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Updated: Feb 25, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Integrating Models to Quantify Environment-Mediated Drug Resistance
Noemi Picco1,2, Erik Sahai3, Philip K Maini2
1Integrated Mathematical Oncology Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida. noemi.picco@maths.ox.ac.uk.
Abstract:
Drug resistance is the single most important driver of cancer treatment failure for modern targeted therapies, and the dialog between tumor and stroma has been shown to modulate the response to molecularly targeted therapies through proliferative and survival signaling. In this work, we investigate interactions between a growing tumor and its surrounding stroma and their role in facilitating the emergence of drug resistance. We used mathematical modeling as a theoretical framework to bridge between experimental models and scales, with the aim of separating intrinsic and extrinsic components of resistance in BRAF-mutated melanoma; the model describes tumor-stroma dynamics both with and without treatment. Integration of experimental data into our model revealed significant variation in either the intensity of stromal promotion or intrinsic tissue carrying capacity across animal replicates. Cancer Res; 77(19); 5409-18. ©2017 AACR.
Insights
Mathematical modeling revealed how tumor-stroma interactions drive drug resistance in BRAF-mutated melanoma, distinguishing intrinsic and extrinsic resistance factors. This work bridges experimental and theoretical models for better treatment strategies.
Area of Science:
- Oncology
- Mathematical Biology
- Cancer Research
Background:
- Drug resistance is a primary cause of treatment failure in targeted cancer therapies.
- Tumor-stroma interactions influence treatment response through signaling pathways.
Purpose of the Study:
- To investigate tumor-stroma interactions in facilitating drug resistance.
- To differentiate intrinsic and extrinsic resistance components in BRAF-mutated melanoma using mathematical modeling.
Main Methods:
- Utilized mathematical modeling to simulate tumor-stroma dynamics with and without targeted therapy.
- Integrated experimental data to parameterize and validate the model.
- Analyzed variations in stromal promotion and tissue carrying capacity.
Main Results:
- Identified significant variability in stromal influence and intrinsic tissue capacity across experimental replicates.
- The model successfully separated intrinsic and extrinsic factors contributing to drug resistance.
- Demonstrated the role of tumor-stroma crosstalk in acquired resistance.
Conclusions:
- Tumor-stroma interactions play a critical role in the development of drug resistance in BRAF-mutated melanoma.
- Mathematical modeling provides a framework to understand complex biological systems and resistance mechanisms.
- Findings highlight the need to consider the tumor microenvironment in designing effective cancer therapies.
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