This research programme addresses a fundamental but underappreciated aspect of cancer, which is the role of physical forces in controlling tumour development and influencing the response to therapy. The potential impacts of this work span basic science, technology development, and ultimately patient care. By uncovering the mechanical actions that govern how tumours grow and respond to their physical environment, this research has the potential to reframe how we think about cancer progression. Understanding why some tumours become resistant to chemotherapy not because of genetic mutation but because of their mechanical surroundings opens new avenues for intervention. Rather than focusing on new drug development, our work could uncover efficient routes to improving treatment outcomes by helping existing drugs to work more effectively, particularly in surgically-untreatable tumours.
The insights generated by our research programme will also have relevance beyond cancer. Understanding how physical forces regulate cell growth and tissue organisation is a fundamental question in biology with implications for other fields including developmental biology, regenerative medicine, and tissue engineering. The computational and experimental tools developed in this programme will be openly applicable across these domains. Our programme is also pioneering advanced computational models that combine physical, biological, and clinical data to simulate how tumours evolve and respond to treatment. These models will be designed to be efficient, generalisable, and ultimately applicable to individual patients for personalised care. While this research programme focuses on breast cancer as a model system, the framework being developed should be transferable. Tumour types that are currently very difficult to treat, including cancers of the pancreas, lung, and brain, share many of the same biomechanical challenges. The tools and insights generated by our work are intended as a foundation for addressing those unmet needs.