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Science 1 October 1976:
Vol. 194. no. 4260, pp. 23 - 28
DOI: 10.1126/science.959840

Articles

Science, Vol 194, Issue 4260, 23-28
Copyright © 1976 by American Association for the Advancement of Science


articles

The clonal evolution of tumor cell populations

PC Nowell

It is proposed that most neoplasms arise from a single cell of origin, and tumor progression results from acquired genetic variability within the original clone allowing sequential selection of more aggressive sublines. Tumor cell populations are apparently more genetically unstable than normal cells, perhaps from activation of specific gene loci in the neoplasm, continued presence of carcinogen, or even nutritional deficiencies within the tumor. The acquired genetic insta0ility and associated selection process, most readily recognized cytogenetically, results in advanced human malignancies being highly individual karyotypically and biologically. Hence, each patient's cancer may require individual specific therapy, and even this may be thwarted by emergence of a genetically variant subline resistant to the treatment. More research should be directed toward understanding and controlling the evolutionary process in tumors before it reaches the late stage usually seen in clinical cancer.


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Prognostic Significance of the Metastasis-associated Protein Osteopontin in Human Breast Cancer.
P. S. Rudland, A. Platt-Higgins, M. El-Tanani, S. de Silva Rudland, R. Barraclough, J. H. R. Winstanley, R. Howitt, and C. R. West (2002)
Cancer Res. 62, 3417-3427
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Initiation of Human Astrocytoma by Clonal Evolution of Cells with Progressive Loss of p53 Functions in a Patient with a 283H TP53 Germ-line Mutation: Evidence for a Precursor Lesion.
G. Fulci, N. Ishii, D. Maurici, K. M. Gernert, P. Hainaut, B. Kaur, and E. G. Van Meir (2002)
Cancer Res. 62, 2897-2905
   Abstract »    Full Text »    PDF »



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