reviewCancer Cell InternationalMar 18, 2025GOLD OA

Intratumoral heterogeneity and drug resistance in cancer

Sun Yat-sen University · Third Affiliated Hospital of Sun Yat-sen University · +1 more institution

PubMed
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Abstract

Intratumoral heterogeneity is the main cause of tumor treatment failure, varying across disease sites (spatial heterogeneity) and polyclonal properties of tumors that evolve over time (temporal heterogeneity). As our understanding of intratumoral heterogeneity, the formation of which is mainly related to the genomic instability, epigenetic modifications, plastic gene expression, and different microenvironments, plays a substantial role in drug-resistant as far as tumor metastasis and recurrence. Understanding the role of intratumoral heterogeneity, it becomes clear that a single therapeutic agent or regimen may only be effective for subsets of cells with certain features, but not for others. This necessitates…

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