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Preprint . 2026
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Preprint . 2026
License: CC BY
Data sources: ZENODO
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Preprint . 2026
License: CC BY
Data sources: Datacite
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Preprint . 2026
License: CC BY
Data sources: Datacite
ZENODO
Preprint . 2026
License: CC BY
Data sources: Datacite
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Metabolic-Temporal Dissociation: A Kinetic Framework for Pre-Treatment Drug Resistance

Authors: tuğçenur uzun;

Metabolic-Temporal Dissociation: A Kinetic Framework for Pre-Treatment Drug Resistance

Abstract

This preprint introduces the Metabolic-Temporal Dissociation (MTD) framework (v3.0), a multi-tier quantitative model proposing a microenvironment-driven, deterministic kinetic mechanism for the emergence of EGFR T790M gatekeeper resistance mutations in treatment-naive lung adenocarcinomas. Unlike purely stochastic models of genetic innovation, MTD maps how transient, functional Replication Protein A (RPA) insufficiency—induced by a 24–48 hour cyclic perivascular hypoxic priming phase—creates a critical temporal mismatch (\Delta T) at replication forks during acute reoxygenation. This mismatch leaves naked single-stranded DNA (ssDNA) vulnerable to localized cytosine deamination at GC-rich/CpG hotspots (specifically EGFR Exon 20) before checkpoint activation. Key Mathematical Validations in this Version: Stochastic Gillespie Simulations: Confirms long-tail kinetic behavior where rare, extreme replication forks undergo prolonged mutagenic windows (\Delta T > 2 minutes) under restricted RPA pools. Flux Balance Analysis (FBA): Verifies the metabolic coupling between hypoxic G6PD/Pentose Phosphate Pathway (PPP) upregulation and immediate post-reoxygenation survival (the GSH Antioxidant Shield). Spatial Partial Differential Equations (PDEs): Identifies a strict perivascular 40-micrometer "Golden Zone" where oxygen diffusion dynamics satisfy the preconditions for MTD. Current Objective: The computational framework and inner mathematical consistency of MTD are fully realized. We are actively seeking in vitro (wet-lab) experimental collaborators to biologically validate these parameters (e.g., via targeted RPA overexpression rescue assays and time-resolved ultra-deep sequencing during cycling hypoxia).

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citations
The total number of citations received by all articles of the researcher of interest.
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
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Average
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