Analytical Models of Intra- and Extratumoral Cell Interactions at Avascular Stage of Growth in the Presence of Targeted Chemotherapy

In this study, we propose a set of nonlinear differential equations to model the dynamic growth of avascular stage tumors, considering nutrient supply from underlying tissue, innate immune response, contact inhibition of cell migration, and interactions with a chemotherapeutic agent. The model has been validated against available experimental data from the literature for tumor growth. We assume that the size of the modeled tumor is already detectable, and it represents all clinically observed existent cell populations; initial conditions are selected accordingly. Numerical results indicate that the tumor size and regression significantly depend on the strength of the host immune system. The effect of chemotherapy is investigated, not only within the malignancy, but also in terms of the responding immune cells and healthy tissue in the vicinity of a tumor.