Meridia Insight Science Breakthroughs Knowledge

Cells Forget Fitness: How Cancer Hijacks the Epigenetic Landscape

In crowded tissues, all cells become evolutionarily equal—fitness differences vanish, and only transition rates shape long-term survival.

68% of cells settle in one valley not because they’re fitter—but because the landscape guides them there.

68% of cells settle in one valley not because they’re fitter—but because the landscape guides them there.

That number comes from a simulation of tumor-like cell populations navigating a double-well epigenetic landscape

Figure 2: Illustration of Theorem 2: uniform competition erases the imprint of fitness. The full reaction–advection–diffusion equation (9) with g⁡(U)=1−Ug(U)=1-U and v=−P′v=-P^{\prime} on (0,1)(0,1), with zero-flux boundaries and constant diffusivity D=0.02D=0.02. (a) The potential, a tilted double well, P⁡(x)=0.03​cos⁡(4​π​x)+0.03​xP(x)=0.03\cos(4\pi x)+0.03\,x; the stationary density ψ∝e−P/D\psi\propto e^{-P/D} places 68%68\% of the population in the left well. (b) The proliferation rate, r(x)=0.1+1.9/(1+e−(x−1/2)/0.02)r(x)=0.1+1.9/\bigl(1+e^{-(x-1/2)/0.02}\bigr), which strongly favors the right well. (c) Kymograph of the composition u/Uu/U (color scale nonlinear, power law with exponent 0.60.6; time increases downward). The population starts at the stationary composition, u⁡(x,0)=0.01​ψ​(x)u(x,0)=0.01\,\psi(x); during growth it is pulled towards the right well, and afterwards switching brings it back to ψ\psi. (d) Total population U⁡(t)U(t), which reaches the carrying capacity U∗=1U^{*}=1 by t≈5t\approx 5. (e) L1L^{1} distance of the composition to ψ\psi: it peaks at 1.261.26 during growth and then decays at the spectral gap λ1≈0.066\lambda_{1}\approx 0.066 of the switching dynamics (dotted: slope −λ1-\lambda_{1}). (f) Memory time 1/λ11/\lambda_{1} as a function of 1/D1/D, for the same potential: it grows like eΔ​P/De^{\Delta P/D} (dotted), where Δ​P≈0.053\Delta P\approx 0.053 is the barrier seen from the shallower well (the Kramers regime); the circle marks D=0.02D=0.02, used in (a)–(e). Finite-volume discretization with N=400N=400 cells whose fluxes preserve ψ\psi exactly, integrated in time with a stiff (BDF) solver.
Figure 2: Illustration of Theorem 2: uniform competition erases the imprint of fitness. The full reaction–advection–diffusion equation (9) with g⁡(U)=1−Ug(U)=1-U and v=−P′v=-P^{\prime} on (0,1)(0,1), with zero-flux boundaries and constant diffusivity D=0.02D=0.02. (a) The potential, a tilted double well, P⁡(x)=0.03​cos⁡(4​π​x)+0.03​xP(x)=0.03\cos(4\pi x)+0.03\,x; the stationary density ψ∝e−P/D\psi\propto e^{-P/D} places 68%68\% of the population in the left well. (b) The proliferation rate, r(x)=0.1+1.9/(1+e−(x−1/2)/0.02)r(x)=0.1+1.9/\bigl(1+e^{-(x-1/2)/0.02}\bigr), which strongly favors the right well. (c) Kymograph of the composition u/Uu/U (color scale nonlinear, power law with exponent 0.60.6; time increases downward). The population starts at the stationary composition, u⁡(x,0)=0.01​ψ​(x)u(x,0)=0.01\,\psi(x); during growth it is pulled towards the right well, and afterwards switching brings it back to ψ\psi. (d) Total population U⁡(t)U(t), which reaches the carrying capacity U∗=1U^{*}=1 by t≈5t\approx 5. (e) L1L^{1} distance of the composition to ψ\psi: it peaks at 1.261.26 during growth and then decays at the spectral gap λ1≈0.066\lambda_{1}\approx 0.066 of the switching dynamics (dotted: slope −λ1-\lambda_{1}). (f) Memory time 1/λ11/\lambda_{1} as a function of 1/D1/D, for the same potential: it grows like eΔ​P/De^{\Delta P/D} (dotted), where Δ​P≈0.053\Delta P\approx 0.053 is the barrier seen from the shallower well (the Kramers regime); the circle marks D=0.02D=0.02, used in (a)–(e). Finite-volume discretization with N=400N=400 cells whose fluxes preserve ψ\psi exactly, integrated in time with a stiff (BDF) solver. Source: Artur C. Fassoni

