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Aneuploidy as a promoter and suppressor of malignant growth

Journal

NATURE REVIEWS CANCER
Volume 21, Issue 2, Pages 89-103

Publisher

NATURE PORTFOLIO
DOI: 10.1038/s41568-020-00321-1

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Aneuploidy, although frequent in human tumors, is not always a driver of cancer development and can have tumor-suppressive effects. The specific consequences of aneuploidy are context-dependent and influenced by genetic and environmental factors.
Aneuploidy has been recognized as a hallmark of tumorigenesis for more than 100 years, but the connection between chromosomal errors and malignant growth has remained obscure. New evidence emerging from both basic and clinical research has illuminated a complicated relationship: despite its frequency in human tumours, aneuploidy is not a universal driver of cancer development and instead can exert substantial tumour-suppressive effects. The specific consequences of aneuploidy are highly context dependent and are influenced by a cell's genetic and environmental milieu. In this Review, we discuss the diverse facets of cancer biology that are shaped by aneuploidy, including metastasis, drug resistance and immune recognition, and we highlight aneuploidy's distinct roles as both a tumour promoter and an anticancer vulnerability. This Review discusses the diverse facets of cancer biology that are shaped by aneuploidy and highlights the distinct roles of aneuploidy as both a tumour promoter and an anticancer vulnerability.

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