S. Michelson et Jt. Leith, GROWTH-FACTORS AND GROWTH-CONTROL OF HETEROGENEOUS CELL-POPULATIONS, Bulletin of mathematical biology, 55(5), 1993, pp. 993-1011
In an earlier work a model of the autocrine and paracrine pathways of
tumor growth control was developed (Michelson and Leith. 1991. Autocri
ne and paracrine growth factors in tumor growth. Bull. math. Biol. 53,
639-656). The target population, a generic tumor, was modeled as a si
ngle, homogeneous population using the standard Verhulst equation of l
ogistic growth. Mitogenic signals were represented by modifications to
the Malthusian growth parameter and adaptational signals were represe
nted by modifications to the carrying capacity. Three growth scenarios
were described: (1) normal tissue wound healing, (2) unperturbed tumo
r growth, and (3) tumor growth in a radiation damaged environment, a p
henomenon termed the Tumor Bed Effect (TBE). In this paper, we extend
those results to include a ''triad'' of growth factor controls (autocr
ine, paracrine and endocrine) and heterogeneity of the target populati
on. The heterogeneous factors in the model represent either intrinsic,
epigenetic or environmental differences in both normally differentiat
ing tissues and tumors. Three types of growth are modeled: (1) normal
tissue differentiation or wound healing, assuming no communication bet
ween differentiated and undifferentiated cell compartments; (2) normal
wound healing with feedback inhibition, due to signalling from the di
fferentiated compartment; and (3) the development of hypoxia in a sphe
rical tumor. The signal processing within the triad is discussed for e
ach model and biologically reasonable constraints are defined for limi
ts on growth control.