2015
DOI: 10.1073/pnas.1501713112
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Toward an evolutionary model of cancer: Considering the mechanisms that govern the fate of somatic mutations

Abstract: Our understanding of cancer has greatly advanced since Nordling [Nordling CO (1953) Br J Cancer 7(1):68-72] and Armitage and Doll [Armitage P, Doll R (1954) Br J Cancer 8(1):1-12] put forth the multistage model of carcinogenesis. However, a number of observations remain poorly understood from the standpoint of this paradigm in its contemporary state. These observations include the similar age-dependent exponential rise in incidence of cancers originating from stem/progenitor pools differing drastically in size… Show more

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Cited by 105 publications
(113 citation statements)
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References 71 publications
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“…Additionally, enhanced inflammatory chemokine/cytokine expression has been shown to be a prominent phenotype in senescent fibroblasts that serve to directly and indirectly (in part through recruitment of tumor promoting immune cells) promote cancer cell growth and survival (Coppe et al ., 2010; Lopez‐Otin et al ., 2013). Other recent studies have emphasized the influence of contexts such as altered tissue microenvironment on age‐dependent incidence of cancers (Lasry & Ben‐Neriah, 2015; Rozhok & DeGregori, 2015). …”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Additionally, enhanced inflammatory chemokine/cytokine expression has been shown to be a prominent phenotype in senescent fibroblasts that serve to directly and indirectly (in part through recruitment of tumor promoting immune cells) promote cancer cell growth and survival (Coppe et al ., 2010; Lopez‐Otin et al ., 2013). Other recent studies have emphasized the influence of contexts such as altered tissue microenvironment on age‐dependent incidence of cancers (Lasry & Ben‐Neriah, 2015; Rozhok & DeGregori, 2015). …”
Section: Discussionmentioning
confidence: 99%
“…Different cancer types arise at similar rates even though their stem cell pools may have very different sizes, division rates, and mutational spectra. As proposed by Rozhok & DeGregori (2015), noncell autonomous processes such as age‐dependent tissue microenvironmental changes may play an important role in accelerating cancer development. The aged tissue microenvironment may provide a selective advantage in enhancing the oncogenic effects of mutated cancer driver genes compared to the youthful tissue microenvironment.…”
Section: Introductionmentioning
confidence: 99%
“…The explanation for such a discrepancy may be in the difference of SC pool organization between epithelia and such systems as HSCs and perhaps other SCs. SCs in epithelial tissues are often clustered into small effective populations, which should expose their clonal dynamics to a high influence of drift throughout the entire life span (38). In fact, clonal dynamics of gut epithelia have been shown to be heavily drift-driven (10,14,15).…”
Section: Discussionmentioning
confidence: 99%
“…The decreased life span and early aging phenotypes exhibited by Bub1b H/H mice could be due to the exhaustion of adult stem cell pools that must proliferate more than wild-type stem cells to produce euploid cells. It is also possible that the strength of purifying selection in adult regenerative tissues is relaxed as organisms age and stem cell fitness declines (Rozhok and DeGregori 2015). Such decreased purifying selection would cause tissue function decline due to the accumulation of aneuploid and hence less-fit cells with time.…”
Section: Bub1bmentioning
confidence: 99%