2017
DOI: 10.1016/j.bbcan.2017.03.001
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A population genetics perspective on the determinants of intra-tumor heterogeneity

Abstract: Cancer results from the acquisition of somatic alterations in a microevolutionary process that typically occurs over many years, much of which is occult. Understanding the evolutionary dynamics that are operative at different stages of progression in individual tumors might inform the earlier detection, diagnosis, and treatment of cancer. Although these processes cannot be directly observed, the resultant spatiotemporal patterns of genetic variation amongst tumor cells encode their evolutionary histories. Such… Show more

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Cited by 44 publications
(42 citation statements)
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References 285 publications
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“…The ‘Big Bang’ model, which is based on the concept of punctuated evolution (13, 14), has provided a novel framework to understand the clonal evolution and the timing of the emergence of intratumoral heterogeneity (ITH) in CRC. This model posits that the vast majority of genomic alterations accumulate during early stages of carcinogenesis, while the tumor mass is still less than one million cells, and before progressing into an advanced neoplasm.…”
Section: Introductionmentioning
confidence: 99%
“…The ‘Big Bang’ model, which is based on the concept of punctuated evolution (13, 14), has provided a novel framework to understand the clonal evolution and the timing of the emergence of intratumoral heterogeneity (ITH) in CRC. This model posits that the vast majority of genomic alterations accumulate during early stages of carcinogenesis, while the tumor mass is still less than one million cells, and before progressing into an advanced neoplasm.…”
Section: Introductionmentioning
confidence: 99%
“…A large number of approaches have been published over the last years that try to identify subclones, their frequencies, and in some cases, their phylogenetic relationships by deconvolving these aggregate data [5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23]. However, the underlying statistical problem is underdetermined [24,25], and mutations with similar VAFs are automatically clustered into a single subclone. This inevitably leads to incorrect phylogenies for tumours with multiple distinct subclones of similar prevalences.…”
mentioning
confidence: 99%
“…LICHeE also uses the patterns of mutation presence and absence among tumor samples to generate SNV clusters and thus harnesses evolutionary information in the data. We expect many real world datasets to exhibit this evolutionary property in which similar clones are inherited by descendant tumors and distantly-related clones are found in samples from distantly located tumor or regions of a tumor, which means that tumor expansion is coupled with the evolution of new clones (Davis et al, 2017;Gerlinger et al, 2014;Gerlinger et al, 2012;Hu et al, 2017). Many other methods did not perform well for these datasets, because they seem to not use the intrinsic evolutionary information effectively.…”
Section: Discussionmentioning
confidence: 99%