J. Math. Biol. (1995) 33:744-770 deurnol of Mathematical Blolo9y © Springer-Verlag 1995 A mathematical analysis of a model for tumour angiogenesis M.A.J. Chaplain 1, Susan M. Giles z, B.D. Sleeman 2, R.J. Jarvis 2 1School of Mathematical Sciences, University of Bath, Bath BA2 7AY, England e-mail: [email protected], Fax: 01225 826492 2Department of Mathematics and Computer Science, University of Dundee, Dundee DD1 4HN, Scotland Received 9 May 1994; received in revised form 21 December 1994 Abstract. In order to accomplish the transition from avascular to vascular growth, solid tumours secrete a diffusible substance known as tumour angiogenesis factor (TAF) into the surrounding tissue. Neighbouring endothelial cells respond to this chemotactic stimulus in a well-ordered sequence of events comprising, at minimum, of a degradation of their basement membrane, migration and proliferation. A mathematical model is presented which takes into account two of the most important events associated with the endothelial cells as they form capillary sprouts and make their way towards the tumour i.e. cell migration and proliferation. The numerical simulations of the model compare very well with the actual experimental observations. We subsequently investigate the model analytically by making some relevant biological simplifications. The mathematical analysis helps to clarify the particular contributions to the model of the two independent processes of endothelial cell migration and proliferation. Key words: Angiogenesis - Endothelial cells - Proliferation - Migration 1 Introduction Solid tumours are known to progress through two distinct phases of growth - the avascular phase and the vascular phase (Folkman 1974, 1976). The transition from the dormant avascular state to the vascular state, wherein the tumour possesses the ability to invade surrounding tissue and metastasise to distant parts of the body, depends upon its ability to induce new blood vessels from the surrounding tissue to sprout towards and then gradually penetrate the tumour, thus providing it with an adequate blood supply and microcirculation. In order to accomplish this neovascularization, it is now a well-established fact that tumours secrete a diffusible chemical compound known as tumour angiogenesis factor (TAF) into the surrounding tissue and Tumour angiogenesis model 745 extracellular matrix. Much work has been carried out into the nature of TAF and its effect on endothelial cells since initial research began in the early 1970's with Folkman, culminating quite recently in the purification of several angiogenic factors, the determination of their amino acid sequences and the cloning of their genes (Strydom et al., 1985; Folkman and Klagsbrun, 1987; Deshpande & Shetna, 1989). The extensive current literature on the subject is testimony to its importance in our understanding of the mechanisms by which solid tumours develop and grow (see, for example, the reviews of Folkman and Klagsbrun, 1987, and Paweletz and Knierim, 1989). The first events of angiogenesis are rearrangements and migration of endothelial cells situated in nearby vessels. The main function of endothelial cells is in the lining of the different types of vessels such as venules and veins, arterioles and arteries, small lymphatic vessels and the thoracic duct. They form a single layer of flattened and extended cells and the intercellular contacts are very tight. Large intercellular spaces are not visible and any easy penetration of the established layer of cells is impossible. Special processes must take place for the intra- and extravasation of different cellular elements of the blood or the lymphatic fluids and tumour cells. Even intravascular tumour cells have to induce the formation of gaps in the single layer of endothelial cells in order to leave the respective vessels. These cells are the principal characters in the drama of angiogenesis and are always centre stage (Paweletz and Knierim, 1989). In response to the angiogenic stimulus, endothelial cells in the neighbouring normal capillaries which do not possess a muscular sheath are activated to stimulate proteases and collagenases. The endothelial cells destroy their own basal lamina and start to migrate into the extracellular matrix. Small capillary sprouts are formed by accumulation of endothelial cells which are recruited from the parent vessel. The sprouts grow in length by migration of the endothelial cells (Cliff, 1963; Schoefl, 1963; Warren, 1966; Sholley et al., 1984). The experimental results of Sholley et al. (1984) demonstrated that endothelial cells are continually redistributed among sprouts, moving from one sprout to another. This permits the significant outgrowth of a network of sprouts even when cell proliferation is prevented (Sholley et al., 1984). At some distance from the tip of the sprout the endothelial cells divide and proliferate to contribute to the number of migrating endothelial cells. The mitotic figures are only observed once the sprout is already growing out and cell division is largely confined to a region just behind the sprout tip. Solid strands of endothelial cells are formed in the extracellular matrix. Lumina develop within these strands and mitosis continues. Initially the sprouts arising from the parent vessel grow in a more or less parallel way to each other. They tend to incline toward each other at a definite distance from the origin when neighbouring sprouts run into one another and fuse to form loops or a n a s t o m o s e s . Both tip-tip and tip-branch anastomosis occur and the first signs of circulation can be recognised. From the primary loops, new buds and sprouts emerge and the process continues until the tumour is eventually penetrated. 746 M.A.J. Chaplain et al. Thus, as is clear from the above brief description, there are three main events concerning the endothelial cells which go to make up the process of angiogenesis after the release of TAF by the tumour cells, namely: 1. degradation of the basement membrane by enzymes secreted by the cells, 2. migration of the endothelial cells, 3. proliferation of the endothelial cells. (a detailed description of the above events can be found in the extensive review of Paweletz and Knierim, 1989). We note that the second and third of these stages - endothelial cell migration and endothelial cell proliferation- are not linked together. They are distinct events and different types of stimuli are necessary for each of them. Indeed, the first steps of angiogenesis can be performed without any cell division at all (Sholley et al., 1984), and it is well known that mitotic figures can only be found once the sprouts have already started to grow. Under normal conditions, once they have developed, the walls of both blood and lymphatic vessels tend to be stable structures, with the endothelial cells there only rarely undergoing mitosis. Thus cell division is a sine qua non event for the successful completion of angiogenesis. Endothelial cell migration together with endothelial cell proliferation are crucial to neovascularization. Angiogenic factors must therefore induce all of the above three events in a wellordered sequence. In this paper we present a mathematical analysis of a model developed by Chaplain and