Evidence map›Paper›PMID 34459009›Full record

ReviewThe EMBO journal2021

Cancer evolution: Darwin and beyond.

Roberto Vendramin, Kevin Litchfield, Charles Swanton

Open access · hybridAbstract readReview
In one paragraph

Review in The EMBO journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 155 papers.

0numbers the graph read from it
0cells of the map it votes in
155citing papers in PubMed
17.6field-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

155 citing papers in PubMed, 226 citations in OpenAlex.

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  19. Telomere Crisis Shapes Cancer Evolution.Cold Spring Harbor perspectives in biology · 2026
    Review
  20. Article

95 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 1 country.

Roberto VendraminCancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, UK.ORCID 0000-0001-7191-4887
Kevin LitchfieldCancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, UK.
Charles SwantonCancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, UK.
Cancer Research UK · GBThe Francis Crick Institute · GB

Funding

Cancer Research UK 17786Cancer Research UK 20466Cancer Research UK 25253Cancer Research UK 30025Cancer Research UK C11496/A30025Cancer Research UK C69256/A30194Cancer Research UK FC001169Department of HealthMedical Research Council FC001169Medical Research Council MR/V033077/1Wellcome Trust FC001169
6 · The paper itself

Abstract

Clinical and laboratory studies over recent decades have established branched evolution as a feature of cancer. However, while grounded in somatic selection, several lines of evidence suggest a Darwinian model alone is insufficient to fully explain cancer evolution. First, the role of macroevolutionary events in tumour initiation and progression contradicts Darwin's central thesis of gradualism. Whole-genome doubling, chromosomal chromoplexy and chromothripsis represent examples of single catastrophic events which can drive tumour evolution. Second, neutral evolution can play a role in some tumours, indicating that selection is not always driving evolution. Third, increasing appreciation of the role of the ageing soma has led to recent generalised theories of age-dependent carcinogenesis. Here, we review these concepts and others, which collectively argue for a model of cancer evolution which extends beyond Darwin. We also highlight clinical opportunities which can be grasped through targeting cancer vulnerabilities arising from non-Darwinian patterns of evolution.

Indexed as

Cell Transformation, NeoplasticDisease SusceptibilityAnimalsCell PlasticityClonal EvolutionDisease ManagementEvolution, MolecularGenetic HeterogeneityGenetic Predisposition to DiseaseGenomicsHumansNeoplasmsSelection, GeneticTumor Microenvironmentcancercancer evolutioncancer therapytumour heterogeneity

Identifiers

PMID34459009
PMCPMC8441388
OpenAlexW3198548668

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.