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Clonal evolution in cancer

Jesse J. Salk
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The article was published on 2010-01-01 and is currently open access. It has received 817 citations till now. The article focuses on the topics: Somatic evolution in cancer & Cancer.

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Whole-genome and multisector exome sequencing of primary and post-treatment glioblastoma reveals patterns of tumor evolution

TL;DR: This study used whole-genome sequencing and whole-exome sequencing of multiple sectors from primary and paired recurrent GBM tumors to reconstruct the genomic profile of residual, therapy resistant tumor initiating cells and found that genetic alteration of the p53 pathway is a primary molecular event predictive of a high number of subclonal mutations in glioblastoma.
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Extremely high genetic diversity in a single tumor points to prevalence of non-Darwinian cell evolution

TL;DR: A single tumor is evaluated by sequencing or genotyping nearly 300 regions from the tumor and the number of coding region mutations was estimated to be greater than 100 million in this unexceptional tumor, suggesting non-Darwinian evolution should be heeded in cancer treatments even for microscopic tumors.
References
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Metastatic colonization by circulating tumour cells

TL;DR: An improved understanding of the mechanistic determinants of such colonization is needed to better prevent and treat metastatic cancer.
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Clonal evolution in breast cancer revealed by single nucleus genome sequencing

TL;DR: The data show that aneuploid rearrangements occurred early in tumour evolution and remained highly stable as the tumour masses clonally expanded, which has important implications for the diagnosis, therapeutic treatment and evolution of chemoresistance in breast cancer.