Dynamics of cancer recurrence

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Publication:363852

DOI10.1214/12-AAP876zbMATH Open1272.92023arXiv1307.5179MaRDI QIDQ363852FDOQ363852


Authors: Jasmine Foo, Kevin Leder Edit this on Wikidata


Publication date: 5 September 2013

Published in: The Annals of Applied Probability (Search for Journal in Brave)

Abstract: Mutation-induced drug resistance in cancer often causes the failure of therapies and cancer recurrence, despite an initial tumor reduction. The timing of such cancer recurrence is governed by a balance between several factors such as initial tumor size, mutation rates and growth kinetics of drug-sensitive and resistance cells. To study this phenomenon we characterize the dynamics of escape from extinction of a subcritical branching process, where the establishment of a clone of escape mutants can lead to total population growth after the initial decline. We derive uniform in-time approximations for the paths of the escape process and its components, in the limit as the initial population size tends to infinity and the mutation rate tends to zero. In addition, two stochastic times important in cancer recurrence will be characterized: (i) the time at which the total population size first begins to rebound (i.e., become supercritical) during treatment, and (ii) the first time at which the resistant cell population begins to dominate the tumor.


Full work available at URL: https://arxiv.org/abs/1307.5179




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