Modeling Tumor Treating Fields (TTFields) application in single cells during metaphase and telophase
Abstract
Effects of electric fields on biological cells have been extensively studied but primarily in the low and high frequency regimes. Low frequency AC fields have been investigated for applications to nerve and muscle stimulation or to examine possible environmental effects of 60 Hz excitation. High frequency fields have been studied to understand tissue heating and tumor ablation. Biological effects at intermediate frequencies (in the 100-500 kHz regime) have only recently been discovered and are now being used clinically to disrupt cell division, primarily for the treatment of recurrent glioblastoma multiforme. In this study, we develop a computational framework to investigate the mechanisms of action of these Tumor Treating Fields (TTFields) and to understand in vitro findings observed in cell culture. Using Finite Element Method models of isolated cells we show that the intermediate frequency range is unique because it constitutes a transition region in which the intracellular electric field, shielded at low frequencies, increases significantly. We also show that the threshold at which this increase occurs depends on the dielectric properties of the cell membrane. Furthermore, our models of different stages of the cell cycle and of the morphological changes associated with cytokinesis show that peak dielectrophoretic forces develop within dividing cells exposed to TTFields. These findings are in agreement with in vitro observations, and enhance our understanding of how TTFields disrupt cellular function.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The DEP force component showed well-defined peak frequencies at 500, 200, and 100 kHz, respectively, for the three stages considered, from the earliest to the latest stage.
“The DEP force component showed well-defined peak frequencies at 500, 200, and 100 kHz, respectively, for the three stages considered, from the earliest to the latest stage [37].”
From An Overview of Sub-Cellular Mechanisms Involved in the Action of TTFields (2016) · cites this paper as [37]
The highest maximum intracellular field strength of ~22 V/cm is observed for the cell in late cytokinesis.
“the highest maximum intracellular field strength of ~22 V/cm is observed for the cell in late cytokinesis.”
From An Overview of Sub-Cellular Mechanisms Involved in the Action of TTFields (2016) · cites this paper as [37]
The maximum values of the DEP force component decrease with an increasing cell size with equal decay rates for all cytokinesis stages.
“The corresponding maximum values of the DEP force component also decrease with an increasing cell size with equal decay rates for all cytokinesis stages [37].”
From An Overview of Sub-Cellular Mechanisms Involved in the Action of TTFields (2016) · cites this paper as [37]
The simulation results predicted that the peak frequencies decrease and converge as a function of an increasing cell radius.
“The simulation results predicted that the above-mentioned peak frequencies decrease and converge as a function of an increasing cell radius.”
From An Overview of Sub-Cellular Mechanisms Involved in the Action of TTFields (2016) · cites this paper as [37]
Cites
Alternating electric fields arrest cell proliferation in animal tumor models and human brain tumors
Kirson, E. D., Dbalý, V., Tovaryš, F., Vymazal, J., Soustiel, J. F., Itzhaki, A., Mordechovich, D., Steinberg-Shapira, S., Gurvich, Z., Schneiderman, R., et al. (2007) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0702916104 · Cited by 894 · see citing works
Stupp, R., Wong, E. T., Kanner, A. A., Steinberg, D., Engelhard, H., Heidecke, V., Kirson, E. D., Taillibert, S., Liebermann, F., Dbalý, V., et al. (2012) · European Journal of Cancer · doi:10.1016/j.ejca.2012.04.011 · Cited by 862 · see citing works
Disruption of cancer cell replication by alternating electric fields
Kirson, E. D., Gurvich, Z., Schneiderman, R., Dekel, E., Itzhaki, A., Wasserman, Y., Schatzberger, R., & Palti, Y. (2004) · Cancer research · doi:10.1158/0008-5472.can-04-0083 · Cited by 827 · see citing works
Basic theory of dielectrophoresis and electrorotation
Jones, T. B. (2003) · IEEE Engineering in Medicine and Biology Magazine · doi:10.1109/memb.2003.1304999 · Cited by 451 · see citing works
Cellular membrane potentials induced by alternating fields
Grosse, C., & Schwan, H. P. (1992) · Biophysical Journal · doi:10.1016/s0006-3495(92)81740-x · Cited by 247 · see citing works
Electrophysiology of Neuroglia
Somjen, G. G. (1975) · Annual Review of Physiology · doi:10.1146/annurev.ph.37.030175.001115 · Cited by 226 · see citing works
Electrical impedance characterization of normal and cancerous human hepatic tissue
Laufer, S., Ivorra, A., Reuter, V. E., Rubinsky, B., & Solomon, S. B. (2010) · Physiological Measurement · doi:10.1088/0967-3334/31/7/009 · Cited by 209 · see citing works
Tumor treating fields: A new frontier in cancer therapy
Davies, A. M., Weinberg, U., & Palti, Y. (2013) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.12112 · Cited by 193 · see citing works
Alternating electric fields (TTFields) inhibit metastatic spread of solid tumors to the lungs
Kirson, E. D., Giladi, M., Gurvich, Z., Itzhaki, A., Mordechovich, D., Schneiderman, R. S., Wasserman, Y., Ryffel, B., Goldsher, D., & Palti, Y. (2009) · Clinical & Experimental Metastasis · doi:10.1007/s10585-009-9262-y · Cited by 171 · see citing works
Self-citationSecond-order model of membrane electric field induced by alternating external electric fields
Kotnik, T., & Miklavcic, D. (2000) · IEEE Transactions on Biomedical Engineering · doi:10.1109/10.855935 · Cited by 150 · cited 2× · see citing works
“Detailed analytical descriptions of this approach can be found elsewhere [17]-[19].”