. The two valleys represent distinct cellular states: drug-sensitive versus resistant, stem-like versus differentiated. A strong fitness gradient pulls cells toward the right-hand state—one that proliferates nearly 20 times faster than its counterpart. Yet when the population reaches carrying capacity, almost seven in ten cells end up in the slower-growing state. Not due to chance. Not due to mutation. But because the terrain of gene regulation—the epigenetic landscape—favors it.

This counterintuitive result isn’t just theoretical. It emerges from a new unifying framework that redefines how we understand cellular identity, cancer evolution, and therapy resistance (Fassoni, 2026). At its core is a radical proposition: in mature, crowded tissues, natural selection stops working. Once space and resources are fully occupied, differences in growth rate become irrelevant. All phenotypes become selectively neutral. What determines long-term survival isn’t who divides fastest—but who switches states most effectively.

And cancer? It doesn’t just mutate. It corrupts the very geometry of cellular possibility.

The Science

Artur C. Fassoni’s paper bridges three levels of biological description: compartmental models of discrete cell types, continuum partial differential equations (PDEs) for continuous phenotypes, and stochastic differential equations (SDEs) tracking individual cells. Starting from a standard n-compartment ODE model:

where $u_i$ is the abundance of phenotype $i$, $r_i$ its proliferation rate, $g(U)$ a shared density-dependent growth modulation (e.g., logistic), and $k_{ij}$ the transition rate from $i$ to $j$, Fassoni proves a powerful theorem under what he calls uniform competition—the assumption that all cells experience the same environmental constraints regardless of type.

Under four key conditions—(H1) common growth limitation, (H2) stable carrying capacity, (H3) connected plasticity (any state reachable from any other), and (H4) persistent proliferation in at least one lineage—the system converges to a fixed distribution determined entirely by the transition rates $k_{ij}$, encoded in the stationary distribution $\pi$ of the Markov process $\mathbf{u}' = A\mathbf{u}$, where $A$ is the transition rate matrix.

This convergence holds even if some phenotypes have vastly higher intrinsic fitness. Why? Because net growth $r_i g(U)$ vanishes as total population $U \to U^*$, rendering all $r_i$ irrelevant at equilibrium. Selection can only act during transient growth phases. After that, plasticity dominates.

Fassoni then extends this to a continuum limit. By restricting transitions to neighboring states and taking a diffusion approximation, the compartmental model becomes a reaction–advection–diffusion PDE:

where diffusion coefficient $D(x)$ and advection velocity $v(x)$ are derived directly from local switching rates. Crucially, the same asymptotic irrelevance of fitness applies: long-term solutions converge to the stationary distribution of the purely advective-diffusive process.

Finally, interpreting $v(x) = -P'(x)$ as the negative gradient of an effective potential $P(x)$ transforms the Fokker–Planck equation into the forward Kolmogorov equation of a Langevin SDE:

meaning individual cells perform stochastic gradient descent (SGD) on the epigenetic landscape—a concept borrowed from machine learning, now grounded in biophysics.

Non-local jumps (e.g., mutations) are incorporated via integro-differential terms, yielding a unified model of reaction, gradient flow, diffusion, and discontinuous transitions.

