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Cited by 324

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

Cellular and genetic diversity in the progression of in situ human breast carcinomas to an invasive phenotype

Open access
Park, So Yeon, Gönen, Mithat, Kim, Hee Jung, Michor, Franziska, Polyak, Kornelia·2010·Journal of Clinical Investigation

Abstract

Intratumor genetic heterogeneity is a key mechanism underlying tumor progression and therapeutic resistance. The prevailing model for explaining intratumor diversity, the clonal evolution model, has recently been challenged by proponents of the cancer stem cell hypothesis. To investigate this issue, we performed combined analyses of markers associated with cellular differentiation states and genotypic alterations in human breast carcinomas and evaluated diversity with ecological and evolutionary methods. Our analyses showed a high degree of genetic heterogeneity both within and between distinct tumor cell populations that were defined based on markers of cellular phenotypes including stem cell-like characteristics. In several tumors, stem cell-like and more-differentiated cancer cell populations were genetically distinct, leading us to question the validity of a simple differentiation hierarchy-based cancer stem cell model. The degree of diversity correlated with clinically relevant breast tumor subtypes and in some tumors was markedly different between the in situ and invasive cell populations. We also found that diversity measures were associated with clinical variables. Our findings highlight the importance of genetic diversity in intratumor heterogeneity and the value of analyzing tumors as distinct populations of cancer cells to more effectively plan treatments.

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Metadata

Authors
Park, S. Y., Gönen, M., Kim, H. J., Michor, F., & Polyak, K.
Venue
Journal of Clinical Investigation
Published
2010-02-01
Volume
120
Issue
2
Pages
636-644
ISSN
0021-9738 (ISSN-L)
OpenAlex
W2160076878
Cited by
324
References
3
FWCI
9.03
Type
journal article
Language
en
Open access
green

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