<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2023.1219669</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Tumor-mediated immunosuppression and cytokine spreading affects the relation between EMT and PD-L1 status</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lems</surname>
<given-names>Carlijn M.</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/2305267"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Burger</surname>
<given-names>Gerhard A.</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/442508"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Beltman</surname>
<given-names>Joost B.</given-names>
</name>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/368082"/>
</contrib>
</contrib-group>
<aff id="aff1">
<institution>Division of Drug Discovery and Safety, Leiden Academic Centre for Drug Research, Leiden University</institution>, <addr-line>Leiden</addr-line>, <country>Netherlands</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Heiko Enderling, Moffitt Cancer Center, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Morgan Craig, University of Montreal, Canada; Marta Canel, University of Edinburgh, United Kingdom</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Joost B. Beltman, <email xlink:href="mailto:Beltmanj.b.beltman@lacdr.leidenuniv.nl">j.b.beltman@lacdr.leidenuniv.nl</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>10</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1219669</elocation-id>
<history>
<date date-type="received">
<day>09</day>
<month>05</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>06</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Lems, Burger and Beltman</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Lems, Burger and Beltman</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Epithelial-mesenchymal transition (EMT) and immune resistance mediated by Programmed Death-Ligand 1 (PD-L1) upregulation are established drivers of tumor progression. Their bi-directional crosstalk has been proposed to facilitate tumor immunoevasion, yet the impact of immunosuppression and spatial heterogeneity on the interplay between these processes remains to be characterized. Here we study the role of these factors using mathematical and spatial models. We first designed models incorporating immunosuppressive effects on T cells mediated <italic>via</italic> PD-L1 and the EMT-inducing cytokine Transforming Growth Factor beta (TGF&#x3b2;). Our models predict that PD-L1-mediated immunosuppression merely reduces the difference in PD-L1 levels between EMT states, while TGF&#x3b2;-mediated suppression also causes PD-L1 expression to correlate negatively with TGF&#x3b2; within each EMT phenotype. We subsequently embedded the models in multi-scale spatial simulations to explicitly describe heterogeneity in cytokine levels and intratumoral heterogeneity. Our multi-scale models show that Interferon gamma (IFN&#x3b3;)-induced partial EMT of a tumor cell subpopulation can provide some, albeit limited protection to bystander tumor cells. Moreover, our simulations show that the true relationship between EMT status and PD-L1 expression may be hidden at the population level, highlighting the importance of studying EMT and PD-L1 status at the single-cell level. Our findings deepen the understanding of the interactions between EMT and the immune response, which is crucial for developing novel diagnostics and therapeutics for cancer patients.</p>
</abstract>
<kwd-group>
<kwd>epithelial-mesenchymal transition (EMT)</kwd>
<kwd>PD-L1</kwd>
<kwd>immunoevasion</kwd>
<kwd>ordinary differential equations</kwd>
<kwd>cellular Potts model</kwd>
</kwd-group>
<contract-num rid="cn001">864.12.013</contract-num>
<contract-sponsor id="cn001">Nederlandse Organisatie voor Wetenschappelijk Onderzoek<named-content content-type="fundref-id">10.13039/501100003246</named-content>
</contract-sponsor>
<counts>
<fig-count count="4"/>
<table-count count="3"/>
<equation-count count="14"/>
<ref-count count="77"/>
<page-count count="15"/>
<word-count count="9483"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Cancer Immunity and Immunotherapy</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Activating invasion and metastasis, and avoiding immune destruction are core hallmarks of cancer, i.e., acquired capabilities that are crucial for the formation of malignant tumors (<xref ref-type="bibr" rid="B1">1</xref>). A comprehensive understanding of the interplay between these hallmarks is imperative for developing novel diagnostic and therapeutic approaches. Still, few studies to date have focused on the interaction between metastatic dissemination and immunoevasion, and hence its biological basis remains in large part unexplored.</p>
<p>Epithelial-mesenchymal transition (EMT), a process during which cells transition from an adhesive epithelial to a motile mesenchymal phenotype (<xref ref-type="bibr" rid="B2">2</xref>), is of critical importance for invasion and metastasis (reviewed in (<xref ref-type="bibr" rid="B3">3</xref>&#x2013;<xref ref-type="bibr" rid="B5">5</xref>)). This phenomenon is increasingly referred to as epithelial-mesenchymal plasticity (EMP), because emerging evidence suggests that this transition is often incomplete, resulting in the manifestation of intermediate epithelial/mesenchymal (E/M) phenotypes (<xref ref-type="bibr" rid="B6">6</xref>). Such partial EMT programs in particular are associated with enhanced metastatic dissemination as well as therapy resistance (<xref ref-type="bibr" rid="B7">7</xref>, and reviewed in (<xref ref-type="bibr" rid="B8">8</xref>)). Moreover, EMT has been proposed to facilitate tumor immune escape (reviewed in <xref ref-type="bibr" rid="B9">9</xref>).</p>
<p>A well-established mechanism through which cancer cells acquire immune resistance involves co-opting immune checkpoint pathways (<xref ref-type="bibr" rid="B10">10</xref>). Under normal physiological conditions, these pathways are pivotal for modulating the immune response and maintaining self-tolerance. As a case in point, tumor cells often upregulate the immune checkpoint protein Programmed Death-Ligand 1 (PD-L1) (<xref ref-type="bibr" rid="B11">11</xref>), either in response to inflammatory cytokines, such as Interferon gamma (IFN&#x3b3;), or through constitutive oncogenic signaling (<xref ref-type="bibr" rid="B10">10</xref>). Interaction of PD-L1 with its receptor Programmed Death-1 (PD-1) on the membrane of T cells suppresses the survival, proliferation, and effector functions of these cells, including their cytokine release (<xref ref-type="bibr" rid="B12">12</xref>).</p>
<p>The literature reports numerous links between immunoevasion mediated by PD-L1 and EMT (reviewed in <xref ref-type="bibr" rid="B13">13</xref>). One mechanism proposedly underlying the crosstalk between EMT and PD-L1-mediated immune resistance is that PD-L1 is post-transcriptionally regulated by the microRNA-200 (miR-200)&#x2013;Zinc Finger E-Box Binding Homeobox 1 (ZEB1) axis (<xref ref-type="bibr" rid="B14">14</xref>&#x2013;<xref ref-type="bibr" rid="B16">16</xref>), which is part of the &#x2018;core&#x2019; EMT regulatory machinery (<xref ref-type="bibr" rid="B6">6</xref>). The binding of miR-200 to PD-L1 mRNA inhibits translation of the checkpoint ligand, and such binding can generally promote degradation of the miRNA&#x2013;mRNA complex (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>). To investigate this mechanism, we recently presented a mathematical model connecting a model for the core EMT network to a model for IFN&#x3b3;-induced PD-L1 expression (<xref ref-type="bibr" rid="B19">19</xref>), considering mutual inhibitory feedback between miR-200 and PD-L1. Model analysis showed that this interaction gives rise to tristability in PD-L1 levels, with a mesenchymal state corresponding with high PD-L1 expression, an epithelial state with low PD-L1 expression, and an E/M state with intermediate (albeit still relatively low) PD-L1 expression. Stimulation with IFN&#x3b3; further amplifies the difference in PD-L1 expression between the stable EMT states. Furthermore, the bi-directional crosstalk between miR-200 and PD-L1 reduces the amount of inducing signal required to undergo EMT in the presence of IFN&#x3b3;.</p>
<p>Despite displaying interesting dynamics relevant for tumor progression, our prior model of EMT&#x2013;PD-L1 dynamics (<xref ref-type="bibr" rid="B19">19</xref>) did not take into account several mechanisms and factors affecting EMT and PD-L1 expression. First, an important missing mechanism was the negative feedback of PD-L1 on the IFN&#x3b3; secretion of T cells, which results from the PD-L1&#x2013;PD-1 interaction (<xref ref-type="bibr" rid="B20">20</xref>). Second, our prior model did not explicitly describe Transforming Growth Factor beta (TGF&#x3b2;) as an EMT-inducing signal, and as a central player in tumor immune evasion (reviewed in <xref ref-type="bibr" rid="B21">21</xref>). Of particular relevance here is the ability of TGF&#x3b2; to inhibit IFN&#x3b3; release both directly and indirectly by inhibiting T cell proliferation and differentiation. Third, our regulatory EMT&#x2013;PD-L1 network model did not consider the potential role of spatial effects, such as the spatiotemporal and potentially localized spreading of cytokines within the tumor microenvironment (TME). Fourth, the model described the behavior of an average tumor cell and therefore did not account for intratumoral heterogeneity, which was recently demonstrated to contribute to resistance to PD-(L)1 blockade (<xref ref-type="bibr" rid="B22">22</xref>).</p>
<p>In the present study, we extended the model presented by Burger et&#xa0;al. (<xref ref-type="bibr" rid="B19">19</xref>) to explore the role of immunosuppression through PD-L1 or TGF&#x3b2;, and of intratumoral heterogeneity on the crosstalk between EMT and PD-L1 expression. Analysis of our models with immunosuppression shows that negative feedback of PD-L1 on IFN&#x3b3; only decreases the difference in PD-L1 expression between EMT phenotypes, whereas TGF&#x3b2;-mediated IFN&#x3b3; inhibition gives rise to a negative correlation between TGF&#x3b2; and PD-L1 levels within EMT phenotypes. By subsequently embedding the above networks in multi-scale cell-based spatial simulations with cytokine spreading and intratumoral heterogeneity, we show that partial EMT of a tumor cell subset induced by IFN&#x3b3; offers bystander tumor cells limited protection from IFN&#x3b3;. Moreover, we demonstrate that a study at the cell population level may hide the underlying relation between PD-L1 expression and EMT status. Overall, our analysis illustrates how tumor-mediated immunosuppression and cytokine spreading can affect the complex relationship between EMT and PD-L1 status.</p>
</sec>
<sec id="s2" sec-type="results">
<label>2</label>
<title>Results</title>
<sec id="s2_1">
<label>2.1</label>
<title>PD-L1-mediated IFN&#x3b3; inhibition limits PD-L1 primarily for mesenchymal cells</title>
<p>Within our previously modeled PD-L1&#x2013;EMT network (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>, black, solid arrows), we did not consider the influence of immunosuppression. One way through which such suppression is expected to take place is the inhibition of IFN&#x3b3; production following the interaction of tumor-expressed PD-L1 with T cell-expressed PD-1 (<xref ref-type="bibr" rid="B20">20</xref>). To study how this negative feedback of PD-L1 on IFN&#x3b3; production affects the relationship between EMT and IFN&#x3b3;-induced PD-L1 expression, we extended the model of Burger et&#xa0;al. (<xref ref-type="bibr" rid="B19">19</xref>) with this regulation (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>, red, dashed arrow).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>PD-L1-mediated IFN&#x3b3; inhibition only quantitatively affects PD-L1 expression and EMT. <bold>(A)</bold> Schematic depiction of the EMT&#x2013;PD-L1 regulatory network (black, solid arrows) extended with negative feedback of PD-L1 on IFN&#x3b3; (red, dashed arrow). <bold>(B&#x2013;D)</bold> Bifurcation <bold>(B, D)</bold> and continuation <bold>(C)</bold> diagrams illustrating how, in the absence (solid lines) and presence (dashed lines) of PD-L1-mediated IFN&#x3b3; inhibition, the steady-state expression of PD-L1 on the membrane <bold>(B)</bold> and ZEB1 mRNA <bold>(D)</bold> depend on SNAIL1, considering a fixed basal IFN&#x3b3; production rate of 0.1 nM h<sup>&#x2212;1</sup>, and the steady-state expression of PD-L1 on the membrane depends on the basal IFN&#x3b3; production rate, considering a fixed SNAIL1 level of 1.95 &#xd7; 10<sup>5</sup> molecules <bold>(C)</bold>. Colors represent the different stable equilibria (representing E, E/M, and M phenotypes) and unstable equilibria (indicated in legend). <bold>(E)</bold> Phase diagram showing how the presence of stable equilibria (colored regions, indicated in legend) depends on the basal IFN&#x3b3; production rate and SNAIL1 in the absence (left) and presence (right) of PD-L1-mediated IFN&#x3b3; inhibition. Vertical dashed lines in <bold>(B, D, E)</bold> show the SNAIL1 level used in <bold>(C)</bold>, while horizontal dashed lines in <bold>(E)</bold> show the basal IFN&#x3b3; production rate used in <bold>(B, D)</bold>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-14-1219669-g001.tif"/>
</fig>
<p>We examined the behavior of the modified network (i.e., with PD-L1-mediated IFN&#x3b3; inhibition) for various levels of SNAIL1 (considered to be activated via, e.g., TGF&#x3b2;) and baseline IFN&#x3b3; production rates (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>). The model with inhibition displays similar tristability in PD-L1 expression on the cell membrane as the model without inhibition (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>), resulting from several saddle-node bifurcations. In both models, mesenchymal cells have the highest PD-L1 level and epithelial cells the lowest. Notably, the negative feedback loop does not cause additional bifurcation points, hence the qualitative behavior of the two models is the same. However, the feedback does decrease PD-L1 expression for all EMT phenotypes, thereby reducing the absolute and relative differences in PD-L1 expression between phenotypes. The inhibition affects the equilibrium PD-L1 level for all phenotypes when the IFN&#x3b3; production rate is low, but only the mesenchymal phenotype for intermediate IFN&#x3b3; production rates (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>). At high IFN&#x3b3; production rates, the feedback has no effect on PD-L1 expression for any phenotype because the IFN&#x3b3; level is still sufficiently high to closely approach the maximal transcription rate of PD-L1.</p>
<p>We subsequently investigated the impact of PD-L1-mediated IFN&#x3b3; inhibition on ZEB1 expression and EMT phenotype stability. The inhibition causes a rightward shift of the upper part of the bifurcation diagram of ZEB1 as dependent on SNAIL1 input signal (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>), because a reduced PD-L1 expression leads to an increased amount of miR-200, in turn affecting EMT. To further characterize this effect, we created a phase diagram showing how the stability of EMT phenotypes depends on SNAIL1 levels and baseline IFN&#x3b3; production rates (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>). Compared to the model without IFN&#x3b3; inhibition, in the presence of such inhibition the IFN&#x3b3;-induced leftward shift occurs for higher IFN&#x3b3; production rates and is no longer parallel for the different bifurcation points. These bifurcation point shifts remain similar upon adjustment of the model parameters implementing the negative feedback, i.e., a sensitivity analysis (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S1</bold>
</xref>, left panels). In conclusion, our model predicts that negative feedback of PD-L1 on IFN&#x3b3; has a quantitative, but not qualitative, effect on the relationship between EMT and PD-L1 expression.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>TGF&#x3b2;-mediated IFN&#x3b3; inhibition causes PD-L1 expression to correlate negatively with TGF&#x3b2; within EMT phenotypes</title>
<p>Apart from PD-L1-mediated IFN&#x3b3; inhibition leading to immunosuppression, such suppression can also be invoked by TGF&#x3b2;. In order to separately study the impact of this alternative inhibition on the crosstalk between EMT and IFN&#x3b3;-induced PD-L1 expression, we explicitly described TGF&#x3b2; in our model as a driver of SNAIL1 expression (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). Moreover, we extended this model with the inhibition of IFN&#x3b3; production by TGF&#x3b2;, in a similar manner as for PD-L1-mediated IFN&#x3b3; production.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>TGF&#x3b2;-mediated IFN&#x3b3; inhibition causes PD-L1 expression to correlate negatively with TGF&#x3b2; within each EMT phenotype. <bold>(A)</bold> Schematic depiction of the EMT&#x2013;PD-L1 regulatory network (black, solid arrows) extended with TGF&#x3b2;-mediated IFN&#x3b3; inhibition and SNAIL1 stimulation (red, dashed arrows). <bold>(B, C)</bold> Bifurcation diagrams illustrating how, in the absence (solid lines) and presence (dashed lines) of TGF&#x3b2;-mediated IFN&#x3b3; inhibition, the steady-state expression of PD-L1 on the membrane <bold>(B)</bold> and ZEB1 mRNA <bold>(C)</bold> depend on TGF&#x3b2;, considering fixed basal IFN&#x3b3; production rates of 0.06 nM h<sup>&#x2212;1</sup> (<bold>B</bold>, left), 0.11 nM h<sup>&#x2212;1</sup> (<bold>B</bold>, middle, and <bold>C</bold>), and 0.16 nM h<sup>&#x2212;1</sup> (<bold>B</bold>, right). Colors represent the different stable equilibria (representing E, E/M, and M phenotypes) and unstable equilibria (indicated in legend). <bold>(D)</bold> Phase diagram showing how the presence of stable equilibria (colored regions, indicated in legend) depends on the basal IFN&#x3b3; production rate and TGF&#x3b2; concentration in the absence (left) and presence (right) of TGF&#x3b2;-mediated IFN&#x3b3; inhibition. Horizontal dashed lines in <bold>(D)</bold> show the basal IFN&#x3b3; production rates used in <bold>(B, C)</bold>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-14-1219669-g002.tif"/>
</fig>
<p>Using this modified model (i.e., with TGF&#x3b2;-mediated IFN&#x3b3; inhibition), we studied how the system responds to different levels of TGF&#x3b2; and baseline IFN&#x3b3; production rates (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). As was the case for PD-L1-mediated IFN&#x3b3; inhibition, the model extension with TGF&#x3b2;-mediated IFN&#x3b3; inhibition does not affect the tristability of PD-L1 expression on the membrane (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). However, TGF&#x3b2;-mediated IFN&#x3b3; inhibition leads to a complicated relation between PD-L1 expression and TGF&#x3b2;. Specifically, PD-L1 levels tend to correlate negatively with TGF&#x3b2; within each EMT phenotype, especially for low IFN&#x3b3; production rates. Across EMT phenotypes, there is still a primarily positive correlation between TGF&#x3b2; and PD-L1 expression</p>
<p>Next, we investigated the influence of TGF&#x3b2;-mediated IFN&#x3b3; inhibition on ZEB1 and the stability of EMT phenotypes. In the bifurcation diagram of ZEB1, as dependent on the TGF&#x3b2; concentration (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>), it causes a rightward shift of the bifurcation point separating the {E/M, M} and {M} states compared with the model without inhibition. Consequently, the total range of TGF&#x3b2; for which the hybrid E/M phenotype can (co-)exist is strongly increased. This is reminiscent of the influence of other proteins such as OVOL on the core EMT regulatory network (<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B24">24</xref>), although contrary to OVOL expression, TGF&#x3b2;-mediated IFN&#x3b3; inhibition does not lead to a range in which the hybrid E/M phenotype is the only possible phenotype. The increase occurs for a range of IFN&#x3b3; production rates, as visualized in a phase diagram depicting the various stability regimes (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>). Interestingly, upon increasing the IFN&#x3b3; production rate, the same bifurcation point undergoes a leftward shift, leading to a part of the curve gradually splitting off and eventually disappearing (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S2</bold>