BackgroundMethodGimsa, J. (2001) · Bioelectrochemistry · doi:10.1016/s0302-4598(01)00106-4 · Cited by 122 · see citing works
Microbial Growth Inhibition by Alternating Electric Fields
Giladi, M., Porat, Y., Blatt, A., Wasserman, Y., Kirson, E. D., Dekel, E., & Palti, Y. (2008) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.00673-08 · Cited by 105 · see citing works
Self-citationCytoplasmic Volume Condensation Is an Integral Part of Mitosis
Habela, C. W., & Sontheimer, H. W. (2007) · Cell Cycle · doi:10.4161/cc.6.13.4357 · Cited by 99 · see citing works
Giladi, M., Schneiderman, R. S., Porat, Y., Munster, M., Itzhaki, A., Mordechovich, D., Cahal, S., Kirson, E. D., Weinberg, U., & Palti, Y. (2014) · Pancreatology · doi:10.1016/j.pan.2013.11.009 · Cited by 98 · see citing works
Self-citationThe use of electric fields in tissue engineering: A review
Markx, G. H. (2008) · Organogenesis · doi:10.4161/org.5799 · Cited by 92 · see citing works
Mammalian Cells Change Volume during Mitosis
Boucrot, E., & Kirchhausen, T. L. (2008) · PLoS ONE · doi:10.1371/journal.pone.0001477 · Cited by 90 · see citing works
Intermediate physics for medicine and biology
Heuvelen, A. V. (1989) · The Physics Teacher · doi:10.1119/1.2342837 · Cited by 82 · see citing works
Sun, T., Morgan, H., & Green, N. G. (2007) · Physical Review E · doi:10.1103/physreve.76.046610 · Cited by 81 · see citing works
Biophysical properties of cultured human glial cells
Trachtenberg, M. C., Kornblith, P. L., & Häuptli, J. (1972) · Brain Research · doi:10.1016/0006-8993(72)90713-5 · Cited by 63 · see citing works
Stewart Jr., D. A., Gowrishankar, T. R., Smith, K. C., & Weaver, J. C. (2005) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2005.856030 · Cited by 52 · cited 2× · see citing works
“It has also been observed that cell volume is increased in almost all cell lines treated with TTFields [23].”
BackgroundEffects of Oscillatory Electric Fields on Internal Membranes: An Analytical Model
Vajrala, V., Claycomb, J. R., Sanabria, H., & Miller, J. H. (2007) · Biophysical Journal · doi:10.1529/biophysj.107.114611 · Cited by 51 · see citing works
Mechanisms responsible for electrical properties of tissues and cell suspensions.
