Evidence map›Paper›PMID 37409952›Full record

ArticleMolecular cancer research : MCR2023

Updating the Definition of Cancer.

Joel S Brown, Sarah R Amend, Robert H Austin, Robert A Gatenby, Emma U Hammarlund, Kenneth J Pienta

Abstract read
In one paragraph

Article in Molecular cancer research : MCR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 257 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
257citing papers in PubMed, 3 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

257 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
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  7. Article
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  9. Article
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  11. Molecular pathways and emerging therapeutic strategies in advanced thyroid cancer: from targeted therapy to precision oncology.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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  13. Article
  14. Article
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  16. GermlineGenes · 2026
    Article
  17. Review
  18. Review
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  20. Article

197 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

6 authors.

Joel S BrownCancer Biology and Evolution Program, Department of Integrated Mathematical Oncology, Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-0958-9494
Sarah R AmendThe Cancer Ecology Center, The Brady Urological Institute, Johns Hopkins School of Medicine, Baltimore, Maryland.ORCID 0000-0002-5606-1262
Robert H AustinDepartment of Physics, Princeton University, Princeton, New Jersey.ORCID 0000-0002-4269-6793
Robert A GatenbyCancer Biology and Evolution Program, Department of Integrated Mathematical Oncology, Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-1621-1510
Emma U HammarlundTissue Development and Evolution Research Group, Department of Experimental Medical Sciences, Lund University, Lund, Sweden.ORCID 0000-0001-7625-4793
Kenneth J PientaThe Cancer Ecology Center, The Brady Urological Institute, Johns Hopkins School of Medicine, Baltimore, Maryland.ORCID 0000-0002-4138-2186

Funding

TRANSGENIC MODELS FOR PROSTATE CANCER AND AUTOIMMUNITYP50CA058236 · NCI · JOHNS HOPKINS UNIVERSITY · PI NELSON, WILLIAM GEORGE · 1992 to 2020
$43.9M
Tumor microvesicle-mediated modulation of the bone microenvironmentP01CA093900 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KELLER, EVAN T · 2004 to 2024
$29.6M
TRANS_NETWORK PROJECTSU54CA143803 · NCI · PRINCETON UNIVERSITY · PI AUSTIN, ROBERT H. · 2009 to 2013
$14.2M
The Role of Physical Cues in Collective Cell InvasionU54CA210173 · NCI · JOHNS HOPKINS UNIVERSITY · PI WIRTZ, DENIS · 2016 to 2020
$9.9M
Multidiciplinary Integrative Genomic Approach to Distinguish Lethal from Indolent Prostate Cancer in Men of Europena and African AncestryU01CA196390 · NCI · JOHNS HOPKINS UNIVERSITY · PI DE MARZO, ANGELO MICHAEL, PIENTA, KENNETH J. · 2015 to 2020
$5.8M
Eco-evolutionary drivers of clonal dynamics during UV-induced skin carcinogenesis (PQ3)R01CA258089 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI BROWN, JOEL, TSAI, KENNETH Y · 2021 to 2025
$3.1M
NCI NIH HHS 1R01CA258089NCI NIH HHS P01 CA093900NCI NIH HHS P50 CA058236NCI NIH HHS P50CA058236NCI NIH HHS R01 CA258089NCI NIH HHS U01 CA196390NCI NIH HHS U54 CA143803NCI NIH HHS U54 CA210173
6 · The paper itself

Abstract

Most definitions of cancer broadly conform to the current NCI definition: "Cancer is a disease in which some of the body's cells grow uncontrollably and spread to other parts of the body." These definitions tend to describe what cancer "looks like" or "does" but do not describe what cancer "is" or "has become." While reflecting past insights, current definitions have not kept pace with the understanding that the cancer cell is itself transformed and evolving. We propose a revised definition of cancer: Cancer is a disease of uncontrolled proliferation by transformed cells subject to evolution by natural selection. We believe this definition captures the essence of the majority of previous and current definitions. To the simplest definition of cancer as a disease of uncontrolled proliferation of cells, our definition adds in the adjective "transformed" to capture the many tumorigenic processes that cancer cells adopt to metastasize. To the concept of uncontrolled proliferation of transformed cells, our proposed definition then adds "subject to evolution by natural selection." The subject to evolution by natural selection modernizes the definition to include the genetic and epigenetic changes that accumulate within a population of cancer cells that lead to the lethal phenotype. Cancer is a disease of uncontrolled proliferation by transformed cells subject to evolution by natural selection.

Indexed as

NeoplasmsSelection, GeneticHumans

Identifiers

PMID37409952
PMCPMC10618731

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.