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The European Physical Journal Plus

Springer Science and Business Media LLC

Preprints posted in the last 30 days, ranked by how well they match The European Physical Journal Plus's content profile, based on 13 papers previously published here. The average preprint has a 0.01% match score for this journal, so anything above that is already an above-average fit.

1
Brain folding as a Fourier series yields a developmental clock

Goldschmidt, E.

2026-07-09 developmental biology 10.64898/2026.07.07.737104 medRxiv
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The human cerebral cortex folds into a stereotyped shape during gestation. Different principles govern the large and small scales of the final brain geometry. Here, I show that the fetal cerebrum can be described as a band limited spherical harmonic Fourier object which entire gyrification process collapses to a single one-dimensional curve, in which the maximum harmonic degree acts as a developmental coordinate. The closed form descriptor predicts gestational age with mean absolute error 0.13 and 0.38 weeks across fetal brain atlases, exceeding the published learning-based state of the art by a factor of three to seven. The same descriptor, applied to single subjects in the FeTA pathological dataset, can classify the per subject distance from the normative trajectory and discriminate pathological from neurotypical fetuses. The result is a single closed form, zero-training-cost descriptor that simultaneously dates the fetal brain and detects atypical development.

2
Proliferative and Motile Cell Interplay in Glioma Invasion: Go-or-Grow Switching Caps the Invasion Speed

Sadhukhan, S.; Santra, D.

2026-07-07 biophysics 10.64898/2026.07.01.735477 medRxiv
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Diffuse gliomas are deadly because the individual tumor cells invade - they travel far from the imageable mass, so it is impossible to remove the tumor completely. On the cellular level, glioma cells seem to be in either a "go" state (in which they do not divide) or a "grow" state (in which they do not migrate). We investigate what this tiny choice has to say about the large-scale speed of the invasion front and whether the implication is sufficiently strong to rule out the classical description of the Fisher-Kolmogorov-Petrovsky-Piskunov (Fisher-KPP) type, in which a single phenotype migrates and proliferates. We derive a two-phenotype reaction-diffusion model with density-dependent switching, and we prove the cooperative (quasi-monotone) structure and the associated comparison principle and study travelling-wave solutions of the model. A leading-edge linearization gives minimal front speed as minimizer of an explicit dispersion relation, and direct simulation verifies the predicted speed. In the experimentally relevant fast switching limit, we find a closed-form expression for the speed, that is, we obtain an effective Fisher-KPP equation with rescaled diffusivity and growth rate, with the fractions of the phenotypes. The "go-or-grow" (GoG) front can move at a maximum speed of half the Fisher speed for the same single-cell motility $D$ and proliferation rate $r$, which occurs only when the cells divide their time equally between the two phenotypes. This bound is directly testable: measurement of the front speed, plus independent determination of $D$ and $r$, discriminates the two hypotheses, and in the GoG case, yields recovery of the phenotype balance. We then extend the result to anisotropic (DTI-informed) invasion along white-matter tracts and discuss implications for understanding clinical measurements of growth rate.

3
Critical Scaling Laws and Universality Classes in Biomolecular Condensates

Song, H.; Hu, G.; Wu, X.; Zhang, X.; Li, J.

2026-06-29 biophysics 10.64898/2026.06.24.734243 medRxiv
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Biomolecular condensates are widespread cellular self-assembled structures with essential functions. There are suggestions of condensates formed by different proteins being near criticality. However, systematic investigation of the criticality of condensates is absent, and critical exponents defining their universality class have not been found. Here, using long-time simulations, we show that condensates exhibit typical critical phenomena, including scale-free spatiotemporal correlations, critical slowing down, divergence of correlation length and dynamic scaling. From these scaling behaviors, a set of critical exponents is determined. Based on dynamic critical exponent, diverse condensates can be divided into two distinct universality classes, arising from differences in their molecular components and interaction types.

4
Influence of Non-Specific Surface Adhesion on the Shape and Microrheology of Red Blood Cells

Nidriche, A.; Debarre, D.; Verdier, C.

