## Constant-sum games as a way from non-cell autonomous processes to constant tumour growth rate

A lot of thinking in cancer biology seems to be focused on cell-autonomous processes. This is the (overly) reductive view that key properties of cells, such as fitness, are intrinsic to the cells themselves and not a function of their interaction with other cells in the tumour. As far as starting points go, this is reasonable. But in many cases, we can start to go beyond this cell-autonomous starting point and consider non-cell-autonomous processes. This is when the key properties of a cell are not a function of just that cell but also its interaction partners. As an evolutionary game theorist, I am clearly partial to this view.

Recently, I was reading yet another preprint that has observed non-cell autonomous fitness in tumours. In this case, Johnson et al. (2019) spotted the Allee effect in the growth kinetics of cancer cells even at extremely low densities (seeding in vitro at <200 cells in a 1 mm^3 well). This is an interesting paper, and although not explicitly game-theoretic in its approach, I think it is worth reading for evolutionary game theorists.

Johnson et al.'s (2019) approach is not explicitly game-theoretic because they consider their in vitro populations as a monomorphic clonal line, and thus don't model interactions between types. Instead, they attribute non-cell autonomous processes to density dependence of the single type on itself. In this setting, they reasonably define the cell-autonomous null-model as constant exponential growth, i.e. $\dot{N}_T = w_TN_T$ for some constant fitness $w_T$ and total tumour size $N_T$.

It might also be tempting to use the same model to capture cell-autonomous growth in game-theoretic models. But this would be mistaken. For this is only effectively cell-autonomous at the level of the whole tumour, but could hide non-cell-autonomous fitness at the level of the different types that make up the tumour. This apparent cell-autonomous total growth will happen whenever the type interactions are described by constant-sum games.

Given the importance of constant-sum games (more famously known as zero-sum games) to the classical game theory literature, I thought that I would write a quick introductory post about this correspondence between non-cell autonomous constant-sum games and effectively cell-autonomous growth at the level of the whole tumour.