Variable clonal repopulation dynamics influence chemotherapy response in colorectal cancer.

Variable clonal repopulation dynamics influence chemotherapy response in colorectal cancer.
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DOI:
10.1126/science.1227670
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发表时间:
2013-02-01
期刊:
影响因子:
56.9
通讯作者:
Dick, John E.
Dick, John E.
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Kreso, Antonija;O'Brien, Catherine A.;van Galen, Peter;Gan, Olga I.;Notta, Faiyaz;Brown, Andrew M. K.;Ng, Karen;Ma, Jing;Wienholds, Erno;Dunant, Cyrille;Pollett, Aaron;Gallinger, Steven;McPherson, John;Mullighan, Charles G.;Shibata, Darryl;Dick, John E.

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Intratumoral heterogeneity arises through the evolution of genetically diverse subclones during tumor progression. However, it remains unknown whether cells within single genetic clones are functionally equivalent. By combining DNA copy number alteration (CNA) profiling, sequencing, and lentiviral lineage tracking, we followed the repopulation dynamics of 150 single lentivirus-marked lineages from 10 human colorectal cancers through serial xenograft passages in mice. CNA and mutational analysis distinguished individual clones and showed that clones remained stable upon serial transplantation. Despite this stability, the proliferation, persistence, and chemotherapy tolerance of lentivirally marked lineages were variable within each clone. Chemotherapy promoted the dominance of previously minor or dormant lineages. Thus, apart from genetic diversity, tumor cells display inherent functional variability in tumor propagation potential, which contributes to both cancer growth and therapy tolerance. Solid tumors are composed of functionally diverse tumor cells. The prevailing view is that this “intratumoral heterogeneity” arises from the accumulation of mutations during tumor growth, resulting in multiple genetically defined subclones of cells that respond in different ways to selective pressures such as chemotherapy. Kreso et al. (p. 543, published online 13 December; see the Perspective by Marusyk and Polyak) simultaneously monitored the genetic profiles and growth behavior of human colorectal cancer cells that were serially passaged in mice. Individual tumor cells within a uniform genetic lineage displayed extensive variation in survival, growth dynamics, and response to a chemotherapeutic drug. Thus, additional diversity-generating mechanisms such as epigenetic regulation or microenvironmental variability appear to operate within a genetic clone, endowing a subset of tumor cells with robust survival potential, especially during stress.
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