ПЕРСПЕКТИВЫ ПРИМЕНЕНИЯ МЕТОДОВ ЭВОЛЮЦИОННОЙ БИОЛОГИИ В ОНКОЛОГИИ
PDF

Ключевые слова

эволюционная медицина
эволюционная онкология

Аннотация

Онкологические заболевания занимают второе место в статистике смертности от неинфекционных заболеваний в России и мире. Эволюционная медицина – относительно новая область знаний на стыке эволюционной биологии, генетики человека и медицины, которая использует методы эволюционной биологии для изучения природы патологических процессов в организме человека. Перспективы применения эволюционного подхода в онкологии связаны с изучением патогенеза онкологических заболеваний, причин их появления в процессе эволюции, а также закономерностей, лежащих в основе процессов патоморфоза и формирования демографических различий в клинических проявлениях онкологических заболеваний. Одним из перспективных направлений исследований в области эволюционной медицины является изучение клональной эволюции опухолей, что может быть использовано для выявления закономерностей развития отдельных типов злокачественных новообразований. Результаты подобных исследований могут использоваться в качестве основы для разработки методов ранней диагностики, более эффективных методов лечения и профилактики онкологических заболеваний. Данная статья дает представление об эволюционной онкологии, как новой биомедицинской области знаний.

https://doi.org/10.31857/S0044452922020073
PDF

Литература

(2020) World health statistics 2020: monitoring health for the SDGs, sustainable development goals. World health organization, Geneva.

Под редакцией Каприна АД, Старинского ВВ , Шахзадовойина АО (2020) Злокачественные новообразования в России в 2019 году (заболеваемость и смертность). МНИОИ им. П.А. Герцена - филиал ФГБУ “НМИЦ радиологии” Минздрава России, Москва [Under edition of AD Kaprin, VV Starinsky, AO Shakhzadovoyin (2020) Malignant neoplasms in Russia in 2019. P.A. Hertsen Moscow oncology research institute - branch of FSBI “National Medical Research Radiological Center” of the Ministry of Health of the Russian Federation, Moscow. (in Russ)].

(2018) Global health estimates 2016: deaths by cause, age, sex, by country and by region, 2000-2016. World health organisation, Geneva.

Grunspan DZ, Nesse RM, Barnes ME, Brownell SE (2018) Core principles of evolutionary medicine: A Delphi study. Evolution, Medicine and Public Health 2018:13–23. https://doi.org/10.1093/emph/eox025

Williams GC (1957) Pleiotropy, Natural Selection, and the Evolution of Senescence. Evolution 11:398–411.

Williams GC, Nesse RM (1991) The dawn of Darwinian medicine. Quarterly Review of Biology 66:1–22. https://doi.org/10.1086/417048

Ewald PW (1980) Evolutionary biology and the treatment of signs and symptoms of infectious disease. Journal of Theoretical Biology 86:169–176 . https://doi.org/10.1016/0022-5193(80)90073-9

Laland K, Uller T, Feldman M, Sterelny K, Müller GB, Moczek A, Jablonka E, Odling-Smee J, Wray GA, Hoekstra HE, Futuyma DJ, Lenski RE, Mackay TFC, Schluter D, Strassmann JE (2014) Does evolutionary theory need a rethink? Nature 514:161–164. https://doi.org/10.1038/514161a

Wells JCK, Nesse RM, Sear R, Johnstone RA, Stearns SC (2017) Evolutionary public health: introducing the concept. The Lancet 390:500–509. https://doi.org/10.1016/S0140-6736(17)30572-X

Gehrke AR, Srivastava M (2016) Neoblasts and the evolution of whole-body regeneration. Current Opinion in Genetics and Development 40:131–137. https://doi.org/10.1016/j.gde.2016.07.009

Albuquerque TAF, Drummond do Val L, Doherty A, de Magalhães JP (2018) From humans to hydra: patterns of cancer across the tree of life. Biological Reviews 93:1715–1734. https://doi.org/10.1111/brv.12415

Williams AB, Schumacher B (2016) p53 in the DNA-damage-repair process. Cold Spring Harbor Perspectives in Medicine 6:1–15. https://doi.org/10.1101/cshperspect.a026070

