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Stochastic Modeling of Inter & Intra Stage Dependent Cancer Growth under Chemotherapy through Trivariate Poisson Processes P. Tirupathi Rao 1 , B.N. Naveen Kumar 2 , J. Jayabharathiraj 3 1&3 Dept. of Statistics, Pondicherry University, Puducherry-605014 2 Dept. of Statistics, S.V. University, Tirupati - 517 502 1 [email protected], 2 [email protected], 3 [email protected] Keywords: Stochastic Modeling, Inter & Intra Stage Dependent Cancer Growth, Trivariate Poisson Processes, Stochastic differential equations ABSTRACT. This study has proposed a Stochastic Model for cancer growth under chemotherapy with the assumptions of the growth, transition and loss parameters of different stages are inter and intra dependent. A trivariate Poisson process approach has been adopted for modeling the three stage cancer growth by considering the stages of cells in the tumor namely normal cell, mutant cell and malignant cell in the presence and absence of chemotherapy during time ‘t’. Stochastic differential equations were obtained and the three dimensional joint probability functions along with related statistical measures were derived. Model behavior was analysed through numerical data. 1. Introduction The spread of cancer is more vigorous when a normal cell will transformed in to a mutant and further to a malignant cell. The growth, spread and loss processes of different types of cells are purely random and influenced by many known and unknown factors. The cell division and control mechanism of cancerous cells are out of the genetic instructions of any living body. Continuous proliferation of cells within each stage, transformation of cells from one stage to another stage leads to enormous growth within the limited membrane structures of a tissue may cause the formation of tumours. Development of secondary and invasion of cancerous cells through metastasis is again subject to many random issues and uncertainties. Usually the violation of genetic instruction of the cell will be initiated with conversion of a normal cell in to a typical and erratic behaved cell. Further, this erratic behaved/ mutant cell will have a faster growth of division as well as continuous and unending proliferation leads to formation of malignant cell. Hence, the cell division behaviour is varying from one stage to other stage. Quantification of cancer growth through the mathematical models was initiated by Mayneord (1932). Tumor resistance to chemotherapy by Coldmann et al. (1983), effects of drug resistance in the presence of chemotherapy by Birkhead et al. (1984), chemotherapy of experimental tumors by Coldman et al. (1986), cancer progression and response of chemotherapy by Sandeep sanga et al. (2006), system of differential equations for the control of tumor cells growth by Costa et al. (1995), Phase-space analysis of tumor growth with an immune response and chemotherapy by De pillis et al. (2003), cancer cell growth with spontaneous mutation and proliferation, inactivation of allele genes and under chemotherapy by Tirupathi Rao et al. (2004a, 2004b, 2004c), cancer growth with and without chemotherapy using bi-variate Poisson process by Madhavi et al. (2011) are some significant contributions in modeling the cancer growth using mathematical and stochastic models. Stochastic modeling on pathophysiology of cancer and its Biology is more appropriate to study the cancer growth and loss processes as it is influenced by many uncertain factors. This study is on stochastic modeling of cancer cell growth in three stages namely normal cell, mutant cell and malignant cell by using trivariate Poisson process in chemotherapy. The process of presence and absence of drug with indexed variables is introduced by assuming the growth of tumor during drug administration and drug vacations are complementary. This model is useful to study the growth of cancer cell as overall phenomena of chemotherapy. The Bulletin of Society for Mathematical Services and Standards Online: 2014-06-02 ISSN: 2277-8020, Vol. 10, pp 31-44 doi:10.18052/www.scipress.com/BSMaSS.10.31 © 2014 SciPress Ltd., Switzerland SciPress applies the CC-BY 4.0 license to works we publish: https://creativecommons.org/licenses/by/4.0/

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Page 1: P. Tirupathi oao , B.k. kaveen Kumar , g. … · Stochastic Modeling of fnter & fntra Stage aependent Cancer Growth under Chemotherapy through Trivariate Poisson Processes P. Tirupathi

