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Leukemia DOI:10.1038/leu.2013.248

Clonal evolution in hematological malignancies and therapeutic implications.

Publication TypeJournal Article
Year of Publication2013
AuthorsLandau, DA, Carter, SL, Getz, G, Wu, CJ
JournalLeukemia
Date Published2013/08/27
ISSN0887-6924
Abstract

The ability of cancer to evolve and adapt is a principal challenge to therapy in general and to the paradigm of targeted therapy in particular. This ability is fueled by the co-existence of multiple, genetically heterogeneous subpopulations within the cancer cell population. Increasing evidence has supported the idea that these subpopulations are selected in a Darwinian fashion, by which the genetic landscape of the tumor is continuously reshaped. Massively parallel sequencing has enabled a recent surge in our ability to study this process, adding to previous efforts using cytogenetic methods and targeted sequencing. Altogether, these studies reveal the complex evolutionary trajectories occurring across individual hematological malignancies. They also suggest that while clonal evolution may contribute to resistance to therapy, treatment may also hasten the evolutionary process. New insights into this process challenge us to understand the impact of treatment on clonal evolution and inspire the development of novel prognostic and therapeutic strategies.Leukemia advance online publication, 1 October 2013; doi:10.1038/leu.2013.248.

URLhttp://dx.doi.org/10.1038/leu.2013.248
DOI10.1038/leu.2013.248
Pubmed

http://www.ncbi.nlm.nih.gov/pubmed/23979521?dopt=Abstract