2021
DOI: 10.3390/cancers13061380
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Genetic and Non-Genetic Mechanisms Underlying Cancer Evolution

Abstract: Cancer development can be defined as a process of cellular and tissular microevolution ultimately leading to malignancy. Strikingly, though this concept has prevailed in the field for more than a century, the precise mechanisms underlying evolutionary processes occurring within tumours remain largely uncharacterized and rather cryptic. Nevertheless, although our current knowledge is fragmentary, data collected to date suggest that most tumours display features compatible with a diverse array of evolutionary pa… Show more

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Cited by 68 publications
(45 citation statements)
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References 258 publications
(424 reference statements)
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“…However, the same mutation can be selected for in some tissues and selected against in others (87). This selection most likely depends on the tissue-specific epigenetic profiles and microenvironments of the cancer-initiating stem or progenitor cells (88, 89). Thus, investigating the interplay between stem cell mutations, epigenetic profiles and microenvironments in various tissues appears to be a promising and exciting avenue for future research.…”
Section: Discussionmentioning
confidence: 99%
“…However, the same mutation can be selected for in some tissues and selected against in others (87). This selection most likely depends on the tissue-specific epigenetic profiles and microenvironments of the cancer-initiating stem or progenitor cells (88, 89). Thus, investigating the interplay between stem cell mutations, epigenetic profiles and microenvironments in various tissues appears to be a promising and exciting avenue for future research.…”
Section: Discussionmentioning
confidence: 99%
“…Although non-genetic resistance to chemotherapy/targetselective drugs appears to be pervasive in cancer cells, the molecular mechanisms that drive this resistance are yet incompletely understood (12,27). Non-genetic resistance can be acquired by environmental induction, i.e., drug-induced epigenetic reconfigurations can enhance cells' survival to the very therapeutic environment (28,29).…”
Section: The Problemmentioning
confidence: 99%
“…This wealth of possible paths to resistance is confusing and consequently not good news for the design of effective cancer therapies. On the positive side, several observations (27,34,35) indicate that mechanisms similar to those that drive therapeutic resistance in cancer cells may also drive adaptive phases during the poorly understood process of tumorigenesis. Thus, the insights gained in the context of therapeutic resistance may shine light on tumorigenesis and help reveal some general principles and/or deterministic dynamics (36), which can in turn contribute to the development of more effective cancer prevention.…”
Section: The Problemmentioning
confidence: 99%
“…RNA sequencing studies from multiple tumor-types showed that individual tumors with similar genetic profile may exhibit transcriptional heterogeneity of tumors [2], that may be arising due to the presence of multiple phenotypic states along with diversity in interactions with tumor microenvironment [3][4][5]. Recent studies are uncovering the presence of extensive non-genetic heterogeneity at the phenotypic and functional levels within genetically identical sub-clones of cancer cells [6][7][8].…”
Section: Introductionmentioning
confidence: 99%