<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vavilov</journal-id><journal-title-group><journal-title xml:lang="ru">Вавиловский журнал генетики и селекции</journal-title><trans-title-group xml:lang="en"><trans-title>Vavilov Journal of Genetics and Breeding</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2500-3259</issn><publisher><publisher-name>Institute of Cytology and Genetics of Siberian Branch of the RAS</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18699/VJGB-23-94</article-id><article-id custom-type="elpub" pub-id-type="custom">vavilov-3981</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ЭВОЛЮЦИОННАЯ КОМПЬЮТЕРНАЯ БИОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>EVOLUTIONARY COMPUTATIONAL BIOLOGY</subject></subj-group></article-categories><title-group><article-title>Внутриопухолевая гетерогенность: модели возникновения  и эволюции злокачественных опухолей</article-title><trans-title-group xml:lang="en"><trans-title>Intratumor heterogeneity: models of malignancy emergence  and evolution</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4369-356X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иванов</surname><given-names>Р. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivanov</surname><given-names>R. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk</p></bio><email xlink:type="simple">ivanovromanart@bionet.nsc.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3138-381X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лашин</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lashin</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук<country>Россия</country></aff><aff xml:lang="en">Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of Sciences<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук; Новосибирский национальный исследовательский государственный университет<country>Россия</country></aff><aff xml:lang="en">Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of Sciences; Novosibirsk State University<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>11</day><month>12</month><year>2023</year></pub-date><volume>27</volume><issue>7</issue><elocation-id>815­-819</elocation-id><permissions><copyright-statement>Copyright &amp;#x00A9; Иванов Р.А., Лашин С.А., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Иванов Р.А., Лашин С.А.</copyright-holder><copyright-holder xml:lang="en">Ivanov R.A., Lashin S.A.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vavilov.elpub.ru/jour/article/view/3981">https://vavilov.elpub.ru/jour/article/view/3981</self-uri><abstract><p>Рак – сложное и гетерогенное заболевание, характеризующееся накоплением генетических изменений, которые приводят к неконтролируемому росту и пролиферации клеток. Эволюционная динамика играет решающую роль в возникновении и развитии раковых опухолей, формируя гетерогенность и адаптивность раковых клеток. С точки зрения теории эволюции опухоли представляют собой сложные экосистемы, которые развиваются в процессе микроэволюции под воздействием генетических мутаций, эпигенетических изменений и факторов микроокружения опухолей. Такая динамичная природа опухолей создает значительные проблемы для эффективного лечения рака, и ее понимание необходимо для разработки эффективных и персонализированных методов лечения. Раскрывая механизмы, определяющие гетерогенность опухоли, исследователи могут выявить ключевые генетические и эпигенетические изменения, которые способствуют прогрессированию опухоли и устойчивости к лечению. Эти знания позволяют разрабатывать инновационные стратегии воздействия на конкретные клоны опухоли, минимизируя риск рецидива и улучшая результаты лечения пациентов. Для изучения эволюционной динамики рака ученые используют широкий спектр экспериментальных и вычислительных подходов. Традиционные