2026-06-27 biophysics 10.64898/2026.06.23.734082 medRxiv
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Poly-L-Lysine (PLL) mediates the non-specific adhesion of cells and is commonly used in Atomic Force Microscopy (AFM) measurements, to ensure that cells remain attached to the substrate. However, it is acknowledged that adhesion affects the measured mechanical properties, in particular in the case Red Blood Cells (RBCs). This results in a wide range of Youngs modulus E reported in the literature. The present study aims at providing a systematic approach to the impact of non-specific adhesion on the rheology of RBCs. It provides a correlation between the topography profile of adherent RBCs and their rheology, from weak (cPLL = 10-3 mg/mL) to strong-adhesion (cPLL = 100 mg/mL) regimes. Using RICM and AFM, we find that there is a continuum of RBC shapes promoted by adhesion, from concave to dome-shaped, as predicted by the theory of vesicle adhesion. Their elastic properties discriminate them into two populations depending on adhesion strength, where stiffer RBCs (E {gtrsim} 100 Pa) correlate with dome-shaped cells. These findings are supported by rheology measurements of the dynamic complex shear modulus G*(f): while the storage modulus increases with cell-substrate adhesion, reflective of an increased membrane shear modulus, the loss modulus remains unchanged. Finally, further analysis inspired by membrane theory shows that different deformation modes may be triggered during indentation of either weakly or strongly adhering RBCs, illustrating the limits of the Hertz model.

5
Mathematical Modeling of Rift Valley Fever in the Sahelian Zone

Djimramadji, H.; Ndonane, B.; Djaouga, P.; MARKHOUS, H. M.; Djoumountanan, E.; TOBAYE, K.; Abakar, F. M.

2026-07-17 epidemiology 10.64898/2026.07.15.26358164 medRxiv
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We develop a mathematical model of Rift Valley Fever integrating mosquito vectors, ruminants, and humans, based on an SEIR-type structure with vertical transmission in vectors. Local data from the Sudanian and especially the Sahelian zones are used to capture the impact of climatic variations on mosquito population dynamics. The mathematical analysis establishes the models positivity, determines the basic reproduction number R0, and demonstrates the local and global stability of the disease-free equilibrium. Sensitivity analysis (PRCC) highlights the most influential parameters, while the stochastic approach using a continuous-time Markov chain confirms the major role of seasonal rainfall. Numerical simulations reveal a peak in animal and human infections around the 9th month, correlating with periods of heavy rainfall. This model provides a relevant tool for surveillance and prevention within a "One Health" approach in Chad.

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A New Method to Predict the Effect of an Intervention in the Host Population to Reduce the Magnitude of an Outbreak of a Vector-Borne Infection

Coutinho, F. A. B.; Amaku, M.; Kallas, E. G.; Massad, E.

2026-07-19 epidemiology 10.64898/2026.07.16.26358272 medRxiv
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In this paper, we propose a new model to estimate the impact of an intervention on human hosts of a vector-borne infection, such as dengue, which occurs in yearly outbreaks of different magnitudes. The model applies to these outbreaks and, in fact, is independent of their intensity, that is, it does not require the steady-state assumption. The model takes as input the officially reported age-dependent number of cases of a vector-borne infection. It is deterministic and does not account for stochasticity. Our objective is to estimate the impact of the intervention (the efficacy), and we rely on the observed fact that the age distribution of the proportion of cases of the infections transmitted by the same vector is independent of both the intensity of transmission and the geographic area studied, at least for Brazilian regions. This finding is highlighted in the main text and forms the basis of our calculations. A hypothetical intervention is simulated using a dengue vaccine, which allows the determination of the optimal strategy for a vaccination campaign.

7
RNA and proteins joined up at the Origins of Life: Persistence is the point

Swailem, M.; Dill, K.

2026-07-11 biophysics 10.64898/2026.07.09.737588 medRxiv
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What drove nucleic acids (NA) to associate with proteins (PR) at the Origins of Life? We reason from polymer physics and the Central Dogma (CD) that the fitness value of cooperating through a division of labor - NA for replication fidelity and PR for functional fitness - is much higher than for either polymer alone. Our model shows a Pareto Front, where NA and PR can bootstrap each other to achieve autocatalytic cooperativity towards biology.