Schwan, H. P. (1994) · PubMed · Cited by 42 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Tumor-Treating Fields: A Fourth Modality in Cancer Treatment
Mun, E. J., Babiker, H. M., Weinberg, U., Kirson, E. D., & Von Hoff, D. D. (2018) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-17-1117 · Cited by 380 · see citing works
Tumor treating fields increases membrane permeability in glioblastoma cells
Chang, E., Patel, C. B., Pohling, C., Young, C., Song, J., Flores, T. A., Zeng, Y., Joubert, L.-M., Arami, H., Natarajan, A., et al. (2018) · Cell Death Discovery · doi:10.1038/s41420-018-0130-x · Cited by 137 · see citing works
Wenger, C., Miranda, P. C., Salvador, R., Thielscher, A., Bomzon, Z., Giladi, M., Mrugala, M. M., & Korshoej, A. R. (2018) · IEEE Reviews in Biomedical Engineering · doi:10.1109/rbme.2017.2765282 · Cited by 129 · see citing works
Self-citationAn Overview of Sub-Cellular Mechanisms Involved in the Action of TTFields
Tuszynski, J., Wenger, C., Friesen, D., & Preto, J. (2016) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph13111128 · Cited by 95 · see citing works
Self-citationBerkelmann, L., Bader, A., Meshksar, S., Dierks, A., Majernik, G. H., Krauss, J. K., Schwabe, K., Manteuffel, D., & Ngezahayo, A. (2019) · Scientific Reports · doi:10.1038/s41598-019-43621-9 · Cited by 81 · see citing works
Radiotherapy in Glioblastoma: the Past, the Present and the Future
Gzell, C., Back, M., Wheeler, H., Bailey, D. L., & Foote, M. C. (2016) · Clinical Oncology · doi:10.1016/j.clon.2016.09.015 · Cited by 78 · see citing works
Permeabilizing Cell Membranes with Electric Fields
Aguilar, A. A., Ho, M. C., Chang, E., Carlson, K. W., Natarajan, A., Marciano, T., Bomzon, Z., & Patel, C. B. (2021) · Cancers · doi:10.3390/cancers13092283 · Cited by 76 · see citing works
Self-citationChaurasia, A. K., Thorat, N. D., Tandon, A., Kim, J.-H., Park, S. H., & Kim, K. K. (2016) · Scientific Reports · doi:10.1038/srep33662 · Cited by 67 · see citing works
Korshoej, A. R., Hansen, F. L., Mikic, N., von Öettingen, G., Sørensen, J. C. H., & Thielscher, A. (2018) · PLoS ONE · doi:10.1371/journal.pone.0201957 · Cited by 62 · see citing works
Karanam, N. K., & Story, M. D. (2020) · International Journal of Radiation Biology · doi:10.1080/09553002.2020.1837984 · Cited by 56 · see citing works
Korshoej, A. R., Saturnino, G. B., Rasmussen, L. K., von Öettingen, G., Sørensen, J. C. H., & Thielscher, A. (2016) · PLoS ONE · doi:10.1371/journal.pone.0164051 · Cited by 54 · see citing works
Wu, H., Yang, L., Liu, H., Zhou, D., Chen, D., Zheng, X., Yang, H., Li, C., Chang, J., Wu, A., et al. (2021) · CNS Neuroscience & Therapeutics · doi:10.1111/cns.13750 · Cited by 52 · see citing works
Highlighted Advances in Therapies for Difficult-To-Treat Brain Tumours Such as Glioblastoma
Cruz, N., Herculano-Carvalho, M., Roque, D., Faria, C. C., Cascão, R., Ferreira, H. A., Reis, C. P., & Matela, N. (2023) · Pharmaceutics · doi:10.3390/pharmaceutics15030928 · Cited by 45 · see citing works
The Bioelectric Circuitry of the Cell
Tuszyński, J. A. (2019) · Springer eBooks · doi:10.1007/978-3-030-21293-3_11 · Cited by 37 · see citing works
Pohling, C., Nguyen, H., Chang, E., Schubert, K. E., Nie, Y., Bashkirov, V. A., Yamamoto, V. N., Zeng, Y., Stupp, R., Schulte, R. W., et al. (2022) · Bioelectrochemistry · doi:10.1016/j.bioelechem.2022.108287 · Cited by 28 · see citing works
Korshoej, A. R., Sørensen, J. C., von Öettingen, G., Poulsen, F. R., & Thielscher, A. (2019) · Physics in Medicine and Biology · doi:10.1088/1361-6560/aafe54 · Cited by 21 · see citing works
