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Implications of cancer evolution for drug development

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Tumour evolution, which results in the existence of multiple distinct populations of cancer cells within the same tumour and the same patient, is increasingly appreciated to have a key role in drug resistance. In this article, we discuss the implications for drug development, including approaches to reduce the likelihood of the emergence of drug resistance.

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References

  1. Turajlic, S. & Swanton C. Metastasis as an evolutionary process. Science 352, 169–175 (2016).

    Article  CAS  PubMed  Google Scholar 

  2. McGranahan, N. & Swanton, C. Clonal heterogeneity and tumor evolution: past, present, and the future. Cell 168, 613–628 (2017).

  3. Bozic, I. & Nowak, M. A. Timing and heterogeneity of mutations associated with drug resistance in metastatic cancers. Proc. Natl Acad. Sci. USA 111, 15964–15968 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Anagnostou, V. et al. Evolution of neoantigen landscape during immune checkpoint blockade in non-small cell lung cancer. Cancer Discov. 7, 264–276 (2016).

    Article  PubMed  PubMed Central  Google Scholar 

  5. Zaretsky, J. M. et al. Mutations associated with acquired resistance to PD-1 blockade in melanoma. N. Engl. J. Med. 375, 819–829 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Samra Turajlic or Charles Swanton.

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Turajlic, S., Swanton, C. Implications of cancer evolution for drug development. Nat Rev Drug Discov 16, 441–442 (2017). https://doi.org/10.1038/nrd.2017.78

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