Knight T, Luedtke D, Edwards H, Taub JW, Ge Y (2019) A delicate balance – The BCL-2 family and its role in apoptosis, oncogenesis, and cancer therapeutics. Biochemical Pharmacology 162:250–261. https://doi.org/10.1016/j.bcp.2019.01.015

Motofei IG (2018) Biology of Cancer; From Cellular Cancerogenesis to Supracellular Evolution of Malignant Phenotype. Cancer Investigation 36:309–317. https://doi.org/10.1080/07357907.2018.1477955

Harashima H, Dissmeyer N, Schnittger A (2013) Cell cycle control across the eukaryotic kingdom. Trends in Cell Biology 23:345–356. https://doi.org/10.1016/j.tcb.2013.03.002

George OL, Ness SA (2014) Situational awareness: Regulation of the myb transcription factor in differentiation, The cell cycle and oncogenesis. Cancers 6:2049–2071. https://doi.org/10.3390/cancers6042049

Li W, Zhang M, Huang C, Meng J, Yin X, Sun G (2019) Genetic variants of DNA repair pathway genes on lung cancer risk. Pathology Research and Practice 215:152548 . https://doi.org/10.1016/j.prp.2019.152548

Reinhardt HC, Schumacher B (2012) The p53 network: Cellular and systemic DNA damage responses in aging and cancer. Trends in Genetics 28:128–136. https://doi.org/10.1016/j.tig.2011.12.002

Kaina B (2020) A genome-wide screening for DNA repair genes: much more players than hitherto known. Signal Transduction and Targeted Therapy 5:1–2. https://doi.org/10.1038/s41392-020-00314-4

Berger MF, Mardis ER (2018) The emerging clinical relevance of genomics in cancer medicine. Nature Reviews Clinical Oncology 15:353–365. https://doi.org/10.1038/s41571-018-0002-6

Caulin AF, Maley CC (2011) Peto’s Paradox: Evolution’s Prescription for Cancer Prevention Aleah. Trends Ecol Evol 26:175–182. https://doi.org/10.1016/j.tree.2011.01.002

Noble R, Kaltz O, Hochberg ME (2015) Peto’s paradox and human cancers. Philosophical Transactions of the Royal Society B: Biological Sciences 370. https://doi.org/10.1098/rstb.2015.0104

Alföldi J, Lindblad-Toh K (2013) Comparative genomics as a tool to understand evolution and disease. Genome Research 23:1063–1068. https://doi.org/10.1101/gr.157503.113

Gluckman P., Beedle A., Buklijas T., Low F. HM (2016) Principles of evolutionary medicine, 2nd ed. Oxford University Press.

Манских ВН (2004) Очерки эволюционной онкологии. СибГМУ, Томск [Manskikh VN (2004) Studies in evolutionary oncology. SibSMU, Tomsk. (in Russ)].

Tollis M, Schiffman JD, Boddy AM (2017) Evolution of cancer suppression as revealed by mammalian comparative genomics. Current Opinion in Genetics and Development 42:40–47 . https://doi.org/10.1016/j.gde.2016.12.004

Seluanov A, Ribeiro AACM (2009) That Differ in Size and Lifespan. Aging 7:813–823 . https://doi.org/10.1111/j.1474-9726.2008.00431.x

Seluanov A, Gladyshev VN, Vijg J, Gorbunova V (2018) Mechanisms of cancer resistance in long-lived mammals. Nature Reviews Cancer 18:433–441. https://doi.org/10.1038/s41568-018-0004-9

Манских ВН (2008) Гипотеза: фагоцитоз аберрантных клеток защищает долгоживущие виды позвоночных от опухолей. Успехи геронтологии 21:27–33 [Manskikh VN (2008) Hypothesis: phagocytosis of aberrant cells protects long-life vertebrate species from cancer. Advances in Gerontology 21:27–33. (in Russ)].

