2013
DOI: 10.1038/ncomms3467
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Non-Darwinian dynamics in therapy-induced cancer drug resistance

Abstract: Development of drug resistance, the prime cause of failure in cancer therapy, is commonly explained by the selection of resistant mutant cancer cells. However, dynamic non-genetic heterogeneity of clonal cell populations continuously produces meta-stable phenotypic variants (persisters), some of which represent stem-like states that confer resistance. Even without genetic mutations, Darwinian selection can expand these resistant variants, which would explain the invariably rapid emergence of stem-like resistan… Show more

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Cited by 277 publications
(360 citation statements)
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“…The wide distribution of single cells in a cancer cell attractor is expected to produce the constellation that some cells in the population are resistant to a given drug at a certain time point but not at another time point when they have shifted position in the state space (26,(32)(33)(34)(35)(36). When the selective pressure of treatment is released, the original population can be reestablished by these few temporarily resistant edge cells.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The wide distribution of single cells in a cancer cell attractor is expected to produce the constellation that some cells in the population are resistant to a given drug at a certain time point but not at another time point when they have shifted position in the state space (26,(32)(33)(34)(35)(36). When the selective pressure of treatment is released, the original population can be reestablished by these few temporarily resistant edge cells.…”
Section: Discussionmentioning
confidence: 99%
“…These cells could survive at a new state space position (attractor), because the new attractor affords compensatory functions as part of the associated gene expression program, a typically stem-like phenotype that is inherent in the GRN (17,26,30,31). These compensatory mechanisms are probably those that should be sought out and targeted when conventional approaches have failed (32).…”
Section: Discussionmentioning
confidence: 99%
“…In order to address these questions, in [6] we proposed an Individual-Based (I-B) computational model [4,[7][8][9] and an Integro-Differential Equation (IDE) model [10][11][12] of the phenotype evolution observed in [1]. Such models can be used as in silico laboratories to test verbal hypotheses, and uncover mechanisms that underlie emergent features of cancer cell populations.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, the silencing of tumour suppressor gene expression by promoter hypermethylation at CpG-rich islands is common among several human malignancies [6,7]. Epigenetic mechanisms have been implicated in acquired drug-tolerance of cancer cells during in vitro experiments [8][9][10]. They are also recognised as key drivers in the success of invasive clonal plant species [11].…”
Section: Introductionmentioning
confidence: 99%