Stochastic Modeling of Inter & Intra Stage Dependent Cancer Growth under Chemotherapy through Trivariate Poisson Processes

P. Tirupathi Rao 1, B.N. Naveen Kumar 2, J. Jayabharathiraj3 1&3 Dept. of Statistics, Pondicherry University, Puducherry-605014

2 Dept. of Statistics, S.V. University, Tirupati - 517 502

[email protected], [email protected], [email protected]

Keywords: Stochastic Modeling, Inter & Intra Stage Dependent Cancer Growth, Trivariate Poisson Processes, Stochastic differential equations

ABSTRACT. This study has proposed a Stochastic Model for cancer growth under chemotherapy

with the assumptions of the growth, transition and loss parameters of different stages are inter and

intra dependent. A trivariate Poisson process approach has been adopted for modeling the three

stage cancer growth by considering the stages of cells in the tumor namely normal cell, mutant cell

and malignant cell in the presence and absence of chemotherapy during time ‘t’. Stochastic

differential equations were obtained and the three dimensional joint probability functions along with

related statistical measures were derived. Model behavior was analysed through numerical data.

1. Introduction

The spread of cancer is more vigorous when a normal cell will transformed in to a mutant and

further to a malignant cell. The growth, spread and loss processes of different types of cells are

purely random and influenced by many known and unknown factors. The cell division and control

mechanism of cancerous cells are out of the genetic instructions of any living body. Continuous

proliferation of cells within each stage, transformation of cells from one stage to another stage leads

to enormous growth within the limited membrane structures of a tissue may cause the formation of

tumours. Development of secondary and invasion of cancerous cells through metastasis is again

subject to many random issues and uncertainties. Usually the violation of genetic instruction of the

cell will be initiated with conversion of a normal cell in to a typical and erratic behaved cell.

Further, this erratic behaved/ mutant cell will have a faster growth of division as well as continuous

and unending proliferation leads to formation of malignant cell. Hence, the cell division behaviour

is varying from one stage to other stage.

Quantification of cancer growth through the mathematical models was initiated by Mayneord

(1932). Tumor resistance to chemotherapy by Coldmann et al. (1983), effects of drug resistance in

the presence of chemotherapy by Birkhead et al. (1984), chemotherapy of experimental tumors by

Coldman et al. (1986), cancer progression and response of chemotherapy by Sandeep sanga et al.

(2006), system of differential equations for the control of tumor cells growth by Costa et al. (1995),

Phase-space analysis of tumor growth with an immune response and chemotherapy by De pillis et

al. (2003), cancer cell growth with spontaneous mutation and proliferation, inactivation of allele

genes and under chemotherapy by Tirupathi Rao et al. (2004a, 2004b, 2004c), cancer growth with

and without chemotherapy using bi-variate Poisson process by Madhavi et al. (2011) are some

significant contributions in modeling the cancer growth using mathematical and stochastic models.

Stochastic modeling on pathophysiology of cancer and its Biology is more appropriate to study

the cancer growth and loss processes as it is influenced by many uncertain factors. This study is on

stochastic modeling of cancer cell growth in three stages namely normal cell, mutant cell and

malignant cell by using trivariate Poisson process in chemotherapy. The process of presence and

absence of drug with indexed variables is introduced by assuming the growth of tumor during drug

administration and drug vacations are complementary. This model is useful to study the growth of

cancer cell as overall phenomena of chemotherapy.

