Evidence map›Paper›PMID 40263543›Full record

ReviewNature reviews. Cancer2025

Evolutionary paths towards metastasis.

Kamila Naxerova

Abstract readReview
In one paragraph

Review in Nature reviews. Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. [Evolution of metastases in non-small-cell lung cancer: preliminary results from the TRACERx-PEACE study].Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. A Model for the Diversity Explosion Fundamental to Metastasis.bioRxiv : the preprint server for biology · 2025
    Article
  12. Review
  13. Article
  14. Article
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

1 author.

Kamila NaxerovaDepartment of Genetics, Harvard Medical School, Boston, MA, USA. kamila_naxerova@hms.harvard.edu.ORCID http://orcid.org/0000-0001-7744-5110

Funding

Illuminating the evolutionary history of colorectal cancer metastasis: basic principles and clinical applicationsR37CA225655 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI NAXEROVA, KAMILA · 2018 to 2024
$3.0M
Defining the role of seed and soil in peritoneal metastasis evolutionR01CA279054 · NCI · HARVARD MEDICAL SCHOOL · PI Kamila Naxerova · 2024 to 2026
$2.0M
Towards a complete characterization of the metastasis founder clones in colorectal cancerR01CA269281 · NCI · HARVARD MEDICAL SCHOOL · PI Kamila Naxerova · 2023 to 2026
$1.6M
NCI NIH HHS R01 CA269281NCI NIH HHS R01 CA279054NCI NIH HHS R37 CA225655
6 · The paper itself

Abstract

The evolution of metastasis in humans is considerably less well understood than the biology of early carcinogenesis. For over a century, clinicians and scientists have been debating whether metastatic potential is the intrinsic property of a cancer, pre-determined by the molecular characteristics of the tumour founder cell, or whether metastatic capacity evolves in a stepwise fashion as the tumour grows, akin to the multistage accumulation of oncogenic alterations that give rise to the first cancer cell. In this Perspective, I examine how genetic analyses of primary tumours and matched metastases can distinguish between these two competing metastasis evolution models, with particular emphasis on the utility of metastatic randomness - a quantitative measure that reflects whether metastases arise from a random selection of primary tumour subclones or whether they are enriched for descendants of privileged lineages that have acquired pro-metastatic traits. Probable metastasis evolution trajectories in tumours with high and low baseline metastatic capacity are discussed, along with the role of seeding rates and selection at different metastatic host sites. Finally, I argue that trailblazing insights into human metastasis biology are immediately possible if we make a concerted effort to apply existing experimental and theoretical tools to the right patient cohorts.

Indexed as

Biological EvolutionNeoplasm MetastasisNeoplasmsAnimalsHumans

Identifiers

PMID40263543
PMCPMC13022989

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.