</xref>). This phenomenon also occurs for the bifurcation point separating the {E, E/M, M} and {E/M, M} states (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S2</bold>
</xref>). Nevertheless, this only occurs for very limited ranges of IFN&#x3b3; production rates. Importantly, also this model extension exhibits good robustness with respect to changes in inhibition-related parameter values (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S1</bold>
</xref>, right panels). Moreover, when we combined both PD-L1- and TGF&#x3b2;-mediated IFN&#x3b3; inhibition, the effects observed for the separate inhibition mechanisms were retained (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S3</bold>
</xref>). In summary, TGF&#x3b2;-mediated IFN&#x3b3; inhibition mainly results in a negative correlation between TGF&#x3b2; and PD-L1 expression within EMT phenotypes, yet a positive correlation across phenotypes.</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>IFN&#x3b3;-induced partial EMT of a tumor cell subset can provide limited protection to bystander tumor cells</title>
<p>In practice, the outcome of the crosstalk between EMT and IFN&#x3b3;-induced PD-L1 expression is likely to also depend on the (an)isotropy of the TME with regard to the involved cytokines IFN&#x3b3; and TGF&#x3b2;. Therefore, we embedded our models describing IFN&#x3b3; inhibition by either PD-L1 or TGF&#x3b2;, or without such IFN&#x3b3; inhibition, in multi-scale spatial simulations using the cellular Potts model (CPM) (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B26">26</xref>). These 2D simulations comprise tumor cells, IFN&#x3b3;-secreting CD8<sup>+</sup> T cells, and a partial differential equation (PDE) layer describing the spatiotemporal spreading of IFN&#x3b3;. The production and cellular uptake rates of IFN&#x3b3; were derived from the literature (see Methods for details). Our simulations additionally include a static TGF&#x3b2; field that is either uniform or has a gradient with the highest concentrations at the tumor edge. The latter mimics the accumulation of TGF&#x3b2; at the invasive front which has been experimentally observed (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>).</p>
<p>Discussion is ongoing concerning how far CD8<sup>+</sup> T cell-derived IFN&#x3b3; can spread within the TME. Specifically, mathematical simulations predict cytokine gradients in dense, cytokine-consuming environments to range between one and a few cell diameters (<xref ref-type="bibr" rid="B29">29</xref>). However, these predictions are contradicted by experimental findings showing that IFN&#x3b3; produced by activated CD8<sup>+</sup> T cells diffuses substantially from the site of tumor cell-T cell interaction (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B31">31</xref>). Since both extremes are likely relevant and can depend on tumor-secreted factors such as galectins (<xref ref-type="bibr" rid="B32">32</xref>), we investigated two extreme spreading scenarios by modifying the rate of cellular uptake of IFN&#x3b3;. For these short- and long-range spreading scenarios, the IFN&#x3b3; concentration in molecules cell<sup>&#x2212;1</sup> decreases by a factor of 2.7 within one and six cell layers, respectively.</p>
<p>We first employed our multi-scale models to study a long-range IFN&#x3b3; spreading scenario within a T cell-infiltrated tumor embedded in a uniform TGF&#x3b2; field (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Video S1</bold>
</xref>). We considered tumor cells to be either homogeneous or heterogeneous with regard to their model parameter values (see Methods), with the latter scenario likely being the most realistic for human cancers. We simulated limited heterogeneity so that no epithelial tumor cells spontaneously underwent EMT in the absence of IFN&#x3b3;. Under this condition, cells also did not undergo a complete transition to a mesenchymal state in the presence of IFN&#x3b3;.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>An IFN&#x3b3;-induced hybrid tumor subset can provide limited protection to bystander epithelial tumor cells. <bold>(A)</bold> Still images of a CPM simulation of IFN&#x3b3;-secreting T cells within a tumor with long-range IFN&#x3b3; spreading, intratumoral heterogeneity, and PD-L1-mediated IFN&#x3b3; inhibition. Left color scheme: lattice sites are colored according to IFN&#x3b3; level; T cells are black, and epithelial (E) and hybrid (E/M) tumor cells are red and green, respectively. Other color schemes: T cells are black, and tumor cells are colored according to IFN&#x3b3; (middle-left), PD-L1 (middle-right), and ZEB1 (right) levels. Elapsed simulation time is 2410 minutes. <bold>(B, C)</bold> Violin and box plots showing the IFN&#x3b3; production rate of T cells <bold>(B)</bold> and the IFN&#x3b3; concentration sensed by epithelial tumor cells <bold>(C)</bold>. In <bold>(B)</bold>, results are shown for a tumor with negative feedback of PD-L1 on IFN&#x3b3;, and in <bold>(C)</bold> for tumors without IFN&#x3b3; inhibition (left), inhibition of IFN&#x3b3; by PD-L1 (middle) or by TGF&#x3b2; (right). Colors denote heterogeneous (blue) or homogeneous tumors (red; only median is shown in <bold>(B)</bold>). Plots are based on data 2100-2410 minutes after initialization and 5 simulations per condition.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-14-1219669-g003.tif"/>
</fig>
<p>IFN&#x3b3; has a dual role in cancer immunity (reviewed in <xref ref-type="bibr" rid="B33">33</xref>) and is implicated in tumor immune surveillance through the induction of tumor cell cycle arrest, senescence, and death. The presence of intratumoral heterogeneity makes it plausible that a subset of tumor cells is resistant to the antitumorigenic effects of IFN&#x3b3;, yet is sensitive to other IFN&#x3b3;-driven responses, including partial or full EMT. Because these transitions could in turn affect PD-L1 expression, inhibiting further IFN&#x3b3; production, bystander tumor cells might indirectly be protected by EMT of a tumor subpopulation. We therefore investigated this potential impact of EMT triggered in a tumor subpopulation on bystander tumor cells.</p>
<p>As anticipated, our model predicts the entire tumor to be exposed to IFN&#x3b3; due to the substantial IFN&#x3b3; spreading (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). Notably, the tumor cell subset that converts to an intermediate E/M state in response to IFN&#x3b3; (12%) has a higher PD-L1 expression than cells remaining epithelial. In tumors with PD-L1-mediated inhibition of IFN&#x3b3; secretion by neighboring T cells, this increased PD-L1 level gives rise to a clear subset of T cells with a low IFN&#x3b3; production rate (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). Consequently, epithelial tumor cells have on average a 7.0% lower IFN&#x3b3; exposure in heterogeneous versus homogeneous tumors with PD-L1-mediated IFN&#x3b3; inhibition (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>). Note that this small difference in sensed IFN&#x3b3; by tumor cells between the homogeneous and heterogeneous scenario does not occur for tumors without IFN&#x3b3; inhibition or with TGF&#x3b2;-mediated IFN&#x3b3; inhibition. In the scenario without IFN&#x3b3; inhibition, the epithelial subpopulation is even exposed to a slightly higher (5.6%) IFN&#x3b3; concentration in heterogeneous compared to homogeneous tumors. This is because several hybrid cells escape the tumor (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>), thereby no longer inhibiting IFN&#x3b3; production of intratumoral T cells, and causing the remaining epithelial cells to reside close to the IFN&#x3b3;-rich tumor center. This implies that the true effect of E/M hybrid cells on IFN&#x3b3; reduction caused by the inhibition of IFN&#x3b3; by PD-L1 is in fact larger than the net 7.0%. In summary, our spatial simulations provide evidence for a potential protective effect provided by a small subpopulation of hybrid tumor cells towards the remainder of the tumor population owing to PD-L1-mediated immunosuppression.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Population-level responses may hide the relationship between PD-L1 expression and EMT status</title>
<p>In all investigated ODE models with or without immunosuppression, we found a clear relation between EMT and PD-L1 status, predicting PD-L1 to be lowest for epithelial cells, intermediate for hybrid E/M cells, and highest for mesenchymal cells. However, it is unclear whether this relation can be uncovered in experimental data when studying tumor cells at population level. Therefore, we investigated the relation between EMT status, ZEB1, and PD-L1 within spatial simulations implementing scenarios with short-range IFN&#x3b3; spreading at the invasive front of a tumor. Note that we utilized scenarios without intratumoral heterogeneity in order to prevent this source of heterogeneity from detecting relationships between markers. Because TGF&#x3b2; accumulation may occur at the invasive front in carcinomas (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>), we simulated tumors with either a homogeneous TGF&#x3b2; field or a TGF&#x3b2; gradient (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Videos S2</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>S3</bold>
</xref>), in the absence or presence of IFN&#x3b3; inhibition (either by PD-L1 or by TGF&#x3b2;).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Mean PD-L1 expression need not correlate with EMT status. <bold>(A)</bold> Still images of a CPM simulation of IFN&#x3b3;-secreting T cells at a tumor invasive front with short-range IFN&#x3b3; spreading, a TGF&#x3b2; gradient, and no IFN&#x3b3; inhibition. Top color scheme: lattice sites are colored according to TGF&#x3b2; level. Second color scheme from the top: T cells are black, and epithelial (E), hybrid (E/M), and mesenchymal (M) tumor cells are red, green, and blue, respectively. Other color schemes: T cells are black, and tumor cells are colored according to (from top to bottom) TGF&#x3b2;, IFN&#x3b3;, PD-L1, and ZEB1 levels. Elapsed simulation time in minutes is displayed above the stills. <bold>(B, C)</bold> Average (bold line) and standard error of the mean (SEM; ribbon) of PD-L1 membrane <bold>(B)</bold> and ZEB1 <bold>(C)</bold> expression of tumor cells over time. <bold>(D)</bold> Average (bold line) and SEM (ribbon) of PD-L1 membrane expression as a function of ZEB1 expression over time. <bold>(E)</bold> Average (bold line) and SEM (ribbon) of the number of tumor cells per EMT phenotype (indicated in legend) over time. Plots in <bold>(B&#x2013;E)</bold> are based on 10 simulations per condition, and results are shown for tumors with a uniform TGF&#x3b2; field (left panels) or a TGF&#x3b2; gradient (right panels). The absence or mode of IFN&#x3b3; inhibition is indicated in the legend.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-14-1219669-g004.tif"/>
</fig>
<p>Within tumors with homogeneously distributed TGF&#x3b2; or with a TGF&#x3b2; gradient, the overall relationship between PD-L1 membrane and ZEB1 expression is as expected, with a higher PD-L1 expression being accompanied by a higher ZEB1 expression (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4B&#x2013;D</bold>
</xref>). For instance, for tumors with a TGF&#x3b2; gradient, those without IFN&#x3b3; inhibition have both the highest PD-L1 and ZEB1 levels. However, between these two TGF&#x3b2; tumor types, the relationship between PD-L1 and ZEB1 expression is not as straightforward. Specifically, when there is no IFN&#x3b3; inhibition or PD-L1-mediated IFN&#x3b3; inhibition, tumors obtain a similar level of PD-L1 expression regardless of the shape of the TGF&#x3b2; field (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>; blue and orange), whereas tumors with a TGF&#x3b2; gradient reach a much higher ZEB1 expression (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>; blue and orange). Moreover, in the case of IFN&#x3b3; inhibition by TGF&#x3b2;, tumors with a TGF&#x3b2; gradient obtain a considerably lower PD-L1 (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>; green) but a similar ZEB1 level compared to those with a uniform TGF&#x3b2; field (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>; green).</p>
<p>We subsequently examined the temporal relationship between PD-L1 membrane expression and EMT status on a single-cell level. For all tumors that are isotropic with regard to TGF&#x3b2;, our models predict that the number of hybrid cells continues to increase over time (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>). This coincides with an increase in ZEB1 (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>), yet PD-L1 levels approximately reach a steady state (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). This also applies to tumors with a TGF&#x3b2; gradient and IFN&#x3b3; inhibition by TGF&#x3b2; (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4B, C, E</bold>
</xref>), although in that case the number of hybrid cells reaches a steady state. There is a minor continued increase in the number of fully mesenchymal cells in this setting (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>). Only in tumors with a TGF&#x3b2; gradient and no immunosuppression or PD-L1-mediated IFN&#x3b3; inhibition, PD-L1 expression continues to increase over time (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). To conclude, an increase in the number of hybrid E/M or mesenchymal cells coincides with an increase in EMT marker ZEB1 in all studied scenarios, yet PD-L1 expression does not always keep increasing along with ZEB1. For individual tumor cells, however, we do observe the expected positive correlation between PD-L1 and ZEB1 expression in each scenario (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S4</bold>
</xref>). This relation is most evident at high IFN&#x3b3; levels (i.e., the top edge in each panel) in tumors with a TGF&#x3b2; gradient. This implies that studying tumors at a population level may conceal the relationship between PD-L1 membrane expression and EMT status.</p>
</sec>
</sec>
<sec id="s3" sec-type="discussion">
<label>3</label>
<title>Discussion and conclusion</title>
<p>In the current study, we created mathematical and spatial models of the crosstalk between EMT and IFN&#x3b3;-induced PD-L1 expression and showed that immunosuppression and heterogeneity across tumor cells and space lead to a highly complex relationship between EMT status and PD-L1 expression in cancer. Adding immunosuppression in the form of a negative feedback loop from PD-L1 on IFN&#x3b3; affects this relationship only quantitatively, diminishing the differences in PD-L1 levels between the EMT phenotypes. The effect of immunosuppression through inhibition of IFN&#x3b3; by TGF&#x3b2;, on the other hand, results in a negative correlation between PD-L1 expression and TGF&#x3b2; within each EMT phenotype. When combining PD-L1- and TGF&#x3b2;-mediated IFN&#x3b3; inhibition (through the multiplication of the two shifted Hill functions involved), the observed effects are consistent with those of each inhibition mechanism individually. Note that a different type of interaction between these inhibitions, such as synergism or antagonism (<xref ref-type="bibr" rid="B34">34</xref>), could potentially affect this outcome. Embedding the above model versions in spatial simulations of immune-infiltrated tumors, we demonstrated that IFN&#x3b3;-induced partial EMT of a tumor cell subpopulation can provide limited protection to bystander tumor cells by limiting their exposure to IFN&#x3b3;. Lastly, we showed that studying EMT status and PD-L1 expression at a population level may conceal their relationship. Our findings contribute to a more comprehensive understanding of the interaction between EMT and the immune response, which is essential for developing novel diagnostic and therapeutic options for cancer patients.</p>
<p>An interesting prediction from our models is that even though IFN&#x3b3;-induced EMT gives rise to a continuous increase in average ZEB1 expression over time (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>), average PD-L1 expression may reach a steady state (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). A potential underlying reason is that local fluctuations in IFN&#x3b3; cause fluctuating PD-L1 levels that may conceal the relation between PD-L1 and ZEB1 expression (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S4</bold>
</xref>). In addition, the EMT-induced upregulation of PD-L1 is relatively small compared to the initial IFN&#x3b3;-induced PD-L1 upregulation. Moreover, note that our models (including the model on which our extensions are based, i.e. Burger et&#xa0;al. (<xref ref-type="bibr" rid="B19">19</xref>)) predict hybrid E/M cells to have only slightly increased (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>) or even lower (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>) PD-L1 expression compared to epithelial cells, especially in the absence of IFN&#x3b3;. This is contradicted by a recent mathematical model presented by Sahoo et&#xa0;al. (<xref ref-type="bibr" rid="B35">35</xref>), which predicts an almost equal (high) level of PD-L1 for the hybrid and mesenchymal phenotypes. The model-predicted difference in PD-L1 expression between the hybrid E/M and epithelial states suggests that it is necessary to perform temporal experiments at a single-cell level to accurately capture the relationship between PD-L1 expression and EMT status (similar to <xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S4</bold>
</xref>). Thus, future research should further characterize this difference, including its context and cell-line specificity.</p>
<p>The complexity of the relationship between PD-L1 expression and EMT status, and the influence of immunosuppression and spatial distribution of cytokines IFN&#x3b3; and TGF&#x3b2;, have relevant diagnostic implications. Both PD-L1 and EMT scores have been proposed as biomarkers for selecting patients responding to PD-1/PD-L1 blockade therapy (<xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B37">37</xref>). However, the numerous mechanisms and factors affecting the expression of PD-L1 and EMT regulators, such as ZEB1, complicate their use as selective biomarkers (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B38">38</xref>, <xref ref-type="bibr" rid="B39">39</xref>). Regarding PD-L1, our model indeed predicts that a low expression may be attributed to a lack of an active immune response (initial PD-L1 level in <xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). Alternatively, the PD-L1 level could have been high initially, suppressing the immune response and consequently decreasing the expression of PD-L1. Therefore, using PD-L1 as a predictive biomarker may prevent the treatment of a subset of patients who, despite their low to moderate PD-L1 expression, have a high probability of responding. For ZEB1 as a biomarker, a major difficulty lies in the fact that its absolute expression may depend on the shape of the TGF&#x3b2; field (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>), as our simulations predict. Moreover, since diverse signaling pathways regulate ZEB1 activity (<xref ref-type="bibr" rid="B40">40</xref>), a ZEB1<italic>
<sup>high</sup>