The Routine Application of Tumor-Treating Fields in the Treatment of Glioblastoma WHO° IV
Krigers, A., Pinggera, D., Demetz, M., Kornberger, L.-M., Kerschbaumer, J., Thomé, C., & Freyschlag, C. F. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.900377 · Cited by 20 · see citing works
Tumor Treating Fields (TTFields) Therapy Concomitant with Taxanes for Cancer Treatment
Vergote, I. B., Macarulla, T. M., Hirsch, F. R., Hagemann, C., & Miller, D. S. (2023) · Cancers · doi:10.3390/cancers15030636 · Cited by 21 · see citing works
Tumor treating fields: An emerging treatment modality for thoracic and abdominal cavity cancers
Jones, T. H., Song, J. W., & Abushahin, L. I. (2021) · Translational Oncology · doi:10.1016/j.tranon.2021.101296 · Cited by 19 · see citing works
Korshoej, A. R., & Thielscher, A. (2018) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2018.8513440 · Cited by 16 · see citing works
Iredale, E., Deweyert, A. M., Hoover, D. A., Chen, J. Z., Schmid, S., Hebb, M. O., Peters, T. M., & Wong, E. (2020) · Medical Physics · doi:10.1002/mp.14496 · Cited by 13 · see citing works
Oberheim-Bush, N. A., Shi, W., McDermott, M. W., Grote, A., Stindl, J., & Lustgarten, L. (2022) · Journal of Neuro-Oncology · doi:10.1007/s11060-022-04033-4 · Cited by 12 · see citing works
The Clinical Application of Tumor Treating Fields Therapy in Glioblastoma
Riley, M. M., San, P., Lok, E., Swanson, K. D., & Wong, E. T. (2019) · Journal of Visualized Experiments · doi:10.3791/58937 · Cited by 12 · see citing works
Korshoej, A. R. (2019) · Springer eBooks · doi:10.1007/978-3-030-21293-3_10 · Cited by 10 · see citing works
A Novel In Vitro Device to Deliver Induced Electromagnetic Fields to Cell and Tissue Cultures
Ravin, R., Cai, T. X., Pursley, R. H., Garmendia‐Cedillos, M., Pohida, T., Freidlin, R. Z., Wang, H., Zhuang, Z., Giles, A. J., Williamson, N. H., et al. (2020) · Biophysical Journal · doi:10.1016/j.bpj.2020.11.002 · Cited by 10 · see citing works
Self-citationSpatiotemporally dynamic electric fields for brain cancer treatment: an in vitro investigation
Iredale, E., Elsaleh, A., Xu, H., Christiaans, P., Deweyert, A. M., Ronald, J. A., Schmid, S., Hebb, M. O., Peters, T. M., & Wong, E. (2023) · Physics in Medicine and Biology · doi:10.1088/1361-6560/acc308 · Cited by 9 · see citing works
The role of immune subtyping in glioma mRNA vaccine development
Guterres, A., Costa, M. A., & Neves, P. (2023) · Immunotherapy · doi:10.2217/imt-2023-0027 · Cited by 7 · see citing works
Wen, J., Xiong, L., Wang, S., Qiu, X., Cui, J., Peng, F., Liu, X., Lu, J. G., Bian, H., Chen, D., et al. (2024) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2024.108490 · Cited by 5 · see citing works
The Clinical Application of Tumor Treating Fields Therapy in Glioblastoma
Riley, M. M., San, P., Lok, E., Swanson, K. D., & Wong, E. T. (2019) · Journal of Visualized Experiments · doi:10.3791/58937-v · Cited by 5 · see citing works
Advancing cancer therapy with custom-built alternating electric field devices
Jobson, I., Vo, N. T. N., Kujawinski, E., Denning, C. N., Stolnik, S., Chauhan, V. M., & Rawson, F. J. (2025) · Bioelectronic Medicine · doi:10.1186/s42234-024-00164-3 · Cited by 4 · see citing works
Nguyen, H., Schubert, K. E., Chang, E., Nie, Y., Pohling, C., Buskirk, S. V., Yamamoto, V. N., Zeng, Y., Schulte, R. W., & Patel, C. B. (2023) · Physics in Medicine and Biology · doi:10.1088/1361-6560/acf98d · Cited by 4 · see citing works
Application of the Taguchi method to explore a robust condition of tumor-treating field treatment
Kurata, K., Shimada, K., & Takamatsu, H. (2022) · PLoS ONE · doi:10.1371/journal.pone.0262133 · Cited by 4 · see citing works