Stuart (1993) which describes the response of the endothelial cells to the chemotactic stimulus of tumour angiogenesis factor. In the following two sections, we give a brief resum6 of this model and present the main results arising from the numerical simulations of the model. In Sect. 4 we make a relevant biological simplification to the model regarding the concentration profile of the TAF in the surrounding tissue. This reduces the model to one single partial differential equation describing the endothelial cell density and permits a certain amount of mathematical analysis to be carried out. We analyse both the time-dependent problem, which is relevant for describing the motion of the capillary sprouts as they move towards the tumour, and also the time-independent problem, which is shown to have some relevance to the modelling of the interactions taking place between the endothelial cells and the tumour cells in the immediate, initial stages of vascularization. The concluding section discusses the analysis with regard to the numerical simulations and also, more importantly, with regard to known experimental results concerning various aspects of angiogenesis. 2 The mathematical model Chaplain and Stuart (1993) develop a model for the response of the endothelial cells to the chemotactic stimulus of the TAF which consists of two equations, one for the endothelial cell density per unit area of capillary sprout Tumour angiogenesis model 747 (n) and the other for the concentration (c) of TAF in the host tissue. Using conservation principles, the system of equations considered takes on the general form rate of increase of T A F diffusion of TAF rate of increase of cell density cell migration loss due to cells mitotic generation decay of chemical cell loss We now discuss each of the above equations in turn, deriving the mathematical representation of each term of each equation. 2.1 Tumour angiogenesis factor From experimental work carried out on the cornea of test animals it is known that there is a critical distance between the tumour implant and the neighbouring vessels. We assume therefore that the tumour implant has been placed sufficiently close to the vessels of, for example, the corneal limbus (cf. Gimbrone et al., 1974; Muthukkaruppan et al., 1982) so as to be within the critical threshold distance observed by Gimbrone et al. (1974) (in these experiments it was found that no vascularisation of the tumour occurred, or that the time for vascularisation was substantially increased, when the tumour implant was placed at a distance of more than 2.5 mm from the limbal vessels). Tumour angiogenesis factor having concentration c (x, t) is secreted by the solid turnout and diffuses into the surrounding tissue with diffusion coefficient De, a constant (the assumption of linear Fickian diffusion). Upon reaching neighbouring endothelial cells situated in, for example, the limbal vessels, the TAF stimulates the release of enzymes by the endothelial cells which degrade their basement membrane. As described in the introduction, after degradation of the basement membrane has taken place, the initial response of the endothelial cells is to begin to migrate towards the source of angiogenic stimulus. Capillary sprouts are formed and cells subsequently begin to proliferate at a later stage. Once the capillary sprouts have formed, mitosis is largely confined to a region a short distance behind the sprout tips (Ausprunk and Folkman, 1977; Sholley et al., 1984; Paweletz and Knierim, 1989; Stokes and Lauffenburger, 1991). Ausprunk and Folkman (1977) hypothesised that the reason for this proliferation was that these cells or vessels at the sprout tips were actin9 as sinks for the TAF. Balding and McElwain (1985) also suggested that a sink term could be included in their model of capillary growth. Following Chaplain and Stuart (1991, 1993), we thus incorporate a sink term, f(c), say, for the TAF in addition to a natural decay term for the TAF and we assume that the local rate of uptake of TAF by the endothelial cells is governed by Michaelis-Menten kinetics (cf. Lin, 1976; McElwain, 1978; Hiltman and Lory, 1983; Chaplain and Stuart, 1991, 1993). We also assume that this uptake rate depends on the cell density through 748 M.A.J. Chaplain et al. some function g (n), say, i.e. the greater the density of endothelial cells, the more TAF will be removed by the cells acting as sinks (cf. Ausprunk and Folkman, 1977; Chaplain and Stuart, 1991, 1993). In general, the function #(n) can therefore be chosen to be some strictly increasing function to account for this. For simplicity the actual function used in the model is given by #(n) = n/no, a simple linear function. More complicated choices are also possible however and do not affect the model qualitatively. We also assume that the decay of TAF with time is governed by first-order kinetics, a standard assumption (cf. Sherratt and Murray, 1990), hence a term - d c is included. This leads to the following equation for the TAF in the external tissue Oc Qcn at = D~V2c (Km + c)no dc (2.1) The initial condition is given by c(x, O) = Co(X), (2.2) where Co(x) is a prescribed function chosen to describe qualitatively the profile of TAF in the external tissue when it reaches the limbal vessels (cf. Chaplain and Stuart, 1991, 1993). The TAF is assumed to have a constant value cb on the boundary of the tumour and to have decayed to zero at the limbus (cf. Chaplain and Stuart, 1991, 1993) giving the boundary conditions as c(O, t) = cb, c(L, t) = 0 . (2.3) 2.2 Endothelial cell population balance equation We follow the route of the endothelial cells from their origin in their parent vessel (e.g. the limbus), their crossing of the extracellular matrix and other material in the surrounding host tissue, to their destination within the tumour. The main events we model are the mi9ration and the proliferation of the endothelial cells (the processes of anastomosis and budding will be accounted for implicitly in the model). We note that the migration and replication of endothelial cells are not linked together. Different types of stimuli are necessary for these two processes and we take this important fact into account in our model. The general conservation equation for the endothelial cell density n(x, t) may be written (Chaplain and Stuart, 1993) an a--~+ V . J = F(n)G(c) + H(n) (2.4) where J i s the cell flux, F(n) and H(n) are functions representing a normalized growth term and a loss term respectively for the endothelial cells. We assume that mitosis is governed by logistic type growth and that cell loss is a first Tumour angiogenesis model 749 order process (cf. Stokes and Lauffenburger, 1991). Thus F(n) = rn ( 1 - --~o) ' (2.5) H(n) = -kpn , (2.6) where r is a positive constant related to the maximum mitotic rate and kp is the proliferation rate constant which is taken to be the reciprocal of the endothelial cell doubling time (cf. Sherratt and Murray, 1990; Stokes and Lauffenburger, 1991). We note that (2.5) contains a second order loss term while (2.6) is a first order loss term. Balding and McElwain (1985) considered cell loss due to anastomosis (both tip-tip and tip-branch) as essentially a second order process, while Stokes and Lauffenburger (1991) modelled