Plaugher, Daniel; Aguilar, Boris; Murrugarra, David Uncovering potential interventions for pancreatic cancer patients via mathematical modeling. (English) Zbl 1493.92028 J. Theor. Biol. 548, Article ID 111197, 11 p. (2022). Summary: Pancreatic ductal adenocarcinoma (PDAC) is widely known for its poor prognosis because it is often diagnosed when the cancer is in a later stage. We built a Boolean model to analyze the microenvironment of pancreatic cancer in order to better understand the interplay between pancreatic cancer, stellate cells, and their signaling cytokines. Specifically, we have used our model to study the impact of inducing four common mutations: KRAS, TP53, SMAD4, and CDKN2A. After implementing the various mutation combinations, we used our stochastic simulator to derive aggressiveness scores based on simulated attractor probabilities and long-term trajectory approximations. These aggression scores were then corroborated with clinical data. Moreover, we found sets of control targets that are effective among common mutations. These control sets contain nodes within both the pancreatic cancer cell and the pancreatic stellate cell, including PIP3, RAF, PIK3 and BAX in pancreatic cancer cell as well as ERK and PIK3 in the pancreatic stellate cell. Many of these nodes were found to be differentially expressed among pancreatic cancer patients in the TCGA database. Furthermore, literature suggests that many of these nodes can be targeted by drugs currently in circulation. The results herein help provide a proof of concept in the path towards personalized medicine through a means of mathematical systems biology. All data and code used for running simulations, statistical analysis, and plotting is available on a GitHub repository at https://github.com/drplaugher/PCC_Mutations. Cited in 1 Document MSC: 92C50 Medical applications (general) 92C42 Systems biology, networks Keywords:pancreatic cancer; phenotype control; cytokines; pancreatic stellate cells; Boolean networks Software:PCC_Mutations; Macaulay2 PDF BibTeX XML Cite \textit{D. Plaugher} et al., J. Theor. Biol. 548, Article ID 111197, 11 p. (2022; Zbl 1493.92028) Full Text: DOI References: [1] Aguilar, Boris; Fang, Pan; Laubenbacher, Reinhard; Murrugarra, David, A near-optimal control method for stochastic boolean networks, Lett. Biomath., 7, 1, 67-80 (2020) [2] Aguilar, Boris; Gibbs, David L.; Reiss, David J.; McConnell, Mark; Danziger, Samuel A.; Dervan, Andrew; Trotter, Matthew; Bassett, Douglas; Hershberg, Robert; Ratushny, Alexander V.; Shmulevich, Ilya, A generalizable data-driven multicellular model of pancreatic ductal adenocarcinoma, Gigascience, 9, 7 (2020) [3] Sunjida Ahmed, Azore-Dee Bradshaw, Shweta Gera, M. Dewan, and Ruliang Xu. 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