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Neoadjuvant chemotherapy (NAC) is a standard-of-care treatment for locally advanced triple negative breast cancer (TNBC) before surgery. The early assessment of TNBC response to NAC would enable an oncologist to adapt the therapeutic plan of a non-responding patient, thereby improving treatment outcomes while preventing unnecessary toxicities. To this end, a promising approach consists of obtaining \textsl{in silico} personalized forecasts of tumor response to NAC \textsl{via} computer simulation of mechanistic models constrained with patient-specific magnetic resonance imaging (MRI) data acquired early during NAC. Here, we present a model featuring the essential mechanisms of TNBC growth and response to NAC, including an explicit description of drug pharmacodynamics and pharmacokinetics. As longitudinal \textsl{in vivo} MRI data for model calibration is limited, we perform a sensitivity analysis to identify the model mechanisms driving the response to two NAC drug combinations: doxorubicin with cyclophosphamide, and paclitaxel with carboplatin. The model parameter space is constructed by combining patient-specific MRI-based \textsl{in silico} parameter estimates and \textit{in vitro} measurements of pharmacodynamic parameters obtained using time-resolved microscopy assays of several TNBC lines. The sensitivity analysis is run in two MRI-based scenarios corresponding to a well-perfused and a poorly-perfused tumor. Out of the 15 parameters considered herein, only the baseline tumor cell net proliferation rate along with the maximum concentrations and effects of doxorubicin, carboplatin, and paclitaxel exhibit a relevant impact on model forecasts (total effect index, $S_T>$0.1). These results dramatically limit the number of parameters that require \textsl{in vivo} MRI-constrained calibration, thereby facilitating the clinical application of our model.

In vitro cell proliferation assays are widely used in pharmacology, molecular biology, and drug discovery. Using theoretical modeling and experimentation, we show that current antiproliferative drug effect metrics suffer from time-dependent bias, leading to inaccurate assessments of parameters such as drug potency and efficacy. We propose the drug-induced proliferation (DIP) rate, the slope of the line on a plot of cell population doublings versus time, as an alternative, time-independent metric., Comment: 44 pages: main and supplementary text, 3 main text figures, 9 supplementary figures, 2 supplementary tables, Nature Methods, 2016 (advanced online publication)

Cells grown in culture act as a model system for analyzing the effects of anticancer compounds, which may affect cell behavior in a cell cycle position-dependent manner. Cell synchronization techniques have been generally employed to minimize the variation in cell cycle position. However, synchronization techniques are cumbersome and imprecise and the agents used to synchronize the cells potentially have other unknown effects on the cells. An alternative approach is to determine the age structure in the population and account for the cell cycle positional effects post hoc. Here we provide a formalism to use quantifiable age distributions from live cell microscopy experiments to parameterize an age-structured model of cell population response.