endothelial cell loss due to budding as a first order loss term. Moreover they assumed that the probability of budding was uniform in all sprouts for all positions and all times. Thus these two terms implicitly account for endothelial cell loss due to anastomosis and budding respectively. Further we assume that the endothelial cell proliferation is controlled in some way by the TAF (Paweletz and Knierim, 1989) and this is reflected by the inclusion of the function G(c) which is assumed to be nondecreasing. As stated previously, the initial response of endothelial cells to the angiogenic stimulus is one of migration (Paweletz and Knierim, 1989). Proliferation is a crucial but secondary response. In order to account for this through the function G(c) we assume that there is a threshold concentration level of TAF below which proliferation does not occur. Thus in the present model we chose G(c) to be of the form 0, c<c* G(c) = c-- c* - - 7 Cb (2.7) C* < C where c* < Cb. There is substantial evidence that the response of the endothelial cells to the presence of the TAF is a chemotactic one (Ausprunk and Folkman, 1977; Terranova et al., 1985; Balding and McElwain, 1985; Stokes et al., 1990; Stokes and Lauffenburger, 1992) and following Balding and McElwain (1985) we assume that the flux 3" of endothelial cells consists of two parts, one representing random motion and the other chemotactic motion of the cells. Thus, under the assumption of linear diffusion, the flux J can be written J = -D,Vn + nzoVc. (2.8) where D, is the diffusion coefficient of the endothelial cells and Zo the (constant) chemotactic coefficient (we note that other, perhaps more biologically relevant, functional forms for Z are possible and that this particular form has been chosen for mathematical simplicity, cf. Chaplain and Stuart, 1993). 750 M.A.J. Chaplain et al. With the above assumptions we thus have the following population diffusion-chemotaxis equation for the endothelial cells 3n Ot - - = D,V2n _ zoV.(nVc) + rn (1 __~o ) G(c) _ kp n (2.9) where G(c) is given by (2.7). We assume that initially the endothelial cell density at the limbus is a constant no and zero elsewhere, giving initial condition fno, n(x, O) = [~0 , x = L x < L (2.10) We assume that throughout the subsequent motion, the cell density remains constant at the limbus and hence the boundary condition here becomes n(L, r) = no. (2.11) The boundary condition for the cell density at the site of the tumour implant is taken to be ti.Vn=0 atx=0. (2.12) It is easily seen from (2.8) that while n remains small this boundary condition approximates a zero flux condition at x = 0. Biologically, this means that the endothelial cells remain within the capillary sprouts. Thus as long as n remains approximately zero the phase of the sprout moving across the ECM is modelled. However, upon reaching the tumour the value of n will become non-zero and hence there will be a flux J = n)~oC~ < 0 into the region x < 0. During this phase, the model is a crude first approximation to the interaction between the endothelial cells and the tumour cells which is important during the vascular phase of growth. Following Chaplain & Stuart (1991, 1993) we normalize the equations using the following reference variables 1. reference TAF concentration: cb, the value of the TAF concentration at the tumour boundary, 2. reference cell density, no, the value of the endothelial cell density at the limbus, 3. reference length, L, the distance from the tumour boundary to the limbal vessels, 4. reference time unit, z = L2/D. We thus define new variables: F = C/Cb, fl = n/no, :,2 = x/L, ~ = t/z . Dropping the tildes and specialising to a one dimensional geometry (cf. Liotta et al., 1977; Balding and McElwain, 1985; Sherratt and Murray, 1990; Tumour angiogenesis model 751 Chaplain and Sleeman, 1990; Chaplain and Stuart, 1991, 1993) the equations now become Oc 8% omc 2c, (2.13) at Ox2 ~ + c On 021"1 ot=D~x2--X~x 8 (tiC) n-~x +pn(1--n)O(c)--,sn, (2.14) where G(c) = ) L2Q DcCb' CbZo ~ = D---7-' O, c < c* C - - C*, C* < C K,, =-Y cb ' 2= L 2r L2d Dc ' (2.15) D= L2kp P = De' D, -~' (2.16) ,8= Dc The initial and boundary conditions become respectively c(x, O) = Co(X), n(x,O)= c(O, t) = 1, n(1, t ) = l , 1, x = 1 O, x < l c(1, t) = 0 8n --=0 8x atx=O. (2.17) (2.18) (2.19) (2.20) Using comparison principles for parabolic partial differential equations it is straightforward to show that the TAF concentration c in (2.13) must satisfy the condition 0 < c _< 1 and also that the endothelial cell density n in (2.14) is positive i.e. n > 0. By standard existence theory n must also be bounded (Protter and Weinberger, 1967; Jones and Sleeman, 1983). More precisely, using the result of Lu and Sleeman (1993) (Theorem 5.2), it can also be shown that n < 1. As we have mentioned previously, angiogenic factors must be able to provoke three main activities of the endothelial cells, namely (1) production and secretion of enzymes capable of digesting extracellular matrix, (2) the initiation of migration , and (3) cell proliferation. It is clear from experimental evidence (Sholley et al., 1977; Sholley et al., 1984; Reidy and Schwartz, 1981) that different types of stimuli are necessary for (2) and (3) and we note that this is accounted for in the model i.e. migration is governed by chemotaxis while proliferation is governed by the function G(c) which essentially only depends on the TAF concentration. As stated previously the processes of anastomosis and budding are also (implicitly) accounted for through the second and first order loss terms respectively in (2.14). Moreover, the form of the function G(c) ensures that the second order loss term implicitly modelling anastomosis will only take effect after the sprouts have reached a certain distance into the 752 M.A.J. Chaplain et al. extracellular matrix which is precisely what is observed experimentally (cf. Paweletz and Knierim, 1989). Parameter values As far as possible parameter values are chosen to correspond to available experimental data. Unfortunately, data are not available for all parameters, in particular those which relate to the concentration of TAF. However, most of the parameters used in (2.16) can be estimated from actual experimental data. Diffusion coefficient D For a reference length we choose L = 2 mm, an average distance between a tumour implant and the limbal vessels, and the value for z is taken to be 14 days, an average time for neovascularization to occur (cf. Balding and McElwain, 1985; Chaplain and Stuart, 1991, 1993; Stokes and Lauffenburger, 1991). According to the nondimensionalisation in (2.16), this gives a value for Dc of 3.3 × 10 -8 cm2s -1. Sherratt and Murray (1991) found values of 3.1 x 10-7 cm2s -1 and 5.9 x 10 -6 cm2s -1 as estimates for diffusion coefficients of chemicals. Correspondingly, they estimated the diffusion coefficients Dn of the epithelial cells under consideration in their model as 3.5 x 10- lO cm 2 s - 1 and 6.9 x 10- ~1 cm 2 s - ~. Using these values the ratio DJD~ thus varies between 1.1 x 10 -3 and 1.2 x 10 -5. In accordance with this range we choose D to be 10-3. Chemotactic parameter ~c Sokes et al. (1990) have measured the value for the chemotaxis coefficients Xo of endothelial cells