Modeling of mouse experiments suggests that optimal anti-hormonal treatment for breast cancer is diet-dependent

Autor: Akman, Tuğba, Arendt, Lisa M., Geisler, Jürgen, Kristensen, Vessela N., Frigessi, Arnoldo, Köhn-Luque, Alvaro
Rok vydání: 2023
Předmět:
Druh dokumentu: Working Paper
Popis: Estrogen receptor positive breast cancer is frequently treated with anti-hormonal treatment such as aromatase inhibitors (AI). Interestingly, a high body mass index has been shown to have a negative impact on AI efficacy, most likely due to disturbances in steroid metabolism and adipokine production. Here, we propose a mathematical model based on a system of ordinary differential equations to investigate the effect of high-fat diet on tumor growth. We inform the model with data from mouse experiments, where the animals are fed with high-fat or control (normal) diet. By incorporating AI treatment with drug resistance into the model and by solving optimal control problems we found differential responses for control and high-fat diet. To the best of our knowledge, this is the first attempt to model optimal anti-hormonal treatment for breast cancer in the presence of drug resistance. Our results underline the importance of considering high-fat diet and obesity as factors influencing clinical outcomes during anti-hormonal therapies in breast cancer patients.
Comment: 47 pages, 22 figures
Databáze: arXiv