</italic> tumor status is not necessarily associated with an ongoing immune response.</p>
<p>Furthermore, our findings support the hypothesis that T cell suppression by a hybrid E/M subpopulation in tumors with considerable IFN&#x3b3; spreading may contribute to collective immunoevasion by decreasing the overall IFN&#x3b3; level, albeit only slightly (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>). Several processes may play a role in this limited protection provided by hybrid E/M cells to other tumor cells in our simulations. First, the small effect size may partly be attributed to the aforementioned minor difference in PD-L1 expression between hybrid E/M and epithelial cells. Second, in our simulations, a substantial number of hybrid cells escape the tumor on account of their increased motility (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). Note that this is in contrast with experimental observations and mathematical modeling predictions in breast carcinoma where hybrid cancer stem cells (CSCs) were found to typically reside in the tumor interior (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B42">42</xref>). This distribution originated from differential EMT-inducing signals in the interior and outer regions of the tumor. Nevertheless, these findings do not exclude the possibility that hybrid (or fully mesenchymal cells) escape the tumor, as this was not specifically investigated. For example, the mathematical model of Bocci et&#xa0;al. (<xref ref-type="bibr" rid="B42">42</xref>) did not consider migration of hybrid or mesenchymal CSCs. Third, in our models we consider the IFN&#x3b3; production by T cells to increase instantly upon detaching from a hybrid tumor cell. In reality, the slightly increased PD-L1 level of hybrid cells compared to epithelial cells may contribute to a sustained state of T cell exhaustion (<xref ref-type="bibr" rid="B20">20</xref>), resulting in long-term impaired IFN&#x3b3; secretion. For these reasons, the protective effect of the hybrid tumor subset over the remainder of the tumor population may be larger than predicted here. Even if this is not the case in reality, only a minor IFN&#x3b3; reduction may already be highly relevant, e.g., if it lowers the IFN&#x3b3; level beyond a certain efficacy threshold of the cytopathic and cytostatic effects of IFN&#x3b3; (<xref ref-type="bibr" rid="B33">33</xref>). If so, therapeutically targeting the hybrid subpopulation may increase the overall IFN&#x3b3; concentration beyond said threshold, enhancing, e.g., the IFN&#x3b3;-mediated killing of bystander epithelial tumor cells. In the future, it would therefore be useful to expand our models with the dynamics of tumor growth and T cell-mediated killing, to evaluate the importance of the predicted decrease in IFN&#x3b3;. As an example of a similar approach, Benchaib et&#xa0;al. (<xref ref-type="bibr" rid="B43">43</xref>) describe tumor growth dynamics and IFN&#x3b3;-induced dormancy in their mathematical model of the interaction between cancer and immune cells in the lymph node. Their simulations predict three possible outcomes that coincide with the main phases of the immunoediting process, namely tumor elimination, equilibrium, and evasion.</p>
<p>In our multi-scale spatial simulations, we make two more assumptions regarding T cells that would likely affect our model predictions quantitatively. First, we consider the ratio of T cells to tumor cells to be 1:40. Although this ratio represents a realistic scenario, lower ratios have been observed in some tumors, for example in glioblastoma (<xref ref-type="bibr" rid="B44">44</xref>). Naturally, in such tumors with very limited T cell infiltration (immunologically cold tumors), the effects predicted by our models will be less pronounced. Second, we consider T cells not to consume IFN&#x3b3;. However, given that IFN&#x3b3; has been shown to increase the abundance of the T cell population (<xref ref-type="bibr" rid="B45">45</xref>) as well as their migration and cytotoxicity (<xref ref-type="bibr" rid="B46">46</xref>), T cells likely take up IFN&#x3b3; to a certain extent. Still, given the low T cell:tumor cell ratio, we expect that this additional consumption has only a minor effect on intratumoral IFN&#x3b3; concentrations. Moreover, to our knowledge, there is no evidence indicating that T cells preferentially consume large quantities of IFN&#x3b3; relative to tumor cells.</p>
<p>We propose that one promising therapeutic strategy for combating not only tumor immunoevasion but also cancer metastasis involves interfering with the pathways that control the interplay between EMT and PD-L1. Increasing efforts already focus on searching for opportunities to therapeutically interfere with EMT in cancer (reviewed in <xref ref-type="bibr" rid="B47">47</xref>). Potential therapeutic candidates include upstream signaling pathways, such as the TGF&#x3b2; signaling pathway, and molecular drivers of EMT. Blocking TGF&#x3b2; signaling may also hinder its T cell-suppressive effects and is therefore an especially interesting approach. Nevertheless, our model-based analysis suggests that IFN&#x3b3; is a more prominent driver of PD-L1 expression than EMT-driven PD-L1 expression <italic>via</italic> miR-200, which is consistent with our recent bioinformatic analysis of cancer patient data from the Cancer Genome Atlas (<xref ref-type="bibr" rid="B39">39</xref>). As such, we expect combination therapies of agents targeting EMT and the PD-1&#x2013;PD-L1 interaction to be most effective for enhancing the antitumor immune response. Consistent with this, co-administration of TGF&#x3b2;-blocking and anti-PD-L1 antibodies provoked antitumor immunity and tumor regression in metastatic urothelial cancer by facilitating T cell infiltration (<xref ref-type="bibr" rid="B48">48</xref>). We conclude that there is ample potential for therapeutic exploitation of the EMT&#x2013;PD-L1 axis.</p>
<p>Our multi-scale models have three important limitations. A first limitation is that we markedly accelerated the EMT and PD-L1 regulatory network dynamics relative to their true cellular and spatial dynamics to reduce computation time. As a consequence, PD-L1 expression in our simulations was established on a time scale of seconds instead of hours, and a full EMT transition required minutes instead of days (cf. Figures&#xa0;1D&#x2013;F in <xref ref-type="bibr" rid="B19">19</xref>). For the long-range IFN&#x3b3; spreading scenario, this merely implies that in practice more time is needed for a subpopulation of hybrid cells to emerge and suppress the immune response. In actual tumors with short-range IFN&#x3b3; spreading, however, the brief T cell-tumor cell interactions in our simulations might be insufficient to induce PD-L1 expression, let alone an EMT. Still, CD8<sup>+</sup> T cells normally form conjugates with antigen-expressing tumor cells that can last minutes to hours (<xref ref-type="bibr" rid="B49">49</xref>), presumably exposing tumor cells to IFN&#x3b3; for a sufficient period to induce PD-L1 expression and consequently trigger EMT.</p>
<p>A second limitation of our simulations is that we modeled the difference in motility between the EMT phenotypes only based on cell surface interactions, and we did not differentiate between the migratory behavior of cells in a partial EMT or mesenchymal state. Future efforts should focus on the implementation of a more sophisticated cancer invasion model, such as the cellular Potts-based model recently presented by Pramanik et&#xa0;al. (<xref ref-type="bibr" rid="B50">50</xref>), to better characterize how different modes of cell migration contribute to cancer metastasis as a consequence of EMT&#x2013;PD-L1 crosstalk.</p>
<p>Lastly, a third limitation of our work is that we considered CD8<sup>+</sup> T cells to be the only source of IFN&#x3b3; in our models, even though it is well established that other immune cells in the TME can also secrete this cytokine. Examples include CD4<sup>+</sup> T cells, natural killer (NK) cells, and NK T cells (<xref ref-type="bibr" rid="B51">51</xref>). A recent study even found the production of IFN&#x3b3; by CD4<sup>+</sup> chimeric antigen receptor (CAR) T cells to be considerably higher than that of CD8<sup>+</sup> CAR T cells in a model of B-cell malignancy (<xref ref-type="bibr" rid="B52">52</xref>). Since these additional cellular components could potentially affect how our simulations replicate tumor biology, it would be worth including them (and the effects of additionally produced IFN&#x3b3;) in future model versions. This also applies to the cellular sources of TGF&#x3b2;, which include tumor cells, regulatory T cells, fibroblasts, and macrophages (<xref ref-type="bibr" rid="B21">21</xref>). We currently described this cytokine with a static field (either uniformly distributed or with a gradient) but it could instead be modeled dynamically. Note that such an effort would benefit from additional experiments to obtain reliable production and cellular uptake rates.</p>
<p>In conclusion, we extended an existing mathematical model and embedded it in multi-scale spatial simulations to describe the effects of immunosuppression and spatial heterogeneity on the crosstalk between EMT and IFN&#x3b3;-induced PD-L1 expression. Our analysis demonstrates that the relation between PD-L1 expression and EMT status is highly complex, and depends on the forms of immunosuppression established by the tumor as well as on spatial heterogeneity concerning cytokines influencing these pathways. Experimental validation of the hypotheses presented here based on temporal, single-cell measurements will be required to shed further light on the relationship between PD-L1 expression and EMT status. Ultimately, these insights may contribute to the development of novel therapeutic strategies for effectively combating metastatic dissemination as well as immunoevasion.</p>
</sec>
<sec id="s4" sec-type="materials|methods">
<label>4</label>
<title>Materials and methods</title>
<sec id="s4_1">
<label>4.1</label>
<title>ODE models</title>
<sec id="s4_1_1">
<label>4.1.1</label>
<title>IFN&#x3b3;&#x2013;PD-L1&#x2013;EMT model</title>
<p>The IFN&#x3b3;&#x2013;PD-L1&#x2013;EMT model (<xref ref-type="bibr" rid="B19">19</xref>) uses appropriate miRNA&#x2013;mRNA dynamics from the theoretical framework by Lu et&#xa0;al. (<xref ref-type="bibr" rid="B53">53</xref>) (see <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Information</bold>
</xref>) to combine the simplified TCS model (<xref ref-type="bibr" rid="B24">24</xref>) with a model for IFN&#x3b3;-induced PD-L1 expression, which is based on an extension of a published JAK&#x2013;STAT model (<xref ref-type="bibr" rid="B54">54</xref>). See <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Information</bold>
</xref> for the model definition and used parameters.</p>
</sec>
<sec id="s4_1_2">
<label>4.1.2</label>
<title>Negative feedback of PD-L1 on IFN&#x3b3;</title>
<p>Even though the negative feedback of membrane-bound PD-L1 on the production of IFN&#x3b3; is not mediated by direct transcriptional regulation, for simplicity, we used a shifted Hill function to model this regulation. The shifted Hill function for activation and inhibition of A by B is defined as</p>
<disp-formula>
<label>(1)</label>
<mml:math display="block" id="M1">
<mml:mrow>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mi>S</mml:mi>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mo>,</mml:mo>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>=</mml:mo>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mo>&#x2212;</mml:mo>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>B</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:msub>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mo>+</mml:mo>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>B</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<label>(2)</label>
<mml:math display="block" id="M2">
<mml:mrow>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mo>&#x2212;</mml:mo>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>B</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mn>1</mml:mn>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>+</mml:mo>
<mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mfrac>
<mml:mi>B</mml:mi>
<mml:mrow>
<mml:msubsup>
<mml:mi>B</mml:mi>
<mml:mi>A</mml:mi>
<mml:mn>0</mml:mn>
</mml:msubsup>
</mml:mrow>
</mml:mfrac>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>n</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfrac>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<label>(3)</label>
<mml:math display="block" id="M3">
<mml:mrow>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mo>+</mml:mo>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>B</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>=</mml:mo>
<mml:mn>1</mml:mn>
<mml:mo>&#x2212;</mml:mo>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mo>&#x2212;</mml:mo>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>B</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<p>where the weight factor <inline-formula>
<mml:math display="inline" id="im1">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> represents the fold change in the production rate of <inline-formula>
<mml:math display="inline" id="im2">
<mml:mi>A</mml:mi>
</mml:math>
</inline-formula> due to <inline-formula>
<mml:math display="inline" id="im3">
<mml:mi>B</mml:mi>
</mml:math>
</inline-formula>, with <inline-formula>
<mml:math display="inline" id="im4">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mo>&gt;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 1 for activation and <inline-formula>
<mml:math display="inline" id="im5">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mo>&lt;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 1 for inhibition. The Hill coefficient <inline-formula>
<mml:math display="inline" id="im6">
<mml:mrow>
<mml:msub>
<mml:mi>n</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> represents the cooperativity of the interaction, while the threshold <inline-formula>
<mml:math display="inline" id="im7">
<mml:mrow>
<mml:msubsup>
<mml:mi>B</mml:mi>
<mml:mi>A</mml:mi>
<mml:mn>0</mml:mn>
</mml:msubsup>
</mml:mrow>
</mml:math>
</inline-formula> is the concentration of <inline-formula>
<mml:math display="inline" id="im8">
<mml:mi>B</mml:mi>
</mml:math>
</inline-formula> at which the value of <inline-formula>
<mml:math display="inline" id="im9">
<mml:mrow>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mo>&#x2212;</mml:mo>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula> equals 0.5. The IFN&#x3b3;&#x2013;PD-L1&#x2013;EMT model uses the concentration of IFN&#x3b3; (in nM) as input. Here, we model the IFN&#x3b3; (<inline-formula>
<mml:math display="inline" id="im10">
<mml:mi>I</mml:mi>
</mml:math>
</inline-formula>) concentration with the following ordinary differential equation (ODE):</p>
<disp-formula>
<label>(4)</label>
<mml:math display="block" id="M4">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>I</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi>g</mml:mi>
<mml:mi>I</mml:mi>
</mml:msub>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mi>S</mml:mi>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:msub>
<mml:mi>P</mml:mi>
<mml:mi>M</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>P</mml:mi>
<mml:mi>M</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:mi>I</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mi>I</mml:mi>
</mml:msub>
<mml:mi>I</mml:mi>
<mml:mo>.</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<p>The meaning of parameters and their utilized values are provided in <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>. We chose the basal production and degradation rate of IFN&#x3b3; arbitrarily and varied the former to simulate different levels of IFN&#x3b3; exposure. Note that upon embedding our ODE models into multi-scale spatial simulations (see below), we utilized IFN&#x3b3; production and cellular uptake rates from the literature. To our knowledge, there are no experimental data available in which both IFN&#x3b3; secreted by T cells and the tumor cell membrane PD-L1 expression are measured. For simplicity, we chose the value 0.1 for <inline-formula>
<mml:math display="inline" id="im11">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>P</mml:mi>
<mml:mi>M</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:mi>I</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> to allow for a considerable inhibitory effect, and the value 2 for <inline-formula>
<mml:math display="inline" id="im12">
<mml:mrow>
<mml:msub>
<mml:mi>n</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>P</mml:mi>
<mml:mi>M</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:mi>I</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>. <inline-formula>
<mml:math display="inline" id="im13">
<mml:mrow>
<mml:msub>
<mml:mi>P</mml:mi>
<mml:mi>M</mml:mi>
</mml:msub>
<mml:msubsup>
<mml:mi>&#xa0;</mml:mi>
<mml:mi>I</mml:mi>
<mml:mn>0</mml:mn>
</mml:msubsup>
</mml:mrow>
</mml:math>
</inline-formula> was loosely based on the half-functional rule defined in Huang et&#xa0;al. (<xref ref-type="bibr" rid="B55">55</xref>), which states that a regulatory link should have an approximately equal chance of being functional or not functional. Note that we performed a sensitivity analysis to study the impact of these parameter values on the model predictions (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S1</bold>
</xref>, left panels).</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Parameters used for the model extensions representing the immunosuppressive effects of PD-L1 and TGF&#x3b2;.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="bottom" align="center"/>
<th valign="bottom" align="center"/>
<th valign="bottom" align="center" colspan="2">Prod. rate <italic>g</italic>
</th>
<th valign="bottom" colspan="3" align="center">Degr. rate <italic>k</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="bottom" align="left">IFN&#x3b3;</td>
<td valign="bottom" align="left">
<italic>I</italic>
</td>
<td valign="bottom" align="left">
<italic>g<sub>I</sub>
</italic>
</td>
<td valign="bottom" align="left">0-0.5 nM h<sup>&#x2013;1</sup>
</td>
<td valign="bottom" align="left">
<italic>k<sub>I</sub>
</italic>
</td>
<td valign="bottom" align="left">1 h<sup>&#x2013;1</sup>
</td>
</tr>
</tbody>
</table>
<table frame="hsides">
<thead>
<tr>
<th valign="bottom" align="left"/>
<th valign="bottom" colspan="2" align="left">Threshold <inline-formula>
<mml:math display="inline" id="im14">
<mml:mrow>
<mml:msubsup>
<mml:mi>B</mml:mi>
<mml:mi>A</mml:mi>
<mml:mn>0</mml:mn>
</mml:msubsup>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th valign="bottom" colspan="2" align="left">Hill coefficient <italic>n<sub>BA</sub>
</italic>
</th>
<th valign="bottom" colspan="2" align="left">Max. fold change &#x3bb;<italic>
<sub>BA</sub>
</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="bottom" align="left">Inh. <italic>I</italic> by <italic>P<sub>M</sub>
</italic>
</td>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="IM13">
<mml:mrow>
<mml:msub>
<mml:mi>P</mml:mi>
<mml:mi>M</mml:mi>
</mml:msub>
<mml:msubsup>
<mml:mi>&#xa0;</mml:mi>
<mml:mi>I</mml:mi>
<mml:mn>0</mml:mn>
</mml:msubsup>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">6&#xd7;10<sup>4</sup> mol.</td>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="im16">
<mml:mrow>
<mml:msub>
<mml:mi>n</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>P</mml:mi>
<mml:mi>M</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:mi>I</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">2</td>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="im17">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>P</mml:mi>
<mml:mi>M</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:mi>I</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">0.1</td>
</tr>
<tr>
<td valign="bottom" align="left">Inh. <italic>I</italic> by <italic>T</italic>
