2006
DOI: 10.1038/nrc2013
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Cancer as an evolutionary and ecological process

Abstract: Neoplasms are microcosms of evolution. Within a neoplasm, a mosaic of mutant cells compete for space and resources, evade predation by the immune system and can even cooperate to disperse and colonize new organs. The evolution of neoplastic cells explains both why we get cancer and why it has been so difficult to cure. The tools of evolutionary biology and ecology are providing new insights into neoplastic progression and the clinical control of cancer.

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Cited by 1,553 publications
(1,334 citation statements)
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References 154 publications
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“…Why such heterogeneity exists remains unclear [Merlo et al 2006, Almendro et al 2013, because clones that have a proliferative advantage within the tumour are expected to drive other subclones to extinction. In the light of evolutionary game theory, however, stable intra-tumor heterogeneity is easily explained as a stable polymorphic equilibrium resulting from the non-linear benefit of growth factors [Archetti et al 2015].…”
Section: Implications For Cancer Researchmentioning
confidence: 99%
See 1 more Smart Citation
“…Why such heterogeneity exists remains unclear [Merlo et al 2006, Almendro et al 2013, because clones that have a proliferative advantage within the tumour are expected to drive other subclones to extinction. In the light of evolutionary game theory, however, stable intra-tumor heterogeneity is easily explained as a stable polymorphic equilibrium resulting from the non-linear benefit of growth factors [Archetti et al 2015].…”
Section: Implications For Cancer Researchmentioning
confidence: 99%
“…While it is now understood that cancer is a process of clonal selection [Cairns 1975, Nowell 1976, Crespi & Summers 2005, Merlo et al 2006, Greaves & Maley 2012, and game theory has often been mentioned as a relevant for cancer research [Gatenby & Maini 2003, Merlo et al 2006, Axelrod et al 2006, Lambert et al 2011, the study of growth factors in the framework of evolutionary game theory is still limited. Tomlinson [1997] and Tomlinson & Bodmer [1997] used the hawk-dove game, to explain why game theory can be used to understand conflict and cooperation between cancer cells; subsequent papers [Bach et al 2001, Dingli et al 2009, Basanta et al 2008a,b, 2011, 2012, Gerstung et al 2011 have extended that model to up to 4 strategies.…”
Section: Further Developments Of the Modelmentioning
confidence: 99%
“…C ancer is a somatic evolutionary process in which mutations render cells non-cooperative and overly proliferative [1][2][3] . Selectively advantageous driver mutations accumulate in multiple rounds of clonal expansions together with hitch-hiking, selectively neutral passenger mutations 1,4 .…”
mentioning
confidence: 99%
“…The evolutionary framework has improved our understanding of the genetic basis of cancer [13][14][15] . Although the somatic evolution of cancer cells is reminiscent of the evolution of organisms, the two differ in many ways, such as timescale, effective population size, mutation rate, and outcome of the evolution 15,16 . Understanding differences between the two can improve our understanding of the genetic basis of cancer.…”
mentioning
confidence: 99%