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The Tumor Microenvironment02:17

The Tumor Microenvironment

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Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
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Evolutionary scalpels for dissecting tumor ecosystems.

Daniel I S Rosenbloom1, Pablo G Camara1, Tim Chu1

  • 1Department of Systems Biology, Columbia University College of Physicians and Surgeons, 1130 St. Nicholas Avenue, New York, NY 10032, USA; Department of Biomedical Informatics, Columbia University College of Physicians and Surgeons, 1130 St. Nicholas Avenue, New York, NY 10032, USA.

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Cancer evolution principles explain tumor heterogeneity and treatment resistance. Understanding tumors as ecosystems or organs informs strategies like "hit hard, hit early" for better outcomes.

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Cancer evolutionCombination therapyDrug resistanceGenomicsIntratumor heterogeneityMathematical modeling

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Area of Science:

  • Evolutionary biology
  • Cancer genomics
  • Tumor microenvironment

Background:

  • Intratumor heterogeneity is a key challenge in cancer research.
  • Evolutionary principles are increasingly applied to understand cancer progression.

Purpose of the Study:

  • To review major advances in cancer research through the lens of evolutionary biology.
  • To highlight the impact of evolutionary principles on understanding treatment strategies, drug resistance, and metastasis.
  • To compare two frameworks for understanding tumor heterogeneity: the tumor as a Darwinian ecosystem versus a self-regulating organ.

Main Methods:

  • Review of existing literature on cancer genomics and evolutionary biology.
  • Illustration of how mathematical models inform tumor progression and treatment outcomes.
  • Discussion of computational and technical hurdles in connecting models to genomic data.

Main Results:

  • Two dominant frameworks exist for understanding tumor heterogeneity: ecosystem and organ models.
  • Both frameworks offer insights into treatment strategies, drug resistance, and metastasis.
  • Mathematical models are crucial for understanding tumor dynamics and treatment efficacy.

Conclusions:

  • Evolutionary principles provide a powerful framework for understanding cancer heterogeneity.
  • High-throughput single-cell technologies are crucial for overcoming challenges in integrating models with genomic data.
  • A deeper understanding of tumor evolution can lead to more effective cancer treatment strategies.