</td>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="im18">
<mml:mrow>
<mml:msubsup>
<mml:mi>T</mml:mi>
<mml:mi>I</mml:mi>
<mml:mn>0</mml:mn>
</mml:msubsup>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">0.1 nM</td>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="im19">
<mml:mrow>
<mml:msub>
<mml:mi>n</mml:mi>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>I</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">2</td>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="im20">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>T</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:mi>I</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">0.1</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>The top panel shows the production and degradation rate of IFN&#x3b3;; the bottom panel shows parameters for the shifted Hill functions of the interactions. The parameter values were not directly obtained from the literature but were selected in this study. The production rate of IFN&#x3b3; was varied to simulate different IFN&#x3b3; levels.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s4_1_3">
<label>4.1.3</label>
<title>TGF&#x3b2;&#x2013;SNAIL1 model</title>
<p>For the TGF&#x3b2;&#x2013;SNAIL1 submodel, we adapted the TGF&#x3b2;&#x2013;miR-200 and SNAIL1&#x2013;miR-34 modules of the revised CBS model (<xref ref-type="bibr" rid="B56">56</xref>, see <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Information</bold>
</xref>; originally published by <xref ref-type="bibr" rid="B57">57</xref>). Our key modifications are the exclusion of the autocrine TGF&#x3b2;&#x2013;miR-200 feedback loop and the double-negative SNAIL1&#x2013;miR-34 feedback loop. Because we later implement the ODE models in multi-scale models wherein tumor cells respond to extra-cellular TGF&#x3b2;, our revised submodel did not need to describe TGF&#x3b2; mRNA. Instead, we consider the protein TGF&#x3b2; to be produced at a constant rate and to be degraded linearly, which is effectively identical to having a fixed TGF&#x3b2; concentration as input. The revised TGF&#x3b2;&#x2013;SNAIL1 submodel consists of the following ODEs for TGF&#x3b2; (<italic>T</italic>), SNAIL1 mRNA (<italic>m<sub>S</sub>
</italic>), and SNAIL1 protein (<italic>S</italic>):</p>
<disp-formula>
<label>(5)</label>
<mml:math display="block" id="M5">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>T</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi>g</mml:mi>
<mml:mi>T</mml:mi>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mi>T</mml:mi>
</mml:msub>
<mml:mi>T</mml:mi>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<label>(6)</label>
<mml:math display="block" id="M6">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>=</mml:mo>
<mml:mi>g</mml:mi>
<mml:msub>
<mml:mn>0</mml:mn>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>g</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mo>+</mml:mo>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>T</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mo>&#x2212;</mml:mo>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>S</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<disp-formula>
<label>(7)</label>
<mml:math display="block" id="M7">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>S</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi>g</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
<mml:mi>S</mml:mi>
<mml:mo>.</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<p>All initial conditions (i.e., the initial concentrations of <inline-formula>
<mml:math display="inline" id="im27">
<mml:mi>T</mml:mi>
</mml:math>
</inline-formula>, <inline-formula>
<mml:math display="inline" id="im28">
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, and <inline-formula>
<mml:math display="inline" id="im29">
<mml:mi>S</mml:mi>
</mml:math>
</inline-formula>) are set to 0. At the beginning of a simulation, the levels of TGF&#x3b2; and SNAIL1 mRNA swiftly become positive because of their baseline production rates, which in turn triggers the production of SNAIL1 protein. Parameter meanings and utilized values are provided in <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>. Note that, for consistency, we use <italic>g</italic> and <italic>k</italic> to denote production and degradation rates. As with IFN&#x3b3;, we use arbitrary values for the production and degradation rate of TGF&#x3b2; and vary the former to simulate different TGF&#x3b2; exposure levels.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Variables and parameters used for the TGF&#x3b2;&#x2013;SNAIL1 module.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="bottom" align="left"/>
<th valign="bottom" align="left"/>
<th valign="bottom" align="center" colspan="2">Prod. rate <italic>g</italic>
</th>
<th valign="bottom" align="center" colspan="2">Degr. rate <italic>k</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="bottom" align="left">TGF&#x3b2; protein</td>
<td valign="bottom" align="left">
<italic>T</italic>
</td>
<td valign="bottom" align="left">
<italic>g<sub>T</sub>
</italic>
</td>
<td valign="bottom" align="left">0-0.3 nM h<sup>&#x2212;1</sup>
</td>
<td valign="bottom" align="left">
<italic>k<sub>T</sub>
</italic>
</td>
<td valign="bottom" align="left">1 h<sup>&#x2212;1</sup>
</td>
</tr>
<tr>
<td valign="top" rowspan="2" align="left">SNAIL1 mRNA</td>
<td valign="top" rowspan="2" align="left">
<italic>m<sub>S</sub>
</italic>
</td>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="im21">
<mml:mrow>
<mml:mi>g</mml:mi>
<mml:msub>
<mml:mn>0</mml:mn>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">1500 molecules h<sup>&#x2212;1</sup>
</td>
<td valign="top" align="left">
<inline-formula>
<mml:math display="inline" id="im22">
<mml:mrow>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>s</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="left">0.09 h<sup>&#x2212;1</sup>
</td>
</tr>
<tr>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="im23">
<mml:mrow>
<mml:msub>
<mml:mi>g</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">600 molecules h<sup>&#x2212;1</sup>
</td>
<td valign="bottom" align="left"/>
<td valign="bottom" align="left"/>
</tr>
<tr>
<td valign="bottom" align="left">SNAIL1 protein</td>
<td valign="bottom" align="left">
<italic>S</italic>
</td>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="im24">
<mml:mrow>
<mml:msub>
<mml:mi>g</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">17 h<sup>&#x2212;1</sup>
</td>
<td valign="top" align="left">
<italic>k<sub>S</sub>
</italic>
</td>
<td valign="top" align="left">1.66 h<sup>&#x2212;1</sup>
</td>
</tr>
</tbody>
</table>
<table frame="hsides">
<thead>
<tr>
<th valign="bottom" align="left"/>
<th valign="bottom" colspan="2" align="left">Threshold <inline-formula>
<mml:math display="inline" id="im30">
<mml:mrow>
<mml:msubsup>
<mml:mi>B</mml:mi>
<mml:mi>A</mml:mi>
<mml:mn>0</mml:mn>
</mml:msubsup>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th valign="bottom" colspan="3" align="left">Hill coefficient <italic>n<sub>BA</sub>
</italic>
</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="bottom" align="left">Act. <italic>m<sub>S</sub>
</italic> by <italic>T</italic>
</td>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="im25">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
<mml:mn>0</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">0.1 nM</td>
<td valign="bottom" align="left">
<italic>n</italic>
<sub>
<italic>nt</italic>
</sub>
</td>
<td valign="bottom" align="left">2</td>
</tr>
<tr>
<td valign="bottom" align="left">Inh. <italic>m<sub>S</sub>
</italic> by <italic>S</italic>
</td>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="im26">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">4.0334 &#xd7; 10<sup>6</sup> molecules</td>
<td valign="bottom" align="left">
<inline-formula>
<mml:math display="inline" id="im31">
<mml:mrow>
<mml:msub>
<mml:mi>n</mml:mi>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="bottom" align="left">1</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>The top panel shows variable names and production and degradation rates; the bottom panel shows parameters for the Hill functions of the interactions. Parameter values were either taken from the revised CBS model by Zhang et&#xa0;al. (<xref ref-type="bibr" rid="B56">56</xref>) or modified (shade). <inline-formula>
<mml:math display="inline" id="im32">
<mml:mrow>
<mml:mi>g</mml:mi>
<mml:msub>
<mml:mn>0</mml:mn>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> is the baseline production rate of SNAIL1 mRNA. The production rate of TGF&#x3b2; was varied to simulate different TGF&#x3b2; levels.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>To create our extended model, we connected the TGF&#x3b2;&#x2013;SNAIL1 submodel to the central IFN&#x3b3;&#x2013;PD-L1&#x2013;EMT model (see <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). Note that we converted the output SNAIL1 concentration, which was in nM in Zhang et&#xa0;al. (<xref ref-type="bibr" rid="B56">56</xref>) into number of molecules in order to use SNAIL1 as input in the IFN&#x3b3;&#x2013;PD-L1&#x2013;EMT model. For consistency, we converted SNAIL1 mRNA to number of molecules as well. As in Jolly et&#xa0;al. (<xref ref-type="bibr" rid="B24">24</xref>) and Burger et&#xa0;al. (<xref ref-type="bibr" rid="B19">19</xref>), we use a cell volume of 10000 &#xb5;m<sup>3</sup>, such that 1 nM amounts to approximately 6020 molecules (6.02 &#xd7; 10<sup>23</sup> &#xb7; 10<sup>&#x2212;9</sup> &#xb7; 10000 &#xd7; (10<sup>&#x2212;5</sup>) <sup>3</sup>). To properly convert units, we thus multiplied model parameters <inline-formula>
<mml:math display="inline" id="im1006">
<mml:mrow>
<mml:mi>g</mml:mi>
<mml:msub>
<mml:mn>0</mml:mn>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, <inline-formula>
<mml:math display="inline" id="im1007">
<mml:mrow>
<mml:msub>
<mml:mi>g</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, and <inline-formula>
<mml:math display="inline" id="im35">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> with 6020. In addition, we matched the range of TGF&#x3b2; within which bifurcations occur to that of the CBS model by modifying parameters <inline-formula>
<mml:math display="inline" id="im1008">
<mml:mrow>
<mml:mi>g</mml:mi>
<mml:msub>
<mml:mn>0</mml:mn>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, <inline-formula>
<mml:math display="inline" id="im1009">
<mml:mrow>
<mml:msub>
<mml:mi>g</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>s</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, and <inline-formula>
<mml:math display="inline" id="im1003">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>m</mml:mi>
<mml:mi>S</mml:mi>
</mml:msub>
<mml:mn>0</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>.</p>
</sec>
<sec id="s4_1_4">
<label>4.1.4</label>
<title>Inhibition of IFN&#x3b3; by TGF&#x3b2;</title>
<p>Modeling the individual components of pathways involved in the TGF&#x3b2;-mediated inhibition of IFN&#x3b3; secretion is a complex task. As for PD-L1-mediated IFN&#x3b3; inhibition, we also used a shifted Hill function to model this regulation in a phenomenological manner. In this case, we model the IFN&#x3b3; concentration (<italic>I</italic>) with the following ODE:</p>
<disp-formula>
<label>(8)</label>
<mml:math display="block" id="M8">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>I</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi>g</mml:mi>
<mml:mi>I</mml:mi>
</mml:msub>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mi>S</mml:mi>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mo>,</mml:mo>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>I</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mi>I</mml:mi>
</mml:msub>
<mml:mi>I</mml:mi>
</mml:mrow><mml:mo>.</mml:mo></mml:math>
</disp-formula>
<p>Parameter meanings and utilized values are provided in <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>. In the absence of experimental data on the relationship between extra-cellular TGF&#x3b2; and T cell IFN&#x3b3; release, in selecting the shifted Hill function parameter values we took into account the same considerations as for the negative feedback of PD-L1 on IFN&#x3b3;. We again conducted a sensitivity analysis to examine the effects of these parameter values on our model predictions (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S1</bold>
</xref>, right panels).</p>
</sec>
<sec id="s4_1_5">
<label>4.1.5</label>
<title>Combined IFN&#x3b3; inhibition model</title>
<p>In our combined model with two forms of IFN&#x3b3; inhibition, we model the dynamics of IFN&#x3b3; with the following ODE:</p>
<disp-formula>
<label>(9)</label>
<mml:math display="block" id="M9">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>I</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi>g</mml:mi>
<mml:mi>I</mml:mi>
</mml:msub>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mi>S</mml:mi>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:msub>
<mml:mi>P</mml:mi>
<mml:mi>M</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>P</mml:mi>
<mml:mi>M</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:mi>I</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:msup>
<mml:mi>H</mml:mi>
<mml:mi>S</mml:mi>
</mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mo>,</mml:mo>
<mml:msub>
<mml:mi>&#x3bb;</mml:mi>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>I</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mi>I</mml:mi>
</mml:msub>
<mml:mi>I</mml:mi><mml:mo>.</mml:mo></mml:mrow>
</mml:math>
</disp-formula>
<p>Note that an interesting alternative to the utilized product term of the two individual shifted Hill functions would be a combination Hill function (<xref ref-type="bibr" rid="B34">34</xref>), which allows for the modeling of synergistic or antagonistic effects.</p>
</sec>
</sec>
<sec id="s4_2">
<label>4.2</label>
<title>Multi-scale models</title>
<p>We embedded our ODE models with separate PD-L1- or TGF&#x3b2;-mediated IFN&#x3b3; inhibition in multi-scale models of T cell-infiltrated tumors using the cellular Potts model (CPM) framework (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B26">26</xref>), which was previously used for simulating EMT (<xref ref-type="bibr" rid="B58">58</xref>) and T cell-tumor cell interactions (<xref ref-type="bibr" rid="B59">59</xref>&#x2013;<xref ref-type="bibr" rid="B62">62</xref>). The CPM is a lattice-based technique wherein cells consist of a collection of lattice sites that are assigned a specific &#x2018;spin&#x2019; value to indicate their belonging to a particular cell. The models enable cellular movement through minimization of the Hamiltonian (<italic>H</italic>), a global energy function defined as</p>
<disp-formula>
<label>(10)</label>
<mml:math display="block" id="M10">
<mml:mrow>
<mml:mi>H</mml:mi>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mi>l</mml:mi>
</mml:msub>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>.</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<p>The term <inline-formula>
<mml:math display="inline" id="im1004">
<mml:mrow>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> describes cell surface interactions and a cell area or volume constraint that considers deviations from a target cell area or volume. As we employed two-dimensional simulations, the term &#x2018;area&#x2019; applies here. <inline-formula>
<mml:math display="inline" id="im1005">
<mml:mrow>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> is calculated with the following equation:</p>
<disp-formula>
<label>(11)</label>
<mml:math display="block" id="M11">
<mml:mrow>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>=</mml:mo>
<mml:munder>
<mml:mo>&#x2211;</mml:mo>
<mml:mrow>
<mml:mtable>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>j</mml:mi>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:msup>
<mml:mi>i</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
<mml:mo>,</mml:mo>
<mml:msup>
<mml:mi>j</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:mi>n</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>g</mml:mi>
<mml:mi>h</mml:mi>
<mml:mi>b</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:munder>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>&#x3c4;</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>j</mml:mi>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>,</mml:mo>
<mml:mi>&#x3c4;</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:msup>
<mml:mi>i</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
<mml:mo>,</mml:mo>
<mml:msup>
<mml:mi>j</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>&#x3b4;</mml:mi>
<mml:mrow>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>j</mml:mi>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>,</mml:mo>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:msup>
<mml:mi>i</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
<mml:mo>,</mml:mo>
<mml:msup>
<mml:mi>j</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mi>a</mml:mi>
</mml:msub>
<mml:munder>
<mml:mo>&#x2211;</mml:mo>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>p</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>n</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>t</mml:mi>
<mml:mi>y</mml:mi>
<mml:mi>p</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>s</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>&#x3c3;</mml:mi>
</mml:mrow>
</mml:munder>
<mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>a</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mrow>
<mml:mi>&#x3c4;</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<p>where <inline-formula>
<mml:math display="inline" id="im36">
<mml:mrow>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>j</mml:mi>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> and <inline-formula>
<mml:math display="inline" id="im37">
<mml:mrow>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:msup>
<mml:mi>i</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
<mml:mo>,</mml:mo>
<mml:msup>
<mml:mi>j</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> are neighboring lattice sites with respective <inline-formula>
<mml:math display="inline" id="im38">
<mml:mi>x</mml:mi>
</mml:math>
</inline-formula> coordinates <inline-formula>
<mml:math display="inline" id="im39">
<mml:mi>i</mml:mi>
</mml:math>
</inline-formula> and <inline-formula>
<mml:math display="inline" id="im40">
<mml:msup>
<mml:mi>i</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
</mml:math>
</inline-formula> and <inline-formula>
<mml:math display="inline" id="im41">
<mml:mi>y</mml:mi>
</mml:math>
</inline-formula> coordinates <inline-formula>
<mml:math display="inline" id="im42">
<mml:mi>j</mml:mi>
</mml:math>
</inline-formula> and <inline-formula>
<mml:math display="inline" id="im43">
<mml:msup>
<mml:mi>j</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
</mml:math>
</inline-formula>, <inline-formula>
<mml:math display="inline" id="im44">
<mml:mrow>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>&#x3c4;</mml:mi>
<mml:mo>,</mml:mo>
<mml:msup>
<mml:mi>&#x3c4;</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> represents the surface energy between cells of types <inline-formula>
<mml:math display="inline" id="im45">
<mml:mi>&#x3c4;</mml:mi>
</mml:math>
</inline-formula> and <inline-formula>
<mml:math display="inline" id="im46">
<mml:msup>
<mml:mi>&#x3c4;</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
</mml:math>
</inline-formula>, <inline-formula>
<mml:math display="inline" id="im47">
<mml:mi>&#x3c3;</mml:mi>
</mml:math>
</inline-formula> represents the spin of a cell, <inline-formula>
<mml:math display="inline" id="im48">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3b4;</mml:mi>
<mml:mrow>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo>,</mml:mo>
<mml:msup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> denotes the Kronecker delta, <inline-formula>
