2010
DOI: 10.1016/j.jtbi.2009.11.005
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The evolution of tumor metastases during clonal expansion

Abstract: Cancer is a leading cause of morbidity and mortality in many countries. Solid tumors generally initiate at one particular site called the primary tumor, but eventually disseminate and form new colonies in other organs. The development of such metastases greatly diminishes the potential for a cure of patients and is thought to represent the final stage of the multi-stage progression of human cancer. The concept of early metastatic dissemination, however, postulates that cancer cell spread might arise early duri… Show more

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Cited by 43 publications
(44 citation statements)
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“…Haeno and Michor [12] developed a descriptive model of the growth of tumors, which begins with consideration of tumor cells in three groups, type-0 cells which reside in the primary tumor and are not yet able to metastasize, type-1 cells which can metastasize and type-2 cells which have metastasized and form new lesions [12]. They used this model to derive several analytical approximations, including: (i) the probability of having at least one metastatic site at diagnosis and at autopsy; (ii) the expected number of metastatic sites at diagnosis and at autopsy; and (iii) the expected total number of cells in all metastatic sites at diagnosis and at autopsy [12].…”
Section: Other Models Of Carcinoma Of the Pancreasmentioning
confidence: 99%
See 1 more Smart Citation
“…Haeno and Michor [12] developed a descriptive model of the growth of tumors, which begins with consideration of tumor cells in three groups, type-0 cells which reside in the primary tumor and are not yet able to metastasize, type-1 cells which can metastasize and type-2 cells which have metastasized and form new lesions [12]. They used this model to derive several analytical approximations, including: (i) the probability of having at least one metastatic site at diagnosis and at autopsy; (ii) the expected number of metastatic sites at diagnosis and at autopsy; and (iii) the expected total number of cells in all metastatic sites at diagnosis and at autopsy [12].…”
Section: Other Models Of Carcinoma Of the Pancreasmentioning
confidence: 99%
“…They used this model to derive several analytical approximations, including: (i) the probability of having at least one metastatic site at diagnosis and at autopsy; (ii) the expected number of metastatic sites at diagnosis and at autopsy; and (iii) the expected total number of cells in all metastatic sites at diagnosis and at autopsy [12]. By considering the cells of a tumor in these three groups and having analytic approximations to relate the size of each group, they can study the effects of various changes on the overall cell population.…”
Section: Other Models Of Carcinoma Of the Pancreasmentioning
confidence: 99%
“…Therefore, to understand cancer as anomalous, we need to rethink cancer at a population level and not at a single cell level. This means that instead of merely tracing the journey from a single, normal cell (physiology) to when it becomes a 'diseased cell' by contraposition (pathophysiology), we can consider, at a macro-level, with a broader temporal approach, that anomalous cell developments are part of the wider evolutionary process by which life develops (Haeno and Michor, 2010). Understanding the sweep of time in terms of what has already happened provides only limited insight.…”
Section: Anomalies and The Temporal Dimension Of Cancermentioning
confidence: 99%
“…Although models on tumor cellular evolution have been developed, such as a stochastic mathematical model of the evolution of tumor metastases in an expanding cancer cell population (Haeno and Michor 2010) or a model that describes the accumulation of driver (and passenger) mutations during tumor development (Bozic et al 2010), there is no approach in cancer modeling available that can model very large pathway systems with consideration of patient specific environment. But since many of the cancer drugs available are only effective in an often rather small fraction of the patient population, with the majority of patients showing little or no benefits or even suffering often quite severe side effects shows that the progress in the treatment of tumors in individual patients will depend critically on being able to predict the effect of such treatments in the context of the genome/ transcriptome involved.…”
Section: Introductionmentioning
confidence: 99%