Evidence map›Paper›PMID 33033407›Full record

ReviewNature reviews. Cancer2020

Non-genetic mechanisms of therapeutic resistance in cancer.

Jean-Christophe Marine, Sarah-Jane Dawson, Mark A Dawson

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 400 papers.

0numbers the graph read from it
0cells of the map it votes in
400citing papers in PubMed
24.6field-weighted citation impact, top 1% of its field
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

400 citing papers in PubMed, 572 citations in OpenAlex.

  1. Article
  2. Review
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  5. Review
  6. Cell plasticity in cancer and therapy resistance.Experimental & molecular medicine · 2026
    Review
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  8. Article
  9. Article
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  14. Review
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  16. Chemical Biology 2025: Highlights From the Ch/Bi145 Course at Caltech.Chembiochem : a European journal of chemical biology · 2026
    Review
  17. Article
  18. Article
  19. Review
  20. Review

340 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

3 authors at 2 institutions in 2 countries.

Jean-Christophe MarineLaboratory for Molecular Cancer Biology, VIB Center for Cancer Biology, KU Leuven, Leuven, Belgium. jeanchristophe.marine@kuleuven.vib.be.
Sarah-Jane DawsonPeter MacCallum Cancer Centre, Melbourne, VIC, Australia. sarah-jane.dawson@petermac.org.
Mark A DawsonPeter MacCallum Cancer Centre, Melbourne, VIC, Australia. mark.dawson@petermac.org.ORCID http://orcid.org/0000-0002-5464-5029
The University of Melbourne · AUVIB-KU Leuven Center for Cancer Biology · BE

Funding

Howard Hughes Medical Institute
6 · The paper itself

Abstract

Therapeutic resistance continues to be an indominable foe in our ambition for curative cancer treatment. Recent insights into the molecular determinants of acquired treatment resistance in the clinical and experimental setting have challenged the widely held view of sequential genetic evolution as the primary cause of resistance and brought into sharp focus a range of non-genetic adaptive mechanisms. Notably, the genetic landscape of the tumour and the non-genetic mechanisms used to escape therapy are frequently linked. Remarkably, whereas some oncogenic mutations allow the cancer cells to rapidly adapt their transcriptional and/or metabolic programme to meet and survive the therapeutic pressure, other oncogenic drivers convey an inherent cellular plasticity to the cancer cell enabling lineage switching and/or the evasion of anticancer immunosurveillance. The prevalence and diverse array of non-genetic resistance mechanisms pose a new challenge to the field that requires innovative strategies to monitor and counteract these adaptive processes. In this Perspective we discuss the key principles of non-genetic therapy resistance in cancer. We provide a perspective on the emerging data from clinical studies and sophisticated cancer models that have studied various non-genetic resistance pathways and highlight promising therapeutic avenues that may be used to negate and/or counteract the non-genetic adaptive pathways.

Indexed as

AnimalsCell LineageCell PlasticityDrug Resistance, NeoplasmHumansNeoplasm, ResidualNeoplasmsTumor Escape

Identifiers

PMID33033407
OpenAlexW3092607059

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.