2021
DOI: 10.1016/j.devcel.2021.07.006
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Gene copy-number changes and chromosomal instability induced by aneuploidy confer resistance to chemotherapy

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Cited by 130 publications
(123 citation statements)
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References 69 publications
(111 reference statements)
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“…Increased EGFR gene copy number both promotes proliferation [40] and, by virtue of having more EGFR gene templates for replication-acquired mutation, increases the apparent mutability of individual cells [57]. These findings are consistent with previous studies showing selective pressure for cancer cells to sustain nCIN and demonstrating that high levels of nCIN can drive the generation and selection of drug-resistant clones [6,7,58,59].…”
Section: Whole Chromosome Segregation Errors Enable Tumor Evolution A...supporting
confidence: 89%
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“…Increased EGFR gene copy number both promotes proliferation [40] and, by virtue of having more EGFR gene templates for replication-acquired mutation, increases the apparent mutability of individual cells [57]. These findings are consistent with previous studies showing selective pressure for cancer cells to sustain nCIN and demonstrating that high levels of nCIN can drive the generation and selection of drug-resistant clones [6,7,58,59].…”
Section: Whole Chromosome Segregation Errors Enable Tumor Evolution A...supporting
confidence: 89%
“…Clonal mutations that enable resistance to targeted or chemotherapeutic approaches pose a clinical challenge and remain a major cause of death in many cancer types [54]. Clinically and experimentally, the degree of intra-tumor genomic heterogeneity, and underlying defects in mitotic cell division have been functionally linked to tumor evolution, drug resistance, and metastasis [3, 4, 6, 7, 55, 56]. In the context of NSCLC, identification of driver mutations in EGFR and the initial clinical success of TKI treatment has been hampered by rapid and prevalent acquisition of drug resistance [38].…”
Section: Discussionmentioning
confidence: 99%
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“…In this review, we have discussed how chromosome segregation errors induce DNA damage and how this exacerbates genome instability in the resulting aneuploid cells, a condition that has recently been shown to confer proliferative advantages under specific conditions ( Ippolito et al, 2021 ; Lukow et al, 2021 ; Salgueiro et al, 2020 ) ( Figure 1 ). It has to be noted that the vast majority of studies conducted so far have employed an heterogenous population of aneuploid cells, comprising both chromosome gains and losses as well as cycling and arrested cells.…”
Section: Discussionmentioning
confidence: 99%
“…This seems to be particularly relevant to cancer cells, which are found to be very often aneuploid (Vasudevan et al, 2021). In fact, recent work has shown that abnormal chromosome number in the context of cancer can promote resistance to chemotherapy (Salgueiro et al, 2020;Ippolito et al, 2021;Lukow et al, 2021), in line with the observation that highly aneuploid tumors correlate with poorer patient outcomes (Davoli et al, 2017;Vasudevan et al, 2020). In details, chromosome missegregation events cause increased karyotypic heterogeneity that can be utilized by cancer cells to find the correct karyotypic landscape and thus survive under selective pressures such as chemotherapy.…”
Section: Consequences Of Genomic Instability On Aneuploid Cell Fitnessmentioning
confidence: 99%