Breast cancer intra-tumor heterogeneity Journal Article


Authors: Martelotto, L. G.; Ng, C. K. Y.; Piscuoglio, S.; Weigelt, B.; Reis-Filho, J. S.
Article Title: Breast cancer intra-tumor heterogeneity
Abstract: In recent years it has become clear that cancer cells within a single tumor can display striking morphological, genetic and behavioral variability. Burgeoning genetic, epigenetic and phenomenological data support the existence of intra-tumor genetic heterogeneity in breast cancers; however, its basis is yet to be fully defined. Two of the most widely evoked concepts to explain the origin of heterogeneity within tumors are the cancer stem cell hypothesis and the clonal evolution model. Although the cancer stem cell model appeared to provide an explanation for the variability among the neoplastic cells within a given cancer, advances in massively parallel sequencing have provided several lines of evidence to suggest that intra-tumor genetic heterogeneity likely plays a fundamental role in the phenotypic heterogeneity observed in cancers. Many challenges remain, however, in the interpretation of the next generation sequencing results obtained so far. Here we review the models that explain tumor heterogeneity, the causes of intra-tumor genetic diversity and their impact on our understanding and management of breast cancer, methods to study intra-tumor heterogeneity and the assessment of intra-tumor genetic heterogeneity in the clinic. © 2014 Martelotto et al.; licensee BioMed Central Ltd.
Journal Title: Breast Cancer Research
Volume: 16
Issue: 3
ISSN: 1465-5411
Publisher: Biomed Central Ltd  
Date Published: 2014-05-20
Start Page: 210
Language: English
DOI: 10.1186/bcr3658
PROVIDER: scopus
PMCID: PMC4053234
PUBMED: 25928070
DOI/URL:
Notes: Breast Cancer Res. -- Export Date: 2 June 2014 -- CODEN: BCRRC -- Source: Scopus
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  1. Britta Weigelt
    632 Weigelt
  2. Kiu Yan Charlotte Ng
    155 Ng