Sulak M, Fong L, Mika K, Chigurupati S, Yon L, Mongan NP, Emes RD, Lynch VJ (2016) TP53 copy number expansion is associated with the evolution of increased body size and an enhanced DNA damage response in elephants. eLife 5:1–30. https://doi.org/10.7554/eLife.11994

Abegglen LM, Caulin AF, Chan A, Lee K, Robinson R, Campbell MS, Kiso WK, Schmitt DL, Waddell PJ, Bhaskara S, Jensen ST, Maley CC, Schiffman JD (2015) Potential mechanisms for cancer resistance in elephants and comparative cellular response to DNA Damage in Humans. JAMA - Journal of the American Medical Association 314:1850–1860. https://doi.org/10.1001/jama.2015.13134

Delaney MA, Ward JM, Walsh TF, Chinnadurai SK, Kerns K, Kinsel MJ, Treuting PM (2016) Initial Case Reports of Cancer in Naked Mole-rats (Heterocephalus glaber). Veterinary Pathology 53:691–696. https://doi.org/10.1177/0300985816630796

Tian X, Doerig K, Park R, Can Ran Qin A, Hwang C, Neary A, Gilbert M, Seluanov A, Gorbunova V (2018) Evolution of telomere maintenance and tumour suppressor mechanisms across mammals. Philosophical Transactions of the Royal Society B: Biological Sciences 373. https://doi.org/10.1098/rstb.2016.0443

Tomasetti C, Vogelstein B (2015) Variation in cancer risk among tissues can be explained by the number of stem cell divisions. Science 347:78–81

Maciak S, Michalak P (2015) Cell size and cancer: A new solution to Peto’s paradox? Evolutionary Applications 8:2–8. https://doi.org/10.1111/eva.12228

Tian X, Azpurua J, Hine C, Vaidya A, Myakishev-Rempel M, Ablaeva J, Mao Z, Nevo E, Gorbunova V, Seluanov A (2013) High-molecular-mass hyaluronan mediates the cancer resistance of the naked mole rat. Nature 499:346–349. https://doi.org/10.1038/nature12234

Zhang G, Cowled C, Shi Z, Huang Z, Bishop-Lilly K, Fang X, Wynne JW, Xiong Z, Baker ML, Zhao W, Tachedjian M, Zhu Y, Zhou P, Jiang X, Ng J, Yang L, Wu L, Xiao J, Feng Y, Chen Y, Sun X, Zhang Y, Marsh G a, Crameri G, Broder CC, Frey KG, Wang L-F, Wang J (2013) Comparative Analysis of Bat Genomes. Science 339:456–460

Nesse RM, Ganten D, Gregory TR, Omenn GS (2012) Evolutionary foundations for molecular medicine. J Mol Med (Berl) 90:509–522. https://doi.org/10.1007/s00109-012-0889-9.

Kozina E v., Kozina Y v., Gololobov VT, Kokh IA (2014) Uveal Melanoma: Basic Epidemiological Aspects and Risk Factors. Siberian Medical Review 57–64 . https://doi.org/10.20333/25000136-2014-4-57-64

Voskarides K, Dweep H, Chrysostomou C (2019) Erratum: Correction to: Evidence that DNA repair genes, a family of tumor suppressor genes, are associated with evolution rate and size of genomes (Human genomics (2019) 13 1 (26)). Human genomics 13:29. https://doi.org/10.1186/s40246-019-0214-6

(2020) Global health estimates 2019: Life expectancy and healthy life expectancy. World health organisation, Geneva.

Saniotis A, Henneberg M (2011) Medicine could be constructing human bodies in the future. Medical Hypotheses 77:560–564. https://doi.org/10.1016/j.mehy.2011.06.031

Rozhok AI, DeGregori J (2016) The Evolution of Lifespan and Age-Dependent Cancer Risk. Trends in Cancer 2:552–560. https://doi.org/10.1016/j.trecan.2016.09.004

Dolgova O (2021) Evolutionary Medicine. eLS 2: 1–8. https://doi.org/10.1002/9780470015902.a0028794

Thomas F, Nesse RM, Gatenby R, Gidoin C, Renaud F, Roche B, Ujvari B (2016) Evolutionary Ecology of Organs: A Missing Link in Cancer Development? Trends in Cancer 2:409–415. https://doi.org/10.1016/j.trecan.2016.06.009