экспериментальные методы включают в себя геномное профилирование, такое как секвенирование нового поколения и флуоресцентная гибридизация in situ, и позволяют выявлять соматические мутации, изменения числа копий генов и структурные перестройки в геномах раковых опухолей. Помимо того, методы одноклеточного секвенирования стали мощным инструментом для изучения внутриопухолевой гетерогенности и отслеживания клональной эволюции. На основании экспериментальных данных разрабатываются вычислительные модели и алгоритмы для моделирования и анализа эволюции рака. Эти модели объединяют данные из различных источников для предсказания закономерностей роста опухоли, выявления драйверных мутаций и построения эволюционных деревьев развития раковых клеток. В настоящей работе мы поставили задачу описать существующие на сегодняшний день подходы к изучению эволюционной динамики развития рака и теории ее возникновения.</p><p> </p></abstract><trans-abstract xml:lang="en"><p>Cancer is a complex and heterogeneous disease characterized by the accumulation of genetic alterations that drive uncontrolled cell growth and proliferation. Evolutionary dynamics plays a crucial role in the emergence and development of tumors, shaping the heterogeneity and adaptability of cancer cells. From the perspective of evolutionary theory, tumors are complex ecosystems that evolve through a process of microevolution influenced by genetic mutations, epigenetic changes, tumor microenvironment factors, and therapy­induced changes. This dynamic nature of tumors poses significant challenges for effective cancer treatment, and understanding it is essential for developing effective and personalized therapies. By uncovering the mechanisms that determine tumor heterogeneity, researchers can identify key genetic and epigenetic changes that contribute to tumor progression and resistance to treatment. This knowledge enables the development of innovative strategies for targeting specific tumor clones, minimizing the risk of recurrence and improving patient outcomes. To investigate the evolutionary dynamics of cancer, researchers employ a wide range of experimental and computational approaches. Traditional experimental methods involve genomic profiling techniques such as next­generation sequencing and fluorescence in situ hybridization. These techniques enable the identification of somatic mutations, copy number alterations, and structural rearrangements within cancer genomes. Furthermore, single­cell sequencing methods have emerged as powerful tools for dissecting intratumoral heterogeneity and tracing clonal evolution. In parallel, computational models and algorithms have been developed to simulate and analyze cancer evolution. These models integrate data from multiple sources to predict tumor growth patterns, identify driver mutations, and infer evolutionary trajectories. In this paper, we set out to describe the current approaches to address this evolutionary complexity and theories of its occurrence.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>злокачественные опухоли</kwd><kwd>эволюция</kwd><kwd>гетерогенность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cancer</kwd><kwd>evolution</kwd><kwd>heterogeneity</kwd></kwd-group><funding-group xml:lang="en"><funding-statement>The work was supported by Budget Project No. FWNR­2022­0020.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Augustin R.C., Delgoffe G.M., Najjar Y.G. Characteristics of the tumor microenvironment that influence immune cell functions: hypoxia, oxidative stress, metabolic alterations. Cancers (Basel). 2020; 12(12):3802. DOI 10.3390/cancers12123802</mixed-citation><mixed-citation xml:lang="en">Augustin R.C., Delgoffe G.M., Najjar Y.G. Characteristics of the tumor microenvironment that influence immune cell functions: hypoxia, oxidative stress, metabolic alterations. Cancers (Basel). 