Evidence map›Paper›PMID 40850942›Full record

ArticleNPJ systems biology and applications2025

Optimal dosing of anti-cancer treatment under drug-induced plasticity.

Einar Bjarki Gunnarsson, Benedikt Vilji Magnússon, Jasmine Foo

Abstract read
In one paragraph

Article in NPJ systems biology and applications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Adaptive therapy and its challenges.Evolution, medicine, and public health · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Einar Bjarki GunnarssonDivision of Applied Mathematics, Science Institute, University of Iceland, Reykjavik, Iceland. ebg@hi.is.
Benedikt Vilji MagnússonDivision of Applied Mathematics, Science Institute, University of Iceland, Reykjavik, Iceland.
Jasmine FooSchool of Mathematics, University of Minnesota, Minneapolis, MN, USA.

Funding

A microengineered colon cancer-chip designed to investigate tumor-stromal interactions driving cancer progressionR01CA241137 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MUMENTHALER, SHANNON MICHELLE · 2021 to 2025
$2.3M
National Science Foundation CMMI-2228034NCI NIH HHS R01 CA241137
6 · The paper itself

Abstract

While cancer has traditionally been considered a genetic disease, mounting evidence indicates an important role for non-genetic (epigenetic) mechanisms. Common anti-cancer drugs have recently been observed to induce the adoption of non-genetic drug-tolerant cell states, thereby accelerating the evolution of drug resistance. This confounds conventional high-dose treatment strategies aimed at maximal tumor reduction, since high doses can simultaneously promote non-genetic resistance. In this work, we study optimal dosing of anti-cancer treatment under drug-induced cell plasticity. We show that the optimal dosing strategy steers the tumor to a fixed equilibrium composition between sensitive and tolerant cells, while precisely balancing the trade-off between cell kill and tolerance induction. The optimal equilibrium strategy ranges from applying a low dose continuously to applying the maximum dose intermittently, depending on the dynamics of tolerance induction. We finally discuss how our approach can be integrated with in vitro data to derive patient-specific treatment insights.

Indexed as

Antineoplastic AgentsCell PlasticityNeoplasmsDose-Response Relationship, DrugDrug Resistance, NeoplasmHumansAntineoplastic Agents

Identifiers

PMID40850942
PMCPMC12375710

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.