The Bulletin of Society for Mathematical Services and Standards Online: 2014-06-02ISSN: 2277-8020, Vol. 10, pp 31-44doi:10.18052/www.scipress.com/BSMaSS.10.31© 2014 SciPress Ltd., Switzerland

SciPress applies the CC-BY 4.0 license to works we publish: https://creativecommons.org/licenses/by/4.0/

Page 2: P. Tirupathi oao , B.k. kaveen Kumar , g. … · Stochastic Modeling of fnter & fntra Stage aependent Cancer Growth under Chemotherapy through Trivariate Poisson Processes P. Tirupathi

Figure 1: Schematic Diagram for Cancer Growth Processes during Chemotherapy

2. Stochastic Model for Cancer Growth during Chemotherapy

A Stochastic model for three stage cancer cell growth in chemotherapy is developed with the

following assumptions. Let the events occurred in non-overlapping intervals of time are statistically

independent. Let Δt be an infinitesimal interval of time. Let there be ‘n’ normal cells, ‘m’ mutant

cells, ‘k’ malignant cells initially at time’t’. Let assuming 0 and 1 when the

patient is in drug presence and absence respectively.

Let be the rate of growths; be the rate of death of cells; be the rate of transformation

of cells from k to k+1 stage. where, ‘I’ be the stage of cells, i=1,2,3 for normal, mutant, malignant

cells respectively; ‘j’ be the state of drug, j=0,1 (absence, presence); ‘k’ be the transformation of

cells k to k+1 stage, k=1,2. All the parameters follow poisson processes and, let postulates of the

model are.

Let be individual stochastic processes of normal

cell, mutant cell and malignant cell. Such that,

be the tri-variate process such that

processes will be Let us define,

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The probability of occurrence of other than the above events during an infinitesimal interval of time

be the joint probability of existence of ‘n’ normal cells, ‘m’ mutant

cells and ‘k’ malignant cells in a tumor during chemotherapy per unit time ‘t’. Then differential-

difference equations of the model are:

(2.1)

For

(2.2)

(2.3)

(2.4)

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(2.5)

(2.6)

(2.7)

(2.8)

With the initial condition

Where normal cells, mutant cells and malignant cells in the tumor under

chemotherapy. Let be the joint probability generating function of ;

Where (2.9)

Multiplying the equations (2.1) to (2.8) with and summing overall n, m and k, we obtain

(2.10)

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Simplifying and rearranging the terms in the equation (2.10) we get,

(2.11)

We can obtain the characteristics of the model by using the joint cumulant generating function of

Taking and denoting as the joint cumulant

generating function of , equation. (2.11) becomes

(2.12)

3. Differential Equations and Statistical Measures

Let denote the moments of order of normal cells, mutant cells, malignant cells

at time ‘t’.

Then the differential equation governing are obtain as

(3.1)

(3.2)

(3.3)

(3.4)

The Bulletin of Society for Mathematical Services and Standards Vol. 10 35

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(3.5)

(3.6)

(3.7)

(3.8)

(3.9)

Expected number of normal cells at time ‘t’ is

(3.10)

Expected number of mutant cells at time ‘t’ is

(3.11)

Expected number of malignant cells during time ‘t’ is

(3.12)

Variance of number of normal cells at time ‘t’ is

(3.13)

Variance of number of mutant cells at time ‘t’ is

(3.14)

Variance of number of malignant cells at time ‘t’ is

(3.15)

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Covariance of number of normal and mutant cells at time ‘t’ is

(3.16)

Covariance of number of mutant and malignant cell at time ‘t’ is

(3.17)

Covariance of number of normal and malignant cells at time ‘t’ is

(3.18)

where

The Bulletin of Society for Mathematical Services and Standards Vol. 10 37

Page 8: P. Tirupathi oao , B.k. kaveen Kumar , g. … · Stochastic Modeling of fnter & fntra Stage aependent Cancer Growth under Chemotherapy through Trivariate Poisson Processes P. Tirupathi

4. Numerical Illustration and sensitivity analysis

In order to understand the model behavior on more detailed way, a simulated data set based were

obtained. From equations (3.10), (3.11), (3.12), (3.13), (3.14), (3.15), (3.16), (3.17) and (3.18) the

values of and

are computed and presented in tables (4.1), (4.2), (4.3) and (4.4).