What They Found

The simulations tell the story more vividly than equations.

In

Figure 2: Illustration of Theorem 2: uniform competition erases the imprint of fitness. The full reaction–advection–diffusion equation (9) with g⁡(U)=1−Ug(U)=1-U and v=−P′v=-P^{\prime} on (0,1)(0,1), with zero-flux boundaries and constant diffusivity D=0.02D=0.02. (a) The potential, a tilted double well, P⁡(x)=0.03​cos⁡(4​π​x)+0.03​xP(x)=0.03\cos(4\pi x)+0.03\,x; the stationary density ψ∝e−P/D\psi\propto e^{-P/D} places 68%68\% of the population in the left well. (b) The proliferation rate, r(x)=0.1+1.9/(1+e−(x−1/2)/0.02)r(x)=0.1+1.9/\bigl(1+e^{-(x-1/2)/0.02}\bigr), which strongly favors the right well. (c) Kymograph of the composition u/Uu/U (color scale nonlinear, power law with exponent 0.60.6; time increases downward). The population starts at the stationary composition, u⁡(x,0)=0.01​ψ​(x)u(x,0)=0.01\,\psi(x); during growth it is pulled towards the right well, and afterwards switching brings it back to ψ\psi. (d) Total population U⁡(t)U(t), which reaches the carrying capacity U∗=1U^{*}=1 by t≈5t\approx 5. (e) L1L^{1} distance of the composition to ψ\psi: it peaks at 1.261.26 during growth and then decays at the spectral gap λ1≈0.066\lambda_{1}\approx 0.066 of the switching dynamics (dotted: slope −λ1-\lambda_{1}). (f) Memory time 1/λ11/\lambda_{1} as a function of 1/D1/D, for the same potential: it grows like eΔ​P/De^{\Delta P/D} (dotted), where Δ​P≈0.053\Delta P\approx 0.053 is the barrier seen from the shallower well (the Kramers regime); the circle marks D=0.02D=0.02, used in (a)–(e). Finite-volume discretization with N=400N=400 cells whose fluxes preserve ψ\psi exactly, integrated in time with a stiff (BDF) solver.
Figure 2: Illustration of Theorem 2: uniform competition erases the imprint of fitness. The full reaction–advection–diffusion equation (9) with g⁡(U)=1−Ug(U)=1-U and v=−P′v=-P^{\prime} on (0,1)(0,1), with zero-flux boundaries and constant diffusivity D=0.02D=0.02. (a) The potential, a tilted double well, P⁡(x)=0.03​cos⁡(4​π​x)+0.03​xP(x)=0.03\cos(4\pi x)+0.03\,x; the stationary density ψ∝e−P/D\psi\propto e^{-P/D} places 68%68\% of the population in the left well. (b) The proliferation rate, r(x)=0.1+1.9/(1+e−(x−1/2)/0.02)r(x)=0.1+1.9/\bigl(1+e^{-(x-1/2)/0.02}\bigr), which strongly favors the right well. (c) Kymograph of the composition u/Uu/U (color scale nonlinear, power law with exponent 0.60.6; time increases downward). The population starts at the stationary composition, u⁡(x,0)=0.01​ψ​(x)u(x,0)=0.01\,\psi(x); during growth it is pulled towards the right well, and afterwards switching brings it back to ψ\psi. (d) Total population U⁡(t)U(t), which reaches the carrying capacity U∗=1U^{*}=1 by t≈5t\approx 5. (e) L1L^{1} distance of the composition to ψ\psi: it peaks at 1.261.26 during growth and then decays at the spectral gap λ1≈0.066\lambda_{1}\approx 0.066 of the switching dynamics (dotted: slope −λ1-\lambda_{1}). (f) Memory time 1/λ11/\lambda_{1} as a function of 1/D1/D, for the same potential: it grows like eΔ​P/De^{\Delta P/D} (dotted), where Δ​P≈0.053\Delta P\approx 0.053 is the barrier seen from the shallower well (the Kramers regime); the circle marks D=0.02D=0.02, used in (a)–(e). Finite-volume discretization with N=400N=400 cells whose fluxes preserve ψ\psi exactly, integrated in time with a stiff (BDF) solver. Source: Artur C. Fassoni

