2017
DOI: 10.1101/cshperspect.a029611
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Chromosomal Instability as a Driver of Tumor Heterogeneity and Evolution

Abstract: Large-scale, massively parallel sequencing of human cancer samples has revealed tremendous genetic heterogeneity within individual tumors. Indeed, tumors are composed of an admixture of diverse subpopulations-subclones-that vary in space and time. Here, we discuss a principal driver of clonal diversification in cancer known as chromosomal instability (CIN), which complements other modes of genetic diversification creating the multilayered genomic instability often seen in human cancer. Cancer cells have evolve… Show more

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Cited by 128 publications
(112 citation statements)
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“…2013; Bakhoum and Landau 2017). Complex karyotypic heterogeneity in human somatic cells, usually including intertwined numerical and structural chromosome abnormalities, is a defining feature of many types of cancers, and is increasingly recognized as a principal driver of both tumorigenesis and metastasis (Burrell et al.…”
Section: Discussionmentioning
confidence: 99%
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“…2013; Bakhoum and Landau 2017). Complex karyotypic heterogeneity in human somatic cells, usually including intertwined numerical and structural chromosome abnormalities, is a defining feature of many types of cancers, and is increasingly recognized as a principal driver of both tumorigenesis and metastasis (Burrell et al.…”
Section: Discussionmentioning
confidence: 99%
“…Notably, evolved cancer cells usually converge to a near-triploid chromosome constitution with numerous structural changes, and which is often preceded by a WGD event (Dewhurst et al. 2014; Bakhoum and Landau 2017). Not surprisingly, efforts to elucidate the mechanistic basis of karyotypic instability as well as its biological impacts on cancer genesis and progression has become a central theme in biomedical research (Burrell et al.…”
Section: Discussionmentioning
confidence: 99%
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“…However, the mechanism by which heterogeneous cancer cells or subclones in cancer cell populations are produced is not fully elucidated. The mainstream viewpoints blame genome instability for being the cause of cancer heterogeneity [3] [4], but we think that genome instability is only a superficial description about cancer genome, not a mechanism of how cancer heterogeneity is generated. Furthermore, we don't think that heterogeneity is the fundamental obstacle to beating cancer.…”
mentioning
confidence: 99%