Article ; Online: Integrating mutational and nonmutational mechanisms of acquired therapy resistance within the Darwinian paradigm.
2022 Volume 8, Issue 6, Page(s) 456–466
Abstract: Mutational processes and nongenetic phenotypic state transitions represent distinct paradigms for understanding acquired resistance to targeted therapies. While ample empirical evidence supports both paradigms, they are typically viewed as mutually ... ...
Abstract | Mutational processes and nongenetic phenotypic state transitions represent distinct paradigms for understanding acquired resistance to targeted therapies. While ample empirical evidence supports both paradigms, they are typically viewed as mutually exclusive. However, a growing body of evidence points to the multifactorial nature of resistance, where resistant tumor cell phenotypes integrate the influence of multiple mutational and epigenetic changes. This leads to growing calls for a conceptual framework capable of incorporating the effects of genetic and nongenetic mechanisms. Here, we argue that the original Darwinian paradigm centered on the concept of natural selection, rather than its mutation-centric reinterpretation, might provide the optimal backbone for a much-needed synthesis. |
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MeSH term(s) | Drug Resistance, Neoplasm/genetics ; Epigenesis, Genetic ; Humans ; Mutation ; Neoplasms/drug therapy ; Phenotype ; Selection, Genetic |
Language | English |
Publishing date | 2022-03-17 |
Publishing country | United States |
Document type | Journal Article ; Review ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, N.I.H., Extramural |
ZDB-ID | 2852626-0 |
ISSN | 2405-8025 ; 2405-8033 ; 2405-8033 |
ISSN (online) | 2405-8025 ; 2405-8033 |
ISSN | 2405-8033 |
DOI | 10.1016/j.trecan.2022.02.004 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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