Evidence map›Paper›PMID 26056363›Full record

ReviewPhilosophical transactions of the Royal Society of London. Series B, Biological sciences2015

Cancer across the tree of life: cooperation and cheating in multicellularity.

C Athena Aktipis, Amy M Boddy, Gunther Jansen, Urszula Hibner, Michael E Hochberg, Carlo C Maley, Gerald S Wilkinson

Abstract readReview
In one paragraph

Review in Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 200 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
200citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

200 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. From the Selfish Gene to the "We": Cooperation Often Needs Suppressors.BioEssays : news and reviews in molecular, cellular and developmental biology · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Cancer, collapse, and the politics of somatic evolution.Evolution, medicine, and public health · 2026
    Review
  19. Article
  20. Article

140 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

C Athena AktipisCenter for Evolution and Cancer, University of California San Francisco, San Francisco, CA 94143, USA Department of Psychology, Arizona State University, Tempe, AZ 85287-4501, USA Centre for Evolution and Cancer, Institute for Cancer Research, 123 Old Brompton Road, London SW7 3RP, UK Institute for Advanced Study, Wissenschaftskolleg zu Berlin, Berlin, Germany aktipis@asu.edu.
Amy M BoddyCenter for Evolution and Cancer, University of California San Francisco, San Francisco, CA 94143, USA Department of Psychology, Arizona State University, Tempe, AZ 85287-4501, USA Institute for Advanced Study, Wissenschaftskolleg zu Berlin, Berlin, Germany.
Gunther JansenDepartment of Evolutionary Ecology and Genetics, University of Kiel, Am Botanischen Garten 1-9, 24118 Kiel, Germany Institute for Advanced Study, Wissenschaftskolleg zu Berlin, Berlin, Germany.
Urszula HibnerCNRS, UMR 5535, Institut de Génétique Moléculaire de Montpellier, Université de Montpellier, Montpellier, France Institute for Advanced Study, Wissenschaftskolleg zu Berlin, Berlin, Germany.
Michael E HochbergInstitut des Sciences de l'Evolution, CNRS UMR5554, Université Montpellier, 34095 Montpellier, France Santa Fe Institute, 1399 Hyde Park Road, Santa Fe, NM 87501, USA Institute for Advanced Study, Wissenschaftskolleg zu Berlin, Berlin, Germany.
Carlo C MaleyCenter for Evolution and Cancer, University of California San Francisco, San Francisco, CA 94143, USA Centre for Evolution and Cancer, Institute for Cancer Research, 123 Old Brompton Road, London SW7 3RP, UK Biodesign Institute, School of Life Sciences, Arizona State University, PO Box 8724501, Tempe, AZ 85287-4501, USA Institute for Advanced Study, Wissenschaftskolleg zu Berlin, Berlin, Germany.
Gerald S WilkinsonDepartment of Biology, University of Maryland, College Park, MD 20742, USA Institute for Advanced Study, Wissenschaftskolleg zu Berlin, Berlin, Germany.

Funding

PHYLOGENIES of Barrett's Esophagus LineagesP01CA091955 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI GRADY, WILLIAM MALLORY · 2002 to 2019
$35.9M
Modeling Neoplastic Progression in Barrett's Esophagus - Renewal -2R01CA140657 · NCI · WISTAR INSTITUTE · PI Carlo Maley · 2009 to 2026
$5.0M
Stem Cells, Differentiation and Therapeutic Resistance in AMLR01CA149566 · NCI · UNIVERSITY OF PENNSYLVANIA · PI CARROLL, MARTIN · 2011 to 2015
$3.0M
Application of Evolutionary Principles to Maintain Cancer Control (PQ21)R01CA170595 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI GATENBY, ROBERT A · 2012 to 2015
$2.1M
(PQC3) Genomic Diversity and Microenvironment as Drivers of Metastasis in DCISR01CA185138 · NCI · DUKE UNIVERSITY · PI HWANG, E.SHELLEY, MALEY, CARLO · 2014 to 2017
$2.0M
NCI NIH HHS BC132057NCI NIH HHS P01 CA091955NCI NIH HHS P01 CA91955NCI NIH HHS R01 CA140657NCI NIH HHS R01 CA149566NCI NIH HHS R01 CA170595NCI NIH HHS R01 CA185138
6 · The paper itself

Abstract

Multicellularity is characterized by cooperation among cells for the development, maintenance and reproduction of the multicellular organism. Cancer can be viewed as cheating within this cooperative multicellular system. Complex multicellularity, and the cooperation underlying it, has evolved independently multiple times. We review the existing literature on cancer and cancer-like phenomena across life, not only focusing on complex multicellularity but also reviewing cancer-like phenomena across the tree of life more broadly. We find that cancer is characterized by a breakdown of the central features of cooperation that characterize multicellularity, including cheating in proliferation inhibition, cell death, division of labour, resource allocation and extracellular environment maintenance (which we term the five foundations of multicellularity). Cheating on division of labour, exhibited by a lack of differentiation and disorganized cell masses, has been observed in all forms of multicellularity. This suggests that deregulation of differentiation is a fundamental and universal aspect of carcinogenesis that may be underappreciated in cancer biology. Understanding cancer as a breakdown of multicellular cooperation provides novel insights into cancer hallmarks and suggests a set of assays and biomarkers that can be applied across species and characterize the fundamental requirements for generating a cancer.

Indexed as

AnimalsApoptosisCell CommunicationCell DifferentiationCell ProliferationHumansModels, BiologicalNeoplasmsPhylogenyTumor Microenvironmentcancer hallmarkscomplex multicellularitydivision of labourmajor transitionsmicroenvironmentresource allocation

Identifiers

PMID26056363
PMCPMC4581024

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.