migrating in a medium containing unpurified acidic fibroblast growth factor (aFGF) as 2600 cm z s- 1 M - 1. As above, the value for Dc is estimated at 3.3 x 10 -8 cm 2 s- ~. In the numerical simulations carried out the (nonzero) values for x varied between 0.3 and 1.0 which from (2.16) gives a value of Cb of approximately 10- ~~ M which is not unreasonable. Cell proliferation parameter i~ F r o m equation (2.9) we assume that the parameter r is a positive constant related to the maximum mitotic rate. Using data based on epidermal wound healing (Winter, 1972), Sherratt and Murray (1990) estimated that the maximum value rm~x for this parameter was 10 times the proliferation rate constant. Based on in vitro experiments on endothelial cell p r o l i f e r a t i o n (Williams, 1987) Stokes and Lauffenburger (1991) estimated the proliferation rate constant kp of endothelial cells to be 0.056 h r - ~ under the assumption that all cells proliferate. However cell mitosis in the sprouts is mainly confined to a region close to the tips. To compensate for this, in most of their simulations Stokes and Lauffenburger reduced the value of kp to 0.02 h r - 1 and assumed that all cells in a sprout may proliferate. Thus in the following numerical simulations we assume a range for rmax of 0.2 hr-1-0.56 hr-1. Under this assumption this gives a range of values for the cell proliferation parameter # of approximately 70-190. Tumour angiogenesis model 753 Cell loss parameter fl The parameter kp is the reciprocal of the endothelial cell doubling time (cf. Sherratt and Murray, 1990). As seen above Stokes and Lauffenburger (1991) estimated this to lie within the range 0.02 h r - 1-0.056 h r - 1. Also, from experimental data on epidermal cells (Wright, 1983) Sherratt and Murray (1991) estimated this to be 0.01 h r - 1. This gives a range of values for the cell loss parameter fl of approximately 3-18. 3 Results In this section we present the results from the numerical simulation of (2.13)-(2.20) with appropriate boundary and initial conditions. 3.1 Initial conditions The initial condition (2.17) was taken to be c(x, O) --- Co(X) = 1 - x 2 which is of the correct qualitative shape for the TAF profile in the external tissue i.e. a constant value of 1 at the tumour edge decaying away to 0 at the limbus. Figure l(a), (b) show the profiles of the TAF concentration and the endothelial cell density respectively in the external host tissue at various different times. The time taken for the endothelial cells at the sprout tip to first reach the tumour is approximately t = 0.7 which corresponds to a real time of approximately 11 days which is within the experimentally observed time scale (cf. Balding and McElwain, 1985). By varying the parameters/~ and x the time taken for the endothelial cells (and hence the capillary sprouts) to reach the tumour can also be varied. Figure l(b) also demonstrates that the initial response of the endothelial cells is essentially one of migration with proliferation of the cells occurring at a later time (cf. Paweletz and Knierim, 1989). The form of the function G(c) ensures that there is always a region within the sprouts where there is zero cell proliferation and also that once cells have started to proliferate the proliferation is mainly confined to a region a short distance behind the sprout tips. Thus the model distinguishes, as far as is possible within its limitations, between proliferating cells near the sprout tip and non-proliferating cells within the rest of the sprout. Also once the cells have started to proliferate the endothelial cell density is greatest (locally) a short distance behind the sprout tips which is what is observed experimentally (Ausprunk and Folkman, 1977; Sholley et al., 1984; Paweletz and Knierim, 1989). Similar results were obtained for different functions G(c) which were of the same qualitative form as (2.7). For all numerical simulations carried out we took c* = 0.2. Qualitatively similar results were obtained for various other values of c* between 0.0 and 0.4. Figure 2 shows the steady-state profile achieved. This was reached when t ~ 1 i.e. a time scale of O(1). As stated above the boundary condition used at 754 M . A . J . Chaplain et al. 0.9 0.8 ¸ 0.7 t=0 ~E 0.6 d~ O ,~o.5 0.4 0.3 0.2 0.1 00 i 0.2 0.4 0.6 Distance from tumour 0.8 Fig. la. Numerical simulation of full system (2.13), (2.14). Profile of the T A F concentration in the external host tissue at times t = 0, 0.1, 0.3, 0.5, 0.7 showing changing gradient profile; parameter values ~ = 10, 7 --- 1, 2 = 1, D = 0.001, x = 0.75, p = 100, fl = 4, c* = 0.2 1 • 0.9 =,0.8 0.7 ! "O 0.6 .¢) o.s r-. "6 0.4 "O c- w 0.3 0.2 0.1 % 01 0.2 0.4 0.6 Distance from tumour 0.8 1 Fig. lb. Profile of the endothelial cell density in the external host tissue at times t = 0.1, 0.3, 0.5, 0.7. The boundary condition imposed at x = 0 is nx = 0. Shortly after t = 0.7 the endothelial cells reach the t u m o u r and interactions between the endothelial cells and the tumour cells become important; parameter values ~ = 10, 7 = 1, 2 = 1, D = 0.001, x = 0.75, # = 100, fl = 4, c* = 0.2 x = 0 is n~ = 0 w h i c h a p p r o x i m a t e s a z e r o flux b o u n d a r y c o n d i t i o n w h i l e n ~ 0 i.e. t h e e n d o t h e l i a l cells a r e w i t h i n t h e c a p i l l a r y s p r o u t s u n t i l t h e y first r e a c h t h e t u m o u r a t x = 0. H o w e v e r w h e n s p r o u t t i p s r e a c h t u m o u r i n t e r a c t i o n s b e t w e e n t h e e n d o t h e l i a l cells a n d t h e t u m o u r cells b e c o m e i m p o r t a n t . Tumour angiogenesis model 755 0.9 ~0.8 "~ 0.7 N 0.a o •~- 0.5 r- "~ 0.4 fLU 0.3 0.2 0.1 °0 6.2 0'.4 o'.6 Distance from tumour 6.8 Fig. 2. Steady state profile of the endothelial cell density in the external host tissue. This was achieved after t ~ 1 i.e. on a time scale of 0(1). This profile models in a certain way the interactions which will occur between EC and tumour cells once vascularization of the turnout has taken place; parameter values c~= 10, 7 = 1, 2 = 1, D = 0.001, ~ = 0.75, /t = 100, ] / = 4; c* = 0.2 W h e n the endothelial cells reach the t u m o u r the cell density at x = 0 becomes n o n - z e r o and there is a flux of cells J = n g o c x < 0 into the region x < 0. Thus during the time interval 0.7 _< t < 1.0 the model is a crude, first a p p r o x i m a t i o n to the modelling of the interaction of E C with t u m o u r cells. Thus the transition to the steady-state, during the time 0.7 < t < 1.0, can be justified biologically. 