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Cancer+Prev+Res+(Phila)
2016 ; 9
(5
): 335-8
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Limitations of the Driver/Passenger Model in Cancer Prevention
#MMPMID26932841
Kuhner MK
; Kostadinov R
; Reid BJ
Cancer Prev Res (Phila)
2016[May]; 9
(5
): 335-8
PMID26932841
show ga
Mutations detected in cancers are often divided into "drivers" and "passengers."
We suggest that this classification is potentially misleading for purposes of
early detection and prevention. Specifically, some mutations are frequent in
tumors and thus appear to be drivers, but are poor predictors of cancer; other
mutations are individually rare and thus appear to be passengers, but may
collectively explain a large proportion of risk. The assumptions bundled into the
terms "driver" and "passenger" can lead to misunderstandings of neoplastic
progression, with unintended consequences including overdiagnosis, overtreatment,
and failure to identify the true sources of risk. We argue that samples from
healthy, benign, or neoplastic tissues are critical for evaluating the risk of
future cancer posed by mutations in a given gene. Cancer Prev Res; 9(5); 335-8.
©2016 AACR.
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