2017
DOI: 10.1016/j.dnarep.2017.06.002
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Evolutionary dynamics and significance of multiple subclonal mutations in cancer

Abstract: For the last 40 years the authors have collaborated on trying to understand the complexities of human cancer by formulating testable mathematical models that are based on mutation accumulation in human malignancies. We summarize the concepts encompassed by multiple mutations in human cancers in the context of source, accumulation during carcinogenesis and tumor progression, and therapeutic consequences. We conclude that the efficacious treatment of human cancer by targeted therapy will involve individualized, … Show more

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Cited by 16 publications
(11 citation statements)
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“…Therefore, a strong pluripotency should not be used to dichotomize cancer cells into CSC and non-CSC groups. It is true that in cancers many cells die at a much higher rate than others due to various stressors, such as insufficient oxygen or nutrient nourishment, or overly severe genetic damage [554,555,835]. The opposite is also true that in a cancer mass some cells' ability of self-renewal via symmetrical division is much more potent than that of the others.…”
Section: Neglecting Immortality Causes Confusion On Cancer Stem Cellsmentioning
confidence: 99%
“…Therefore, a strong pluripotency should not be used to dichotomize cancer cells into CSC and non-CSC groups. It is true that in cancers many cells die at a much higher rate than others due to various stressors, such as insufficient oxygen or nutrient nourishment, or overly severe genetic damage [554,555,835]. The opposite is also true that in a cancer mass some cells' ability of self-renewal via symmetrical division is much more potent than that of the others.…”
Section: Neglecting Immortality Causes Confusion On Cancer Stem Cellsmentioning
confidence: 99%
“…Moreover, when the oxidative stress state of cells persists from the imbalance of ROS, DNA damage and induction of mutations affect cellular signaling pathways ( 14 , 15 ), leading to the activation of a variety of protein kinases that regulate diverse cellular functions including the cell cycle, survival, migration, angiogenesis, apoptosis and cell death ( 16 ). The infinite cell proliferation capacity of cancer cells has an effect on angiogenesis related mechanisms ( 17 ), which can induce cancer metastasis by promoting cancer progression-associated processes such as proliferation, migration, and tube formation ( 18 ).…”
Section: Relationship Between Ros and Cancermentioning
confidence: 99%
“…All tumors contain genetically divergent cells spawned by the evolutionary processes of mutation and selection. In some tumors, genetic heterogeneity arises from a “mutator phenotype” 1 due to mismatch repair (MMR) defects 2 or heterozygous exonuclease domain mutations (EDMs) affecting the leading or lagging strand DNA polymerases (pol), Polε or Polδ 3 9 . Since MMR corrects polymerase errors, when MMR and EDM mutations occur together they produce a dramatic increase in the number of unrepaired polymerase errors.…”
Section: Introductionmentioning
confidence: 99%