8
Protein hydration and druggability

Panasenko, S.; Khorev, V.; Petukhov, M.

2026-07-08 biophysics 10.64898/2026.07.06.736750 medRxiv
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A priori assessment of target proteins' druggability remains an unsolved problem in the field of drug development. The empirical approaches widely used to solve this problem demonstrate low efficiency. In this work, we investigated the factor of hydration of a representative set of 65 evolutionarily and structurally unrelated human enzymes in a water environment. This factor depends only on the structure of the proteins, and not on the physical and chemical properties of any potential ligands. The results show that, unlike the widely used approaches based on calculations of the accessible surface area (ASA), the content of low-entropy water molecules (LEW) in the active sites of human enzymes is systematically higher than that in other areas of their surface, including inactive cavities. Optimal criteria and a step-by-step procedure for identifying protein ligand binding sites are proposed. The proposed approach, based on the calculation of the LEW content in the first hydration layer of potentially interesting target proteins, makes it possible to evaluate their medicinal suitability even before the development of any ligands. The article also presents the results of a comparative analysis of experimental Raman spectroscopy data and the results of molecular dynamics simulations of water hydrogen bonds using three widely used water models (TIP3P, OPC3, and TIP5P) and standard algorithms for calculating hydrogen bond networks.

9
Mathematical models for influenza vaccination in homeless hostels

Xu, J.; Hutchinson, N.; House, T.; Pellis, L.; Hayward, A.; Hall, I.

2026-07-14 epidemiology 10.64898/2026.07.10.26357528 medRxiv
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The aim of this paper is to model homeless accommodation settings to investigate how vaccination mitigates the outbreaks, highlighting the importance of vaccination in vulnerable settings. We estimate the daily per capita contact rate with wider community, the internal transmission rate, and the achieved vaccine coverage. We present stochastic simulation of the final size of disease outbreaks given choices of internal and external transmission. We conclude that vaccine that has effect in reducing transmission will mitigate the outbreak in homeless hostels but it will have better results when the household population has large vaccination coverage, which may lead to more cost from the health economic perspective.

10
Scale-independent glide energetics in odontocete cetaceans

Pavlov, V.; Salomone, T.; McKeon, B.

2026-07-03 biophysics 10.64898/2026.06.29.735419 medRxiv
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Cetaceans reduce the net cost of sustained swimming through intermittent locomotion, alternating active fluking with unpowered gliding. The energy balance of this strategy is central to understanding survival rates, population sustainability, and the effects of anthropogenic and environmental pressures. While active-phase energetics have been characterized extensively, the glide phase remains largely unexplored. Here we derive the optimal glide duration (Topt) and the maximum glide duration beyond which energy savings vanish (Tzero) for three odontocetes spanning a 20-fold range in body mass, using high-fidelity CAD models and wall-modeled large eddy simulations. We show analytically that speed retention at Topt and mass-specific peak energy savings are both fully determined by the active-to-passive drag ratio, propulsive efficiency, and swimming speed, independently of body morphometry and drag coefficient, and are therefore invariant across species at any given speed. These passive-phase optima extend the known size-independent active-phase invariants to the glide phase, towards a scale-independent energetic framework for burst-and-glide locomotion in small cetaceans.

11
A Minimal Stochastic Model of Microbial Ecological Dynamics in a Single-Species-Single-Resource Setting

Leung, C. F. A.; Kolomeisky, A.

2026-07-03 biophysics 10.64898/2026.07.01.735782 medRxiv
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Microbes exhibit complex dynamic behavior as the result of a large number of biochemical processes, spatial and temporal interactions, environmental variations, and evolutionary pressure. Although significant progress has been achieved in understanding microbial ecological dynamics, multiple open questions remain, including the microscopic mechanisms of growth and the roles of nutrients and stochasticity. In this work, we present a minimal theoretical approach to clarify the link between consumption of resources by microbes and their growth. A stochastic model that accounts for a single microbial species consuming a single type of resource while growing via cell division is studied analytically and via Monte Carlo computer simulations. We identify three distinct dynamical regimes of microbial growth determined by the relative magnitudes of resource uptake and division rates and initial conditions. We also show that stochasticity influences the dynamic behavior when the amounts of microbes or resources are low. The model recovers Monod growth kinetics and provides a mechanistic interpretation of the Monod constant and maximal growth rate. The theoretical framework presented captures a wide spectrum of dynamic behaviors in microbial systems, providing a clearer microscopic picture to explain their underlying complex mechanisms.