A novel microscale platform for leukemia tumor treating field therapy and electrochemical screening
Shojaee, M., Khamsi, P. S., Hosseini, M., Khodayari, M., Moghtaderi, H., Mousavi, M. R., Farajpour, M., & Mohajerzadeh, S. (2022) · Microelectronic Engineering · doi:10.1016/j.mee.2022.111738 · Cited by 4 · see citing works
Mikobi, E., Voorhees, G. J., Mahmood, A., Gandhi, A., Bailey, M., & Phillips, J. (2023) · Cureus · doi:10.7759/cureus.49441 · Cited by 3 · see citing works
Biedermann, G. B., Merrifield, K., & Lustgarten, L. (2024) · Frontiers in Oncology · doi:10.3389/fonc.2024.1441146 · Cited by 2 · see citing works
Biophysical Effects of Tumor Treating Fields
Wenger, C., & Miranda, P. C. (2016) · Springer eBooks · doi:10.1007/978-3-319-30576-9_3 · Cited by 1 · see citing works
Self-citationLumped Element Model of Spherical Cells Exposed to an External Electric Field
Harke, S., & Manteuffel, D. (2021) · IEEE Journal of Electromagnetics RF and Microwaves in Medicine and Biology · doi:10.1109/jerm.2021.3067596 · Cited by 1 · see citing works
Oh, G., Jo, Y., Gi, Y., Hong, J., Kim, J., Lee, B., & Yoon, M. (2023) · AIP Advances · doi:10.1063/5.0153374 · Cited by 1 · see citing works
Carlson, K. W., Tuszyński, J. A., Dokos, S., Paudel, N., & Bomzon, Z. (2019) · Springer eBooks · doi:10.1007/978-3-030-21293-3_6 · Cited by 1 · see citing works
Self-citationHow Do Tumor-Treating Fields Work?
Carlson, K. W., Tuszyński, J. A., Dokos, S., Paudel, N., Dreeben, T. D., & Bomzon, Z. (2020) · Springer eBooks · doi:10.1007/978-3-030-45623-8_2 · Cited by 1 · see citing works
Self-citationNUMERICAL ANALYSIS OF ELECTRIC FORCE DISTRIBUTION ON TUMOR MASS IN DC ELECTRIC FIELD EXPOSURE
Arif, M., Taruno, W. P., Wanandi, S. I., & Sulaksono, A. (2021) · SPEKTRA Jurnal Fisika dan Aplikasinya · doi:10.21009/spektra.062.01
Abutbul, A., Mumblat, Y., Porat, Y., Friedman, N., Atari, N., Sharabi, S., Nama, A., Mugahed, W., Kessler, A., Kolben, Y., et al. (2023) · Frontiers in Microbiology · doi:10.3389/fmicb.2023.1296558
Self-citationMa, X., Zuo, Z., Sun, Y., & An, H. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1782708
REORGANIZAÇÃO ELETROFÍSICA DEPENDENTE DA FREQUÊNCIA EM PHANTOM TUMORAL VASCULARIZADO
Medeiros, G. (2026) · RECIMA21 - Revista Científica Multidisciplinar · doi:10.47820/recima21.v7i9.8972
- Authors
- Wenger, C., Giladi, M., Bomzon, Z., Salvador, R., Basser, P. J., & Miranda, P. C.
- Affiliations
- University of Lisbon (PT)
- National Institutes of Health (US)
- Novocure (United States) (US)
- Venue
- 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)
- Publisher
- IEEE
- Published
- 2015-08
- Volume
- 2015
- Pages
- 6892-6895
- ISSN
- 2375-7477 (ISSN-L)
- OpenAlex
- W2293801493
- Cited by
- 44
- References
- 22
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 8 · 2022: 5 · 2021: 5 · 2020: 4 · 2019: 7 · 2018: 4 · 2017: 1 · 2016: 5
- FWCI
- 9.09
- Type
- conference paper
- Language
- en
- Open access
- closed
- Locations
- Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biophysics › Electromagnetic Fields and Biological Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biotechnology › Microbial Inactivation Methods
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular Mechanics and Interactions
- Keywords
- tumor treating fields, dielectrophoresis, cell cycle, metaphase, telophase, cytokinesis, glioblastoma
- MeSH terms
- Electricity, Electric Stimulation Therapy, Humans, Metaphase, Spindle Apparatus, Models, Theoretical, Neoplasms, Telophase, Cell Line, Tumor
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review