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Intratumor Heterogeneity and Clonal Evolution in Sarcomas: Molecular, Cellular, and Functional Drivers of Therapy Resistance - PubMed

7 days ago
  • #sarcoma
  • #therapy resistance
  • #intratumor heterogeneity
  • Sarcomas are malignant neoplasms of mesenchymal origin with over 100 entities and subtypes.
  • Intratumor heterogeneity (ITH) and clonal evolution in sarcomas contribute to therapy resistance.
  • Single-cell and spatial omics technologies provide detailed insights into sarcoma architecture.
  • Five representative sarcoma types are discussed: osteosarcoma, dedifferentiated liposarcoma, Ewing sarcoma, synovial sarcoma, and alveolar rhabdomyosarcoma.
  • Clonal and subclonal molecular alterations, oncogene activity fluctuations, and cellular plasticity drive sarcoma progression.
  • Recent advances in modeling ITH and evaluating functional diversity are reviewed.
  • Future directions in ITH research and clinical implications are outlined.