Greaves M (2018) A causal mechanism for childhood acute lymphoblastic leukaemia. Nature Reviews Cancer 18:471–484. https://doi.org/10.1038/s41568-018-0015-6

O'Neill CH, Scoggins CR (2019) Melanoma. Journal of surgical oncology 120: 873-881. https://doi.org/10.1002/jso.25604

Jablonski NG, Chaplin G (2010) Human skin pigmentation as an adaptation to UV radiation. Proceedings of the National Academy of Sciences of the United States of America 107:8962–8968. https://doi.org/10.1073/pnas.0914628107

Aktipis CA, Ellis BJ, Nishimura KK, Hiatt RA (2015) Modern reproductive patterns associated with estrogen receptor positive but not negative breast cancer susceptibility. Evolution, Medicine and Public Health 2015:52–74. https://doi.org/10.1093/emph/eou028

Boddy AM, Harrison TM, Abegglen LM (2020) Comparative Oncology: New Insights into an Ancient Disease. iScience 23: 1–14. https://doi.org/10.1016/j.isci.2020.101373

Campisi J (2013) Aging, cellular senescence, and cancer. Annual Review of Physiology 75:685–705. https://doi.org/10.1146/annurev-physiol-030212-183653

Zhu J, Wang F, Shi L, Cai H., Zheng Y (2020) Accelerated aging in breast cancer survivors and its association with mortality and cancer recurrence. Breast Cancer Res Treat 180:449–459. https://doi.org/10.1007/s10549-020-05541-5.

Barzaman K, Karami J, Zarei Z, Hosseinzadeh A, Kazemi MH, Moradi-Kalbolandi S, Safari E, Farahmand L (2020) Breast cancer: Biology, biomarkers, and treatments. International Immunopharmacology 84: 106535. https://doi.org/10.1016/j.intimp.2020.106535

Smith KR, Hanson HA, Hollingshaus MS (2013) BRCA1 and BRCA2 mutations and female fertility. Current Opinion in Obstetrics and Gynecology 25:207–213. https://doi.org/10.1097/GCO.0b013e32835f1731

Ferri C, Sebastiani M, lo Monaco A, Iudici M, Giuggioli D, Furini F, Manfredi A, Cuomo G, Spinella A, Colaci M, Govoni M, Valentini G (2014) Systemic sclerosis evolution of disease pathomorphosis and survival. Our experience on Italian patients’ population and review of the literature. Autoimmunity Reviews 13:1026–1034. https://doi.org/10.1016/j.autrev.2014.08.029

Prick J, de Haan G, Green AR, Kent DG (2014) Clonal heterogeneity as a driver of disease variability in the evolution of myeloproliferative neoplasms. Experimental Hematology 42:841–851. https://doi.org/10.1016/j.exphem.2014.07.268

Bazalytska S v., Persidsky Y, Romanenko AM (2019) Molecular mechanisms of initiation of carcinogenesis in the testis. Experimental Oncology 41:224–234. https://doi.org/10.32471/exp-oncology.2312-8852.vol-41-no-3.13527

van den Bulk J, Verdegaal EME, de Miranda NFCC (2018) Cancer immunotherapy: broadening the scope of targetable tumours. Open Biology 8:1–10. https://doi.org/10.1098/rsob.180037

Rivas-Rodríguez E, Amezcua L (2018) Ethnic Considerations and Multiple Sclerosis Disease Variability in the United States. Neurologic Clinics 36:151–162. https://doi.org/10.1016/j.ncl.2017.08.007

Butaney M, Satkunasivam R, Goldberg H, Freedland SJ, Patel SP, Hamid O, Pal SK, Klaassen Z, Wallis CJD (2020) Analysis of Heterogeneity in Survival Benefit of Immunotherapy in Oncology According to Patient Demographics and Performance Status: A Systematic Review and Meta-Analysis of Overall Survival Data. American Journal of Clinical Oncology: Cancer Clinical Trials 43:193–202. https://doi.org/10.1097/COC.0000000000000650

