论文标题
肿瘤学和力学:具有里程碑意义的研究和有希望的临床应用
Oncology and mechanics: landmark studies and promising clinical applications
论文作者
论文摘要
癌症的临床管理已经不断发展了几十年。生化,分子和基因组学方法已经为癌性疾病带来了许多见解。现在可以接受的是,有利的生物条件允许的某些现象是通过机械信号在细胞尺度和宏观上通过机械力出现的。在过去的几十年中,已经对癌症的机械现象进行了深入研究,并且它们的临床应用开始被了解。如果已经提出了许多模型和实验设置,则只有少数几个导致了临床应用。这项贡献的目的是提议回顾大量机械发现范围,这些发现对癌症的临床管理产生了影响。这篇综述主要针对机械师和应用数学的博士候选者,他们面临着基于机械的癌症建模的挑战,目的是临床应用。我们表明,生物学和机械方法的协作导致了建模,实验设计和治疗靶标的有希望的进步。此外,将特定的重点放在了基于成像的机械师模型上,我们认为这可以进一步发展新的治疗靶标和个性化医学的出现。我们详细研究了基于机械建模的针对患者特异性靶向疗法的几项成功工作流程。
Clinical management of cancer has continuously evolved for several decades. Biochemical, molecular and genomics approaches have brought and still bring numerous insights into cancerous diseases. It is now accepted that some phenomena, allowed by favorable biological conditions, emerge via mechanical signaling at the cellular scale and via mechanical forces at the macroscale. Mechanical phenomena in cancer have been studied in-depth over the last decades, and their clinical applications are starting to be understood. If numerous models and experimental setups have been proposed, only a few have led to clinical applications. The objective of this contribution is to propose to review a large scope of mechanical findings which have consequences on the clinical management of cancer. This review is mainly addressed to doctoral candidates in mechanics and applied mathematics who are faced with the challenge of the mechanics-based modeling of cancer with the aim of clinical applications. We show that the collaboration of the biological and mechanical approaches has led to promising advances in terms of modeling, experimental design and therapeutic targets. Additionally, a specific focus is brought on imaging-informed mechanics-based models, which we believe can further the development of new therapeutic targets and the advent of personalized medicine. We study in detail several successful workflows on patient-specific targeted therapies based on mechanistic modeling.