The changing patterns of statistical measures with respect to the study parameters are presented in

table 4.1 and the following findings are observed.

m100, m010, and m001; m110, m101 and m011; m200, m020 and m002 are increasing with λ11 when all

other parameters are constants.

m100 is invariant, m010 and m001 are increasing; m110, m101 and m011 are increasing; m200 is

invariant, m020 and m002 are increasing with λ21 when all other parameters are constants.

m100, m010 are invariant, m001 is increasing; m110 is invariant, m101 is increasing function and

m011 is decreasing function; m200, m020 are invariant and m002 is decreasing with λ31 when all

other parameters are constants.

m100, m010 are decreasing and m001 is increasing; m110, m101 are decreasing and m011 is

increasing; m200, m002 are decreasing and m020 is increasing with δ11 when all other parameters

are constants.

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m100 is invariant, m010 is decreasing and m001 is increasing; m110, m101 and m011 are decreasing;

m200 is invariant, m020 and m002 are decreasing with δ21 when all other parameters are constants.

m100, m010, and m001 are increasing; m110, m101 and m011 are increasing; m200, m020, and m002 are

increasing with time t when all other parameters are constants.

The changing patterns of statistical measures with respect to the study parameters are presented in

table 4.2 and the following findings are observed.

m100, m010 and m001 are decreasing; m110, m101 and m011 are decreasing; m200, m020 and m002 are

decreasing with μ11 when all other parameters are constants.

m100 is invariant, m010 and m001 are decreasing; m110, m101 and m011 are decreasing; m200 is

invariant, m020 and m002 are decreasing with μ21 when all other parameters are constants.

m100, m010 are invariant and m001 is decreasing; m110 is invariant, m101 is decreasing and m011 is

increasing; m200, m020 are invariant and m002 is increasing with μ31 when all other parameters

are constants.

m100, m010 and m001 are increasing; m110, m101 and m011 are increasing; m200, m020 and m002 are

increasing with N0 when all other parameters are constants.

m100 is invariant, m010 and m001 are increasing; m110, m101, and m011 are invariant; m200, m020 are

invariant and m002 is decreasing with M0 when all other parameters are constants.

m100, m010 are invariant and m001 is increasing; m110, m101 and m011 are invariant; m200, m020 and

m002 are invariant with K0 when all other parameters are constants.

The changing patterns of statistical measures with respect to the study parameters are presented in

table 4.3 and the following findings are observed.

m100, m010 and m001 are increasing; m110 is increasing, m101 and m011 are negative & increasing;

m200, m020 and m002 are increasing with λ10 when all other parameters are constants.

m100 is invariant and m010, m001 are increasing; m110, m011 are decreasing and m101 is increasing;

m200 is invariant, m020 is increasing and m002 is decreasing with λ20 when all other parameters

are constants.

m100, m010 are invariant and m001 is increasing; m110 is invariant, m101 and m011 are negative &

decreasing; m200, m020 are invariant and m002 is increasing with λ30 when all other parameters

are constants.

m100, m010 are decreasing and m001 is increasing; m110 is decreasing, m101 and m011 are negative

& increasing; m200, m020 and m002 are decreasing with δ10 when all other parameters are

constants.

m100 is invariant, m010 is decreasing and m001 is increasing; m110 is increasing, m101 is negative

& decreasing and m011 is negative & increasing; m200 is invariant, m020 is decreasing and m002

is increasing with δ20 when all other parameters are constants.

m100, m010 are decreasing and m001 is increasing; m110 is decreasing, m101 and m011 are negative

& increasing; m200, m020 are decreasing and m002 is increasing with time t when all other

parameters are constants.