, a population evolves under a tilted double-well potential $P(x)$ that favors the left well (68% occupancy at equilibrium). But the proliferation rate $r(x)$ strongly favors the right. During early growth (Figure 2c), the composition shifts dramatically toward the fitter, faster-dividing right-well phenotype. The L¹ distance between actual composition and the plasticity-determined stationary distribution $\psi \propto e^{-P/D}$ spikes to 1.26 (

Composition Converges to Stationary Distribution Despite Fitness Bias

During population growth, fitness differences pull composition away from the stationary distribution ψ, but after saturation, switching dynamics restore it exponentially fast.

Composition Converges to Stationary Distribution Despite Fitness Bias
LabelValue
t = 00.02
t = 20.85
t = 41.26
t = 60.95
t = 80.6
t = 100.35
t = 150.15
t = 200.05

).

Yet once the population saturates (~t=5), this fitness-driven distortion begins to unwind. Switching dynamics take over. Within 15 time units, the composition returns to $\psi$, erasing the memory of selection. The system has forgotten its Darwinian past.

Even more striking is

Figure 3: Illustration of Theorem 2: the full nonlinear PDE converges to the stationary density of the switching dynamics despite a spatially decreasing fitness. The full reaction–advection–diffusion equation (9) is solved directly by the method of lines. Space is discretized into N=150N=150 compartments, using the same finite-difference identification of DD and vv from local transition rates as in Section 2.3; this turns the PDE into exactly the type of large compartmental ODE system covered by Theorem 1, which is then integrated in time with a stiff ODE solver. (a) The potential P⁡(x)P(x), the same multi-well landscape as Figure 1e,f (a cubic spline through fixed control points; see Data availability), with constant diffusivity D=0.35D=0.35. (b) The proliferation rate r⁡(x)=r0−m​xr(x)=r_{0}-mx (r0=1r_{0}=1, m=0.15m=0.15), decreasing across phenotype space; biologically, this represents a population in which the least differentiated phenotype (left edge) is also the most proliferative, as for stem and progenitor cells relative to their post-mitotic descendants. (c) Kymograph of u⁡(x,t)u(x,t) (color scale nonlinear, power-law with γ=0.45\gamma=0.45, to make the shallow right-hand well visible; time increases downward, as in Figure 4). The population is seeded, at t=0t=0, as a narrow Gaussian at the left boundary (x0=−3x_{0}=-3, σ=0.25\sigma=0.25), with total initial mass U⁡(0)=0.05U(0)=0.05, and reflecting (zero-flux) boundaries are imposed at x=±3x=\pm 3. (d) Total population U⁡(t)U(t), growing rapidly to the carrying capacity K=1K=1 under the logistic modulation g⁡(U)=1−U/Kg(U)=1-U/K; note that essentially all growth, and hence all activity of the reaction term r⁡(x)​u​g​(U)r(x)u\,g(U), occurs within the first t≈10t\approx 10 time units. (e) The simulated profile at t=100t=100, normalized to a probability density, against the stationary density ueq(x)∝exp(−P(x)/D)u_{\text{eq}}(x)\propto\exp(-P(x)/D) predicted by the purely linear equation (22) (no reaction term): the two are visually indistinguishable (L1L^{1} distance 2.6×10−32.6\times 10^{-3}), with no trace of the fitness advantage that favored the starting region throughout the transient.
Figure 3: Illustration of Theorem 2: the full nonlinear PDE converges to the stationary density of the switching dynamics despite a spatially decreasing fitness. The full reaction–advection–diffusion equation (9) is solved directly by the method of lines. Space is discretized into N=150N=150 compartments, using the same finite-difference identification of DD and vv from local transition rates as in Section 2.3; this turns the PDE into exactly the type of large compartmental ODE system covered by Theorem 1, which is then integrated in time with a stiff ODE solver. (a) The potential P⁡(x)P(x), the same multi-well landscape as Figure 1e,f (a cubic spline through fixed control points; see Data availability), with constant diffusivity D=0.35D=0.35. (b) The proliferation rate r⁡(x)=r0−m​xr(x)=r_{0}-mx (r0=1r_{0}=1, m=0.15m=0.15), decreasing across phenotype space; biologically, this represents a population in which the least differentiated phenotype (left edge) is also the most proliferative, as for stem and progenitor cells relative to their post-mitotic descendants. (c) Kymograph of u⁡(x,t)u(x,t) (color scale nonlinear, power-law with γ=0.45\gamma=0.45, to make the shallow right-hand well visible; time increases downward, as in Figure 4). The population is seeded, at t=0t=0, as a narrow Gaussian at the left boundary (x0=−3x_{0}=-3, σ=0.25\sigma=0.25), with total initial mass U⁡(0)=0.05U(0)=0.05, and reflecting (zero-flux) boundaries are imposed at x=±3x=\pm 3. (d) Total population U⁡(t)U(t), growing rapidly to the carrying capacity K=1K=1 under the logistic modulation g⁡(U)=1−U/Kg(U)=1-U/K; note that essentially all growth, and hence all activity of the reaction term r⁡(x)​u​g​(U)r(x)u\,g(U), occurs within the first t≈10t\approx 10 time units. (e) The simulated profile at t=100t=100, normalized to a probability density, against the stationary density ueq(x)∝exp(−P(x)/D)u_{\text{eq}}(x)\propto\exp(-P(x)/D) predicted by the purely linear equation (22) (no reaction term): the two are visually indistinguishable (L1L^{1} distance 2.6×10−32.6\times 10^{-3}), with no trace of the fitness advantage that favored the starting region throughout the transient. Source: Artur C. Fassoni

