,such intermediate detachment events may very well contribute to the overall apparent growth velocity.D.Nutrient consumption and Cell DeathWe view cells as bio reactors where oxygen and glucose react to waste products as lactose, water and carbon dioxide.The clean combustion of glucose would require the molar nutrient uptake rate of oxygen to be6times the molar glucose uptake rate:C6H1206+602→6H20+6C02.However,for tumor tissue this cannot be the case as it is well-known that in the direct vicinity of tumors the concentration of lactic acid increases considerably which is a direct evidence for the incomplete combustion of glucose.By experimental estimations of average oxygen and glucose uptake rates for another cell line a considerable deviation from the ideal ratio has been found with about1:1[43].For EMT6/Ro cells,in[39]a ratio of。