4 Model simplification As is a p p a r e n t from Fig. l(a) the T A F concentration profile in the external host tissue, according to the above model, does n o t vary drastically t h r o u g h out the complete process. This is perhaps not unexpected since as we have seen from the parameter estimations of the previous section, the T A F is estimated to diffuse very m u c h faster than the cells and can be reasonably expected to be in some kind of steady state. In order to simplify the complete system a n d thus m a k e it amenable to mathematical analysis we m a k e the assumption that the T A F concentration in the external host tissue has a profile which does n o t depend u p o n time i.e. steady-state profile (cf. Stokes and Lauffenburger, 1991). W e thus seek a solution of the equation d2c dx---2 - 2c = O , (4.1) 756 M.A.J. Chaplain et al. subject to c(O) = 1, (4.2) c(1) = O. T h e solution to the above is easily seen to be c(x) = sinh [(1 - x)w/2 ] sinh x//~ (4.3) With 2 = 1 in the above equation, this is a very close approximation to the profile c ( x ) = 1 - x which is also seen to be a reasonable assumption from Fig. l(a). Thus, in order to simplify the mathematical analysis slightly, henceforth we assume that the T A F concentration profile is of the (time-independent) form c(x)=(1-x), 0<x<l. (4.4) This profile m a y also be t h o u g h t of as being an average (in a temporal sense) of the profile of Fig. l(a). This has the effect of reducing (2.13), (2.14) to a single equation: On a2n an a--t = D ~-2xZ+ X~xx + #(1 -- x)n(1 - - n) - f i n , (4.5) with initial condition and b o u n d a r y conditions as before. Before proceeding with an analysis of the above equation, we first of all solve it numerically. As can be seen from Figs. 3(a), 3(b) the numerical 1 . 0 . 9 :.. >,0.8 g 0.7 "o 0.6 ~ 0.5 0 0.4 t- t.u 0.3 0.2 0.1 O, / 6.2 -. 0 Distance from tumour 1 Fig. 3a. Numerical simulation of caricature model (4.5). Profile of the endothelial cell density in the external host tissue at time t = 0.1, 0.3, 0.5, 0.7; The figure is qualitatively the same as Fig. l(b) with all the salient features being captured; parameter values D = 0.001, x = 0.65,/~ = 75, fl = 10, c* = 0.0 Tumour angiogenesis model 757 1 0.9 steady state profile ,~0.8 ~0.7 O 0.6 ~0.5 t- "6 0.4 "O C w 0.3 0.2 0.1 6.2 0'.4 0'.6 Distance from tumour 0'.8 Fig. 3b. Caricature model (4.5). Steady state profile of the endothelial cell density in the external host tissue. This was achieved after t ~ 1 i.e. on a time scale of 0(1). This profile models in an approximate way the interactions between EC and tumour cells once vascularization has taken place; parameter values D = 0.001, x = 0.65, p = 75, fl = 10; c* = 0.0 simulations from this caricature model are qualitatively the same as those from the full system, with all salient features of the model being reproduced. W e thus begin an analysis of the above equation and will attempt to draw conclusions from this caricature model for the full system (2.13), (2.14). 5 Mathematical analysis of time-dependent problem W e note firstly t h a t a straightforward application of the c o m p a r i s o n principle for parabolic equations shows that if/)(x, t) is the solution of 0/) 021) at - D 7x 10/) - = 0, subject to v(x, 0 ) = 1, 0, x = 1 x<l (5.2) and vx = 0, x = 0, v = 1, x = 1, (5.3) v(x, t) is a lower b o u n d for our solution n(x, t). An explicit expression for v(x, t) is f o u n d by writing then v(x, t) = Vo(X) + V(x, t) (5.4) 758 M.A.J. Chaplain et al. where Vo(X) is the time-independent solution. A p p r o p r i a t e initial and b o u n d ary conditions for b o t h parts of the solution are then V(x, o)= -Vo(X) v'o (0) = O, OV Ox v•(1) = 1, O, (5.5) x = O, V(1, t) = 0 . (5.6) (5.7) After s o m e straightforward but s o m e w h a t tedious algebra, using standard techniques, we have v(x, t) = e a(1 -~)[cosh (bx) + ~ sinh (bx)] cosh b + -~sinh b +~c~,e-"~(~cos(m,x)+sin(m,x))e (5.8) where a = x / 2 0 , b = ~/I~ 2 -q- 4Dfl/2D, 2 = - f l -- m2, D -- ~2/4D < 0, and mn is a solution of tan(re,) = - m , / a , m o = O. 5.1 Travelling w a v e solutions Since for 0 < x < 1, we also have 0 < (1 - x) < 1 and n(1 - n) > 0 then it follows that nt -- Dnx~ -- rcnx + fin =/~(1 -- x)n(1 - n) __</~n(1 - n) and h e n c e that nt - Dnxx - xnx - p n ( 1 - n) + fin <=0 . Then, by the c o m p a r i s o n principle for parabolic equations we m a y take as an u p p e r function the solution w of wt = D w ~ + ~cw~ + #w(1 - w) - flw (5.9) with the s a m e initial a n d b o u n d a r y conditions as (4.5). Thus we have n < w in [0, 1] × [0, T ] . Rescaling the a b o v e equation in the following manner: yields u, = Dux:, + tcu:, + (~ -- fl)u(1 -- u). (5.10) T h e a b o v e e q u a t i o n is thus seen to be of a Fisher type equation with an extra convection-like term, u~. W e thus seek a travelling wave solution to the above equation. In the usual w a y write u ( x , t ) = U(z), z = x + ct . (5.11) Tumour angiogenesis model 759 Such a solution if it exists represents a wave travelling in the negative x-direction with wave speed ¢( > 0, constant). Thus this would represent a wave of endothelial cells moving towards the tumour across the extracellular matrix. Substitution of the above into (5.11) yields DU" = (c -- K) U' -- (# -- fl)U(1 - U) (5.12) Thus we seek to determine the value, or values, of c such that a nonnegative solution U exists which satisfies lim U (z) = 0, Z"* oO lim U (z) = 1. (5.13) Z--*O Standard phase plane analysis shows that there exists a minimum wave speed given by Cmi n = /~ "]- 2x/D(/~ - fi) (5.14) It is thus not unreasonable to hypothesise that the true solution to (4.5) will evolve into a travelling wave with minimum speed c*i. less than this minimum wave speed 5mln of the upper solution i.e. :~ < Cmin Cmin (5.15) i.e. the true solution trails the upper solution. This analysis would seem to agree with the numerical results of the previous section where the concentration profile for n does indeed seem to develop into a travelling wavefront type solution. 5.2 Zero-diffusion analysis In order to make some progress in analysing our model explicitly, we note that the diffusion coefficient is very small (D = 10-3) in comparison with the other parameters and hence we neglect this term. The equation now becomes On ~n 0-7 =/C~x + p(1 - x)n(l -- n) - fin. (5.16) This is now a first order equation and we shall treat this simply as an initial value problem with initial condition n(x, O) = no(x). This has the advantage of permitting us to view the model as focussing exclusively and explicitly upon the endothelial cells at the capillary tips since there are no boundary conditions to satisfy. This equation can be solved using standard techniques to yield the exact solution n°(x + ~ct)exp [ - -llKt2 - ~ + (#(1 n(x, t) - - x) - , fl)t ] , (5.17) [1 + no(x + tct)fo ~teS(P)f(p)dp] where g(p) = I~xp2/2 + [p(1 - x - xt) - fl]p and f(p) = xp + (1 - x - xt). 