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Tracking genomic cancer evolution for precision medicine: the lung TRACERx study.


ABSTRACT: The importance of intratumour genetic and functional heterogeneity is increasingly recognised as a driver of cancer progression and survival outcome. Understanding how tumour clonal heterogeneity impacts upon therapeutic outcome, however, is still an area of unmet clinical and scientific need. TRACERx (TRAcking non-small cell lung Cancer Evolution through therapy [Rx]), a prospective study of patients with primary non-small cell lung cancer (NSCLC), aims to define the evolutionary trajectories of lung cancer in both space and time through multiregion and longitudinal tumour sampling and genetic analysis. By following cancers from diagnosis to relapse, tracking the evolutionary trajectories of tumours in relation to therapeutic interventions, and determining the impact of clonal heterogeneity on clinical outcomes, TRACERx may help to identify novel therapeutic targets for NSCLC and may also serve as a model applicable to other cancer types.

SUBMITTER: Jamal-Hanjani M 

PROVIDER: S-EPMC4086714 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature

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Tracking genomic cancer evolution for precision medicine: the lung TRACERx study.

Jamal-Hanjani Mariam M   Hackshaw Alan A   Ngai Yenting Y   Shaw Jacqueline J   Dive Caroline C   Quezada Sergio S   Middleton Gary G   de Bruin Elza E   Le Quesne John J   Shafi Seema S   Falzon Mary M   Horswell Stuart S   Blackhall Fiona F   Khan Iftekhar I   Janes Sam S   Nicolson Marianne M   Lawrence David D   Forster Martin M   Fennell Dean D   Lee Siow-Ming SM   Lester Jason J   Kerr Keith K   Muller Salli S   Iles Natasha N   Smith Sean S   Murugaesu Nirupa N   Mitter Richard R   Salm Max M   Stuart Aengus A   Matthews Nik N   Adams Haydn H   Ahmad Tanya T   Attanoos Richard R   Bennett Jonathan J   Birkbak Nicolai Juul NJ   Booton Richard R   Brady Ged G   Buchan Keith K   Capitano Arrigo A   Chetty Mahendran M   Cobbold Mark M   Crosbie Philip P   Davies Helen H   Denison Alan A   Djearman Madhav M   Goldman Jacki J   Haswell Tom T   Joseph Leena L   Kornaszewska Malgorzata M   Krebs Matthew M   Langman Gerald G   MacKenzie Mairead M   Millar Joy J   Morgan Bruno B   Naidu Babu B   Nonaka Daisuke D   Peggs Karl K   Pritchard Catrin C   Remmen Hardy H   Rowan Andrew A   Shah Rajesh R   Smith Elaine E   Summers Yvonne Y   Taylor Magali M   Veeriah Selvaraju S   Waller David D   Wilcox Ben B   Wilcox Maggie M   Woolhouse Ian I   McGranahan Nicholas N   Swanton Charles C  

PLoS biology 20140708 7


The importance of intratumour genetic and functional heterogeneity is increasingly recognised as a driver of cancer progression and survival outcome. Understanding how tumour clonal heterogeneity impacts upon therapeutic outcome, however, is still an area of unmet clinical and scientific need. TRACERx (TRAcking non-small cell lung Cancer Evolution through therapy [Rx]), a prospective study of patients with primary non-small cell lung cancer (NSCLC), aims to define the evolutionary trajectories o  ...[more]

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