2020; 12(12):3802. DOI 10.3390/cancers12123802</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Baca S.C., Prandi D., Lawrence M.S., Mosquera J.M., Romanel A., Drier Y., Park K., Kitabayashi N., MacDonald T.Y., Ghandi M., Van Allen E., Kryukov G.V., Sboner A., Theurillat J.-P., Soong T.D., Nickerson E., Auclair D., Tewari A., Beltran H., Onofrio R.C., Boysen G., Guiducci C., Barbieri C.E., Cibulskis K., Sivachenko A., Carter S.L., Saksena G., Voet D., Ramos A.H., Winckler W., Cipicchio M., Ardlie K., Kantoff P.W., Berger M.F., Gabriel S.B., Golub T.R., Meyerson M., Lander E.S., Elemento O., Getz G., Demichelis F., Rubin M.A., Garraway L.A. Punctuated evolution of prostate cancer genomes. Cell. 2013;153(3):666-677. DOI 10.1016/j.cell.2013.03.021</mixed-citation><mixed-citation xml:lang="en">Baca S.C., Prandi D., Lawrence M.S., Mosquera J.M., Romanel A., Drier Y., Park K., Kitabayashi N., MacDonald T.Y., Ghandi M., Van Allen E., Kryukov G.V., Sboner A., Theurillat J.-P., Soong T.D., Nickerson E., Auclair D., Tewari A., Beltran H., Onofrio R.C., Boysen G., Guiducci C., Barbieri C.E., Cibulskis K., Sivachenko A., Carter S.L., Saksena G., Voet D., Ramos A.H., Winckler W., Cipicchio M., Ardlie K., Kantoff P.W., Berger M.F., Gabriel S.B., Golub T.R., Meyerson M., Lander E.S., Elemento O., Getz G., Demichelis F., Rubin M.A., Garraway L.A. Punctuated evolution of prostate cancer genomes. Cell. 2013;153(3):666-677. DOI 10.1016/j.cell.2013.03.021</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Besse A., Clapp G.D., Bernard S., Nicolini F.E., Levy D., Lepoutre T. Stability analysis of a model of interaction between the immune system and cancer cells in chronic myelogenous leukemia. Bull. Math. Biol. 2018;80(5):1084-1110. DOI 10.1007/s11538-017-0272-7</mixed-citation><mixed-citation xml:lang="en">Besse A., Clapp G.D., Bernard S., Nicolini F.E., Levy D., Lepoutre T. Stability analysis of a model of interaction between the immune system and cancer cells in chronic myelogenous leukemia. Bull. Math. Biol. 2018;80(5):1084-1110. DOI 10.1007/s11538-017-0272-7</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Bonnet D., Dick J.E. Human acute myeloid leukemia is organized as a hierarchy that originates from a primitive hematopoietic cell. Nat. Med. 1997;3(7):730-737. DOI 10.1038/nm0797-730</mixed-citation><mixed-citation xml:lang="en">Bonnet D., Dick J.E. Human acute myeloid leukemia is organized as a hierarchy that originates from a primitive hematopoietic cell. Nat. Med. 1997;3(7):730-737. DOI 10.1038/nm0797-730</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Deng G., Zhang X., Chen Y., Liang S., Liu S., Yu Z., Lü M. Singlecell transcriptome sequencing reveals heterogeneity of gastric cancer: progress and prospects. Front. Oncol. 2023;13:1074268. DOI 10.3389/fonc.2023.1074268</mixed-citation><mixed-citation xml:lang="en">Deng G., Zhang X., Chen Y., Liang S., Liu S., Yu Z., Lü M. Singlecell transcriptome sequencing reveals heterogeneity of gastric cancer: progress and prospects. Front. Oncol. 2023;13:1074268. DOI 10.3389/fonc.2023.1074268</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Durrett R., Foo J., Leder K., Mayberry J., Michor F. Intratumor heterogeneity in evolutionary models of tumor progression. Genetics. 2011;188(2):461-477. DOI 10.1534/genetics.110.125724</mixed-citation><mixed-citation xml:lang="en">Durrett R., Foo J., Leder K., Mayberry J., Michor F. Intratumor heterogeneity in evolutionary models of tumor progression. Genetics. 