Clonal evolution in cancer.

Clonal evolution in cancer.
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DOI:
10.1038/nature10762
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发表时间:
2012-01-18
期刊:
影响因子:
64.8
通讯作者:
Maley, Carlo C.
Maley, Carlo C.
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Greaves, Mel;Maley, Carlo C.

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癌症在组织生态系统的适应性景观中通过克隆扩张、遗传多样性和克隆选择的迭代过程进化。动态是复杂的,具有高度可变的遗传多样性和由此产生的克隆结构模式。治疗干预可能会大量消灭癌症克隆,并侵蚀它们的栖息地,但无意中为耐药变异的扩张提供了强大的选择压力。癌症固有的达尔文主义特征是治疗失败的核心,但也可能是更有效控制癌症的关键。
Cancers evolve by a reiterative process of clonal expansion, genetic diversification and clonal selection within the adaptive landscapes of tissue ecosystems. The dynamics are complex with highly variable patterns of genetic diversity and resultant clonal architecture. Therapeutic intervention may decimate cancer clones, and erode their habitats, but inadvertently provides potent selective pressure for the expansion of resistant variants. The inherently Darwinian character of cancer lies at the heart of therapeutic failure but perhaps also holds the key to more effective control.
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