Langer-Gould A, Brara SM, Beaber BE, Zhang JL (2014) The incidence of clinically isolated syndrome in a multi-ethnic cohort. Journal of Neurology 261:1349–1355. https://doi.org/10.1007/s00415-014-7349-0

Williams AN, Veth P, Steffen W, Ulm S, Turney CSM, Reeves JM, Phipps SJ, Smith M (2015) A continental narrative: Human settlement patterns and Australian climate change over the last 35,000 years. Quaternary Science Reviews 123:91–112. https://doi.org/10.1016/j.quascirev.2015.06.018

Keinan A, Clark AG (2012) Recent explosive human population growth has resulted in an excess of rare genetic variants. Science 336:740–743. https://doi.org/10.1126/science.1217283

Jobling MA, Hurles M, Tyler-Smith C (2004) Human Evolutionary Genetics Origins, Peoples and Disease, 1st ed. Garland Science, London.

Под ред. ВА Степанова. (2014) Генетика человека и патология. Проблемы эволюционной медицины: сборник научных трудов. Печатная мануфактура, Томск [Under edition of VA Stepanov (2014) Human genetics and pathology. Problems of evolutionary medicine: collection of works. Printing manufacture, Tomsk. (in Russ)].

Wang X, Byars SG, Stearns SC (2013) Genetic links between post-reproductive lifespan and family size in Framingham. Evolution, Medicine, and Public Health 241–253. https://doi.org/10.1093/emph/eot013

Yeo TP (2015) Demographics, epidemiology, and inheritance of pancreatic ductal adenocarcinoma. Seminars in Oncology 42:8–18. https://doi.org/10.1053/j.seminoncol.2014.12.002

Зуков РА, (2013) Эпидемиологические особенности и факторы риска почечно-клеточного рака. Сибирское медицинское обозрение 5:15–21. [Zukov RA (2013) Epidemiologic features and risk factors of renal cell cancer. Siberian medical review 5:15–21. (in Russ)].

Staerk J, Conde DA, Ronget V, Lemaitre JF, Gaillard JM, Colchero F (2019) Performance of generation time approximations for extinction risk assessments. Journal of Applied Ecology 56:1436–1446. https://doi.org/10.1111/1365-2664.13368

Haile RW, John EM, Levine AJ, Cortessis VK, Unger JB, Gonzales M, Ziv E, Thompson P, Spruijt-Metz D, Tucker KL, Bernstein JL, Rohan TE, Ho GYF, Bondy ML, Martinez ME, Cook L, Stern MC, Correa MC, Wright J, Schwartz SJ, Baezconde-Garbanati L, Blinder V, Miranda P, Hayes R, Friedman-Jiménez G, Monroe KR, Haiman CA, Henderson BE, Thomas DC, Boffetta P (2012) A review of cancer in U.S. Hispanic populations. Cancer Prevention Research 5:150–163. https://doi.org/10.1158/1940-6207.CAPR-11-0447

Jerônimo AF de A, Freitas ÂGQ, Weller M (2017) Risk factors of breast cancer and knowledge about the disease: An integrative revision of Latin American studies. Ciencia e Saude Coletiva 22:135–149. https://doi.org/10.1590/1413-81232017221.09272015

Dong J, Thrift AP (2017) Alcohol, smoking and risk of oesophago-gastric cancer. Best Practice and Research: Clinical Gastroenterology 31:509–517. https://doi.org/10.1016/j.bpg.2017.09.002

Rühli FJ, Henneberg M (2013) New perspectives on evolutionary medicine: the relevance of microevolution for human health and disease. BMC Medicine 11:115–122. https://doi.org/10.1186/1741-7015-11-115

Frazer KA, Murray SS, Schork NJ, Topol EJ (2009) Human genetic variation and its contribution to complex traits. 10:18–20. https://doi.org/10.1038/nrg2554

Bustamante CD, de La Vega FM, Burchard EG (2011) Genomics for the world. Nature 475:163–165. https://doi.org/10.1038/475163a

