Intratumor and Intertumor Heterogeneity in Melanoma

Melanoma is a cancer that exhibits one of the most aggressive and heterogeneous features. The incidence rate escalates. A high number of clones harboring various mutations contribute to an exceptional level of intratumor heterogeneity of melanoma. It also refers to metastases which may originate fro...

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Main Authors: Tomasz M. Grzywa, Wiktor Paskal, Paweł K. Włodarski
Format: Article
Language:English
Published: Elsevier 2017-12-01
Series:Translational Oncology
Online Access:http://www.sciencedirect.com/science/article/pii/S1936523317302759
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author Tomasz M. Grzywa
Wiktor Paskal
Paweł K. Włodarski
author_facet Tomasz M. Grzywa
Wiktor Paskal
Paweł K. Włodarski
author_sort Tomasz M. Grzywa
collection DOAJ
description Melanoma is a cancer that exhibits one of the most aggressive and heterogeneous features. The incidence rate escalates. A high number of clones harboring various mutations contribute to an exceptional level of intratumor heterogeneity of melanoma. It also refers to metastases which may originate from different subclones of primary lesion. Such component of the neoplasm biology is termed intertumor and intratumor heterogeneity. These levels of tumor heterogeneity hinder accurate diagnosis and effective treatment. The increasing number of research on the topic reflects the need for understanding limitation or failure of contemporary therapies. Majority of analyses concentrate on mutations in cancer-related genes. Novel high-throughput techniques reveal even higher degree of variations within a lesion. Consolidation of theories and researches indicates new routes for treatment options such as targets for immunotherapy. The demand for personalized approach in melanoma treatment requires extensive knowledge on intratumor and intertumor heterogeneity on the level of genome, transcriptome/proteome, and epigenome. Thus, achievements in exploration of melanoma variety are described in details. Particularly, the issue of tumor heterogeneity or homogeneity given BRAF mutations is discussed.
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spelling doaj.art-4a61e55ce30d419487d011dc1f21bdec2022-12-22T02:33:23ZengElsevierTranslational Oncology1936-52331944-71242017-12-0110695697510.1016/j.tranon.2017.09.007Intratumor and Intertumor Heterogeneity in MelanomaTomasz M. GrzywaWiktor PaskalPaweł K. WłodarskiMelanoma is a cancer that exhibits one of the most aggressive and heterogeneous features. The incidence rate escalates. A high number of clones harboring various mutations contribute to an exceptional level of intratumor heterogeneity of melanoma. It also refers to metastases which may originate from different subclones of primary lesion. Such component of the neoplasm biology is termed intertumor and intratumor heterogeneity. These levels of tumor heterogeneity hinder accurate diagnosis and effective treatment. The increasing number of research on the topic reflects the need for understanding limitation or failure of contemporary therapies. Majority of analyses concentrate on mutations in cancer-related genes. Novel high-throughput techniques reveal even higher degree of variations within a lesion. Consolidation of theories and researches indicates new routes for treatment options such as targets for immunotherapy. The demand for personalized approach in melanoma treatment requires extensive knowledge on intratumor and intertumor heterogeneity on the level of genome, transcriptome/proteome, and epigenome. Thus, achievements in exploration of melanoma variety are described in details. Particularly, the issue of tumor heterogeneity or homogeneity given BRAF mutations is discussed.http://www.sciencedirect.com/science/article/pii/S1936523317302759
spellingShingle Tomasz M. Grzywa
Wiktor Paskal
Paweł K. Włodarski
Intratumor and Intertumor Heterogeneity in Melanoma
Translational Oncology
title Intratumor and Intertumor Heterogeneity in Melanoma
title_full Intratumor and Intertumor Heterogeneity in Melanoma
title_fullStr Intratumor and Intertumor Heterogeneity in Melanoma
title_full_unstemmed Intratumor and Intertumor Heterogeneity in Melanoma
title_short Intratumor and Intertumor Heterogeneity in Melanoma
title_sort intratumor and intertumor heterogeneity in melanoma
url http://www.sciencedirect.com/science/article/pii/S1936523317302759
work_keys_str_mv AT tomaszmgrzywa intratumorandintertumorheterogeneityinmelanoma
AT wiktorpaskal intratumorandintertumorheterogeneityinmelanoma
AT pawełkwłodarski intratumorandintertumorheterogeneityinmelanoma