12
A Requirement for K+ Ion Dehydration Governs Gating of the Shaker K+ Channel: Quantum Calculations Show Complex Interactions of Ions, Water, Protons, and Protein Side Chains

Kariev, A. M.; Monaco, R. R.; Green, M. E.

2026-07-07 biophysics 10.64898/2026.07.01.735716 medRxiv
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There is a vast literature on the voltage gating of ion channels, with a fairly large fraction concerned with potassium channels, especially of the KV1 family, including Shaker. Experimental evidence derived from protein structure has been interpreted to give gating mechanisms that largely disregard water. We propose that the K+ ion, in order to pass through the gating region and enter the cavity pore, must be largely dehydrated. Competitive interactions of each single hydration shell water at the gate, with counterions, protein, or other water molecules, can remove one water at a time. There are several such interactions for the ion hydration shell; for the ion to pass through the gating region, there must be enough such interactions to leave the ion with at most two hydrating water molecules, in which case the gate is open. Protein conformational changes are secondary, small, and mostly unimportant. The hypothesis has a second part: protons, previously shown to be candidate carriers of the gating current (Kariev and Green, JPC B, 2019, Membranes, 2022, 2024) are capable of reaching the gate; adding four protons to the gate prevents dehydration, leaving the ion with at least three hydrating water molecules, enough to block passage. Quantum calculations presented here support the dehydration part of the hypothesis; they also mostly support the second part, concerning the protons, but further work will be required to fully confirm this. The hypothesis explains the experimental finding that the P475D mutant is essentially constitutively open, while the P475S mutant, with a wider gate opening, is closed at all relevant potentials; the computations presented here show the mechanism for this in detail, further confirming the first part of the hypothesis, and largely but not completely confirming the second part, concerning protons, while showing where further work is needed. This mechanism can also qualitatively account for flicker noise and fluctuations, and their consequences.

13
In vivo real-time elastography with unmodified commercial endoscopes using noise-correlation-inspired method and laser speckle imaging

Legrand, M.; Dufour, N.; Jonca, F.; Schiffler, J.; Sosa Valencia, L.; Bahlouli, N.; Nahas, A.

2026-06-29 biophysics 10.64898/2026.06.23.733923 medRxiv
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AO_SCPLOWBSTRACTC_SCPLOWEarly tumor detection is critical for improving patient survival and recovery. Clinically, tissue palpation is routinely used to identify regions of abnormal stiffness, a hallmark of many pathological conditions. However, palpation is restricted to anatomically accessible sites and remains highly operator dependent. Here, we introduce a method for real-time quantitative stiffness mapping using an unmodified commercial endoscope, with the goal of enhancing diagnostic capabilities and restoring mechanical feedback during endoscopic procedures. Our approach combines shear wave elastography with speckle imaging and an innovative synchronization strategy that enables the measurement of shear wave propagation using an unmodified commercial endoscope. The resulting wave fields are analyzed with the noise-correlation-inspired (NCI) method[1], providing pixel-wise estimates of shear wave velocity and, consequently, quantitative maps of local tissue stiffness. The method demonstrated robust performance in both benchtop and endoscopic configurations. Validation was achieved on polymer phantoms as well as on ex vivo and in vivo biological tissues, highlighting its potential for minimally invasive biomechanical imaging and real-time tissue characterization.

14
Who's driving? Common evolutionary mechanism of activation of class A GPCRs

Marciniak, A.; Kozielewicz, P.; Mitrovic, D.; Delemotte, L.