2011;188(2):461-477. DOI 10.1534/genetics.110.125724</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Fearon E.R., Vogelstein B. A genetic model for colorectal tumorigenesis. Cell. 1990;61(5):759-767. DOI 10.1016/0092-8674(90)90186-I</mixed-citation><mixed-citation xml:lang="en">Fearon E.R., Vogelstein B. A genetic model for colorectal tumorigenesis. Cell. 1990;61(5):759-767. DOI 10.1016/0092-8674(90)90186-I</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Flavahan W.A., Gaskell E., Bernstein B.E. Epigenetic plasticity and the hallmarks of cancer. Science. 2017;357(6348):eaal2380. DOI 10.1126/science.aal2380</mixed-citation><mixed-citation xml:lang="en">Flavahan W.A., Gaskell E., Bernstein B.E. Epigenetic plasticity and the hallmarks of cancer. Science. 2017;357(6348):eaal2380. DOI 10.1126/science.aal2380</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Furukawa Y., Kikuchi J. Molecular basis of clonal evolution in multiple myeloma. Int. J. Hematol. 2020;111(4):496-511. DOI 10.1007/s12185-020-02829-6</mixed-citation><mixed-citation xml:lang="en">Furukawa Y., Kikuchi J. Molecular basis of clonal evolution in multiple myeloma. Int. J. Hematol. 2020;111(4):496-511. DOI 10.1007/s12185-020-02829-6</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Gawad C., Koh W., Quake S.R. Dissecting the clonal origins of childhood acute lymphoblastic leukemia by single-cell genomics. Proc. Natl. Acad. Sci. USA. 2014;111(50):17947-17952. DOI 10.1073/pnas.1420822111</mixed-citation><mixed-citation xml:lang="en">Gawad C., Koh W., Quake S.R. Dissecting the clonal origins of childhood acute lymphoblastic leukemia by single-cell genomics. Proc. Natl. Acad. Sci. USA. 2014;111(50):17947-17952. DOI 10.1073/pnas.1420822111</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Gertz E.M., Chowdhury S.A., Lee W.-J., Wangsa D., HeselmeyerHaddad K., Ried T., Schwartz R., Schäffer A.A. FISHtrees 3.0: tumor phylogenetics using a ploidy probe. PLoS One. 2016;11(6): e0158569. DOI 10.1371/journal.pone.0158569</mixed-citation><mixed-citation xml:lang="en">Gertz E.M., Chowdhury S.A., Lee W.-J., Wangsa D., HeselmeyerHaddad K., Ried T., Schwartz R., Schäffer A.A. FISHtrees 3.0: tumor phylogenetics using a ploidy probe. PLoS One. 2016;11(6): e0158569. DOI 10.1371/journal.pone.0158569</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Graham T.A., Sottoriva A. Measuring cancer evolution from the genome. J. Pathol. 2017;241(2):183-191. DOI 10.1002/path.4821</mixed-citation><mixed-citation xml:lang="en">Graham T.A., Sottoriva A. Measuring cancer evolution from the genome. J. Pathol. 2017;241(2):183-191. DOI 10.1002/path.4821</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Haffner M.C., Zwart W., Roudier M.P., True L.D., Nelson W.G., Epstein J.I., De Marzo A.M., Nelson P.S., Yegnasubramanian S. Genomic and phenotypic heterogeneity in prostate cancer. Nat. Rev. Urol. 2021;18(2):79-92. DOI 10.1038/s41585-020-00400-w</mixed-citation><mixed-citation xml:lang="en">Haffner M.C., Zwart W., Roudier M.P., True L.D., Nelson W.G., Epstein J.I., De Marzo A.M., Nelson P.S., Yegnasubramanian S. Genomic and phenotypic heterogeneity in prostate cancer. Nat. Rev. Urol. 2021;18(2):79-92. DOI 10.1038/s41585-020-00400-w</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Hata M., Hayakawa Y., Koike K. Gastric stem cell and cellular origin of cancer. Biomedicines. 2018;6(4):100. DOI 10.3390/biomedicines6040100</mixed-citation><mixed-citation xml:lang="en">Hata M., Hayakawa Y., Koike K. Gastric stem cell and cellular origin of cancer. Biomedicines. 2018;6(4):100. DOI 10.3390/biomedicines6040100</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Hausser J., Alon U. Tumour heterogeneity and the evolutionary tradeoffs of cancer. Nat. Rev. Cancer. 2020;20(4):247-257. DOI 10.1038/s41568-020-0241-6</mixed-citation><mixed-citation xml:lang="en">Hausser J., Alon U. Tumour heterogeneity and the evolutionary tradeoffs of cancer. Nat. Rev. Cancer. 