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Publication : Breast Tumor Heterogeneity: Source of Fitness, Hurdle for Therapy.

First Author  Koren S Year  2015
Journal  Mol Cell Volume  60
Issue  4 Pages  537-46
PubMed ID  26590713 Mgi Jnum  J:229387
Mgi Id  MGI:5751917 Doi  10.1016/j.molcel.2015.10.031
Citation  Koren S, et al. (2015) Breast Tumor Heterogeneity: Source of Fitness, Hurdle for Therapy. Mol Cell 60(4):537-46
abstractText  Tumor heterogeneity impinges on prognosis, response to therapy, and metastasis. As such, heterogeneity is one of the most important and clinically relevant areas of cancer research. Breast cancer displays frequent intra- and inter-tumor heterogeneity as the result of genetic and non-genetic alterations that often enhance the vigor of cancer cells. In-depth characterization and understanding of the origin of this phenotypic and molecular diversity is paramount to improving diagnosis, the definition of prognostic and predictive biomarkers, and the design of therapeutic strategies. Here, we summarize current knowledge about sources of breast cancer heterogeneity, its consequences, and possible counter-measures. We discuss especially the impact on tumor heterogeneity of the differentiation state of the cell-of-origin, cancer cell plasticity, the microenvironment, and genetic evolution. Factors that enhance cancer cell vigor are clearly detrimental for patients.
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