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Therapy sculpts the complex interplay between cancer and the immune system during tumour evolution.


ABSTRACT: Cancer development is an evolutionary process. A key selection pressure is exerted by therapy, one of the few players in cancer evolution that can be controlled. As such, an understanding of how treatment acts to sculpt the tumour and its microenvironment and how this influences a tumour's subsequent evolutionary trajectory is critical. In this review, we examine cancer evolution and intra-tumour heterogeneity in the context of therapy. We focus on how radiotherapy, chemotherapy and immunotherapy shape both tumour development and the environment in which tumours evolve and how resistance can develop or be selected for during treatment.

SUBMITTER: Thol K 

PROVIDER: S-EPMC9730559 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

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Therapy sculpts the complex interplay between cancer and the immune system during tumour evolution.

Thol Kerstin K   Pawlik Piotr P   McGranahan Nicholas N  

Genome medicine 20221207 1


Cancer development is an evolutionary process. A key selection pressure is exerted by therapy, one of the few players in cancer evolution that can be controlled. As such, an understanding of how treatment acts to sculpt the tumour and its microenvironment and how this influences a tumour's subsequent evolutionary trajectory is critical. In this review, we examine cancer evolution and intra-tumour heterogeneity in the context of therapy. We focus on how radiotherapy, chemotherapy and immunotherap  ...[more]

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