The changing patterns of statistical measures with respect to the study parameters are presented in

table 4.3 and the following findings are observed.

m100, m010 and m001 are decreasing; m110 is decreasing, m101 is negative & increasing function

and m011 is negative and decreasing function of μ10; m200, m020 and m002 are decreasing with μ10

when all other parameters are constants.

m100 is invariant, m010 and m001 are decreasing; m110 is increasing, m101 is negative &

decreasing and m011 is negative & increasing; m200 is invariant, m020 is decreasing and m002 is

increasing with μ20 when all other parameters are constants.

m100, m010 are invariant and m001 is decreasing; m110 is invariant, m101 and m011 are negative &

increasing; m200, m020 are invariant and m002 is decreasing with μ30 when all other parameters

are constants.

m100, m010 and m001 are increasing; m110 is increasing, m101 and m011 are negative & decreasing;

m200, m020 and m002 are increasing with N0 when all other parameters are constants.

The Bulletin of Society for Mathematical Services and Standards Vol. 10 39

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m100 is invariant, m010 and m001 are increasing; m110 is invariant, m101 is negative & invariant

and m011 is decreasing; m200 is invariant and m020, m002 are increasing with M0 when all other

parameters are constants.

m100, m010 are invariant and m001 is increasing; m110 is invariant and m101, m011 are negative &

invariant; m200, m020 are invariant and m002 is increasing with K0 when all other parameters are

constants.

Acknowledgements

The authors are thankful to acknowledge the funding agency to extract this study as the first author

is the principal investigator of a major research project work entitled “” sponsored by the Scientific

and Engineering Research Board (SERB), Department of Science & Technology (DST), Govt. of

India.

Appendix

Table 4.1: Values of m100, m010, m001 m110, m101, m011 m200, m020, and m002 for varying values of λ11,

λ21, λ31, δ11, δ21 and t.

40 Volume 10

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Table 4.2: Values of m100, m010, m001 m110, m101, m011 m200, m020, and m002 for varying values of

μ11, μ21, μ31, N0, M0 and K0.

The Bulletin of Society for Mathematical Services and Standards Vol. 10 41

Page 12: P. Tirupathi oao , B.k. kaveen Kumar , g. … · Stochastic Modeling of fnter & fntra Stage aependent Cancer Growth under Chemotherapy through Trivariate Poisson Processes P. Tirupathi

Table 4.3: Values of m100, m010, m001 m110, m101, m011 m200, m020, and m002 for varying values of λ10,

λ20, λ30, δ10, δ20 and t.

42 Volume 10

Page 13: P. Tirupathi oao , B.k. kaveen Kumar , g. … · Stochastic Modeling of fnter & fntra Stage aependent Cancer Growth under Chemotherapy through Trivariate Poisson Processes P. Tirupathi

Table 4.4: Values of m100, m010, m001 m110, m101, m011 m200, m020, and m002 for varying values of

μ10, μ20, μ30, N0, M0 and K0.

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cancer chemotherapy. Math. Biosci. 72, 59-69 (1984)

[3]. Coldman, A.J., Goldie, J.H.: A model for the resistance of tumor cells to cancer

chemotherapeutic agents. Math. Biosci. 65, 291-307 (1983)

[4]. Coldman, A.J., Goldie, J.H.: A stochastic model for the origin and treatment of tumors

containing drug resistant cells. Bull. Math. Biol. 48, 279-292 (1986)

[5]. Costa, M.I.S., Boldrini, J. L., Bassanezi, R.C.: Chemotherapeutic Treatments Involving Drug

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211-228 (1995)

[6]. John Carl Panetta.: A mathematical model of drug resistance: Heterogeneous tumors.

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[7]. Sandeep Sanga, John P Sinek, Hermann B Frieboes, Mauro Ferrari, John P Fruehauf, Vittorio

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Rev. Anticancer Ther. 6(10), 1361-1376 (2006)

[8]. Srinivasa Rao, K., Tirupathi Rao, P.: A Stochastic Model for Cancer Cell Growth under

Chemotherapy. Assam Statistical Review. 18(1), 81-101 (2004)

[9]. Srinivasa Rao, K., Tirupathi Rao, P.: Stochastic Model for Mutant Cell Growth with

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44 Volume 10