<mml:math display="inline" id="im49">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mi>a</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> represents a weighting term for the cell area constraint, <inline-formula>
<mml:math display="inline" id="im50">
<mml:mrow>
<mml:mi>a</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> is the current area of a cell, and <inline-formula>
<mml:math display="inline" id="im51">
<mml:mrow>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mrow>
<mml:mi>&#x3c4;</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> is the target area of cells with type <inline-formula>
<mml:math display="inline" id="im52">
<mml:mi>&#x3c4;</mml:mi>
</mml:math>
</inline-formula>. We distinguished between epithelial (<inline-formula>
<mml:math display="inline" id="im53">
<mml:mi>E</mml:mi>
</mml:math>
</inline-formula>), hybrid E/M (<inline-formula>
<mml:math display="inline" id="im54">
<mml:mi>H</mml:mi>
</mml:math>
</inline-formula>), and mesenchymal (<inline-formula>
<mml:math display="inline" id="im55">
<mml:mi>M</mml:mi>
</mml:math>
</inline-formula>) tumor cells based on ZEB1 mRNA expression (<inline-formula>
<mml:math display="inline" id="im56">
<mml:mrow>
<mml:mi>m</mml:mi>
<mml:mi>Z</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>) as calculated with the ODE model. Cells transitioned as follows: <inline-formula>
<mml:math display="inline" id="im57">
<mml:mi>E</mml:mi>
</mml:math>
</inline-formula> to <inline-formula>
<mml:math display="inline" id="im58">
<mml:mi>H</mml:mi>
</mml:math>
</inline-formula>: <inline-formula>
<mml:math display="inline" id="im59">
<mml:mrow>
<mml:mi>m</mml:mi>
<mml:mi>Z</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mo>&#x2265;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 235 molecules; <inline-formula>
<mml:math display="inline" id="im60">
<mml:mi>H</mml:mi>
</mml:math>
</inline-formula> to <inline-formula>
<mml:math display="inline" id="im61">
<mml:mi>E</mml:mi>
</mml:math>
</inline-formula>: <inline-formula>
<mml:math display="inline" id="im62">
<mml:mrow>
<mml:mi>m</mml:mi>
<mml:mi>Z</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mo>&#x2264;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 145 molecules; <inline-formula>
<mml:math display="inline" id="im63">
<mml:mi>H</mml:mi>
</mml:math>
</inline-formula> to <inline-formula>
<mml:math display="inline" id="im64">
<mml:mi>M</mml:mi>
</mml:math>
</inline-formula>: <inline-formula>
<mml:math display="inline" id="im65">
<mml:mrow>
<mml:mi>m</mml:mi>
<mml:mi>Z</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mo>&#x2265;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 715 molecules; and <inline-formula>
<mml:math display="inline" id="im66">
<mml:mi>M</mml:mi>
</mml:math>
</inline-formula> to <inline-formula>
<mml:math display="inline" id="im67">
<mml:mi>E</mml:mi>
</mml:math>
</inline-formula>: <inline-formula>
<mml:math display="inline" id="im68">
<mml:mrow>
<mml:mi>m</mml:mi>
<mml:mi>Z</mml:mi>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mo>&#x2264;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 370 molecules. These cut-off values correspond roughly to the average expression level during each transition as predicted by our ODE models. Cells could not directly transition from a mesenchymal to a hybrid phenotype. To mimic the &#x2018;invasion&#x2019; of hybrid and mesenchymal tumor cells, we set their surface energies with medium (<inline-formula>
<mml:math display="inline" id="im69">
<mml:mrow>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>) lower than those with tumor cells. Conversely, we set <inline-formula>
<mml:math display="inline" id="im70">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> higher than <inline-formula>
<mml:math display="inline" id="im71">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>E</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> to reflect the adhesive properties of epithelial tumor cells. To prevent the migration of T cells (<inline-formula>
<mml:math display="inline" id="im72">
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>) out of the tumor, we set <inline-formula>
<mml:math display="inline" id="im73">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> higher than their surface energies with tumor cells.</p>
<p>The Hamiltonian of our models additionally included the term <inline-formula>
<mml:math display="inline" id="im74">
<mml:mrow>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mi>l</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> that represents the surface area constraint of cells and is calculated with the function (<xref ref-type="bibr" rid="B63">63</xref>)</p>
<disp-formula>
<label>(12)</label>
<mml:math display="block" id="M12">
<mml:mrow>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mi>l</mml:mi>
</mml:msub>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mi>l</mml:mi>
</mml:msub>
<mml:munder>
<mml:mo>&#x2211;</mml:mo>
<mml:mi>&#x3c3;</mml:mi>
</mml:munder>
<mml:msup>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>l</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>L</mml:mi>
<mml:mrow>
<mml:mi>&#x3c4;</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:msub>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<p>where <inline-formula>
<mml:math display="inline" id="im75">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mi>l</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> represents the weight of the perimeter constraint, <inline-formula>
<mml:math display="inline" id="im76">
<mml:mrow>
<mml:mi>l</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> is the actual perimeter of a cell, calculated as the number of boundary interfaces with neighboring lattice sites of a different spin, and <inline-formula>
<mml:math display="inline" id="im77">
<mml:mrow>
<mml:msub>
<mml:mi>L</mml:mi>
<mml:mrow>
<mml:mi>&#x3c4;</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> represents the target perimeter for cells with type <inline-formula>
<mml:math display="inline" id="im78">
<mml:mi>&#x3c4;</mml:mi>
</mml:math>
</inline-formula>. In order to promote the emergence of roundish cells, we set <inline-formula>
<mml:math display="inline" id="im79">
<mml:mrow>
<mml:msub>
<mml:mi>L</mml:mi>
<mml:mi>&#x3c4;</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> to the ratio of the perimeter of a circle to its area (<inline-formula>
<mml:math display="inline" id="im80">
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:msqrt>
<mml:mrow>
<mml:mi>&#x3c0;</mml:mi>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mi>&#x3c4;</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msqrt>
</mml:mrow>
</mml:math>
</inline-formula>), with the area corresponding to the target area of a cell of type <inline-formula>
<mml:math display="inline" id="im81">
<mml:mi>&#x3c4;</mml:mi>
</mml:math>
</inline-formula> (following <xref ref-type="bibr" rid="B59">59</xref>). Additionally, we set <inline-formula>
<mml:math display="inline" id="im82">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>&lt; <inline-formula>
<mml:math display="inline" id="im83">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>M</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>&lt; <inline-formula>
<mml:math display="inline" id="im84">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>H</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>&lt; <inline-formula>
<mml:math display="inline" id="im85">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>E</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, causing T cells to deform most easily and epithelial tumor cells to most strongly retain a roundish shape.</p>
<p>Lastly, the active migration of T cells was driven by the term <inline-formula>
<mml:math display="inline" id="im86">
<mml:mrow>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> that describes the Act model wherein actin dynamics cause cell protrusions that in turn drive cell motility (<xref ref-type="bibr" rid="B64">64</xref>). <inline-formula>
<mml:math display="inline" id="im87">
<mml:mrow>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> is calculated with</p>
<disp-formula>
<label>(13)</label>
<mml:math display="block" id="M13">
<mml:mrow>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:mi>M</mml:mi>
<mml:mi>a</mml:mi>
<mml:msub>
<mml:mi>x</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mi>G</mml:mi>
<mml:msub>
<mml:mi>M</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>u</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:mi>G</mml:mi>
<mml:msub>
<mml:mi>M</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>v</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<p>where <inline-formula>
<mml:math display="inline" id="im88">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> is a weighting term of the Act model, and <inline-formula>
<mml:math display="inline" id="im89">
<mml:mrow>
<mml:mi>M</mml:mi>
<mml:mi>a</mml:mi>
<mml:msub>
<mml:mi>x</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> is the maximum actin activity value, which is assigned to lattice sites that are newly incorporated by a cell. The actin activity <inline-formula>
<mml:math display="inline" id="im90">
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> of a lattice site decreases with 1 after each Monte Carlo step until it reaches 0. <inline-formula>
<mml:math display="inline" id="im91">
<mml:mrow>
<mml:mi>G</mml:mi>
<mml:msub>
<mml:mi>M</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>u</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> and <inline-formula>
<mml:math display="inline" id="im92">
<mml:mrow>
<mml:mi>G</mml:mi>
<mml:msub>
<mml:mi>M</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>v</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> represent the geometric mean actin activities around sites <inline-formula>
<mml:math display="inline" id="im93">
<mml:mi>u</mml:mi>
</mml:math>
</inline-formula> and <inline-formula>
<mml:math display="inline" id="im94">
<mml:mi>v</mml:mi>
</mml:math>
</inline-formula>, respectively. The geometric mean activity around site <inline-formula>
<mml:math display="inline" id="im95">
<mml:mi>u</mml:mi>
</mml:math>
</inline-formula> is calculated with</p>
<disp-formula>
<label>(14)</label>
<mml:math display="block" id="M14">
<mml:mrow>
<mml:mi>G</mml:mi>
<mml:msub>
<mml:mi>M</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>u</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mo>=</mml:mo>
<mml:msup>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:munder>
<mml:mo>&#x220f;</mml:mo>
<mml:mrow>
<mml:mi>y</mml:mi>
<mml:mi>&#x3f5;</mml:mi>
<mml:mi>V</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>u</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:munder>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>y</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo stretchy="false">/</mml:mo>
<mml:mrow>
<mml:mo>|</mml:mo>
<mml:mrow>
<mml:mi>V</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>u</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo>|</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:msup>
<mml:mo>,</mml:mo>
</mml:mrow>
</mml:math>
</disp-formula>
<p>where <inline-formula>
<mml:math display="inline" id="im96">
<mml:mrow>
<mml:mrow>
<mml:mo>|</mml:mo>
<mml:mrow>
<mml:mi>V</mml:mi>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mi>u</mml:mi>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mo>|</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> is the second-order Moore neighborhood of site <inline-formula>
<mml:math display="inline" id="im97">
<mml:mi>u</mml:mi>
</mml:math>
</inline-formula>. This implements a positive feedback mechanism that favors updates from site <inline-formula>
<mml:math display="inline" id="im98">
<mml:mi>u</mml:mi>
</mml:math>
</inline-formula> into a neighboring site <inline-formula>
<mml:math display="inline" id="im99">
<mml:mi>v</mml:mi>
</mml:math>
</inline-formula> with a lower actin activity. We only applied <inline-formula>
<mml:math display="inline" id="im100">
<mml:mrow>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> to T cells and employed parameters for amoeboid cells (<xref ref-type="bibr" rid="B64">64</xref>). The resulting average migration speed was approximately 7 &#xb5;m min<sup>&#x2212;1</sup>, which is consistent with values previously measured in TC-1, EL4, and EG7 tumors (<xref ref-type="bibr" rid="B65">65</xref>, <xref ref-type="bibr" rid="B66">66</xref>). To prevent T cells from breaking due to actin protrusion dynamics, we employed the connectivity constraint described by Merks et al. (<xref ref-type="bibr" rid="B67">67</xref>). Tumor cells only moved passively <italic>via</italic> cell surface interactions based on <inline-formula>
<mml:math display="inline" id="im101">
<mml:mrow>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> and <inline-formula>
<mml:math display="inline" id="im102">
<mml:mrow>
<mml:msub>
<mml:mi>H</mml:mi>
<mml:mi>l</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>.</p>
<p>The simulation space comprised a square area representing the TME within which T cells and tumor cells were restricted to move. We derived the production rate of IFN&#x3b3; by T cells and its rate of cellular uptake from the literature (see <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Information</bold>
</xref>). T cells were considered to continuously produce IFN&#x3b3;. Because T cells were almost always in contact with tumor cells during our simulations, this is expected to closely resemble reality in which T cells may primarily produce IFN&#x3b3; during periods of cognate antigen recognition. We simulated two different extents of IFN&#x3b3; spreading by modifying the cellular uptake rate of IFN&#x3b3; (see <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Information</bold>
</xref>). Simulations either had a uniform TGF&#x3b2; field or a TGF&#x3b2; gradient (see <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Information</bold>
</xref>). To enable all tumor cells to respond to extracellular TGF&#x3b2;, we included the TGF&#x3b2;&#x2013;SNAIL1 submodel in the ODE models without IFN&#x3b3; inhibition or with PD-L1-mediated IFN&#x3b3; inhibition. The space had a scale of 2 &#xb5;m per lattice site and was 700 &#xd7; 700 &#xb5;m and 400 &#xd7; 400 &#xb5;m in size for long-range and short-range IFN&#x3b3; spreading simulations, respectively. To mimic the typically low T cell:tumor cell ratios observed within tumors (<xref ref-type="bibr" rid="B68">68</xref>), we simulated T cells and tumor cells at a 1:40 ratio. In long-range and short-range IFN&#x3b3; spreading simulations, T cells were initiated randomly within respectively a circular tumor comprising 480 tumor cells or the middle-outer cell layers of an invasive front comprising 200 tumor cells. T cells were frozen in motion and not secreting IFN&#x3b3; for the initial 10 minutes to allow tumor cell ODE dynamics to reach a steady state.</p>
<p>Simulations had a temporal scale of 0.6 seconds per Monte Carlo step, and output was generated every 10-minute and 1-minute interval for long-range and short-range IFN&#x3b3; spreading simulations, respectively. ODE dynamics were accelerated 1800 times relative to CPM and PDE dynamics in order to make simulations less time-consuming and thus computationally feasible. CPM simulation parameters are provided in <xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>. In some of our simulations, we implemented intratumoral heterogeneity (see <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Information</bold>
</xref>).</p>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Cellular Potts simulation parameters.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Parameter</th>
<th valign="top" align="center">Value</th>
<th valign="top" align="center">Description</th>
<th valign="top" align="center">Ref.</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im109">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo>,</mml:mo>
<mml:msup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mo>&#x2032;</mml:mo>
</mml:msup>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im10110">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>E</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 2; <inline-formula>
<mml:math display="inline" id="im111">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>H</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 5; <inline-formula>
<mml:math display="inline" id="im112">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>M</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 5; <inline-formula>
<mml:math display="inline" id="im113">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>H</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>H</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 14; <inline-formula>
<mml:math display="inline" id="im114">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>H</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>M</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 14; <inline-formula>
<mml:math display="inline" id="im115">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>M</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>M</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 14; <inline-formula>
<mml:math display="inline" id="im116">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 0.5; <inline-formula>
<mml:math display="inline" id="im117">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>H</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 0.5; <inline-formula>
<mml:math display="inline" id="im118">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>M</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 0.5; <inline-formula>
<mml:math display="inline" id="im119">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 0.5; <inline-formula>
<mml:math display="inline" id="im120">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 3; <inline-formula>
<mml:math display="inline" id="im121">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>H</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 1; <inline-formula>
<mml:math display="inline" id="im122">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>M</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 1; <inline-formula>
<mml:math display="inline" id="im123">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>l</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>w</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 2; <inline-formula>
<mml:math display="inline" id="im124">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>h</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>g</mml:mi>
<mml:mi>h</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 15</td>
<td valign="top" align="center">Surface energies between cell types: <inline-formula>
<mml:math display="inline" id="im125">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>l</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>w</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> for TGF&#x3b2; gradient simulations, <inline-formula>
<mml:math display="inline" id="im126">
<mml:mrow>
<mml:msub>
<mml:mi>J</mml:mi>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>h</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>g</mml:mi>
<mml:mi>h</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> for other simulations</td>
<td valign="top" align="center">&#x2013;</td>
</tr>
<tr>
<td valign="top" rowspan="2" align="center">
<inline-formula>
<mml:math display="inline" id="im127">
<mml:mrow>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mi>&#x3c4;</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im128">
<mml:mrow>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mrow>
<mml:mi>t</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 452 &#xb5;m<sup>2</sup>
</td>
<td valign="top" align="center" rowspan="2">Target area for a cell of type &#x3c4;</td>