760 M.A.J. Chaplain et al. This explicit solution clearly shows the individual contributions made by endothelial cell migration and endothelial cell proliferation. The key term in the above equation is the exponential term exp - - - - ~ + (#(1-- x) -- fl)t , 0_<t_<l. (5.18) We restrict attention here 0 _ t _< 1 since our numerical simulations indicate that angiogenesis, if it is to succeed given the chosen parameter values, should occur on this timescale. This term is essentially an amplification factor for the "propagating wave of initial conditions" no (x + xt). If the endothelial cells are to grow and cross the matrix then the exponent must be positive. If the exponent is negative then the endothelial cell density will decay to zero. Thus for successful completion of angiogenesis we require at least, that -- fl~t 2 h(t) = 2 + (#(1 - x) - fi)t > O, t > O. (5.19) A straightforward calculation shows that h(t) is positive for 0 _< t _ 2 ~ ( 1 - x ) - 2 9 (5.20) 0 < x < 1 - - (5.21) provided # Thus we have a "window of opportunity" (in time) for the endothelial cell density to increase in the region 0 =< x < x* = 1 - fl//~, while for x* < x =< 1, h(t) < 0 (t ~ 0) and hence the solution will always decay in this region. The point x = x* = 1 - fl//~ is a critical point. It is clear that for angiogenesis to succeed, the chemotactic term x must be large enough to ensure that the endothelial cells migrate quickly enough so as to reach the region of growth. This will be facilitated if the ratio of the cell proliferation parameter/~ to cell death parameter fl is small enough. On the contrary, if the cell proliferation rate is too small (or the cell loss rate too large) then successful completion becomes less likely for a fixed value of x. We note that by varying the parameters in the model, the location of the critical point x* can be changed. Thus x*, and hence in this caricature model, the TAF concentration c* = 1 - x*, is a bifurcation parameter. It is therefore reasonable to assume that in the full model the TAF concentration also plays the role of a bifurcation parameter. This may well be a signal for events such as anastomosis to take place. 6 Mathematical analysis of time-independent problem We note that a time-independent lower bound for the solution is given by Vo(X) calculated previously. Also a time-independent upper bound is easily Tumour angiogenesis model 761 seen to be a solution of 0 = Du:,x + lcux -- flu + ¼ p(1 - x) (6.1) This 2nd order linear differential equation with b o u n d a r y conditions u(1) = 1, u'(0) = 0 (6.2) can easily be solved to yield u(x) = A e ~lx + Be ~2x + # ( f l - to) ----------T4fl #x 4fl (6.3) where 2a, 22 are the roots o f ( -~: + x/to 2 + 4Dfl/2D) and A (1 - - 0~ - - y ) 2 2 + = 22 e~.l - - o~e '1"2 2~eX ~ -~ #(/~ c~ = 4 f l ' Y= , - (~x + y - - 1 ) 2 2 - - B = )~2 ezz - c~ez~ 21 e z~ ~) 4fl 2 6.1 Singular perturbation analysis of steady state As we have seen in a previous section, the numerical solution of the caricature model (4.5) indicates that the solution converges to a time-independent steady-state whose profile is given in Fig. 3(b). We now study this steady-state problem analytically i.e. we analyse the following equation: O2n On 0 = D~-~x2 + ~0xx + p(1 - x)n(1 - n) - fin, (6.4) which can be written D 02n I¢ O n u 0 = ~ Ox--5 + ~ ~x + ~ (1 - x)n(1 - n) - n . (6.5) F r o m the range of values estimated for the various parameters associated with the model (see previous section), it is clear that D/fl can be treated as small parameter of the system. T o this end we define e = x / ~ and ~:* = x/x/rD-~ and then (6.5) becomes 0 = e2n " + etc*n' + ~ (1 - x)n(1 - n) - n (6.6) with b o u n d a r y conditions n=l atx=l, n'=0 atx=0 (6.7) This can be treated as a singular perturbation problem in the small parameter e. We thus seek a solution to (6.6) of the form n(x; e) = no(x) + eni(x) + e2nz(x) + " . (6.8) 762 M.A.J. Chaplain et al. Substituting this into (6.6) and equating the coefficients of powers of e yields no=l /,l 1 = # ( l -flx ) ' (6.9) flt¢* (6.10) This gives as an outer solution n=l /~(1 1 x) - - (1-x)[1-~U(1-x)] (6.11) This expansion is not uniformly valid because of the difficulties associated with the behaviour near the left boundary (i.e. the boundary condition at x = 0 is violated) and because of the singularities at the points x = x* = 1 - fl/# and x = 1. Thus separate asymptotic expansions, valid in the regions, must be constructed by introducing suitable transformations in x in the above areas. This singular part of the solution is referred to as the inner solution. Correct "matching" of the inner and outer solutions in some suitable domain of overlap should permit us to obtain a solution which is uniformly valid over the whole domain under consideration. Approximation n e a r x = O: We introduce the transformation X=6~, which enables us to focus on the immediate neighhourhood of x = 0. This transformation is such that any smll neighbourhood ofx = 0 is m a p p e d onto a large domain in the ~ plane. W e note that ~ = 0 w h e n x = O, and for any fixed x > 0, lim~-~o~ = oo. Thus we have the following transformations d =e-' d .(x) -, dx " This transforms (6.6) into 0 = u" + x * u ' + ~ (1 -- e~)u(1 - u) -- u (6.12) where the prime now denotes differentiation with respect to ~. Once again we construct a solution of the form u(~; e) = Uo(~) + eul(~) + - • • . Equating powers of the expansion, we have, to 0(1), U"o + ~ * U' o + ~# U o ( 1 - - U o ) - - Uo = 0 (6.13) Tumour angiogenesis model 763 We take the constant solution to this equation given by uo The 0(e) term yields the following equation, to be solved for ul: ul+~c ul+ 1-- ul= 1- {, (6.15) with boundary condition u~ (0) = 0. The solution of the above equation can be found straightforwardly and is easily calculated to be B ul = (A + B ~ ) - - T e x p ( 2 ~ ) , where A= _~,f12 B= _fl , 2= -x*--~//x*2+4(~ -1) <0. Hence we have B u=(l-~)+Bx+~[A--£exp(2x/e)]. (6.16) The expansions for u and n must match in the sense that lim~_,~u({)= lim,-.o n(x). A straightforward calculation shows this to be the case with both limits giving Approximation n e a r x = 1: We introduce the transformation x = 1 - er/, which enables us to focus on the immediate neighbourhood of x = 1. Thus we have the following transformations d _~-1 d n (x) -+ v (~), dx = d-~ This transforms (6.6) into 0 = v" - tc*v' + ~# (et/)v(1 - v) -- v (6.17) where the prime now denotes differentiation with respect to r/. Once again we construct a solution of the form v(t/; e) = Vo(t/) + evl (r/) + . . . . Substituting the above expression into (6.6) and collecting terms independent of e gives tt Vo - l~ ! I~ V o - v o = O. 764 M.A.J. Chaplain et al. 0.9 • approximation to steady state profile ~o.8 "0 rJ 0.7 0.6 .~o.5 ~ ,~ • e-- "(:1 e-- uJ 0.3 0.2 ~ + 0.1 ~ +++ +++÷+ % o'.2 0.4 6.6 + 0.8 Distance from tumour Fig. 4. Approximation to steady state profile using matched asymptotic expansions Once again the solution of the above equation can be found straightforwardly and is easily calculated to be Vo = exp(2t/) = exp(2(1 - x)/e), where 2 = (~c* - ~ + 4)/2 < 0. Because of the severity of the singularity at x = x* = 1 - / ? / # it is very difficult to obtain a uniformly valid solution in the region around the singular point x*. Thus Fig. 4. shows the approximation to the steady-state profile which is obtained from the matched asymptotic expansions given above. It can be seen that the fit is a good one except in a region around x*. From the numerical simulations shown previously in Figs. l(b), 3(a) it is clear that some kind of transition does indeed occur at a specific point where the proliferation of the EC becomes important. This is what is observed experimentally i.e. there is a transition from motion of the EC due to migration alone to motion due to proliferation as well as migration. It has also been observed experimentally that anastomosis always occurs at a critical distance from the parental vessel e.g. the limbus (Paweletz and Knierim, 1989). In the following section we perform a phase plane analysis of equation (6.6) and analyse the behaviour of the solution about this critical point in more detail. 