RT Journal Article SR Electronic T1 Optimal pathways control fixation of multiple mutations during cancer initiation JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.02.07.479413 DO 10.1101/2022.02.07.479413 A1 Hamid Teimouri A1 Cade Spaulding A1 Anatoly B. Kolomeisky YR 2022 UL http://biorxiv.org/content/early/2022/02/09/2022.02.07.479413.abstract AB Cancer starts after initially healthy tissue cells accumulate several specific mutations or other genetic alterations. The dynamics of tumor formation is a very complex phenomenon due to multiple involved biochemical and biophysical processes. It leads to a very large number of possible pathways on the road to final fixation of all mutations that marks the beginning of the cancer, complicating the understanding of microscopic mechanisms of tumor formation. We present a new theoretical framework of analyzing the cancer initiation dynamics by exploring the properties of effective free-energy landscape of the process. It is argued that although there are many possible pathways for the fixation of all mutations in the system, there are only few dominating pathways on the road to tumor formation. The theoretical approach is explicitly tested in the system with only two mutations using analytical calculations and Monte Carlo computer simulations. Excellent agreement with theoretical predictions is found for a large range of parameters, supporting our hypothesis and allowing us to better understand the mechanisms of cancer initiation. Our theoretical approach clarifies some important aspects of microscopic processes that lead to tumor formation.Competing Interest StatementThe authors have declared no competing interest.