Hanahan D, Coussens LM (2012) Accessories to the Crime: Functions of Cells Recruited to the Tumor Microenvironment. Cancer Cell 21:309–322. https://doi.org/10.1016/j.ccr.2012.02.022

Pearson BJ, Sánchez Alvarado A (2008) Regeneration, stem cells, and the evolution of tumor suppression. Cold Spring Harbor Symposia on Quantitative Biology 73:565–572. https://doi.org/10.1101/sqb.2008.73.045

Trigos AS, Pearson RB, Papenfuss AT, Goode DL (2018) How the evolution of multicellularity set the stage for cancer. British Journal of Cancer 118:145–152 . https://doi.org/10.1038/bjc.2017.398

Mel Greaves and Carlo C. Maley (2012) Clonal evolution in cancer. Nature 481:306–313. https://doi.org/10.1038/nature10762.

Barcellos-hoff MH, Park C, Wright EG (2005) Radiation and the microenvironment -tumorigenesis and therapy. Nature Reviews Cancer 5:867–875. https://doi.org/10.1038/nrc1735

di Giacomo S, Sollazzo M, de Biase D, Ragazzi M, Bellosta P, Pession A, Grifoni D (2017) Human Cancer Cells Signal Their Competitive Fitness Through MYC Activity. Scientific Reports 7:1–12. https://doi.org/10.1038/s41598-017-13002-1

Gutiérrez-Martínez A, Sew WQG, Molano-Fernández M, Carretero-Junquera M, Herranz H (2020) Mechanisms of oncogenic cell competition–Paths of victory. Seminars in Cancer Biology 63:27–35. https://doi.org/10.1016/j.semcancer.2019.05.015

Atala A (2016) Re: Cell Adhesion. Mechanical Strain Induces E-Cadherin-Dependent Yap1 and β-Catenin Activation to Drive Cell Cycle Entry Editorial Comment. Journal of Urology 195:220–221. https://doi.org/10.1016/j.juro.2015.10.010

Archetti M, Pienta KJ (2019) Cooperation among cancer cells: applying game theory to cancer. Nature Reviews Cancer 19:110–117. https://doi.org/10.1038/s41568-018-0083-7

Nakajima EC, van Houten B (2013) Metabolic symbiosis in cancer: Refocusing the Warburg lens. Molecular Carcinogenesis 52:329–337. https://doi.org/10.1002/mc.21863

Salimi Sartakhti J, Manshaei MH, Sadeghi M (2017) MMP–TIMP interactions in cancer invasion: An evolutionary game-theoretical framework. Journal of Theoretical Biology 412:17–26. https://doi.org/10.1016/j.jtbi.2016.09.019

Sodir NM, Swigart LB, Karnezis AN, Hanahan D, Evan GI, Soucek L (2011) Endogenous Myc maintains the tumor microenvironment. Genes and Development 25:907–916. https://doi.org/10.1101/gad.2038411

Gatenby RA, Gillies RJ (2007) A microenvironmental model of carcinogenesis. Nature Reviews Cancer 182:177–182.

Domanska UM, Timmer-Bosscha H, Nagengast WB, Oude Munnink TH, Kruizinga RC, Ananias HJK, Kliphuis NM, Huls G, de Vries EGE, de Jong IJ, Walenkamp AME (2012) CXCR4 inhibition with AMD3100 sensitizes prostate cancer to docetaxel chemotherapy. Neoplasia (United States) 14:709–718. https://doi.org/10.1593/neo.12324

Archetti M (2013) Evolutionarily stable anti-cancer therapies by autologous cell defection. Evolution, Medicine, and Public Health 2013:161–172. https://doi.org/10.1093/emph/eot014

Vasan N, Baselga J, Hyman DM (2019) A view on drug resistance in cancer. Nature 575:299–309. https://doi.org/10.1038/s41586-019-1730-1

Najafi M, Mortezaee K, Majidpoor J (2019) Cancer stem cell (CSC) resistance drivers. Life Sciences 234:116781. https://doi.org/10.1016/j.lfs.2019.116781

