Home > Publications database > Divergent clonal selection dominates medulloblastoma at recurrence. > print |
001 | 130199 | ||
005 | 20240228143415.0 | ||
024 | 7 | _ | |a 10.1038/nature16478 |2 doi |
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024 | 7 | _ | |a 1476-4687 |2 ISSN |
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100 | 1 | _ | |a Morrissy, A Sorana |b 0 |
245 | _ | _ | |a Divergent clonal selection dominates medulloblastoma at recurrence. |
260 | _ | _ | |a London [u.a.] |c 2016 |b Nature Publ. Group |
336 | 7 | _ | |a article |2 DRIVER |
336 | 7 | _ | |a Output Types/Journal article |2 DataCite |
336 | 7 | _ | |a Journal Article |b journal |m journal |0 PUB:(DE-HGF)16 |s 1522134266_24184 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a ARTICLE |2 BibTeX |
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336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
520 | _ | _ | |a The development of targeted anti-cancer therapies through the study of cancer genomes is intended to increase survival rates and decrease treatment-related toxicity. We treated a transposon-driven, functional genomic mouse model of medulloblastoma with 'humanized' in vivo therapy (microneurosurgical tumour resection followed by multi-fractionated, image-guided radiotherapy). Genetic events in recurrent murine medulloblastoma exhibit a very poor overlap with those in matched murine diagnostic samples (<5%). Whole-genome sequencing of 33 pairs of human diagnostic and post-therapy medulloblastomas demonstrated substantial genetic divergence of the dominant clone after therapy (<12% diagnostic events were retained at recurrence). In both mice and humans, the dominant clone at recurrence arose through clonal selection of a pre-existing minor clone present at diagnosis. Targeted therapy is unlikely to be effective in the absence of the target, therefore our results offer a simple, proximal, and remediable explanation for the failure of prior clinical trials of targeted therapy. |
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773 | _ | _ | |a 10.1038/nature16478 |g Vol. 529, no. 7586, p. 351 - 357 |0 PERI:(DE-600)1413423-8 |n 7586 |p 351 - 357 |t Nature |v 529 |y 2016 |x 1476-4687 |
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