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Evolutionary perspective of cancer: myth metaphors and reality

机译:癌症的进化观点:神话隐喻和现实

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摘要

The evolutionary perspective of cancer (which origins and dynamics result from evolutionary processes) has gained significant international recognition over the past decade and generated a wave of enthusiasm among researchers. In this context, several authors proposed that insights into evolutionary and adaptation dynamics of cancers can be gained by studying the evolutionary strategies of organisms. Although this reasoning is fundamentally correct, in our opinion, it contains a potential risk of excessive adaptationism, potentially leading to the suggestion of complex adaptations that are unlikely to evolve among cancerous cells. For example, the ability of recognizing related conspecifics and adjusting accordingly behaviors as in certain free-living species appears unlikely in cancer. Indeed, despite their rapid evolutionary rate, malignant cells are under selective pressures for their altered lifestyle for only few decades. In addition, even though cancer cells can theoretically display highly sophisticated adaptive responses, it would be crucial to determine the frequency of their occurrence in patients with cancer, before therapeutic applications can be considered. Scientists who try to explain oncogenesis will need in the future to critically evaluate the metaphorical comparison of selective processes affecting cancerous cells with those affecting organisms. This approach seems essential for the applications of evolutionary biology to understand the origin of cancers, with prophylactic and therapeutic applications.
机译:在过去的十年中,癌症的进化观点(其起源和动力来自进化过程)在国际上获得了广泛认可,并引起了研究人员的热情。在这种情况下,几位作者提出可以通过研究生物体的进化策略来获得对癌症进化和适应动力学的见解。尽管这种推理从根本上是正确的,但在我们看来,它包含过度适应主义的潜在风险,有可能导致提出在癌细胞之间不太可能进化的复杂适应的建议。例如,在某些癌症中,识别某些特定物种并据此调整行为的能力似乎并不存在。实际上,尽管恶性细胞发展迅速,但由于其生活方式的改变,仅在几十年中就处于选择压力之下。此外,即使癌细胞理论上可以显示出高度复杂的适应性反应,在考虑治疗应用之前,确定其在癌症患者中的发生频率也至关重要。试图解释肿瘤发生的科学家将来将需要批判性地评估影响癌细胞和生物的选择性过程的隐喻比较。这种方法似乎对于进化生物学的应用了解癌症的起源以及预防和治疗应用至关重要。

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