2026-06-30 biophysics 10.64898/2026.06.25.734477 medRxiv
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Cells communicate with their environment by integrating signals, often chemical in nature, triggered by specific molecules bind to specific membrane-bound receptors, resulting in a downstream signaling cascade. Arguably, G-protein-coupled receptors (GPCRs) constitute the most pharmacologically important family of such receptors, binding small molecules, peptides, lipids, and hormones with high specificity. However, despite a highly conserved fold and sequence similarity, GPCRs are still mostly studied on a case-by-case basis. Here, we infer a general, evolutionarily conserved mechanism of class A GPCR activation. By leveraging coevolution and machine learning methods applied to all class A GPCRs structures, we derive a mathematical description (a so-called collective variable - CV) of the receptor's activation state which is independent of its sequence. Then, we bias molecular dynamics simulations along this CV to obtain transitions between activation states of a diverse set of class A GPCR family members. To demonstrate that our model generalizes beyond GPCRs in our training set, we obtain conformational transitions of an orphan receptor, GPR183. Finally, we show that we can model ligand effect on the receptors by converging Free Energy Surfaces of activation of the {beta}2-adrenergic receptor within this common mechanism framework. These results, to our knowledge, prove for the first time the existence of a mechanism uniting all class A GPCRs. Our approach thus facilitates direct comparisons between receptors and opens up the possibility of structural and dynamical studies of many orphan and understudied GPCRs. It also serves as a blueprint for inferring family-wide protein mechanisms.

15
The peculiar property of pia mater on the prediction of acute subdural hematoma

Li, C.; Kleiven, S.; Zhou, Z.

2026-06-29 biophysics 10.64898/2026.06.24.733734 medRxiv
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Acute subdural hematoma (ASDH) is a prevalent injury with high mortality and morbidity, often resulting from bridging vein (BV) disruption secondary to cortical relative motion. As a thin membrane enveloping the brain surface and anchoring BVs, the pia mater is hypothesized to play a critical mechanical role in cortical response and hence ASDH pathogenesis. Finite element (FE) head models are valuable tools to predict ASDH occurrence during impacts. However, the pia mater is often represented as an elastic material in existing FE head models, despite experimental evidence reporting its nonlinear mechanical behavior. In this study, both linear (Young's modulus of 11.5 MPa) and nonlinear (the stress-strain curve derived from pial tension tests) material models of the pia mater were implemented in one FE head model. The models were subjected to three experimental impact loadings, one of which was known to cause ASDH and two of which were not. Results demonstrated that, across all simulated impacts, the model with nonlinear pia mater properties predicted larger cortical displacements and BV responses than the linear model. For the impact with known ASDH occurrence, the predicted BV strain was 0.17 for the nonlinear model and 0.094 for the linear model, with only the former approaching the reported rupture strain range of the BV-superior sagittal sinus complex (0.29 {+/-} 0.13). These findings verified the mechanical importance of the pia mater in cortical responses and hence the prediction of ASDH, suggesting that conventional linear pia modeling might over-constrain cortical motion, leading to underestimation of BV strain and ASDH risk. The current study supported the adoption of experimentally derived nonlinear pia mater properties in FE head models to improve the reliability of ASDH prediction.

16
Dynamics of ML-based Morphological Features Indicate a Shear Stress-Dependent Bifurcation of hiPSC-Derived Endothelial Cell States

Angelini, E.; Leveille, C. L.; Parent, S. E. P. E.; Zaunbrecher, R. J.; Barszczewski, T.; Dixon, J. C.; Mohammed, F. S.; Morris, B.; Yu, J.; Arakaki, J.; Dupar, R. J.; Edmonds, J. H.; Ehlers, E. A.; Gamlin, C. R.; Hedayati, M. J.; Hookway, C.; McCarley, J.; Mogre, S. S.; Phan, A.; Roberts, B.; Sanchez, E. E.; Thottam, J. P.; Wijesooriya, C. S.; Yao, J.; Kutys, M. L.; Nazockdast, E.; Wang, J.; Theriot, J. A.; Dalgin, G.; Rafelski, S. M.; Viana, M. P.