Kocakavuk E, Anderson KJ, Varn FS, Johnson KC, Amin SB, Sulman EP, Lolkema MP, Barthel FP, Verhaak RGW (2021) Radiotherapy is associated with a deletion signature that contributes to poor outcomes in patients with cancer. Nature Genetics 53:1088–1096. https://doi.org/10.1038/s41588-021-00874-3

Yang F, Brady SW, Tang C, Sun H, Du L, Barz MJ, Ma X, Chen Y, Fang H, Li X, Kolekar P, Pathak O, Cai J, Ding L, Wang T, von Stackelberg A, Shen S, Eckert C, Klco JM, Chen H, Duan C, Liu Y, Li H, Li B, Kirschner-Schwabe R, Zhang J, Zhou BBS (2021) Chemotherapy and mismatch repair deficiency cooperate to fuel TP53 mutagenesis and ALL relapse. Nature Cancer 2: 819–834. https://doi.org/10.1038/s43018-021-00230-8

Notta F, Chan-Seng-Yue M, Lemire M, Li Y, Wilson GW, Connor AA, Denroche RE, Liang S ben, Brown AMK, Kim JC, Wang T, Simpson JT, Beck T, Borgida A, Buchner N, Chadwick D, Hafezi-Bakhtiari S, Dick JE, Heisler L, Hollingsworth MA, Ibrahimov E, Jang GH, Johns J, Jorgensen LGT, Law C, Ludkovski O, Lungu I, Ng K, Pasternack D, Petersen GM, Shlush LI, Timms L, Tsao MS, Wilson JM, Yung CK, Zogopoulos G, Bartlett JMS, Alexandrov LB, Real FX, Cleary SP, Roehrl MH, McPherson JD, Stein LD, Hudson TJ, Campbell PJ, Gallinger S (2016) A renewed model of pancreatic cancer evolution based on genomic rearrangement patterns. Nature 538:378–382. https://doi.org/10.1038/nature19823

McGuigan A, Kelly P, Turkington RC, Jones C, Coleman HG, McCain RS (2018) Pancreatic cancer: A review of clinical diagnosis, epidemiology, treatment and outcomes. World Journal of Gastroenterology 24:4846–4861. https://doi.org/10.3748/wjg.v24.i43.4846

Ratcliffe JM, Elemans CPH, Jakobsen L, Surlykke A (2013) How the bat got its buzz? Biological Letter 9: 1–4. https://doi.org/10.1098/rsbl.2012.1031

Campbell PJ, Yachida S, Mudie LJ, Stephens PJ, Erin D, Stebbings LA, Morsberger LA, Latimer C, Mclaren S, Lin M, Mcbride DJ, Varela I, Nik-zainal SA, Leroy C, Jia M, Menzies A, Butler AP, Teague JW, Griffin CA, Burton J, Swerdlow H, Quail MA, Stratton MR, Futreal PA (2010) The patterns and dynamics of genomic instability in metastatic pancreatic cancer. Nature 467:1109–1113. https://doi.org/10.1038/nature09460.

Stephens PJ, Greenman CD, Fu B, Yang F, Bignell GR, Mudie LJ, Pleasance ED, Lau KW, Beare D, Stebbings LA, Mclaren S, Lin M, Mcbride DJ, Varela I, Nik-zainal S, Leroy C, Jia M, Menzies A, Butler AP, Teague JW, Quail MA, Burton J, Swerdlow H, Carter NP, Morsberger LA, Iacobuzio-donahue C, Follows GA, Green AR, Flanagan AM, Stratton MR, Futreal PA, Campbell PJ (2011) Massive Genomic Rearrangement Acquired in a Single Catastrophic Event during Cancer Development. Cell 144:27–40. https://doi.org/10.1016/j.cell.2010.11.055

Gisselsson D, Bjo J, Mertens F, Cin PD, Åkerman M, Mandahl N (2001) Abnormal Nuclear Shape in Solid Tumors Reflects Mitotic Instability. 158:199–206. https://doi.org/10.1016/s0002-9440(10)63958-2

Henneberg M, Saniotis A (2012) How can evolutionary medicine inform future personalized medicine? Personalized Medicine 9:171–173. https://doi.org/10.2217/PME.11.99