Evidence map›Paper›PMID 32289271›Full record

ReviewCancer cell2020

Intratumor Heterogeneity: The Rosetta Stone of Therapy Resistance.

Andriy Marusyk, Michalina Janiszewska, Kornelia Polyak

Open access · bronzeAbstract readReview
In one paragraph

Review in Cancer cell, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 645 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
645citing papers in PubMed, 2 pooled it
39.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

645 citing papers in PubMed, 2 syntheses or guidelines pooled it, 953 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  6. A modular framework for antibody-drug conjugate biomarkers.Nature reviews. Clinical oncology · 2026
    Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Supramolecular Degraders: An Emerging Paradigm in Targeted Protein Degradation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  13. Review
  14. Review
  15. Review
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  17. Individualized pharmacotherapy: background and development.Annals of translational medicine · 2026
    Review
  18. Article
  19. Review
  20. Article

585 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Andriy MarusykDepartment of Cancer Physiology, H Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA.
Michalina JaniszewskaDepartment of Molecular Medicine, The Scripps Research Institute, Jupiter, FL 33458, USA.
Kornelia PolyakDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA; Department of Medicine, Harvard Medical School, Boston, MA 02115, USA. Electronic address: kornelia_polyak@dfci.harvard.edu.
Harvard University · USMoffitt Cancer Center · USScripps Research Institute · US

Funding

Targeting intratumor heterogeneity in breast cancerR35CA197623 · NCI · DANA-FARBER CANCER INST · PI KORNELIA POLYAK · 2015 to 2026
$12.4M
Project 3: Single Cell Measures of Intratumor Diversity for Optimal Breast Cancer TherapyU54CA193461 · NCI · DANA-FARBER CANCER INST · PI POLYAK, KORNELIA · 2015 to 2020
$11.2M
Intratumor heterogeneity underlying treatment resistance in HER2+ breast tumorsU01CA195469 · NCI · DANA-FARBER CANCER INST · PI GRAY, JOE W., MICHOR, FRANZISKA · 2015 to 2019
$3.3M
Intratumor heterogeneity and therapeutic resistanceR00CA201606 · NCI · SCRIPPS FLORIDA · PI JANISZEWSKA, MICHALINA · 2018 to 2020
$852k
NCI NIH HHS R00 CA201606NCI NIH HHS R35 CA197623NCI NIH HHS U01 CA195469NCI NIH HHS U54 CA193461
6 · The paper itself

Abstract

Advances in our understanding of molecular mechanisms of tumorigenesis have translated into knowledge-based therapies directed against specific oncogenic signaling targets. These therapies often induce dramatic responses in susceptible tumors. Unfortunately, most advanced cancers, including those with robust initial responses, eventually acquire resistance to targeted therapies and relapse. Even though immune-based therapies are more likely to achieve complete cures, acquired resistance remains an obstacle to their success as well. Acquired resistance is the direct consequence of pre-existing intratumor heterogeneity and ongoing diversification during therapy, which enables some tumor cells to survive treatment and facilitates the development of new therapy-resistant phenotypes. In this review, we discuss the sources of intratumor heterogeneity and approaches to capture and account for it during clinical decision making. Finally, we outline potential strategies to improve therapeutic outcomes by directly targeting intratumor heterogeneity.

Indexed as

Genetic HeterogeneityMutationDrug Resistance, NeoplasmHumansNeoplasm ProteinsNeoplasm Recurrence, LocalNeoplasmsPhenotypeNeoplasm Proteinscancerheterogeneitytherapeutic resistance

Identifiers

PMID32289271
PMCPMC7181408
OpenAlexW3015646919

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.