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Publication : Biological and therapeutic impact of intratumor heterogeneity in cancer evolution.

First Author  McGranahan N Year  2015
Journal  Cancer Cell Volume  27
Issue  1 Pages  15-26
PubMed ID  25584892 Mgi Jnum  J:218895
Mgi Id  MGI:5619005 Doi  10.1016/j.ccell.2014.12.001
Citation  McGranahan N, et al. (2015) Biological and therapeutic impact of intratumor heterogeneity in cancer evolution. Cancer Cell 27(1):15-26
abstractText  Precision medicine requires an understanding of cancer genes and mutational processes, as well as an appreciation of the extent to which these are found heterogeneously in cancer cells during tumor evolution. Here, we explore the processes shaping the cancer genome, placing these within the context of tumor evolution and their impact on intratumor heterogeneity and drug development. We review evidence for constraints and contingencies to tumor evolution and highlight the clinical implications of diversity within tumors. We outline the limitations of genome-driven targeted therapies and explore future strategies, including immune and adaptive approaches, to address this therapeutic challenge.
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