<td valign="top" align="center" rowspan="2">(<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B59">59</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im129">
<mml:mrow>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 140 <inline-formula>
<mml:math display="inline" id="im130">
<mml:mrow>
<mml:msup>
<mml:mtext>&#xb5;m</mml:mtext>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im132">
<mml:mrow>
<mml:msub>
<mml:mi>L</mml:mi>
<mml:mi>&#x3c4;</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">2<inline-formula>
<mml:math display="inline" id="im133">
<mml:mrow>
<mml:msqrt>
<mml:mrow>
<mml:mi>&#x3c0;</mml:mi>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mi>&#x3c4;</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msqrt>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">Target perimeter for a cell of type <inline-formula>
<mml:math display="inline" id="im131">
<mml:mi>&#x3c4;</mml:mi>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B59">59</xref>)</td>
</tr>
<tr>
<td valign="top" rowspan="2" align="center">
<inline-formula>
<mml:math display="inline" id="im134">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mi>a</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im135">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:mi>a</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>t</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 1</td>
<td valign="top" rowspan="2" align="center">Strength of cell area constraint</td>
<td valign="top" rowspan="2" align="center">(<xref ref-type="bibr" rid="B59">59</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im136">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:mi>a</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 1</td>
</tr>
<tr>
<td valign="top" align="center" rowspan="4">
<inline-formula>
<mml:math display="inline" id="im137">
<mml:mrow>
<mml:mo>*</mml:mo>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mi>l</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im138">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:mi>l</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>E</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 0.25</td>
<td valign="top" rowspan="4" align="center">Strength of cell perimeter constraint</td>
<td valign="top" rowspan="4" align="center">(<xref ref-type="bibr" rid="B59">59</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im139">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:mi>l</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>H</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 0.2</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im140">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:mi>l</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>M</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 0.15</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im141">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:mi>l</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 0.1</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im143">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im142">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c2;</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 20</td>
<td valign="top" align="center">Strength of actin protrusion dynamics</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B64">64</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im144">
<mml:mrow>
<mml:mi>M</mml:mi>
<mml:mi>a</mml:mi>
<mml:msub>
<mml:mi>x</mml:mi>
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">Actin activity value assigned to lattice sites newly occupied by T cells</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B64">64</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im145">
<mml:mrow>
<mml:msub>
<mml:mi>g</mml:mi>
<mml:mi>I</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">1200 molecules min<sup>&#x2212;1</sup>
</td>
<td valign="top" align="center">Basal production rate of IFN&#x3b3; by T cells</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B69">69</xref>)</td>
</tr>
<tr>
<td valign="top" rowspan="5" align="center">
<inline-formula>
<mml:math display="inline" id="im146">
<mml:mrow>
<mml:mo>*</mml:mo>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mi>I</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im147">
<mml:mrow>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mrow>
<mml:mi>I</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 0 min<sup>&#x2212;1</sup>
</td>
<td valign="top" rowspan="5" align="center">Uptake rate of IFN&#x3b3;: <inline-formula>
<mml:math display="inline" id="im148">
<mml:mrow>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mrow>
<mml:mi>I</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>s</mml:mi>
<mml:mi>h</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> for short-range IFN&#x3b3; spreading simulations, <inline-formula>
<mml:math display="inline" id="im149">
<mml:mrow>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mrow>
<mml:mi>I</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>l</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> for long-range IFN&#x3b3; spreading simulations</td>
<td valign="top" rowspan="5" align="center">(<xref ref-type="bibr" rid="B68">68</xref>, <xref ref-type="bibr" rid="B70">70</xref>)</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im150">
<mml:mrow>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mrow>
<mml:mi>I</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>t</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>s</mml:mi>
<mml:mi>h</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 2100 min<sup>&#x2212;1</sup>
</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im151">
<mml:mrow>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mrow>
<mml:mi>I</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>s</mml:mi>
<mml:mi>h</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 420 min<sup>&#x2212;1</sup>
</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im152">
<mml:mrow>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mrow>
<mml:mi>I</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>t</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>l</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 0.021 min<sup>&#x2212;1</sup>
</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im153">
<mml:mrow>
<mml:msub>
<mml:mi>k</mml:mi>
<mml:mrow>
<mml:mi>I</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>l</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> = 0.0042 min<sup>&#x2212;1</sup>
</td>
</tr>
<tr>
<td valign="top" align="center">
<inline-formula>
<mml:math display="inline" id="im154">
<mml:mrow>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mi>I</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</td>
<td valign="top" align="center">5430 &#xb5;m<sup>2</sup> min<sup>&#x2212;1</sup>
</td>
<td valign="top" align="center">Diffusion coefficient of IFN&#x3b3;</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B71">71</xref>)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>The values of starred (*) parameters were based on the cited references but slightly modified. <inline-formula>
<mml:math display="inline" id="im103">
<mml:mi>E</mml:mi>
</mml:math>
</inline-formula> = epithelial tumor cell; <inline-formula>
<mml:math display="inline" id="im104">
<mml:mi>H</mml:mi>
</mml:math>
</inline-formula> = hybrid tumor cell; <inline-formula>
<mml:math display="inline" id="im105">
<mml:mi>M</mml:mi>
</mml:math>
</inline-formula> = mesenchymal tumor cell; <inline-formula>
<mml:math display="inline" id="im106">
<mml:mrow>
<mml:mi>t</mml:mi>
<mml:mi>u</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> = all tumor cells independent of EMT phenotype; <inline-formula>
<mml:math display="inline" id="im107">
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> = T cell; <inline-formula>
<mml:math display="inline" id="im108">
<mml:mrow>
<mml:mi>m</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> = medium.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s4_3">
<label>4.3</label>
<title>Simulation and analysis</title>
<p>We used COPASI (COmplex PAthway SImulator) (RRID:SCR_014260) for ODE model simulations (<xref ref-type="bibr" rid="B72">72</xref>). For CPM simulations, we used the Morpheus framework (RRID:SCR_014975) (<xref ref-type="bibr" rid="B73">73</xref>). We performed analysis in R (R Project for Statistical Computing, RRID:SCR_01905) (<xref ref-type="bibr" rid="B74">74</xref>) with RStudio (RStudio, RRID:SCR_000432) (<xref ref-type="bibr" rid="B75">75</xref>) and the tidyverse (<xref ref-type="bibr" rid="B76">76</xref>) packages.</p>
</sec>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>Data and code to run model simulations (including COPASI and Morpheus files) and generate all figures are available at <uri xlink:href="https://doi.org/10.5281/zenodo.8114632">https://doi.org/10.5281/zenodo.8114632</uri> (<xref ref-type="bibr" rid="B77">77</xref>), further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6" sec-type="author-contributions">
<title>Author contributions</title>
<p>CL, GB, and JB conceptualized and designed the study. CL performed the research; GB and JB supervised the research. CL drafted the manuscript; GB and JB critically revised the manuscript. All authors read and approved the final manuscript.</p>
</sec>
</body>
<back>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by a Vidi grant from the Netherlands Organization for Scientific Research (NWO; grant 864.12.013 to JB).</p>
</sec>
<sec id="s8" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s10" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2023.1219669/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2023.1219669/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Presentation_1.pdf" id="SM1" mimetype="application/pdf"/>
<supplementary-material xlink:href="Video_1.mp4" id="SM2" mimetype="video/mp4"/>
<supplementary-material xlink:href="Video_2.mp4" id="SM3" mimetype="video/mp4"/>
<supplementary-material xlink:href="Video_3.mp4" id="SM4" mimetype="video/mp4"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hanahan</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Hallmarks of cancer: new dimensions</article-title>. <source>Cancer Discovery</source> (<year>2022</year>) <volume>12</volume>:<fpage>31</fpage>&#x2013;<lpage>46</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/2159-8290.CD-21-1059</pub-id>
</citation>
</ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Antin</surname> <given-names>P</given-names>
</name>
<name>
<surname>Berx</surname> <given-names>G</given-names>
</name>
<name>
<surname>Blanpain</surname> <given-names>C</given-names>
</name>
<name>
<surname>Brabletz</surname> <given-names>T</given-names>
</name>
<name>
<surname>Bronner</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Guidelines and definitions for research on epithelial-mesenchymal transition</article-title>. <source>Nat Rev Mol Cell Biol</source> (<year>2020</year>) <volume>21</volume>:<page-range>341&#x2013;52</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41580-020-0237-9</pub-id>
</citation>
</ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Derynck</surname> <given-names>R</given-names>
</name>
<name>
<surname>Weinberg</surname> <given-names>RA</given-names>
</name>
</person-group>. <article-title>EMT and cancer: more than meets the eye</article-title>. <source>Dev Cell</source> (<year>2019</year>) <volume>49</volume>:<page-range>313&#x2013;6</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.devcel.2019.04.026</pub-id>
</citation>
</ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Williams</surname> <given-names>ED</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>D</given-names>
</name>
<name>
<surname>Redfern</surname> <given-names>A</given-names>
</name>
<name>
<surname>Thompson</surname> <given-names>EW</given-names>
</name>
</person-group>. <article-title>Controversies around epithelial-mesenchymal plasticity in cancer metastasis</article-title>. <source>Nat Rev Cancer</source> (<year>2019</year>) <volume>19</volume>:<page-range>716&#x2013;32</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41568-019-0213-x</pub-id>
</citation>
</ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lu</surname> <given-names>W</given-names>
</name>
<name>
<surname>Kang</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>Epithelial-mesenchymal plasticity in cancer progression and metastasis</article-title>. <source>Dev Cell</source> (<year>2019</year>) <volume>49</volume>:<page-range>361&#x2013;74</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.devcel.2019.04.010</pub-id>
</citation>
</ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nieto</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>RYJ</given-names>
</name>
<name>
<surname>Jackson</surname> <given-names>RA</given-names>
</name>
<name>
<surname>Thiery</surname> <given-names>JP</given-names>
</name>
</person-group>. <article-title>EMT: 2016</article-title>. <source>Cell</source> (<year>2016</year>) <volume>166</volume>:<fpage>21</fpage>&#x2013;<lpage>45</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2016.06.028</pub-id>
</citation>
</ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>L&#xfc;&#xf6;nd</surname> <given-names>F</given-names>
</name>
<name>
<surname>Sugiyama</surname> <given-names>N</given-names>
</name>
<name>
<surname>Bill</surname> <given-names>R</given-names>
</name>
<name>
<surname>Bornes</surname> <given-names>L</given-names>
</name>
<name>
<surname>Hager</surname> <given-names>C</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>F</given-names>
</name>
<etal/>
</person-group>. <article-title>Distinct contributions of partial and full EMT to breast cancer malignancy</article-title>. <source>Dev Cell</source> (<year>2021</year>) <volume>56</volume>:<page-range>3203&#x2013;3221.e11</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.devcel.2021.11.006</pub-id>
</citation>
</ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jolly</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Somarelli</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Sheth</surname> <given-names>M</given-names>
</name>
<name>
<surname>Biddle</surname> <given-names>A</given-names>
</name>
<name>
<surname>Tripathi</surname> <given-names>SC</given-names>
</name>
<name>
<surname>Armstrong</surname> <given-names>AJ</given-names>
</name>
<etal/>
</person-group>. <article-title>Hybrid epithelial/mesenchymal phenotypes promote metastasis and therapy resistance across carcinomas</article-title>. <source>Pharmacol Ther</source> (<year>2018</year>) <volume>194</volume>:<page-range>161&#x2013;84</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.pharmthera.2018.09.007</pub-id>
</citation>
</ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Terry</surname> <given-names>S</given-names>
</name>
<name>
<surname>Savagner</surname> <given-names>P</given-names>
</name>
<name>
<surname>Ortiz-Cuaran</surname> <given-names>S</given-names>
</name>
<name>
<surname>Mahjoubi</surname> <given-names>L</given-names>
</name>
<name>
<surname>Saintigny</surname> <given-names>P</given-names>
</name>
<name>
<surname>Thiery</surname> <given-names>JP</given-names>
</name>
<etal/>
</person-group>. <article-title>New insights into the role of EMT in tumor immune escape</article-title>. <source>Mol Oncol</source> (<year>2017</year>) <volume>11</volume>:<page-range>824&#x2013;46</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/1878-0261.12093</pub-id>
</citation>
</ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pardoll</surname> <given-names>DM</given-names>
</name>
</person-group>. <article-title>The blockade of immune checkpoints in cancer immunotherapy</article-title>. <source>Nat Rev Cancer</source> (<year>2012</year>) <volume>12</volume>:<page-range>252&#x2013;64</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nrc3239</pub-id>
</citation>
</ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Okazaki</surname> <given-names>T</given-names>
</name>
<name>
<surname>Honjo</surname> <given-names>T</given-names>
</name>
</person-group>. <article-title>The PD-1-PD-L pathway in immunological tolerance</article-title>. <source>Trends Immunol</source> (<year>2006</year>) <volume>27</volume>:<fpage>195</fpage>&#x2013;<lpage>201</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.it.2006.02.001</pub-id>
</citation>
</ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zitvogel</surname> <given-names>L</given-names>
</name>
<name>
<surname>Kroemer</surname> <given-names>G</given-names>
</name>
</person-group>. <article-title>Targeting PD-1/PD-L1 interactions for cancer immunotherapy</article-title>. <source>OncoImmunology</source> (<year>2012</year>) <volume>1</volume>:<page-range>1223&#x2013;5</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4161/onci.21335</pub-id>
</citation>
</ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jiang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhan</surname> <given-names>H</given-names>
</name>
</person-group>. <article-title>Communication between EMT and PD-L1 signaling: New insights into tumor immune evasion</article-title>. <source>Cancer Lett</source> (<year>2020</year>) <volume>468</volume>:<fpage>72</fpage>&#x2013;<lpage>81</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.canlet.2019.10.013</pub-id>
</citation>
</ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>L</given-names>
</name>
<name>
<surname>Gibbons</surname> <given-names>DL</given-names>
</name>
<name>
<surname>Goswami</surname> <given-names>S</given-names>
</name>
<name>
<surname>Cortez</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Ahn</surname> <given-names>YH</given-names>
</name>
<name>
<surname>Byers</surname> <given-names>LA</given-names>
</name>
<etal/>
</person-group>. <article-title>Metastasis is regulated <italic>via</italic> microRNA-200/ZEB1 axis control of tumour cell PD-L1 expression and intratumoral immunosuppression</article-title>. <source>Nat Commun</source> (<year>2014</year>) <volume>5</volume>:<fpage>5241</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/ncomms6241</pub-id>
</citation>
</ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Noman</surname> <given-names>MZ</given-names>
</name>
<name>
<surname>Janji</surname> <given-names>B</given-names>
</name>
<name>
<surname>Abdou</surname> <given-names>A</given-names>
</name>
<name>
<surname>Hasmim</surname> <given-names>M</given-names>
</name>
<name>
<surname>Terry</surname> <given-names>S</given-names>
</name>
<name>
<surname>Tan</surname> <given-names>TZ</given-names>
</name>
<etal/>
</person-group>. <article-title>The immune checkpoint ligand PD-L1 is upregulated in EMT-activated human breast cancer cells by a mechanism involving ZEB-1 and miR-200</article-title>. <source>OncoImmunology</source> (<year>2017</year>) <volume>6</volume>:<elocation-id>e1263412</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/2162402X.2016.1263412</pub-id>
</citation>
</ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Martinez-Ciarpaglini</surname> <given-names>C</given-names>
</name>
<name>
<surname>Oltra</surname> <given-names>S</given-names>
</name>
<name>
<surname>Rosell&#xf3;</surname> <given-names>S</given-names>
</name>
<name>
<surname>Roda</surname> <given-names>D</given-names>
</name>
<name>
<surname>Mongort</surname> <given-names>C</given-names>
</name>
<name>
<surname>Carrasco</surname> <given-names>F</given-names>
</name>
<etal/>
</person-group>. <article-title>Low miR200c expression in tumor budding of invasive front predicts worse survival in patients with localized colon cancer and is related to PD-L1 overexpression</article-title>. <source>Modern Pathol</source> (<year>2019</year>) <volume>32</volume>:<page-range>306&#x2013;13</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41379-018-0124-5</pub-id>
</citation>
</ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Baccarini</surname> <given-names>A</given-names>
</name>
<name>
<surname>Chauhan</surname> <given-names>H</given-names>
