In silico analysis of cell cycle synchronisation effects in radiotherapy of tumour spheroids

PLoS Comput Biol. 2013;9(11):e1003295. doi: 10.1371/journal.pcbi.1003295. Epub 2013 Nov 14.

Abstract

Tumour cells show a varying susceptibility to radiation damage as a function of the current cell cycle phase. While this sensitivity is averaged out in an unperturbed tumour due to unsynchronised cell cycle progression, external stimuli such as radiation or drug doses can induce a resynchronisation of the cell cycle and consequently induce a collective development of radiosensitivity in tumours. Although this effect has been regularly described in experiments it is currently not exploited in clinical practice and thus a large potential for optimisation is missed. We present an agent-based model for three-dimensional tumour spheroid growth which has been combined with an irradiation damage and kinetics model. We predict the dynamic response of the overall tumour radiosensitivity to delivered radiation doses and describe corresponding time windows of increased or decreased radiation sensitivity. The degree of cell cycle resynchronisation in response to radiation delivery was identified as a main determinant of the transient periods of low and high radiosensitivity enhancement. A range of selected clinical fractionation schemes is examined and new triggered schedules are tested which aim to maximise the effect of the radiation-induced sensitivity enhancement. We find that the cell cycle resynchronisation can yield a strong increase in therapy effectiveness, if employed correctly. While the individual timing of sensitive periods will depend on the exact cell and radiation types, enhancement is a universal effect which is present in every tumour and accordingly should be the target of experimental investigation. Experimental observables which can be assessed non-invasively and with high spatio-temporal resolution have to be connected to the radiosensitivity enhancement in order to allow for a possible tumour-specific design of highly efficient treatment schedules based on induced cell cycle synchronisation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Cycle / radiation effects*
  • Cell Line, Tumor
  • Computational Biology
  • Computer Simulation
  • Mice
  • Models, Biological*
  • Radiotherapy*
  • Spheroids, Cellular / radiation effects*
  • Tumor Cells, Cultured / radiation effects*

Grants and funding

The work was supported by the Human Frontier Science Program (HFSP) grant RGP0017/2011. HK wishes to acknowledge the support of the foundation “Stiftung Polytechnische Gesellschaft” Frankfurt. HH acknowledges the support of the German Research Foundation (DFG) within the Cluster of Excellence ‘Center for Advancing Electronics Dresden’. MMH was supported by the BMBF initiatives GerontoSys (GerontoMitoSys and GerontoShield) and eMED (SYSIMIT, grant 01ZX1308B). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.