Evidence map›Paper›PMID 40983635›Full record

ReviewOncogene2025

Adaptive cancer therapy: can non-genetic factors become its achilles heel?

Gábor Valcz, Robert A Gatenby, Beáta Újvári, Edit I Buzás, Béla Molnár

Abstract readReview
In one paragraph

Review in Oncogene, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Targeting tumor transition windows.Exploration of targeted anti-tumor therapy · 2026
    Review
  9. 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

5 authors.

Gábor ValczHUN-REN-SU Translational Extracellular Vesicle Research Group, Budapest, Hungary. valcz.gabor@semmelweis.hu.ORCID 0000-0002-7109-3529
Robert A GatenbyCancer Biology and Evolution Program, Moffitt Cancer Center, Tampa, FL, USA.ORCID 0000-0002-1621-1510
Beáta ÚjváriSchool of Life and Environmental Sciences, Deakin University, Waurn Ponds, VIC, Australia.ORCID 0000-0003-2391-2988
Edit I BuzásHUN-REN-SU Translational Extracellular Vesicle Research Group, Budapest, Hungary.
Béla MolnárDepartment of Internal Medicine and Oncology, Semmelweis University, Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The recurrence of clinically advanced cancers is an evolutionary consequence of standard-of-care chemotherapies generally administered at maximum tolerated doses to kill as many cancer cells as possible. The inevitable appearance of resistance raises the possibility of shifting treatment goals from complete tumor eradication to long-term disease control. The latter approach is employed by adaptive therapy, which aims to inhibit the evolutionary dynamics governing the spread of resistant tumor phenotypes. Adaptive therapy changes focus from the cancer cells that are responsive to therapy to those that are resistant and ultimately govern outcome. This therapeutic approach retains a pool of sensitive cancer cells to compete with the therapy-resistant ones through dynamic dose modulation and/or timing. Thus, fluctuations of treatment-sensitive cells are used to control the resistant population and prolong tumor control with existing therapy agents. Here, we explore non-genetic mechanisms of resistance, including the protective role of the tumor stroma, the epithelial-to-mesenchymal transition, the overexpression of drug efflux pumps, and the extracellular vesicle-mediated transfer of them. These mechanisms can increase the size of the resistant population at the expense of the sensitive one, reducing the ability of adaptive therapy to force tumor evolution into controllable cycles.

Indexed as

Antineoplastic AgentsDrug Resistance, NeoplasmNeoplasmsAnimalsEpithelial-Mesenchymal TransitionHumansTumor MicroenvironmentAntineoplastic Agents

Identifiers

PMID40983635
PMCPMC12518139

What OpenQuestion holds

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Registered trials

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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.