2023
DOI: 10.1002/path.6158
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Implications of tumour heterogeneity on cancer evolution and therapy resistance: lessons from breast cancer

Shefali Thakur,
Syed Haider,
Rachael Natrajan

Abstract: Tumour heterogeneity is pervasive amongst many cancers and leads to disease progression, and therapy resistance. In this review, using breast cancer as an exemplar, we focus on the recent advances in understanding the interplay between tumour cells and their microenvironment using single cell sequencing and digital spatial profiling technologies. Further, we discuss the utility of lineage tracing methodologies in pre‐clinical models of breast cancer, and how these are being used to unravel new therapeutic vuln… Show more

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Cited by 3 publications
(2 citation statements)
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References 180 publications
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“…For instance, SCS technology has provided key insights into the heterogeneity of tumor cells in breast cancer. Different subclones show distinct expression and mutation profiles, which could be used to inform novel therapeutic strategies for breast cancer ( Thakur et al, 2023 ). SCS is employed by researchers to understand the type, number, and functional status of tumor immune cells.…”
Section: Discussionmentioning
confidence: 99%
“…For instance, SCS technology has provided key insights into the heterogeneity of tumor cells in breast cancer. Different subclones show distinct expression and mutation profiles, which could be used to inform novel therapeutic strategies for breast cancer ( Thakur et al, 2023 ). SCS is employed by researchers to understand the type, number, and functional status of tumor immune cells.…”
Section: Discussionmentioning
confidence: 99%
“…This important area of research in pathology continues, incorporating and building on the previous findings to further refine our understanding of the biological processes involved and to improve diagnosis, prognosis, prediction of response to particular therapies, and identification of alternative therapeutic targets. Our first review in this broad area of research comes from Thakur, Haider, and Natrajan at the Institute of Cancer Research, London, UK [9]. Their article highlights the implications of tumour heterogeneity that is increasingly recognised through single cell sequencing and digital spatial profiling (confirming what pathologists have always known by microscopy, but adding important defining features).…”
Section: Recent Advances In Cancer Mechanisms and Their Implicationsmentioning
confidence: 97%