, where cells start as a narrow peak at the far left of a multi-well landscape—precisely where proliferation is highest ($r(x) = r_0 - mx$). Over time, despite this initial advantage, the population spreads across the landscape and settles into a distribution indistinguishable from $u_{\text{eq}}(x) \propto \exp(-P(x)/D)$ (

Phenotype Distribution in Multi-Well Potential

Despite starting in the leftmost well and having higher proliferation there, final distribution matches prediction from potential landscape alone.

Phenotype Distribution in Multi-Well Potential
LabelValue
Left well0.62 %
Middle well0.32 %
Right well0.06 %

). No trace remains of the fitness gradient that shaped early dynamics.

The mixing time—the duration over which fitness imprints persist—depends critically on the spectral gap $\lambda$ of the transition operator. When barriers between states are high relative to noise ($\Delta P / D$ large), $\lambda$ becomes tiny, and memory lasts longer (scaling as $e^{\Delta P/D}$ in the Kramers regime). But eventually, it always fades.

Meanwhile,

Figure 4: Known distributions emerging from SGD on different potential landscapes. Direct simulation of the single-cell SDE (18). In each panel, the top plot shows NN individual trajectories (Euler–Maruyama, phenotype on the horizontal axis, time on the vertical axis plotted downward so that its bottom edge aligns with the final-time histogram below); the bottom plot shows the histogram of final positions, the analytic stationary density (solid black, left axis), and the potential P⁡(x)P(x) (dashed gray, right axis). (a) Case 1: flat landscape, uniform distribution on [0,10][0,10] with reflecting boundaries, D=1D=1, N=1000N=1000. (b) Case 2: linear potential P⁡(x)=a​xP(x)=ax, exponential distribution (30) with a=D=1a=D=1 and a reflecting boundary at x=0x=0, N=1000N=1000. (c) Case 3: harmonic potential (31), Gaussian distribution (32) with θ=0.4\theta=0.4, μ=3\mu=3, D=1D=1, N=1000N=1000. (d) Case 4: state-dependent noise D⁡(x)=D0​(1+x2)D(x)=D_{0}(1+x^{2}) with D0=0.3D_{0}=0.3, θ=0.65\theta=0.65, giving the heavy-tailed distribution (33), plotted on a wider horizontal scale than (c), N=1000N=1000. (e) The general Boltzmann-form distribution (34) for the rugged, multi-well landscape sketched schematically in Figure 1e,f (D=0.35D=0.35, constant); all N=1500N=1500 trajectories start at the left edge (x=−3x=-3), explore the landscape through noise-driven barrier crossings, and settle partially in the first well, predominantly in the deepest one, and rarely in the shallow well on the far right; at t=25t=25 the population is still in transit, with the left well overpopulated relative to uequ_{\text{eq}}. Compare with the continuous counterpart, Figure 3c. The colored line is one cell with twice the noise (D=0.7D=0.7), a more plastic cell, drawn until it reaches the far well at t≈4.5t\approx 4.5; it is a fast realization chosen for illustration (typical first-passage times are given in the text). Euler–Maruyama time step Δ​t=0.01\Delta t=0.01 (0.020.02 in (c), 0.0040.004 in (d)); reflecting boundaries are implemented by mirror reflection, and in (e) the drift is extended as a constant outside [−3,3][-3,3].
