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16  Mathematical Techniques of Fractional Order Systems


            1.3.3  Modeling Bone Remodeling Cycles—Integer Models
            Models based on differential equations have been applied to analyze and
            simulate biochemical and biomechanical interactions between the tumor
            cells with the bone microenvironment. They can be divided into local or
            nonlocal constructions (mainly one-dimensional models) and, within each
            category, three stages of bone behavior are encompassed: healthy
            bone microenvironment, tumor disrupted bone dynamics, and therapy
            counteraction.
               The simplest model for bone remodeling was proposed in Komarova
            et al. (2003), taking an S-system form described by Eq. (1.17) (Savageau,
            1988). Coupling of osteoclasts, CðtÞ, and osteoblasts, BðtÞ, behavior is done
            through biochemical autocrine ðg CC ; g BB Þ and paracrine ðg BC ; g CB Þ factors
            expressed implicitly in the system’s exponents. Bone mass density, zðtÞ,is
            determined through the extent which values of CðtÞ and BðtÞ populations
            exceed their nontrivial steady state, C SS and B SS , respectively. Consequently,
            bone mass is but the reflection of the bone cells activities. Production and
            death rate of the bone cells are encompassed in α C;B and β  , respectively,
                                                              C;B
            and constants κ C and κ B represent the bone resorption and formation activ-
            ity, respectively.
                               1           g CC  g BC
                             D CðtÞ 5 α C CðtÞ  BðtÞ  2 β CðtÞ        ð1:17aÞ
                                                      C
                               1           g CB  g BB
                              D BðtÞ 5 α B CðtÞ  BðtÞ  2 β BðtÞ      ð1:17bÞ
                                                      B
                    1
                   D zðtÞ 52 κ C max½0; CðtÞ 2 C ss Š 1 κ B max½0; BðtÞ 2 B ss Š  ð1:17cÞ
               This model is capable of representing single or periodical remodeling
            cycles by setting the autocrine and paracrine parameters to the appropriate
            values, specially the osteoblast-derived osteoclast paracrine regulator g BC .
            The RANK/RANKL/OPG pathway is also implicitly encoded in this parame-
            ter. Response amplitude and frequency depend on the initial conditions, trig-
            gered by a deviation from the steady state, as seen in Fig. 1.5 for periodical
            cycles only. Parameter values are given in Table 1.2.
               Disruptive pathologies to the bone microenvironment were also added. In
            Ayati et al. (2010) the previous model was extended to incorporate the effect
            of MM in the bone dynamics, as presented in Eq. (1.18). TðtÞ represents the
            tumor cells density at time t, with a Gompertz form of constant growth
            γ . 0, and acts through the autocrine and paracrine regulations pathways in
             T
            the form of r ij parameters. The tumor action is considered independent of the
            bone mass, with a possible maximum tumor size of L T . Periodic remodeling
            cycles are deregulated and bone mass density decreases. The bone mass
            equation is the same as that of Eq. (1.17c), remaining as a consequence of
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