2020;20(4):247-257. DOI 10.1038/s41568-020-0241-6</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Heinrich S., Craig A.J., Ma L., Heinrich B., Greten T.F., Wang X.W. Understanding tumour cell heterogeneity and its implication for immunotherapy in liver cancer using single-cell analysis. J. Hepatol. 2021;74(3):700-715. DOI 10.1016/j.jhep.2020.11.036</mixed-citation><mixed-citation xml:lang="en">Heinrich S., Craig A.J., Ma L., Heinrich B., Greten T.F., Wang X.W. Understanding tumour cell heterogeneity and its implication for immunotherapy in liver cancer using single-cell analysis. J. Hepatol. 2021;74(3):700-715. DOI 10.1016/j.jhep.2020.11.036</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Koh G., Degasperi A., Zou X., Momen S., Nik-Zainal S. Mutational signatures: emerging concepts, caveats and clinical applications. Nat. Rev. Cancer. 2021;21(10):619-637. DOI 10.1038/s41568-021-00377-7</mixed-citation><mixed-citation xml:lang="en">Koh G., Degasperi A., Zou X., Momen S., Nik-Zainal S. Mutational signatures: emerging concepts, caveats and clinical applications. Nat. Rev. Cancer. 2021;21(10):619-637. DOI 10.1038/s41568-021-00377-7</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Lee T.K.-W., Guan X.-Y., Ma S. Cancer stem cells in hepatocellular carcinoma – from origin to clinical implications. Nat. Rev. Gastroenterol. Hepatol. 2022;19(1):26-44. DOI 10.1038/s41575-021-00508-3</mixed-citation><mixed-citation xml:lang="en">Lee T.K.-W., Guan X.-Y., Ma S. Cancer stem cells in hepatocellular carcinoma – from origin to clinical implications. Nat. Rev. Gastroenterol. Hepatol. 2022;19(1):26-44. DOI 10.1038/s41575-021-00508-3</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Losic B., CraigA.J., Villacorta-Martin C., Martins-Filho S.N., Akers N., Chen X., Ahsen M.E., von Felden J., Labgaa I., DʹAvola D., Allette K., Lira S.A., Furtado G.C., Garcia-Lezana T., Restrepo P., Stueck A., Ward S.C., Fiel M.I., Hiotis S.P., Gunasekaran G., Sia D., Schadt E.E., Sebra R., Schwartz M., Llovet J.M., Thung S., Stolovitzky G., Villanueva A. Intratumoral heterogeneity and clonal evolution in liver cancer. Nat. Commun. 2020;11(1):291. DOI 10.1038/s41467-019-14050-z</mixed-citation><mixed-citation xml:lang="en">Losic B., CraigA.J., Villacorta-Martin C., Martins-Filho S.N., Akers N., Chen X., Ahsen M.E., von Felden J., Labgaa I., DʹAvola D., Allette K., Lira S.A., Furtado G.C., Garcia-Lezana T., Restrepo P., Stueck A., Ward S.C., Fiel M.I., Hiotis S.P., Gunasekaran G., Sia D., Schadt E.E., Sebra R., Schwartz M., Llovet J.M., Thung S., Stolovitzky G., Villanueva A. Intratumoral heterogeneity and clonal evolution in liver cancer. Nat. Commun. 2020;11(1):291. DOI 10.1038/s41467-019-14050-z</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Lüönd F., Tiede S., Christofori G. Breast cancer as an example of tumour heterogeneity and tumour cell plasticity during malignant progression. Br. J. Cancer. 2021;125(2):164-175. DOI 10.1038/s41416-021-01328-7</mixed-citation><mixed-citation xml:lang="en">Lüönd F., Tiede S., Christofori G. Breast cancer as an example of tumour heterogeneity and tumour cell plasticity during malignant progression. Br. J. Cancer. 2021;125(2):164-175. DOI 10.1038/s41416-021-01328-7</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Meacham C.E., Morrison S.J. Tumour heterogeneity and cancer cell plasticity. Nature. 2013;501(7467):328-337. DOI 10.1038/nature12624</mixed-citation><mixed-citation xml:lang="en">Meacham C.E., Morrison S.J. Tumour heterogeneity and cancer cell plasticity. Nature. 2013;501(7467):328-337. DOI 10.1038/nature12624</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Merlo L.M.F., Pepper J.W., Reid B.J., Maley C.C. Cancer as an evolutionary and ecological process. Nat. Rev. Cancer. 2006;6(12):924-935. DOI 10.1038/nrc2013</mixed-citation><mixed-citation xml:lang="en">Merlo L.M.F., Pepper J.W., Reid B.J., Maley C.C. Cancer as an evolutionary and ecological process. Nat. Rev. Cancer. 