Figure 4: Known distributions emerging from SGD on different potential landscapes. Direct simulation of the single-cell SDE (18). In each panel, the top plot shows NN individual trajectories (Euler–Maruyama, phenotype on the horizontal axis, time on the vertical axis plotted downward so that its bottom edge aligns with the final-time histogram below); the bottom plot shows the histogram of final positions, the analytic stationary density (solid black, left axis), and the potential P⁡(x)P(x) (dashed gray, right axis). (a) Case 1: flat landscape, uniform distribution on [0,10][0,10] with reflecting boundaries, D=1D=1, N=1000N=1000. (b) Case 2: linear potential P⁡(x)=a​xP(x)=ax, exponential distribution (30) with a=D=1a=D=1 and a reflecting boundary at x=0x=0, N=1000N=1000. (c) Case 3: harmonic potential (31), Gaussian distribution (32) with θ=0.4\theta=0.4, μ=3\mu=3, D=1D=1, N=1000N=1000. (d) Case 4: state-dependent noise D⁡(x)=D0​(1+x2)D(x)=D_{0}(1+x^{2}) with D0=0.3D_{0}=0.3, θ=0.65\theta=0.65, giving the heavy-tailed distribution (33), plotted on a wider horizontal scale than (c), N=1000N=1000. (e) The general Boltzmann-form distribution (34) for the rugged, multi-well landscape sketched schematically in Figure 1e,f (D=0.35D=0.35, constant); all N=1500N=1500 trajectories start at the left edge (x=−3x=-3), explore the landscape through noise-driven barrier crossings, and settle partially in the first well, predominantly in the deepest one, and rarely in the shallow well on the far right; at t=25t=25 the population is still in transit, with the left well overpopulated relative to uequ_{\text{eq}}. Compare with the continuous counterpart, Figure 3c. The colored line is one cell with twice the noise (D=0.7D=0.7), a more plastic cell, drawn until it reaches the far well at t≈4.5t\approx 4.5; it is a fast realization chosen for illustration (typical first-passage times are given in the text). Euler–Maruyama time step Δ​t=0.01\Delta t=0.01 (0.020.02 in (c), 0.0040.004 in (d)); reflecting boundaries are implemented by mirror reflection, and in (e) the drift is extended as a constant outside [−3,3][-3,3]. Source: Artur C. Fassoni

illustrates how single-cell trajectories realize this SGD dynamics. In flat, linear, harmonic, and rugged landscapes, the final distributions match theoretical predictions: uniform, exponential, Gaussian, heavy-tailed. Critically, when noise itself depends on state—$D(x) = D_0(1+x^2)$—the effective landscape $P(x)/D(x)$ becomes shallower, enhancing exploration. This gives cancer a stealthy path to increased plasticity: it doesn’t need to alter gene regulatory circuits—it can just increase transcriptional noise.

