Implications of intratumour heterogeneity for treatment stratification

被引:48
作者
Crockford, Andrew [1 ]
Jamal-Hanjani, Mariam [1 ,2 ]
Hicks, James [3 ]
Swanton, Charles [1 ,2 ]
机构
[1] Canc Res UK London Res Inst, Translat Canc Therapeut Lab, London WC2A 3LY, England
[2] UCL Canc Inst, London WC1E 6BT, England
[3] Cold Spring Harbor Lab, Cold Spring Harbor, NY 11724 USA
关键词
intratumour heterogeneity; patient-derived xenograft models; personalized medicine; CIRCULATING TUMOR-CELLS; HER2 GENE AMPLIFICATION; FACTOR RECEPTOR 2; BREAST-CANCER; LUNG-CANCER; CLONAL EVOLUTION; CHROMOSOMAL INSTABILITY; SOLID TUMORS; IN-VITRO; RESISTANCE;
D O I
10.1002/path.4270
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Despite advances in the diagnosis and treatment of cancer, the majority of advanced metastatic solid tumours remain incurable. Differential gene expression, somatic mutational status, tumour-specific genetic signatures and micro-environmental selection pressures within individual tumours have implications for the success of predictive assays to guide therapeutic intervention. In this review we discuss the evidence for genetic and phenotypic heterogeneity and its potential implications for clinical decision making. We highlight areas of research that could be improved in order to better stratify patient treatment. We also discuss the predictive potential of patient-derived models of tumour response, including xenograft and cell line-based systems within the context of intratumour heterogeneity. Copyright (c) 2013 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.
引用
收藏
页码:264 / 273
页数:10
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