首页|Functional lineage tracing to study the clonal evolution of therapy resistance

Functional lineage tracing to study the clonal evolution of therapy resistance

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Despite many significant advances in cancer therapies, resistance still remains a critical problem preventing durable responses and complete cures. While it is important to dissect the molecular mechanisms of therapy resistance, understanding how resistance evolves can unveil additional therapeutic opportunities. A key question is if resistance is pre-existing in a rare sub-fraction of cancer cell clones or obtained by some cancer cell clones only upon treatment. This knowledge could dictate which therapeutic strategy to pursue: specifically targeting the pre-existing relevant subfraction with a second drug in a combination treatment or targeting the relevant mechanism that allows adaptation to the primary treatment. To assess if a resistant clone was inherently resistant or adapted under treatment, the treatment-naive condition needs to be investigated. However, these clones can be particularly rare, and finding them in a complex cancer cell population is challenging. Classical sequencing approaches lack the necessary resolution, and conventional DNA barcoding experiments only allow indirect conclusions.

Christian Umkehrer

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Cancer Cell Signaling, Boehringer-Ingelheim RCV GmbH & Co KG, Vienna, Austria.

2022

Nature reviews Cancer

Nature reviews Cancer

ISSN:1471-175X
年,卷(期):2022.22(6)