2026-07-11 biophysics 10.64898/2026.07.07.736803 medRxiv
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Cell states are increasingly conceptualized as attractors of high-dimensional dynamical systems, yet quantitative approaches for integrating phenotypic information into this framework remain limited. Here, we take an image-based approach that combines unsupervised machine learning (ML) with timelapse imaging to extract and characterize the temporal dynamics of morphological features. Using a cell line with endogenously tagged VE-cadherin, we acquired brightfield and fluorescence timelapse images of human induced pluripotent stem cell-derived endothelial cell (hiPSC-EC) monolayers, which adopt distinct phenotypes at two different magnitudes of shear stress in terms of their morphology, behavior, and VE-cadherin organization. To quantify these phenotypic cell states without segmentation, we trained a diffusion autoencoder to predict VE-cadherin signal from brightfield images. We identified interpretable ML-based features representing cell orientation, elongation, and local density. Treating these variables as dimensions of a morphological state space, we estimated a data-driven vector field and found that the two observed phenotypic cell states correspond to stable fixed points of the inferred dynamical system. Mapping measured cell migration coherence onto this space further distinguished the states. Imaging cells across intermediate shear stresses revealed a regime of bistability in which both states coexist, indicating that the shear-stress-dependent transition between endothelial cell states occurs as a bifurcation of the inferred dynamical system. Finally, we applied this method to study an N-terminal truncation of VE-cadherin, finding that mutated cells preserve alignment and coherent migration, but exhibit altered morphology and increased migration speed. This work demonstrates the applicability of a dynamical systems approach to quantitatively characterize morphological aspects of cell state from interpretable ML-based features.

17
Accumulated Cytotoxicity Induced by Islet Amyloid Polypeptide Oligomers in Type 2 Diabetes

Kuznetsov, A. V.

2026-07-01 biophysics 10.64898/2026.06.26.734712 medRxiv
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Type 2 diabetes is characterized by progressive aggregation of islet amyloid polypeptide (IAPP) within the islets of Langerhans, a process strongly implicated in beta-cell dysfunction and loss. Although oligomeric IAPP intermediates are widely considered the principal cytotoxic species, the relative contributions of the many biological and kinetic processes governing their formation, clearance, and conversion into fibrils remain poorly quantified. Here, a mathematical model of IAPP aggregation is developed that incorporates the physiology of beta-cell secretion and the microanatomy of the islet, including capillary-mediated clearance, enzymatic degradation, and the kinetics of oligomer and fibril formation within a well-mixed control volume. Building on the hypothesis that oligomers are the major cytotoxic species, the concept of accumulated cytotoxicity is introduced, defined as the time integral of the oligomer concentration, and a systematic sensitivity analysis of this quantity with respect to all model parameters is performed. The results reveal a striking hierarchy: only two parameters, the basal rate of IAPP monomer secretion and the rate constant for spontaneous oligomer dissociation, exert a first-order influence on long-term accumulated cytotoxicity, with dimensionless sensitivities approaching +1 and -1, respectively, while the effect of all other parameters remains subordinate and decays at long times. The model further shows that capillary clearance, owing to the physical exclusion of oligomers from fenestrated capillaries, selectively reduces fibril accumulation and amyloid deposition without affecting oligomer-mediated cytotoxicity, indicating that amyloid area fraction, the standard histological metric of disease severity, may not be a reliable surrogate for cytotoxic burden. The model predicts that approximately 48% of the islet area is replaced by amyloid after 30 years, broadly consistent with histological observations of advanced disease. These findings identify monomer secretion and oligomer dissociation as the most promising therapeutic targets to limit cytotoxic damage in type 2 diabetes and provide a quantitative framework for evaluating candidate intervention strategies.

18
Fast Diffusion of Bound Ca: Analytical and Experimental Characterization of One- and Two-Dimensional Traveling Waves

Mironov, S.