2006;6(12):924-935. DOI 10.1038/nrc2013</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Morris L.G.T., Riaz N., Desrichard A., Şenbabaoğlu Y., Hakimi A.A., Makarov V., Reis-Filho J.S., Chan T.A. Pan-cancer analysis of intratumor heterogeneity as a prognostic determinant of survival. Oncotarget. 2016;7(9):10051-10063. DOI 10.18632/oncotarget.7067</mixed-citation><mixed-citation xml:lang="en">Morris L.G.T., Riaz N., Desrichard A., Şenbabaoğlu Y., Hakimi A.A., Makarov V., Reis-Filho J.S., Chan T.A. Pan-cancer analysis of intratumor heterogeneity as a prognostic determinant of survival. Oncotarget. 2016;7(9):10051-10063. DOI 10.18632/oncotarget.7067</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Mumenthaler S.M., Foo J., Choi N.C., Heise N., Leder K., Agus D.B., Pao W., Michor F., Mallick P. The impact of microenvironmental heterogeneity on the evolution of drug resistance in cancer cells. Cancer Inform. 2015;14(Suppl.4):19-31. DOI 10.4137/CIN.S19338</mixed-citation><mixed-citation xml:lang="en">Mumenthaler S.M., Foo J., Choi N.C., Heise N., Leder K., Agus D.B., Pao W., Michor F., Mallick P. The impact of microenvironmental heterogeneity on the evolution of drug resistance in cancer cells. Cancer Inform. 2015;14(Suppl.4):19-31. DOI 10.4137/CIN.S19338</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Navin N.E. The first five years of single-cell cancer genomics and beyond. Genome Res. 2015;25(10):1499-1507. DOI 10.1101/gr.191098.115</mixed-citation><mixed-citation xml:lang="en">Navin N.E. The first five years of single-cell cancer genomics and beyond. Genome Res. 2015;25(10):1499-1507. DOI 10.1101/gr.191098.115</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Nowell P. The clonal evolution of tumor cell populations. Science. 1976;194(4260):23-28. DOI 10.1126/science.959840</mixed-citation><mixed-citation xml:lang="en">Nowell P. The clonal evolution of tumor cell populations. Science. 1976;194(4260):23-28. DOI 10.1126/science.959840</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Reya T., Morrison S.J., Clarke M.F., Weissman I.L. Stem cells, cancer, and cancer stem cells. Nature. 2001;414(6859):105-111. DOI 10.1038/35102167</mixed-citation><mixed-citation xml:lang="en">Reya T., Morrison S.J., Clarke M.F., Weissman I.L. Stem cells, cancer, and cancer stem cells. Nature. 2001;414(6859):105-111. DOI 10.1038/35102167</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Robertson-Tessi M., Gillies R.J., Gatenby R.A., Anderson A.R.A. Impact of metabolic heterogeneity on tumor growth, invasion, and treatment outcomes. Cancer Res. 2015;75(8):1567-1579. DOI 10.1158/0008-5472.CAN-14-1428</mixed-citation><mixed-citation xml:lang="en">Robertson-Tessi M., Gillies R.J., Gatenby R.A., Anderson A.R.A. Impact of metabolic heterogeneity on tumor growth, invasion, and treatment outcomes. Cancer Res. 2015;75(8):1567-1579. DOI 10.1158/0008-5472.CAN-14-1428</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Roma-Rodrigues C., Mendes R., Baptista P., Fernandes A. Targeting tumor microenvironment for cancer therapy. Int. J. Mol. Sci. 2019; 20(4):840. DOI 10.3390/ijms20040840</mixed-citation><mixed-citation xml:lang="en">Roma-Rodrigues C., Mendes R., Baptista P., Fernandes A. Targeting tumor microenvironment for cancer therapy. Int. J. Mol. Sci. 2019; 20(4):840. DOI 10.3390/ijms20040840</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Vendramin R., Litchfield K., Swanton C. Cancer evolution: Darwin and beyond. EMBO J. 2021;40(18):e108389. DOI 10.15252/embj.2021108389</mixed-citation><mixed-citation xml:lang="en">Vendramin R., Litchfield K., Swanton C. Cancer evolution: Darwin and beyond. EMBO J. 2021;40(18):e108389. DOI 10.15252/embj.2021108389</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Vosberg S., Greif P.A. Clonal evolution of acute myeloid leukemia from diagnosis to relapse. Genes Chromosomes Cancer. 