Evidence map›Paper›PMID 41521771›Full record

ReviewCancer discovery2026

Of Barriers and Loops-How Evolution Limits Most Cancer Risks to Older Ages.

Marco De Dominici, James DeGregori

Abstract readReview
In one paragraph

Review in Cancer discovery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
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

2 authors.

Marco De DominiciThe Department of Biochemistry and Molecular Genetics, University of Colorado Anschutz Medical Campus, Aurora, Colorado.ORCID 0000-0002-1019-1715
James DeGregoriThe Department of Biochemistry and Molecular Genetics, University of Colorado Anschutz Medical Campus, Aurora, Colorado.ORCID 0000-0002-1287-1976

Funding

The impact of reduction of cellular senescence on age-related epigenetic heterogeneityU01CA271830 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI DEGREGORI, JAMES V, LI, SHENG · 2021 to 2025
$1.9M
Aged tissue environments as drivers of oncogenic adaptation in hematopoiesisR01AG066544 · NIA · UNIVERSITY OF COLORADO DENVER · PI DEGREGORI, JAMES V · 2020 to 2024
$1.1M
National Institutes of Health (NIH) R01AG066544National Institutes of Health (NIH) U01CA271830NCI NIH HHS U01 CA271830NIA NIH HHS R01 AG066544
6 · The paper itself

Abstract

The risks and health consequences of cancers increase dramatically at older ages. To develop interventions to limit the impact of cancers, from preventative to therapeutic, we must seek both evolutionary and proximate explanations for this age-dependence. Here, we discuss how natural selection has erected barriers to delay malignancy and maximize reproductive fitness. Each barrier need not be perfect, as long as malignant progression is delayed till older ages. With aging, mechanisms ranging from epigenetic deregulation to inflammation to senescence to mutation-driven clonal expansions contribute to increased cancer pathogenesis through mutually enhancing mechanisms, creating tissue contexts more favorable for malignant evolution. SIGNIFICANCE: Better understanding of the multiple barriers that we have evolved to limit cancer development and how they can fail at older ages could enable the development of preventative and therapeutic interventions that boost these tumor-suppressive mechanisms.

Indexed as

AgingNeoplasmsHumans

Identifiers

PMID41521771
PMCPMC12798689

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.