2026-07-10 biophysics 10.64898/2026.07.06.735233 medRxiv
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Reaction diffusion (RD) systems play a fundamental role in numerous biochemical and biophysical processes. Here, we present a novel analytical framework for solving RD equations by applying the Wentzel Kramers Brillouin Jeffreys (WKBJ) formalism to Ca nanodomains generated by individual membrane channels, a widely used paradigm for intracellular Ca signaling. Previous models have primarily focused on stationary Ca nanodomains while neglecting diffusion and saturation of intracellular Ca buffers and sensors. In contrast, we derive analytical solutions without these simplifying assumptions. Our analysis demonstrates that sustained Ca influx generates continuously expanding distributions of free Ca, whereas Ca bound buffers and sensors propagate as traveling waves. These predictions are supported experimentally by measurements of one-dimensional fluorescence profiles produced by single-channel activity and two-dimensional profiles generated by whole cell Ca currents. The analytical framework developed here readily extends Michaelis Menten type kinetics to reaction diffusion systems and may therefore be broadly applicable to biochemical and biophysical processes in which diffusion cannot be neglected.

19
A Mechanistic Framework for Modeling Insulin-Glucose-Glucagon Dynamics Under Malaria Co-Infection

Nyabadza, F.

2026-07-14 epidemiology 10.64898/2026.07.11.26357811 medRxiv
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Malaria and diabetes represent two globally significant metabolic disorders whose co-occurrence leads to complex, poorly understood pathophysiological interactions. Plasmodium infection disrupts glucose homeostasis through parasite-driven glucose consumption, inflammatory cytokine production, and pancreatic /{beta}-cell dysfunction, while diabetes impairs host immunity and increases malaria susceptibility. To date, no mathematical framework has captured the bidirectional coupling between these systems. Here we extend the insulin-glucose-glucagon (IGG) model of Dalton et al.\ (2026) by introducing a fourth state variable representing parasite load, incorporating malaria-induced insulin suppression, parasite-driven glucose consumption, inflammatory gluconeogenesis, bidirectional glucagon dysregulation, and insulin-dependent immune enhancement of parasite clearance. We establish positivity, boundedness, existence and uniqueness of steady states, local stability via Routh-Hurwitz criteria, global stability via Lyapunov functions, and sensitivity analysis of parameters driving hypoglycemia risk. Numerical simulations characterise the model across healthy, diabetic, and co-infected states. They show that parasite-driven glucose consumption and inflammatory gluconeogenesis act antagonistically on circulating glucose, that insulin-enhanced immunity lowers peak parasitemia through a saturating clearance term, and that increasing the half-life of exogenous insulin raises hypoglycemia risk in all host states. These mechanisms provide testable hypotheses for the clinical management of malaria-diabetes patients and identify potential therapeutic targets (TNF- blockade, glucagon analogues) for mitigating co-infection morbidity.

20
Mechanochemical Feedback between Cell Shape and Intracellular Mechanics Revealed by a Finite-Element Framework

Contri, A.; Francis, E. A.; Massing, A.; Rangamani, P.

2026-07-10 cell biology 10.64898/2026.07.03.736361 medRxiv
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Cell shape and mechanics are intricately connected and tightly regulated by mechanochemical events including biochemical signaling, cytoskeletal remodeling, and plasma membrane mechanics. While experimental advances in microscopy have shed light on the intricate coordination involved in cell shape change in response to different cues, the ability to conduct three-dimensional simulations in realistic geometries remains an open computational challenge. In this work, we develop a finite-element framework that incorporates advection-diffusion-reaction equations coupled with equations governing the kinematics of a deformable interface representing the cell membrane. We applied this framework to three distinct coupled mechanochemical systems, each governed by geometric partial differential equations, resulting in large deformations of the interface. In all three examples, our simulations revealed the emergence of feedback between cellular signaling, cytoskeletal organization, and cell shape. In our first two sets of simulations, we observed that cell migration and neutrophil protrusion were regulated by membrane tension-mediated feedback. In our final application, we predicted shape changes of a dendritic spine starting from a realistic geometry, and found that the complex shape of the spine gives rise to localized regimes of actin cytoskeleton remodeling not previously observed with idealized geometries. Thus, our finite-element framework allows us to generate new mechanistic insights for biophysical problems.