2019;58(12): 839-849. DOI 10.1002/gcc.22806</mixed-citation><mixed-citation xml:lang="en">Vosberg S., Greif P.A. Clonal evolution of acute myeloid leukemia from diagnosis to relapse. Genes Chromosomes Cancer. 2019;58(12): 839-849. DOI 10.1002/gcc.22806</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Walcher L., KistenmacherA.-K., Suo H., KitteR., Dluczek S., StraußA., Blaudszun A.-R., Yevsa T., Fricke S., Kossatz-Boehlert U. Cancer stem cells-origins and biomarkers: perspectives for targeted personalized therapies. Front. Immunol. 2020;11:1280. DOI 10.3389/fimmu.2020.01280</mixed-citation><mixed-citation xml:lang="en">Walcher L., KistenmacherA.-K., Suo H., KitteR., Dluczek S., StraußA., Blaudszun A.-R., Yevsa T., Fricke S., Kossatz-Boehlert U. Cancer stem cells-origins and biomarkers: perspectives for targeted personalized therapies. Front. Immunol. 2020;11:1280. DOI 10.3389/fimmu.2020.01280</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Wang Y., Waters J., Leung M.L., Unruh A., Roh W., Shi X., Chen K., Scheet P., Vattathil S., Liang H., Multani A., Zhang H., Zhao R., Michor F., Meric-Bernstam F., Navin N.E. Clonal evolution in breast cancer revealed by single nucleus genome sequencing. Nature. 2014;512(7513):155-160. DOI 10.1038/nature13600</mixed-citation><mixed-citation xml:lang="en">Wang Y., Waters J., Leung M.L., Unruh A., Roh W., Shi X., Chen K., Scheet P., Vattathil S., Liang H., Multani A., Zhang H., Zhao R., Michor F., Meric-Bernstam F., Navin N.E. Clonal evolution in breast cancer revealed by single nucleus genome sequencing. Nature. 2014;512(7513):155-160. DOI 10.1038/nature13600</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Williams M.J., Werner B., Barnes C.P., Graham T.A., Sottoriva A. Identification of neutral tumor evolution across cancer types. Nat. Genet. 2016;48(3):238-244. DOI 10.1038/ng.3489</mixed-citation><mixed-citation xml:lang="en">Williams M.J., Werner B., Barnes C.P., Graham T.A., Sottoriva A. Identification of neutral tumor evolution across cancer types. Nat. Genet. 2016;48(3):238-244. DOI 10.1038/ng.3489</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Yao J., Chen J., Li L.-Y., Wu M. Epigenetic plasticity of enhancers in cancer. Transcription. 2020;11(1):26-36. DOI 10.1080/21541264.2020.1713682</mixed-citation><mixed-citation xml:lang="en">Yao J., Chen J., Li L.-Y., Wu M. Epigenetic plasticity of enhancers in cancer. Transcription. 2020;11(1):26-36. DOI 10.1080/21541264.2020.1713682</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Zarzynska J.M. The role of stem cells in breast cancer. In: Breast Cancer – From Biology to Medicine. InTech, 2017. DOI 10.5772/66904</mixed-citation><mixed-citation xml:lang="en">Zarzynska J.M. The role of stem cells in breast cancer. In: Breast Cancer – From Biology to Medicine. InTech, 2017. DOI 10.5772/66904</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Zhao T., Chiang Z.D., Morriss J.W., LaFave L.M., Murray E.M., Del Priore I., Meli K., Lareau C.A., Nadaf N.M., Li J., Earl A.S., Macosko E.Z., Jacks T., Buenrostro J.D., Chen F. Spatial genomics enables multi-modal study of clonal heterogeneity in tissues. Nature. 2022;601(7891):85-91. DOI 10.1038/s41586-021-04217-4</mixed-citation><mixed-citation xml:lang="en">Zhao T., Chiang Z.D., Morriss J.W., LaFave L.M., Murray E.M., Del Priore I., Meli K., Lareau C.A., Nadaf N.M., Li J., Earl A.S., Macosko E.Z., Jacks T., Buenrostro J.D., Chen F. Spatial genomics enables multi-modal study of clonal heterogeneity in tissues. Nature. 2022;601(7891):85-91. DOI 10.1038/s41586-021-04217-4</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