</name>
<name>
<surname>Gardner</surname> <given-names>TJ</given-names>
</name>
<name>
<surname>Jayaprakash</surname> <given-names>AD</given-names>
</name>
<name>
<surname>Sachidanandam</surname> <given-names>R</given-names>
</name>
<name>
<surname>Brown</surname> <given-names>BD</given-names>
</name>
</person-group>. <article-title>Kinetic analysis reveals the fate of a microRNA following target regulation in mammalian cells</article-title>. <source>Curr Biol</source> (<year>2011</year>) <volume>21</volume>:<page-range>369&#x2013;76</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cub.2011.01.067</pub-id>
</citation>
</ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname> <given-names>CK</given-names>
</name>
<name>
<surname>Pak</surname> <given-names>TR</given-names>
</name>
</person-group>. <article-title>miRNA degradation in the mammalian brain</article-title>. <source>Am J Physiol Cell Physiol</source> (<year>2020</year>) <volume>319</volume>:<page-range>C624&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1152/ajpcell.00303.2020</pub-id>
</citation>
</ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Burger</surname> <given-names>GA</given-names>
</name>
<name>
<surname>Nesenberend</surname> <given-names>DN</given-names>
</name>
<name>
<surname>Lems</surname> <given-names>CM</given-names>
</name>
<name>
<surname>Hille</surname> <given-names>SC</given-names>
</name>
<name>
<surname>Beltman</surname> <given-names>JB</given-names>
</name>
</person-group>. <article-title>Bidirectional crosstalk between epithelial-mesenchymal plasticity and IFN&#x3b3;-induced PD-L1 expression promotes tumour progression</article-title>. <source>R Soc Open Sci</source> (<year>2022</year>) <volume>9</volume>:<fpage>220186</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1098/RSOS.220186</pub-id>
</citation>
</ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jiang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>B</given-names>
</name>
</person-group>. <article-title>T-cell exhaustion in the tumor microenvironment</article-title>. <source>Cell Death Dis</source> (<year>2015</year>) <volume>6</volume>:<elocation-id>e1792</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/cddis.2015.162</pub-id>
</citation>
</ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Batlle</surname> <given-names>E</given-names>
</name>
<name>
<surname>Massague</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Transforming growth factor- &#xb4; &#x3b2; Signaling in immunity and cancer</article-title>. <source>Immunity</source> (<year>2019</year>) <volume>50 539</volume>:<page-range>924&#x2013;40</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2019.03.024</pub-id>
</citation>
</ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Williams</surname> <given-names>JB</given-names>
</name>
<name>
<surname>Li</surname> <given-names>S</given-names>
</name>
<name>
<surname>Higgs</surname> <given-names>EF</given-names>
</name>
<name>
<surname>Cabanov</surname> <given-names>A</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>H</given-names>
</name>
<etal/>
</person-group>. <article-title>Tumor heterogeneity and clonal cooperation influence the immune selection of IFN-&#x3b3;-signaling mutant cancer cells</article-title>. <source>Nat Commun</source> (<year>2020</year>) <volume>11</volume>:<fpage>1</fpage>&#x2013;<lpage>14</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-020-14290-4</pub-id>
</citation>
</ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jia</surname> <given-names>D</given-names>
</name>
<name>
<surname>Jolly</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Boareto</surname> <given-names>M</given-names>
</name>
<name>
<surname>Parsana</surname> <given-names>P</given-names>
</name>
<name>
<surname>Mooney</surname> <given-names>SM</given-names>
</name>
<name>
<surname>Pienta</surname> <given-names>KJ</given-names>
</name>
<etal/>
</person-group>. <article-title>OVOL guides the epithelial-hybrid-mesenchymal transition</article-title>. <source>Oncotarget</source> (<year>2015</year>) <volume>6</volume>:<page-range>15436&#x2013;48</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.18632/ONCOTARGET</pub-id>
</citation>
</ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jolly</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Tripathi</surname> <given-names>SC</given-names>
</name>
<name>
<surname>Jia</surname> <given-names>D</given-names>
</name>
<name>
<surname>Mooney</surname> <given-names>SM</given-names>
</name>
<name>
<surname>Celiktas</surname> <given-names>M</given-names>
</name>
<name>
<surname>Hanash</surname> <given-names>SM</given-names>
</name>
<etal/>
</person-group>. <article-title>Stability of the hybrid epithelial/mesenchymal phenotype</article-title>. <source>Oncotarget</source> (<year>2016</year>) <volume>7</volume>:<page-range>27067&#x2013;84</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.18632/oncotarget.8166</pub-id>
</citation>
</ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Graner</surname> <given-names>F</given-names>
</name>
<name>
<surname>Glazier</surname> <given-names>JA</given-names>
</name>
</person-group>. <article-title>Simulation of biological cell sorting using a two-dimensional extended Potts model</article-title>. <source>Phys Rev Lett</source> (<year>1992</year>) <volume>69</volume>:<page-range>2013&#x2013;6</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1103/PhysRevLett.69.2013</pub-id>
</citation>
</ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Glazier</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Graner</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>Simulation of the differential adhesion driven rearrangement of biological cells</article-title>. <source>Phys Rev E</source> (<year>1993</year>) <volume>47</volume>:<page-range>2128&#x2013;54</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1103/PhysRevE.47.2128</pub-id>
</citation>
</ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Ren</surname> <given-names>X</given-names>
</name>
<name>
<surname>Gorska</surname> <given-names>AE</given-names>
</name>
<name>
<surname>Chytil</surname> <given-names>A</given-names>
</name>
<name>
<surname>Aakre</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Abrogation of TGF beta signaling in mammary carcinomas recruits Gr-1+CD11b+ myeloid cells that promote metastasis</article-title>. <source>Cancer Cell</source> (<year>2008</year>) <volume>13</volume>:<fpage>23</fpage>&#x2013;<lpage>35</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/J.CCR.2007.12.004</pub-id>
</citation>
</ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dalal</surname> <given-names>BI</given-names>
</name>
<name>
<surname>Keown</surname> <given-names>PA</given-names>
</name>
<name>
<surname>Greenbergt</surname> <given-names>AH</given-names>
</name>
</person-group>. <article-title>Immunocytochemical localization of secreted transforming growth factor-1 to the advancing edges of primary tumors and to lymph node metastases of human mammary carcinoma</article-title>. <source>Am J Pathol</source> (<year>1993</year>) <volume>143</volume>:<page-range>381&#x2013;9</page-range>.</citation>
</ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Thurley</surname> <given-names>K</given-names>
</name>
<name>
<surname>Gerecht</surname> <given-names>D</given-names>
</name>
<name>
<surname>Friedmann</surname> <given-names>E</given-names>
</name>
<name>
<surname>H&#xf6;fer</surname> <given-names>T</given-names>
</name>
</person-group>. <article-title>Three-dimensional gradients of cytokine signaling between T cells</article-title>. <source>PloS Comput Biol</source> (<year>2015</year>) <volume>11</volume>:<fpage>1</fpage>&#x2013;<lpage>22</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pcbi.1004206</pub-id>
</citation>
</ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hoekstra</surname> <given-names>ME</given-names>
</name>
<name>
<surname>Bornes</surname> <given-names>L</given-names>
</name>
<name>
<surname>Dijkgraaf</surname> <given-names>FE</given-names>
</name>
<name>
<surname>Philips</surname> <given-names>D</given-names>
</name>
<name>
<surname>Pardieck</surname> <given-names>IN</given-names>
</name>
<name>
<surname>Toebes</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Long-distance modulation of bystander tumor cells by CD8+ T-cell-secreted IFN-&#x3b3;</article-title>. <source>Nat Cancer</source> (<year>2020</year>) <volume>1</volume>:<fpage>291</fpage>&#x2013;<lpage>301</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s43018-020-0036-4</pub-id>
</citation>
</ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Thibaut</surname> <given-names>R</given-names>
</name>
<name>
<surname>Bost</surname> <given-names>P</given-names>
</name>
<name>
<surname>Milo</surname> <given-names>I</given-names>
</name>
<name>
<surname>Cazaux</surname> <given-names>M</given-names>
</name>
<name>
<surname>Lema&#xee;tre</surname> <given-names>F</given-names>
</name>
<name>
<surname>Garcia</surname> <given-names>Z</given-names>
</name>
<etal/>
</person-group>. <article-title>Bystander IFN-&#x3b3; activity promotes widespread and sustained cytokine signaling altering the tumor microenvironment</article-title>. <source>Nat Cancer</source> (<year>2020</year>) <volume>1</volume>:<page-range>302&#x2013;14</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s43018-020-0038-2</pub-id>
</citation>
</ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hoekstra</surname> <given-names>ME</given-names>
</name>
<name>
<surname>Vijver</surname> <given-names>SV</given-names>
</name>
<name>
<surname>Schumacher</surname> <given-names>TN</given-names>
</name>
</person-group>. <article-title>Modulation of the tumor micro-environment by CD8+ T cell-derived cytokines</article-title>. <source>Curr Opin Immunol</source> (<year>2021</year>) <volume>69</volume>:<fpage>65</fpage>&#x2013;<lpage>71</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.coi.2021.03.016</pub-id>
</citation>
</ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Castro</surname> <given-names>F</given-names>
</name>
<name>
<surname>Cardoso</surname> <given-names>AP</given-names>
</name>
<name>
<surname>Goncalves</surname> <given-names>RM</given-names>
</name>
<name>
<surname>Serre</surname> <given-names>K</given-names>
</name>
<name>
<surname>Oliveira</surname> <given-names>MJ</given-names>
</name>
</person-group>. <article-title>Interferon-gamma at the crossroads of tumor immune surveillance or evasion</article-title>. <source>Front Immunol</source> (<year>2018</year>) <volume>9</volume>:<elocation-id>847</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2018.00847</pub-id>
</citation>
</ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chakraborty</surname> <given-names>A</given-names>
</name>
<name>
<surname>Jusko</surname> <given-names>WJ</given-names>
</name>
</person-group>. <article-title>Pharmacodynamic interaction of recombinant human interleukin-10 and prednisolone using <italic>in vitro</italic> whole blood lymphocyte proliferation</article-title>. <source>J Pharm Sci</source> (<year>2002</year>) <volume>91</volume>:<page-range>1334&#x2013;42</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/jps.3000</pub-id>
</citation>
</ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sahoo</surname> <given-names>S</given-names>
</name>
<name>
<surname>Nayak</surname> <given-names>SP</given-names>
</name>
<name>
<surname>Hari</surname> <given-names>K</given-names>
</name>
<name>
<surname>Purkait</surname> <given-names>P</given-names>
</name>
<name>
<surname>Mandal</surname> <given-names>S</given-names>
</name>
<name>
<surname>Kishore</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Immunosuppressive traits of the hybrid epithelial/mesenchymal phenotype</article-title>. <source>Front Immunol</source> (<year>2021</year>) <volume>12</volume>:<elocation-id>797261</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2021.797261</pub-id>
</citation>
</ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ren</surname> <given-names>D</given-names>
</name>
<name>
<surname>Hua</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>B</given-names>
</name>
<name>
<surname>Ye</surname> <given-names>X</given-names>
</name>
<name>
<surname>He</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Li</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Predictive biomarkers and mechanisms underlying resistance to PD1/PD-L1 blockade cancer immunotherapy</article-title>. <source>Mol Cancer</source> (<year>2020</year>) <volume>19</volume>:<fpage>19</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12943-020-1144-6</pub-id>
</citation>
</ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>L</given-names>
</name>
<name>
<surname>Heymach</surname> <given-names>JV</given-names>
</name>
<name>
<surname>Qin</surname> <given-names>FXF</given-names>
</name>
<name>
<surname>Gibbons</surname> <given-names>DL</given-names>
</name>
</person-group>. <article-title>The mutually regulatory loop of epithelial- mesenchymal transition and immunosuppression in cancer progression</article-title>. <source>OncoImmunology</source> (<year>2015</year>) <volume>4</volume>:<elocation-id>e1002731</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/2162402X.2014.1002731</pub-id>
</citation>
</ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Patel</surname> <given-names>SP</given-names>
</name>
<name>
<surname>Kurzrock</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>PD-L1 expression as a predictive biomarker in cancer immunotherapy</article-title>. <source>Mol Cancer Ther</source> (<year>2015</year>) <volume>14</volume>:<page-range>847&#x2013;56</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/1535-7163.MCT-14-0983</pub-id>
</citation>
</ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bruns</surname> <given-names>IB</given-names>
</name>
<name>
<surname>Beltman</surname> <given-names>JB</given-names>
</name>
</person-group>. <article-title>Quantifying the contribution of transcription factor activity, mutations and microRNAs to CD274 expression in cancer patients</article-title>. <source>Sci Rep</source> (<year>2022</year>) <volume>12</volume>:<fpage>1</fpage>&#x2013;<lpage>15</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41598-022-08356-0</pub-id>
</citation>
</ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Perez-Oquendo</surname> <given-names>M</given-names>
</name>
<name>
<surname>Gibbons</surname> <given-names>DL</given-names>
</name>
</person-group>. <article-title>Regulation of ZEB1 function and molecular associations in tumor progression and metastasis</article-title>. <source>Cancers</source> (<year>2022</year>) <volume>14</volume>:<fpage>1864</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/cancers14081864</pub-id>
</citation>
</ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname> <given-names>S</given-names>
</name>
<name>
<surname>Cong</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>D</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Deng</surname> <given-names>L</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Breast cancer stem cells transition between epithelial and mesenchymal states reflective of their normal counterparts</article-title>. <source>Stem Cell Rep</source> (<year>2014</year>) <volume>2</volume>:<fpage>78</fpage>&#x2013;<lpage>91</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/J.STEMCR.2013.11.009</pub-id>
</citation>
</ref>
<ref id="B42">
<label>42</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bocci</surname> <given-names>F</given-names>
</name>
<name>
<surname>Gearhart-Serna</surname> <given-names>L</given-names>
</name>
<name>
<surname>Boareto</surname> <given-names>M</given-names>
</name>
<name>
<surname>Ribeiro</surname> <given-names>M</given-names>
</name>
<name>
<surname>Ben-Jacob</surname> <given-names>E</given-names>
</name>
<name>
<surname>Devi</surname> <given-names>GR</given-names>
</name>
<etal/>
</person-group>. <article-title>Toward understanding cancer stem cell heterogeneity in the tumor microenvironment</article-title>. <source>Proc Natl Acad Sci</source> (<year>2019</year>) <volume>116</volume>:<page-range>148&#x2013;57</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.1815345116</pub-id>
</citation>
</ref>
<ref id="B43">
<label>43</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Benchaib</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Bouchnita</surname> <given-names>A</given-names>
</name>
<name>
<surname>Volpert</surname> <given-names>V</given-names>
</name>
<name>
<surname>Makhoute</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Mathematical modeling reveals that the administration of EGF can promote the elimination of lymph node metastases by PD-1/PD-L1 blockade</article-title>. <source>Front Bioengineering Biotechnol</source> (<year>2019</year>) <volume>7</volume>:<elocation-id>104</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fbioe.2019.00104</pub-id>
</citation>
</ref>
<ref id="B44">
<label>44</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jenner</surname> <given-names>AL</given-names>
</name>
<name>
<surname>Smalley</surname> <given-names>M</given-names>
</name>
<name>
<surname>Goldman</surname> <given-names>D</given-names>
</name>
<name>
<surname>Goins</surname> <given-names>WF</given-names>
</name>
<name>
<surname>Cobbs</surname> <given-names>CS</given-names>
</name>
<name>
<surname>Puchalski</surname> <given-names>RB</given-names>
</name>
<etal/>
</person-group>. <article-title>Agent-based computational modeling of glioblastoma predicts that stromal density is central to oncolytic virus efficacy</article-title>. <source>iScience</source> (<year>2022</year>) <volume>25</volume>:<fpage>104395</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.isci.2022.104395</pub-id>
</citation>
</ref>
<ref id="B45">
<label>45</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Whitmire</surname> <given-names>JK</given-names>
</name>
<name>
<surname>Tan</surname> <given-names>JT</given-names>
</name>
<name>
<surname>Whitton</surname> <given-names>JL</given-names>
</name>
</person-group>. <article-title>Interferon-&#x3b3; acts directly on CD8+ T cells to increase their abundance during virus infection</article-title>. <source>J Exp Med</source> (<year>2005</year>) <volume>201</volume>:<page-range>1053&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.20041463</pub-id>
</citation>
</ref>
<ref id="B46">
<label>46</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bhat</surname> <given-names>P</given-names>
</name>
<name>
<surname>Leggatt</surname> <given-names>G</given-names>
</name>
<name>
<surname>Waterhouse</surname> <given-names>N</given-names>
</name>
<name>
<surname>Frazer</surname> <given-names>IH</given-names>
</name>
</person-group>. <article-title>Interferon-&#x3b3; derived from cytotoxic lymphocytes directly enhances their motility and cytotoxicity</article-title>. <source>Cell Death Dis</source> (<year>2017</year>) <volume>8</volume>:<elocation-id>e2836</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/CDDIS.2017.67</pub-id>
</citation>
</ref>
<ref id="B47">
<label>47</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jonckheere</surname> <given-names>S</given-names>
</name>
<name>
<surname>Adams</surname> <given-names>J</given-names>
</name>
<name>
<surname>Groote</surname> <given-names>DD</given-names>
</name>
<name>
<surname>Campbell</surname> <given-names>K</given-names>
</name>
<name>
<surname>Berx</surname> <given-names>G</given-names>
</name>
<name>
<surname>Goossens</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Epithelial-mesenchymal transition (EMT) as a therapeutic target</article-title>. <source>Cells Tissues Organs</source> (<year>2021</year>) <volume>211</volume>:<fpage>1</fpage>&#x2013;<lpage>26</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1159/000512218</pub-id>
</citation>
</ref>
<ref id="B48">
<label>48</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mariathasan</surname> <given-names>S</given-names>
