Special Issue: Quantitative Cancer Biology
TrendsTalk
Integrating Quantitative Approaches in Cancer Research and Oncology
Cancer is a complex disease that requires a multidisciplinary approach to address the mechanisms by which
cancer progresses, evolves, and causes treatment resistance in patients. Quantitative and systems biology
approaches can propel our understanding of the physical, biological, and evolutionary principles that drive
cancer progression and treatment resistance. Here, we ask experts what they see as the challenges and
opportunities for incorporating physical science concepts into cancer biology and oncology.
Deconvoluting the Complexity of Cancer Depends on Understanding the
Dynamics of Dysregulated Information Flow across Biological Scales
Anna D. Barker, PhD
University of Southern California, Los Angeles, CA, USA
and Arizona State University, Tempe, AZ, USA
Cancer comprises many ‘agents’ in a self-organizing complex adaptive system (CAS)
that generally operates via simple rules at scale, exhibits redundancy, and operates
far from equilibrium at the edge of chaos. Viewing and studying cancer as a CAS
requires that the investigator understand that these elements may function somewhat
independently or together to drive the development of emergent properties. Cancer
exhibits two of the defining features of a CAS, emergence and coevolution, which are
inexorably linked through information. Driven by advanced technologies, cancer
research is now awash in data from dysregulated molecular pathways and networks,
but this data ‘tsunami’ has yet to produce much useful information to address the two
most challenging problems in cancer: metastatic disease and therapeutic resistance.
Thus, realizing the concept of precision oncology remains elusive.
Over the next decade, the application (and merger) of information [1] and evolutionary
theories will become a primary theoretical organizing model for developing a fundamen-
tal understanding of cancer across scales and time. Cancer is defined by the dynamic
nature of the digital and analog computing that drives the myriad functions that occur
to support complex decision-making and other functions at scale and across scales.
It is remarkable that, since the sequencing of the human genome, we have accumulated
vast amounts of data in oncology, but still know very little about the quantitative and
mathematical aspects of how to identity, monitor, and predict the management and
flow of dysregulated information in cancer. To address these challenges in oncology
will require unprecedented advances in fundamentally understanding the quantitative
aspects of the dysregulated information driving cancer, including long-needed progress
in context-dependent algorithm development, computational modeling, simulation, and
visualization. Additional advances in computing and the convergence of disciplines will
also be needed to decode the nature and dynamics of this information, paving the
way for new targets and strategies to prevent and cure cancer.
Cancer Biology and Treatment: Is the Obvious Answer also Correct?
Robert Gatenby, MD
H. Lee Moffitt Cancer Center, Tampa, FL, USA
In 1756, Benjamin Franklin’s plan to view a lunar eclipse was disrupted when a violent
nor’easter (i.e., a storm with winds coming from the north east) struck Philadelphia.
Franklin, like all scientists of his time, assumed that the wind carried the storm so that
his brother in Boston would similarly have missed the eclipse. He was shocked to
learn the storm actually arrived in Boston after the eclipse, leading him to develop new
models of storm movement guided by atmospheric pressures.
Franklin was neither the first nor the last person to experience the divergence of linear
human intuition from the nonlinear dynamics of complex dynamic systems. That is, his
270 Trends in Cancer, April 2021, Vol. 7, No. 4 https://doi.org/10.1016/j.trecan.2021.01.011
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