6.2 Phase plane analysis We recall that the steady state caricature model is given by 0 = eZn" -t- eK*n' d- #(1 - x)n(1 - n ) - n (6.18) Tumour angiogenesis model 765 In the usual way, we consider writing this as the following system of ordinary differential equations: ~nx = p , (6.19) ~Px = - ~ * p - ~ ( 1 wx = l, - w)n(1 - n) + n, (i.e. w = x). (6.20) (6.21) From inspection of the above system, it is evident from the fact that x changes slowly (order 1) compared to n and p which change more quickly (order e- 1). We can thus treat x as a constant and analyse the equilibrium points of the following 2-dimensional system enx = p = f * (n, p), 8Px = - ~ * p - ~ (1 - x)n(1 - n) + n = 9* (n, p), (6.22) (6.23) as x varies between 0 and 1. Since we wish to follow the path of the EC from the limbus (situated at x = 1) to the turnout implant (situated at x = 0) then it is convenient to introduce the variable y = 1 - x . The above system then transforms to e n r = - - p = f (n, p) , (6.24) # ~Pr = t¢*p + -~ y n ( 1 - - n) - n = 9 ( n , p) . (6.25) The equilibrium points of the above system (i.e. points satisfying ny = Pr = 0) are located at (0, 0) and (n*, 0) where n* = 1 /~ /ly The stability matrix A (n, p) for the above system is given by I 0 -1 1 -l+~y(1-2n) ~c* (6.26) and the stability of the critical points may be determined in the usual way by examining the eigenvalues of A. The first critical point (0, 0) gives rise to a stability matrix 0 -l+~y -1 1 (6.27) ~c* It is a straightforward task to show that the following situations arise: 1. (0, 0) is an unstable node when i l l # < y < 1 i.e. 0 < x < 1 - (fi/#) = x * , 766 M.A.J. Chaplain et al. 2. the nature of(0, 0) is undetermined when x = 1 - fl/# = x* since one of the eigenvalues is zero, 3. (0, 0) is a saddle point when 0 < y < fl/# i.e. x* = 1 - fl/# < x < 1. Similarly, for the critical point (n*, 0) we have the stability matrix given by E 0 1 -~y -1 1 , ~c* (6.28) and once again it is straightforward to show that 1. (n*, O) is a saddle point when///# < y < 1 i.e. 0 < x < 1 - / ~ / # = x*, 2. the nature of (n*, O) is undetermined when x = x* since one of the eigenvalues is zero, 3. (n*, 0) is an unstable node when 0 < y < 2/15 i.e. x* < x < 1. We note that in the region x* < x < 1, n* < 0, which is not relevant from a biological point of view. We now study the phase portraits of the above system as y increases from 0 to 1 i.e. as x decreases from 1 to 0 and endeavour to determine the path which has been taken by the EC as they have crossed the extracellular matrix from the limbus (x = 1) to the tumour implant (x = 0). The following phase plots were obtained using the O D E solver ODE23 within the MATLAB package. The plots are given for n ~ [0, 1] since this is the range of n which is relevant biologically. At x = 1, we have, from the boundary condition, n = 1, and the only equilibrium point is (0, 0) which is a saddle point. From Fig. 5(a), which shows the qualitative form of the steady state solution at a general point in the region x* < x < 1, we see that n decreases from 1 towards the equilibrium point at (0, 0), for p > 0. Similar phase portraits are obtained while x is in the region 0.8667 < x < 1. We note that there is another equilibrium point which is not biologically relevant, i.e. n* < 0 and (0, 0) is always a saddle point. At x = x* = 13/15, (n*, 0) = (0, 0) and the two equilibrium points coalesce. In this case one of the eigenvalues is zero and so the nature of the fixed point is undetermined. The behaviour is irregular at this point and the problem is non-standard. This would seem to confirm the difficulty in trying to find a solution which was uniformly valid in this region using the techniques of the previous section and also emphasises the fact that a critical bifurcation point exists. As x enters the region 0 < x < 13/15 the fixed point (n*, 0) enters the region [-0, 1] and is a saddle point, whilst (0, 0) changes and becomes an unstable node. Figure 5(b) illustrates the phase portrait for a typical point in this region. Thus it is evident from the phase portraits that the point x = x* = 13/15 is a transition point which marks a change in the nature of the solution. This Tumour angiogenesis model 767 0.4 0.3 0.2 0.1 n 0 -0.1 -0.,¢ -0.,,." -O.d 0h N 66 t Fig. 5a. Phase plane portrait for x = 0.9. The fixed point at (0, 0) is a saddle point 0.4 0.3 0.2 0.1 o.. 0 -0.1 -05 -0.," -0. / J. 0.2 1].4 N 0.6 0.8 Fig. 5b. Phase plane portrait for x = 0.6. The fixed point at (0, 0) is now an unstable node while (2/3, 0) is a saddle point reiterates the fact that the behaviour of n at this point is crucial. W e note that this is in agreement with the numerical solutions for the full system whereby there was a c h a n g e to a travelling wave type solution at some critical spatial point. Thus it appears t h a t our space variable x is indeed a bifurcation parameter, a n d hence, given the assumption of steady-state T A F concentration profile, so is the T A F concentration. This transition behaviour can also 768 M.A.J. Chaplain et al. be given some biological meaning. It is known from experimental observations that anastomosis always seems to occur at some definite distance from the parent vessel e.g. limbus. It is also known that EC proliferation does not occur until the growing capillaries are already some way out into the extracellular matrix. Both of these processes will results in an increase in endothelial cell density beginning at some critical distance into the extracellular matrix. Thus the mathematical analysis may well correspond to observed experimental results. 7 Conclusions The paper of Chaplain and Stuart (1993) developed a mathematical model of angiogenesis which focusses attention upon the roles of the endothelial cells and the TAF concentration profile. In this paper we made a certain relevant and biologically justifiable simplification to this model regarding the TAF concentration profile and in doing so have constructed a simpler caricature model. We have shown that this simpler model, consisting of a single nonlinear pde for the endothelial cell density, captures all of the salient features of the original model. Once again, as far as is possible all parameter values used in the numerical simulations are based on those from experimental data. In addition, this simplification has permitted some mathematical analysis to be performed and we have shown that there is a good correlation between the numerical results, the mathematical analysis and most importantly, the experimental results. This has thus permitted a genuine biological interpretation of the results to be made. More precisely, the analysis performed on the caricature model with zero diffusion has permitted us to focus exclusively upon the endothelial cells at the capillary tips. These cells effectively drive the capillary sprouts across the tissue towards the tumour (Stokes and Lauffenburger, 1991). The analysis of this section and of Sects. 