From Chaos to Opportunity: Decoding Cancer Heterogeneity for Enhanced Treatment Strategies

Author:

Ottaiano Alessandro1ORCID,Ianniello Monica2,Santorsola Mariachiara1,Ruggiero Raffaella2,Sirica Roberto2,Sabbatino Francesco3ORCID,Perri Francesco1ORCID,Cascella Marco1ORCID,Di Marzo Massimiliano1,Berretta Massimiliano4,Caraglia Michele5ORCID,Nasti Guglielmo1,Savarese Giovanni2

Affiliation:

1. Istituto Nazionale Tumori di Napoli, IRCCS “G. Pascale”, Via M. Semmola, 80131 Naples, Italy

2. AMES, Centro Polidiagnostico Strumentale srl, Via Padre Carmine Fico 24, 80013 Casalnuovo Di Napoli, Italy

3. Oncology Unit, Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy

4. Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy

5. Department of Precision Medicine, University of Campania “L. Vanvitelli”, Via Luigi De Crecchio 7, 80138 Naples, Italy

Abstract

Cancer manifests as a multifaceted disease, characterized by aberrant cellular proliferation, survival, migration, and invasion. Tumors exhibit variances across diverse dimensions, encompassing genetic, epigenetic, and transcriptional realms. This heterogeneity poses significant challenges in prognosis and treatment, affording tumors advantages through an increased propensity to accumulate mutations linked to immune system evasion and drug resistance. In this review, we offer insights into tumor heterogeneity as a crucial characteristic of cancer, exploring the difficulties associated with measuring and quantifying such heterogeneity from clinical and biological perspectives. By emphasizing the critical nature of understanding tumor heterogeneity, this work contributes to raising awareness about the importance of developing effective cancer therapies that target this distinct and elusive trait of cancer.

Publisher

MDPI AG

Subject

General Agricultural and Biological Sciences,General Immunology and Microbiology,General Biochemistry, Genetics and Molecular Biology

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