RT Journal Article SR Electronic T1 An Integrated Mechanistic Model of Pan-Cancer Driver Pathways Predicts Stochastic Proliferation and Death JF bioRxiv FD Cold Spring Harbor Laboratory SP 128801 DO 10.1101/128801 A1 Mehdi Bouhaddou A1 Anne Marie Barrette A1 Rick J. Koch A1 Matthew S. DiStefano A1 Eric A. Riesel A1 Alan D. Stern A1 Luis C. Santos A1 Annie Tan A1 Alex Mertz A1 Marc R. Birtwistle YR 2017 UL http://biorxiv.org/content/early/2017/04/19/128801.abstract AB Most cancer cells harbor multiple drivers whose epistasis and interactions with expression context clouds drug sensitivity prediction. We constructed a mechanistic computational model that is context-tailored by omics data to capture regulation of stochastic proliferation and death by pan-cancer driver pathways. Simulations and experiments explore how the coordinated dynamics of RAF/MEK/ERK and PI-3K/AKT kinase activities in response to synergistic mitogen or drug combinations control cell fate in a specific cellular context. In this context, synergistic ERK and AKT inhibitor-induced death is likely mediated by BIM rather than BAD. AKT dynamics explain S-phase entry synergy between EGF and insulin, but stochastic ERK dynamics seem to drive cell-to-cell proliferation variability, which in simulations are predictable from pre-stimulus fluctuations in C-Raf/B-Raf levels. Simulations predict MEK alteration negligibly influences transformation, consistent with clinical data. Our model mechanistically interprets context-specific landscapes between driver pathways and cell fates, moving towards more rational cancer combination therapy.