6.1 and 6.2 also clearly indicates that the solution takes on different characteristics in two distinct regions of the domain, the critical point x* -- 1 - fl/# marking the transition from one region to the next. In x* < x =< 1 the solution appears to simply propagate into the region driven mainly by the chemotactic term, while in the region 0 ___<x < x* travelling wave-like solutions appear possible. The analysis clearly shows that in order for successful completion of angiogenesis to take place, both migration and proliferation are essential. These results, both analytical and numerical, correspond very well with the actual experimental observations. Initially, the endothelial cells simply migrate outwards, enabling the capillary sprouts to grow into the external tissue. At first the sprouts are aligned in a parallel fashion but at some critical distance anastomosis takes place. Capillary loops are formed and then secondary sprouts form from the loops. The secondary sprouts progress towards the tumour with continuing anastomosis. A so-called "brush-border" of endothelial cells is often observed and the capillary network becomes very dense. Although the morphology of the capillary loops is well known, many questions regarding Tumour angiogenesis model 769 anastomosis remain unanswered. In particular, why does anastomosis occur at a definite distance from the parental vessel? F r o m our analysis of the model, we can perhaps venture a tentative answer to this question. Since we have (reasonably) assumed a steady-state concentration profile for the TAF, it follows that the critical distance x* also corresponds to a critical T A F concentration, given by (in our particular case) 1 - x* (we note that perhaps a m o r e general expression for the critical concentration is given by c(x*) = sinh [(1 - x * ) x / ~ ] / s i n h x//2, cf. (4.3)). Perhaps then a critical concentration of T A F is involved in initiating the process of anastomosis. The numerical simulations of the caricature model has also demonstrated that the effect of chemotaxis can be modelled using a steady state T A F concentration profile. This will have i m p o r t a n t consequences when considering numerical simulations of the model in 2 spatial dimensions which is w o r k currently being undertaken. References Ausprunk, D. H., Folkman, J.: Migration and proliferation of endothelial cells in preformed and newly formed blood vessels during tumour angiogenesis. Microvasc. Res. 14, 53-65 (1977) Balding, D., McElwain, D. L. S.: A mathematical model of tumour-induced capillary growth. J. theor. Biol. 114, 53-73 (1985) Chaplain, M. A. J., Sleeman, B. D.: A mathematical model for the production and secretion of tumour angiogenesis factor in tumours. IMA J. Math. Appl. Med. Biol. 7, 93-108 (1990) Chaplain, M. A. J., Stuart, A. M.: A mathematical model for the diffusion of tumour angiogenesis factor into the surrounding host tissue. IMA J. Math. Appl. Med. Biol. 8, 191-220 (1991) Chaplain, M. A. J., Stuart, A. M.: A model mechanism for the chemotactic response of endothelial cells to tumour angiogenesis factor. IMA J. Math. Appl. Med. Biol. 10, 149-168 (1993) Cliff, W. J.: Observations on healing tissue: A combined light and electron microscopic investigation. Trans. Roy. Soc. London B246, 305-325 (1963) Deshpande, R. G., Shetna, Y. I.: Isolation and characterization of tumour angiogenesis factor from solid tumours and body fluids from cancer patients. Indian J. Med. Res. 90, 241-247 (1989) Folkman, J.: Tumor angiogenesis. Adv. Cancer Res. 19, 331-358 (1974) Folkman, J.: The vascularization of tumors. Sci. Am. 234, 58-73 (1976) Folkman, J., Klagsbrun, M.: Angiogenic factors. Science 235, 442-447 (1987) Gimbrone, M. A., Cotran, R. S., Leapman, S. B., Folkman, J.: Tumor growth and neovascularization: An experimental model using the rabbit cornea. J. Natn. Cancer Inst. 52, 413-427 (1974) Hiltman, P., Lory, P.: On oxygen diffusion in a spherical cell with Michaelis-Menten oxygen uptake kinetics. Bullet. Math. Biol. 45, 661-664 (1983) Jones, D. S., Sleeman, B. D.: Differential Equations and Mathematical Biology, London, George Allen & Unwin 1983 Lin, S. H.: Oxygen diffusion in a spherical cell with nonlinear uptake kinetics. J. theor. Biol. 60, 449-457 (1976) Liotta, L. A., Saidel, G. M., Kleinerman, J.: Diffusion model of tumor vascularization and growth. Bull. Math. Biol. 39, 117-129 (1977) Lu, G., Sleeman, B. D.: Maximum principles and comparison theorems for semilinear parabolic systems and their applications. Proc. R. Soc. Edinb. 123A, 857-885 (1993) McElwain, D. L. S.: A re-examination of oxygen diffusion in a spherical cell with MichaelisMenten oxygen uptake kinetics. J. theor. Biol. 71, 255-263 (1978) 770 M.A.J. Chaplain et al. Maini, P. K., Myerscough, M. R., Winters, K. H., Murray, J. D.: Bifurcating spatially heterogeneous solutions in a chemotaxis model for biological pattern generation. Bull. Math. Biol. 53, 701-719 (1991) Murray, J. D.: Mathematical Biology. Bedim Springer-Verlag 1989 Muthukkaruppan, V. R., Kubai, L., Auerbach, R.: Tumor-induced neovascularization in the mouse eye. J. Natn. Cancer Inst. 69, 699-705 (1982) Paweletz, N., Knierim, M.: Tumor-related angiogenesis. Crit. Rev. Oncol. Hematol. 9, 197-242 (1989) Protter, M. H. and Weinberger, H. F.: Maximum principles in Differential Equations. Englewood Cliffs, NJ: Prentice-Hall 1967 Reidy, M. A., Schwartz, S. M.: Endothelial regeneration. III. Time course of intimal changes after small defined injury to rat aortic endothelium. Lab. Invest. 44, 301-312 (1981) Schoefl, G. I.: Studies on inflammation III. Growing capillaries: Their structure and permeability. Virchows Arch. Pathol. Anat. 337, 97-141 (1963) Sherratt, J. A., Murray, J. D.: Models of epidermal wound healing. Proc. R. Soc. Lond. B 241, 29-36 (1990) Sholley, M. M., Gimbrone, M. A., Cotran, R. S.: Cellular migration and replication in endothelial regeneration. Lab. Invest. 36, 18-27 (1977) Sholley, M. M., Ferguson, G. P., Seibel, H. R., Montour, J. L., Wilson, J. D.: Mechanisms of neovascu!arization. Vascular sprouting can occur without proliferation of endothelial cells. Lab. Invest. 51, 624-634 (1984) Stokes, C. L., Rupnick, M. A., Williams, S. K., Lauffenburger, D. A.: Chemotaxis of human microvessel endothelial cells in response to acidic fibroblast growth factor. Lab. Invest. 63, 657-668 (1990) Stokes, C. L., Lauffenburger, D. A.: Analysis of the roles of microvessel endothelial cell random motility and chemotaxis in angiogenesis. J. theor. Biol. 152, 377-403 (1991) Strydom, D. J., Fett, J. W., Lobb, L. R., Alderman, E. M., Bethune, J. L., Riordan, J. F., Vallee, B. L.: Amino acid sequence of human tumour derived angiogenin. Biochemistry 24, 5486-5494 (1985) Terranova, V. P., Diflorio, R., Lyall, R. M., Hic, S., Friesel, R., Maciag, T.: Human endothelial cells are chemotactic to endothelial cell growth factor and heparin. J. Cell Biol. 101, 2330-2334 (1985) Warren, B. A.: The growth of the blood supply to melanoma transplants in the hamster cheek pouch. Lab. Invest. 15, 464-473 (1966) Williams, S. K.: Isolation and culture of microvessel and large-vessel endothelial cells; their use in transport and clinical studies. In: Microvascular Perfusion and Transport in Health and Disease (Ed. McDonagh, P.) pp. 204-245. Basel: Karger 1987 Winter, G. D.: Epidermal regeneration studied in the domestic pig. In: Epidermal Wound Healing (Eds. Maibach, H. I. and Royce, D. T.) pp. 71-112. Chicago: Year Book Med. Publ 1972 Wright, N. A.: Cell proliferation kinetics of the epidermis. In: Biochemistry and Physiology of the Skin (Ed. Goldsmith, L. A.) pp. 203-229. Oxford University Press 1983
© Copyright 2026 Paperzz