2021
DOI: 10.15252/embj.2021108389
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Cancer evolution: Darwin and beyond

Abstract: Clinical and laboratory studies over recent decades have established branched evolution as a feature of cancer. However, while grounded in somatic selection, several lines of evidence suggest a Darwinian model alone is insufficient to fully explain cancer evolution. First, the role of macroevolutionary events in tumour initiation and progression contradicts Darwin's central thesis of gradualism. Whole-genome doubling, chromosomal chromoplexy and chromothripsis represent examples of single catastrophic events w… Show more

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Cited by 157 publications
(131 citation statements)
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References 272 publications
(381 reference statements)
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“…Thus, it might be speculated that the metastases are derived from the bilateral tumour. In general, several competing models of tumour evolution, namely linear, branching, neutral, and punctuated, or even mixed models, are currently discussed [ 31 ]. Our findings show that cases share a set of mutations, which indicates a common evolutionary origin, but our approach does not enable us to resolve admixtures of clones.…”
Section: Discussionmentioning
confidence: 99%
“…Thus, it might be speculated that the metastases are derived from the bilateral tumour. In general, several competing models of tumour evolution, namely linear, branching, neutral, and punctuated, or even mixed models, are currently discussed [ 31 ]. Our findings show that cases share a set of mutations, which indicates a common evolutionary origin, but our approach does not enable us to resolve admixtures of clones.…”
Section: Discussionmentioning
confidence: 99%
“…Tumour evolution is a complex process and nowadays it is extensively known that beyond genetic alterations, genomic aberrations, such as discordant inheritance or DNA macroalterations, and non-genetic determinants of evolution also play an important role [44]. Together, all these processes are shaping phenotypic plasticity, suggesting that deterministic dynamics could fail to explain the sequence of events observed in tumour evolution.…”
Section: Discussionmentioning
confidence: 99%
“… 14 Recently, some excellent reviews have summarized the historical developments and new advances in tumorigenesis models. 15 , 16 These models incorporated non-genetic determinants into stochastic model and TSC models and highlighted the tumorigenic epigenetic changes via cellular reprogramming or microenvironmental stress. All of these models are reasonable hypotheses to describe tumorigenesis and tumor heterogeneity, but each model is insufficient to explain how the linear relationship between the cellular origin and the biological behavior of tumors are formed.…”
Section: Limitations In Understanding Of the Cellular Origin Of Tumor...mentioning
confidence: 99%
“…These models well demonstrated the intratumoral heterogeneity caused by accumulated genetic and epigenetic mutations, and microenvironment stress. 15 , 158 Different from previous models, we currently attempted to discuss the influence of the intrinsic stemness of TIC on parenchymal and stromal heterogeneity of a tumor, and to describe the epigenetic regularity behind tumor heterogeneity.…”
Section: The Cellular Origin Of Tic Can Determine Both Tumor Parenchy...mentioning
confidence: 99%