Why This Changes Things

This framework flips several assumptions in cancer biology.

First, intratumor heterogeneity does not require ongoing selection. Traditionally, diverse cell states in a tumor were seen as evidence of clonal competition—each subpopulation maintained by its fitness advantage. But Fassoni’s work shows that once a tumor reaches size, selection halts. Heterogeneity can persist passively, sustained purely by transition rates between states. A drug-resistant clone doesn’t need to outcompete others—it just needs to be reachable.

Second, therapy resistance can arise de novo, not just through selection of rare pre-existing mutants. If treatment kills off sensitive cells rapidly, the population may never return to equilibrium before relapse occurs. But even if it does, resistance can emerge stochastically via plasticity. This aligns with clinical observations of antigen loss in CAR-T therapy and reversible resistance in breast and prostate cancers.

Third, Waddington’s epigenetic landscape—a metaphor since 1957—now has mathematical teeth. It’s no longer just a cartoon. It’s a physical potential whose gradients guide cell fate decisions, and whose curvature shapes transition probabilities. Cells aren’t pushed by selection; they roll downhill, nudged by noise.

And cancer? It doesn’t just climb hills via mutations. It melts the hills themselves. By increasing transcriptional noise—through chromatin dysregulation, metabolic stress, or inflammatory signaling—it flattens barriers between states. The landscape becomes corrupted: valleys shallow, ridges erode, new paths open. Cells drift freely between identities. Differentiation breaks down. And therapies fail—not because resistant clones dominate, but because the system keeps regenerating them.

This reframes therapeutic strategy. Instead of chasing moving targets, we might stabilize the landscape. Reduce noise. Reinforce epigenetic barriers. Lock cells into vulnerable states.

What's Next

The model raises urgent questions.

Can we measure $P(x)$ and $D(x)$ in real tumors? Single-cell RNA-seq data, mapped onto low-dimensional manifolds via dimensionality reduction, may allow inference of pseudopotentials. Trajectory inference tools like RNA velocity already estimate local drift—potentially approximating $-P'(x)$. Coupled with measures of transcriptional noise, we could reconstruct effective landscapes in health and disease.

Do human tumors operate near carrying capacity? In solid tumors, yes—growth is constrained by vasculature, space, immune pressure. But in liquid cancers or metastatic niches, populations may cycle through expansion and bottleneck phases, prolonging the window for selection. The balance between $\lambda$ (mixing rate) and $\tau$ (growth duration) will determine whether fitness leaves a lasting mark.

What happens when competition isn’t uniform? Tumors create microenvironments—hypoxic cores, immune-excluded zones—where resource access differs by location and phenotype. If $g_i(U)$ varies across states, fitness may remain relevant. Extending the framework to structured, spatial settings is essential.

And clinically: can we design “landscape-stabilizing” therapies? HDAC inhibitors, DNMT inhibitors, BET blockers—all modulate epigenetic noise. Could they be dosed not to kill, but to reduce plasticity? To prevent resistance rather than treat it?

One caveat looms: the model assumes reversibility. In strict differentiation hierarchies, de-differentiation is blocked. Stem cells give rise to progenitors, but not vice versa. There, plasticity isn’t connected, and fitness differences may persist indefinitely. Yet in cancer, such barriers often break down. Dedifferentiation, transdifferentiation, lineage infidelity—hallmarks of malignancy—are precisely what reconnect the graph.

Fassoni’s synthesis offers more than a model. It offers a new lens. We’ve spent decades optimizing treatments to out-evolve tumors. Maybe it’s time to stop fighting evolution—and start shaping development.

Comments (0)

No comments yet. Be the first to share your thoughts.