2012
DOI: 10.1038/nature10762
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Clonal evolution in cancer

Abstract: 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 therap… Show more

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Cited by 2,731 publications
(2,469 citation statements)
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“…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%
“…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%
“…Labeling of individual cell clones and modeling of their in vivo expansion can facilitate the understanding of clonal development and adaptation during tumor progression within the heterogeneous landscape in cancer. 1,2 Furthermore, the ability to label and trace individual cells is demanded in many other research areas, including stem cell biology, neuronal networks, or testing of advanced biologicals like oncolytic viruses. Unfortunately, in vivo tracking of single-cell clones has been technically challenging.…”
Section: Introductionmentioning
confidence: 99%
“…In clonal evolution model, tumors are characterized by stochastic mutation and initial sensitivity to RT. After RT exposure, the fittest subpopulations survive under selective pressure [38], leading to tumor subclone repopulation and gradual development of resistance. RT itself also induces mutations, thus may endow some populations with radiation resistance.…”
Section: Discussionmentioning
confidence: 99%