</name>
<name>
<surname>Turley</surname> <given-names>SJ</given-names>
</name>
<name>
<surname>Nickles</surname> <given-names>D</given-names>
</name>
<name>
<surname>Castiglioni</surname> <given-names>A</given-names>
</name>
<name>
<surname>Yuen</surname> <given-names>K</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>TGF&#x3b2; attenuates tumour response to PD-L1 blockade by contributing to exclusion of T cells</article-title>. <source>Nature</source> (<year>2018</year>) <volume>554</volume>:<page-range>544&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nature25501</pub-id>
</citation>
</ref>
<ref id="B49">
<label>49</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Weigelin</surname> <given-names>B</given-names>
</name>
<name>
<surname>den Boer</surname> <given-names>AT</given-names>
</name>
<name>
<surname>Wagena</surname> <given-names>E</given-names>
</name>
<name>
<surname>Broen</surname> <given-names>K</given-names>
</name>
<name>
<surname>Dolstra</surname> <given-names>H</given-names>
</name>
<name>
<surname>de Boer</surname> <given-names>RJ</given-names>
</name>
<etal/>
</person-group>. <article-title>Cytotoxic T cells are able to efficiently eliminate cancer cells by additive cytotoxicity</article-title>. <source>Nat Commun</source> (<year>2021</year>) <volume>12</volume>:<fpage>5217</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-021-25282-3</pub-id>
</citation>
</ref>
<ref id="B50">
<label>50</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pramanik</surname> <given-names>D</given-names>
</name>
<name>
<surname>Jolly</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Bhat</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Matrix adhesion and remodeling diversifies modes of cancer invasion across spatial scales</article-title>. <source>J Theor Biol</source> (<year>2021</year>) <volume>524</volume>:<fpage>110733</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jtbi.2021.110733</pub-id>
</citation>
</ref>
<ref id="B51">
<label>51</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Burke</surname> <given-names>JD</given-names>
</name>
<name>
<surname>Young</surname> <given-names>HA</given-names>
</name>
</person-group>. <article-title>IFN-&#x3b3;: A cytokine at the right time, is in the right place</article-title>. <source>Semin Immunol</source> (<year>2019</year>) <volume>43</volume>:<fpage>101280</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.smim.2019.05.002</pub-id>
</citation>
</ref>
<ref id="B52">
<label>52</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Boulch</surname> <given-names>M</given-names>
</name>
<name>
<surname>Cazaux</surname> <given-names>M</given-names>
</name>
<name>
<surname>Cuffel</surname> <given-names>A</given-names>
</name>
<name>
<surname>Guerin</surname> <given-names>MV</given-names>
</name>
<name>
<surname>Garcia</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Alonso</surname> <given-names>R</given-names>
</name>
<etal/>
</person-group>. <article-title>Tumor-intrinsic sensitivity to the pro-apoptotic effects of IFN-&#x3b3; is a major determinant of CD4+ CAR T-cell antitumor activity</article-title>. <source>Nat Cancer</source> (<year>2023</year>). doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s43018-023-00570-7</pub-id>
</citation>
</ref>
<ref id="B53">
<label>53</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lu</surname> <given-names>M</given-names>
</name>
<name>
<surname>Jolly</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Gomoto</surname> <given-names>R</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>B</given-names>
</name>
<name>
<surname>Onuchic</surname> <given-names>JN</given-names>
</name>
<name>
<surname>Ben-Jacob</surname> <given-names>E</given-names>
</name>
</person-group>. <article-title>Tristability in cancer-associated microRNA-TF chimera toggle switch</article-title>. <source>J Phys Chem B</source> (<year>2013</year>) <volume>117</volume>:<page-range>13164&#x2013;74</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1021/jp403156m</pub-id>
</citation>
</ref>
<ref id="B54">
<label>54</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Quaiser</surname> <given-names>T</given-names>
</name>
<name>
<surname>Dittrich</surname> <given-names>A</given-names>
</name>
<name>
<surname>Schaper</surname> <given-names>F</given-names>
</name>
<name>
<surname>M&#xf6;nnigmann</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>A simple work flow for biologically inspired model reduction - application to early JAK-STAT signaling</article-title>. <source>BMC Syst Biol</source> (<year>2011</year>) <volume>5</volume>:<elocation-id>30</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/1752-0509-5-30</pub-id>
</citation>
</ref>
<ref id="B55">
<label>55</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Huang</surname> <given-names>B</given-names>
</name>
<name>
<surname>Lu</surname> <given-names>M</given-names>
</name>
<name>
<surname>Jia</surname> <given-names>D</given-names>
</name>
<name>
<surname>Ben-Jacob</surname> <given-names>E</given-names>
</name>
<name>
<surname>Levine</surname> <given-names>H</given-names>
</name>
<name>
<surname>Onuchic</surname> <given-names>JN</given-names>
</name>
</person-group>. <article-title>Interrogating the topological robustness of gene regulatory circuits by randomization</article-title>. <source>PloS Comput Biol</source> (<year>2017</year>) <volume>13</volume>:<fpage>1</fpage>&#x2013;<lpage>21</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pcbi.1005456</pub-id>
</citation>
</ref>
<ref id="B56">
<label>56</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Tian</surname> <given-names>XJ</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Teng</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Li</surname> <given-names>R</given-names>
</name>
<name>
<surname>Bai</surname> <given-names>F</given-names>
</name>
<etal/>
</person-group>. <article-title>TGF-&#x3b2;-induced epithelial-to-mesenchymal transition proceeds through stepwise activation of multiple feedback loops</article-title>. <source>Sci Signaling</source> (<year>2014</year>) <volume>7</volume>:<fpage>ra91</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/scisignal.2005304</pub-id>
</citation>
</ref>
<ref id="B57">
<label>57</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tian</surname> <given-names>XJ</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Xing</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Coupled reversible and irreversible bistable switches underlying TGF&#x3b2;-induced epithelial to mesenchymal transition</article-title>. <source>Biophys J</source> (<year>2013</year>) <volume>105</volume>:<page-range>1079&#x2013;89</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.bpj.2013.07.011</pub-id>
</citation>
</ref>
<ref id="B58">
<label>58</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Neagu</surname> <given-names>A</given-names>
</name>
<name>
<surname>Mironov</surname> <given-names>V</given-names>
</name>
<name>
<surname>Kosztin</surname> <given-names>I</given-names>
</name>
<name>
<surname>Barz</surname> <given-names>B</given-names>
</name>
<name>
<surname>Neagu</surname> <given-names>M</given-names>
</name>
<name>
<surname>Moreno-Rodriguez</surname> <given-names>RA</given-names>
</name>
<etal/>
</person-group>. <article-title>Computational modeling of epithelial-mesenchymal transformations</article-title>. <source>BioSystems</source> (<year>2010</year>) <volume>100</volume>:<fpage>23</fpage>&#x2013;<lpage>30</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.biosystems.2009.12.004</pub-id>
</citation>
</ref>
<ref id="B59">
<label>59</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Beck</surname> <given-names>RJ</given-names>
</name>
<name>
<surname>Bijker</surname> <given-names>DI</given-names>
</name>
<name>
<surname>Beltman</surname> <given-names>JB</given-names>
</name>
</person-group>. <article-title>Heterogeneous, delayed-onset killing by multiple-hitting T cells: Stochastic simulations to assess methods for analysis of imaging data</article-title>. <source>PloS Comput Biol</source> (<year>2020</year>) <volume>16</volume>:<elocation-id>e1007972</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pcbi.1007972</pub-id>
</citation>
</ref>
<ref id="B60">
<label>60</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gadhamsetty</surname> <given-names>S</given-names>
</name>
<name>
<surname>Mar&#xe9;e</surname> <given-names>AF</given-names>
</name>
<name>
<surname>Beltman</surname> <given-names>JB</given-names>
</name>
<name>
<surname>de Boer</surname> <given-names>RJ</given-names>
</name>
</person-group>. <article-title>A general functional response of cytotoxic T lymphocyte-mediated killing of target cells</article-title>. <source>Biophys J</source> (<year>2014</year>) <volume>106</volume>:<page-range>1780&#x2013;91</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.bpj.2014.01.048</pub-id>
</citation>
</ref>
<ref id="B61">
<label>61</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gadhamsetty</surname> <given-names>S</given-names>
</name>
<name>
<surname>Mar&#xe9;e</surname> <given-names>AF</given-names>
</name>
<name>
<surname>de Boer</surname> <given-names>RJ</given-names>
</name>
<name>
<surname>Beltman</surname> <given-names>JB</given-names>
</name>
</person-group>. <article-title>Tissue dimensionality influences the functional response of cytotoxic T lymphocyte-mediated killing of targets</article-title>. <source>Front Immunol</source> (<year>2017</year>) <volume>7</volume>:<elocation-id>668</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2016.00668</pub-id>
</citation>
</ref>
<ref id="B62">
<label>62</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gadhamsetty</surname> <given-names>S</given-names>
</name>
<name>
<surname>Mar&#xe9;e</surname> <given-names>AF</given-names>
</name>
<name>
<surname>Beltman</surname> <given-names>JB</given-names>
</name>
<name>
<surname>de Boer</surname> <given-names>RJ</given-names>
</name>
</person-group>. <article-title>A sigmoid functional response emerges when cytotoxic T lymphocytes start killing fresh target cells</article-title>. <source>Biophys J</source> (<year>2017</year>) <volume>112</volume>:<page-range>1221&#x2013;35</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.bpj.2017.02.008</pub-id>
</citation>
</ref>
<ref id="B63">
<label>63</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ouchi</surname> <given-names>NB</given-names>
</name>
<name>
<surname>Glazier</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Rieu</surname> <given-names>JP</given-names>
</name>
<name>
<surname>Upadhyaya</surname> <given-names>A</given-names>
</name>
<name>
<surname>Sawada</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>Improving the realism of the cellular Potts model in simulations of biological cells</article-title>. <source>Physica A: Stat Mechanics its Appl</source> (<year>2003</year>) <volume>329</volume>:<page-range>451&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S0378-4371(03)00574-0</pub-id>
</citation>
</ref>
<ref id="B64">
<label>64</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Niculescu</surname> <given-names>I</given-names>
</name>
<name>
<surname>Textor</surname> <given-names>J</given-names>
</name>
<name>
<surname>de Boer</surname> <given-names>RJ</given-names>
</name>
</person-group>. <article-title>Crawling and gliding: a computational model for shape-driven cell migration</article-title>. <source>PloS Comput Biol</source> (<year>2015</year>) <volume>11</volume>:<elocation-id>e1004280</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pcbi.1004280</pub-id>
</citation>
</ref>
<ref id="B65">
<label>65</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mrass</surname> <given-names>P</given-names>
</name>
<name>
<surname>Takano</surname> <given-names>H</given-names>
</name>
<name>
<surname>Lai</surname> <given-names>GN</given-names>
</name>
<name>
<surname>Daxini</surname> <given-names>S</given-names>
</name>
<name>
<surname>Lasaro</surname> <given-names>MO</given-names>
</name>
<name>
<surname>Iparraguirre</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Random migration precedes stable target cell interactions of tumor-infiltrating T cells</article-title>. <source>J Exp Med</source> (<year>2006</year>) <volume>203</volume>:<page-range>2749&#x2013;61</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.20060710</pub-id>
</citation>
</ref>
<ref id="B66">
<label>66</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Boissonnas</surname> <given-names>A</given-names>
</name>
<name>
<surname>Fetler</surname> <given-names>L</given-names>
</name>
<name>
<surname>Zeelenberg</surname> <given-names>IS</given-names>
</name>
<name>
<surname>Hugues</surname> <given-names>S</given-names>
</name>
<name>
<surname>Amigorena</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>
<italic>In vivo</italic> imaging of cytotoxic T cell infiltration and elimination of a solid tumor</article-title>. <source>J Exp Med</source> (<year>2007</year>) <volume>204</volume>:<page-range>345&#x2013;56</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.20061890</pub-id>
</citation>
</ref>
<ref id="B67">
<label>67</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Merks</surname> <given-names>RM</given-names>
</name>
<name>
<surname>Brodsky</surname> <given-names>SV</given-names>
</name>
<name>
<surname>Goligorksy</surname> <given-names>MS</given-names>
</name>
<name>
<surname>Newman</surname> <given-names>SA</given-names>
</name>
<name>
<surname>Glazier</surname> <given-names>JA</given-names>
</name>
</person-group>. <article-title>Cell elongation is key to in silico replication of <italic>in vitro</italic> vasculogenesis and subsequent remodeling</article-title>. <source>Dev Biol</source> (<year>2006</year>) <volume>289</volume>:<fpage>44</fpage>&#x2013;<lpage>54</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ydbio.2005.10.003</pub-id>
</citation>
</ref>
<ref id="B68">
<label>68</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Beck</surname> <given-names>RJ</given-names>
</name>
<name>
<surname>Slagter</surname> <given-names>M</given-names>
</name>
<name>
<surname>Beltman</surname> <given-names>JB</given-names>
</name>
</person-group>. <article-title>Contact-dependent killing by cytotoxic T lymphocytes is insufficient for EL4 tumor regression <italic>in vivo</italic>
</article-title>. <source>Cancer Res</source> (<year>2019</year>) <volume>79</volume>:<page-range>3406&#x2013;16</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/0008-5472.CAN-18-3147</pub-id>
</citation>
</ref>
<ref id="B69">
<label>69</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Han</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Bagheri</surname> <given-names>N</given-names>
</name>
<name>
<surname>Bradshaw</surname> <given-names>EM</given-names>
</name>
<name>
<surname>Hafler</surname> <given-names>DA</given-names>
</name>
<name>
<surname>Lauffenburger</surname> <given-names>DA</given-names>
</name>
<name>
<surname>Love</surname> <given-names>JC</given-names>
</name>
</person-group>. <article-title>Polyfunctional responses by human T cells result from sequential release of cytokines</article-title>. <source>Proc Natl Acad Sci United States America</source> (<year>2012</year>) <volume>109</volume>:<page-range>1607&#x2013;12</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.1117194109</pub-id>
</citation>
</ref>
<ref id="B70">
<label>70</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Anderson</surname> <given-names>P</given-names>
</name>
<name>
<surname>Yip</surname> <given-names>YK</given-names>
</name>
<name>
<surname>Vilcek</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Human interferon-&#x3b3; is internalized and degraded by cultured fibroblasts</article-title>. <source>J Biol Chem</source> (<year>1983</year>) <volume>258</volume>:<page-range>6497&#x2013;502</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/s0021-9258(18)32439-6</pub-id>
</citation>
</ref>
<ref id="B71">
<label>71</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ross</surname> <given-names>AE</given-names>
</name>
<name>
<surname>Pompano</surname> <given-names>RR</given-names>
</name>
</person-group>. <article-title>Diffusion of cytokines in live lymph node tissue using microfluidic integrated optical imaging</article-title>. <source>Analytica Chimica Acta</source> (<year>2018</year>) <volume>1000</volume>:<page-range>205&#x2013;13</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.aca.2017.11.048</pub-id>
</citation>
</ref>
<ref id="B72">
<label>72</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hoops</surname> <given-names>S</given-names>
</name>
<name>
<surname>Sahle</surname> <given-names>S</given-names>
</name>
<name>
<surname>Gauges</surname> <given-names>R</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>C</given-names>
</name>
<name>
<surname>Pahle</surname> <given-names>J</given-names>
</name>
<name>
<surname>Simus</surname> <given-names>N</given-names>
</name>
<etal/>
</person-group>. <article-title>COPASI&#x2013;a complex pathway simulator</article-title>. <source>Bioinformatics</source> (<year>2006</year>) <volume>22</volume>:<page-range>3067&#x2013;74</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/bioinformatics/btl485</pub-id>
</citation>
</ref>
<ref id="B73">
<label>73</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Starru&#xdf;</surname> <given-names>J</given-names>
</name>
<name>
<surname>De Back</surname> <given-names>W</given-names>
</name>
<name>
<surname>Brusch</surname> <given-names>L</given-names>
</name>
<name>
<surname>Deutsch</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Morpheus: A user-friendly modeling environment for multiscale and multicellular systems biology</article-title>. <source>Bioinformatics</source> (<year>2014</year>) <volume>30</volume>:<page-range>1331&#x2013;2</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/bioinformatics/btt772</pub-id>
</citation>
</ref>
<ref id="B74">
<label>74</label>
<citation citation-type="book">
<person-group person-group-type="author">
<collab>R Core Team</collab>
</person-group>. <source>R: A language and environment for statistical computing</source>. <publisher-loc>Vienna, Austria</publisher-loc>: <publisher-name>R Foundation for Statistical Computing</publisher-name> (<year>2022</year>).</citation>
</ref>
<ref id="B75">
<label>75</label>
<citation citation-type="book">
<person-group person-group-type="author">
<collab>RStudio Team</collab>
</person-group>. <source>RStudio: Integrated Development Environment for R</source>. <publisher-loc>Boston, MA</publisher-loc>: <publisher-name>RStudio, PBC.</publisher-name> (<year>2020</year>).</citation>
</ref>
<ref id="B76">
<label>76</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wickham</surname> <given-names>H</given-names>
</name>
<name>
<surname>Averick</surname> <given-names>M</given-names>
</name>
<name>
<surname>Bryan</surname> <given-names>J</given-names>
</name>
<name>
<surname>Chang</surname> <given-names>W</given-names>
</name>
<name>
<surname>McGowan</surname> <given-names>LD</given-names>
</name>
<name>
<surname>Francois</surname> <given-names>R</given-names>
</name>
<etal/>
</person-group>. <article-title>Welcome to the tidyverse</article-title>. <source>J of Open Source Software</source> (<year>2019</year>) <volume>4</volume>:<fpage>1686</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.21105/joss.01686</pub-id>
</citation>
</ref>
<ref id="B77">
<label>77</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Lems</surname> <given-names>CM</given-names>
</name>
<name>
<surname>Burger</surname> <given-names>GA</given-names>
</name>
<name>
<surname>Beltman</surname> <given-names>JB</given-names>
</name>
</person-group>. <source>lacdr-tox/lems-emt-pdl1-models-figures</source>. (<year>2023</year>). doi:&#xa0;<pub-id pub-id-type="doi">10.5281/zenodo.8114632</pub-id>.</citation>
</ref>
</ref-list>
</back>
</article>