Evidence map›Paper›PMID 42446991›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

Quantitative calibration of a spatial QSP model identifies fibroblast impact on HCC immunotherapy.

Shuming Zhang, Hanwen Wang, Yeonju Cho, Heber L Rocha, Wendy Wong, Mark Yarchoan, Elizabeth M Jaffee, Won Jin Ho, Luciane T Kagohara, Elana J Fertig and 2 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Structured Schemas for Provenance-Rich, LLM-Assisted QSP Model Calibration.CPT: pharmacometrics & systems pharmacology · 2026
    Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Shuming ZhangDepartment of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD 21205.ORCID 0000-0002-2231-9317
Hanwen WangDepartment of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD 21205.ORCID 0000-0001-5480-431X
Yeonju ChoDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21205.ORCID 0009-0003-3983-8337
Heber L RochaDepartment of Intelligent Systems Engineering, Indiana University, Bloomington, IN 47405.ORCID 0000-0002-5876-2644
Wendy WongDepartment of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD 21205.
Mark YarchoanDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21205.ORCID 0000-0003-4401-0748
Elizabeth M JaffeeDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21205.
Won Jin HoDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21205.
Luciane T KagoharaDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21205.
Elana J FertigInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, MD 21201.ORCID 0000-0003-3204-342X
Aleksander S PopelDepartment of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD 21205.ORCID 0000-0002-6706-9235
Atul DeshpandeDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD 21205.ORCID 0000-0001-5144-6924

Funding

Informing mechanistic rules of agent-based models with single-cell multi-omicsU24CA284156 · NCI · TRUSTEES OF INDIANA UNIVERSITY · PI Elana Fertig, Paul T Macklin · 2024 to 2026
$2.3M
Single-cell and imaging data integration software to spatially resolve the tumor microenvironmentU01CA253403 · NCI · JOHNS HOPKINS UNIVERSITY · PI FERTIG, ELANA · 2020 to 2022
$1.2M
DOD | USA | U.S. Army Medical Command (MEDCOM) 144517-CA220654PFoundation for the NIH (FNIH) U01CA253403Foundation for the NIH (FNIH) U24CA284156NCI NIH HHS U24 CA284156
6 · The paper itself

Abstract

Computational models are increasingly used to predict treatment response and optimize cancer therapeutic strategies. Quantitative systems pharmacology (QSP) models mechanistically simulate tumor progression and pharmacological interventions, enabling virtual clinical trials, model-informed drug development, and biomarker discovery, but they lack spatial resolution to represent tumor microenvironment (TME) architecture. Coupling QSP with agent-based modeling creates spatial QSP (spQSP) frameworks capable of resolving tissue-level organization at single-cell resolution; however, parameterizing these models with human tumor data remains challenging. Here, we extend an existing spQSP model of liver cancer by mechanistically incorporating a fibroblast module and develop an Approximate Bayesian Computation-Sequential Monte Carlo calibration pipeline that integrates spatial molecular data. This calibration framework matches tumor architectures between spQSP simulations and spatial molecular data by fitting statistical summaries of cellular neighborhoods. The calibrated model reproduces fibroblast-mediated exclusion of lymphocyte infiltration observed in spatial transcriptomics and predicts posttreatment spatial tumor states in an independent cohort receiving immune checkpoint inhibitor and tyrosine kinase inhibitor combination therapy. Finally, we identify spatial and nonspatial pretreatment biomarkers associated with therapeutic response. Together, this study demonstrates how integrating spatial omics with mechanistic modeling enables quantitative calibration, reveals the spatial role of fibroblasts in shaping immunosuppressive TMEs, and supports in silico biomarker discovery toward personalized cancer therapy.

Indexed as

Carcinoma, HepatocellularFibroblastsImmunotherapyLiver NeoplasmsBayes TheoremCalibrationComputer SimulationHumansModels, BiologicalMonte Carlo MethodTumor Microenvironmentbioinformaticscomputational medicinecomputational oncologymathematical biologysystem biology

Identifiers

PMID42446991
PMCPMC13393475

What OpenQuestion holds

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Registered trials

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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.