Cancers 2011, 3(1), 945-970; doi:10.3390/cancers3010945
Review

An Evolutionary Explanation for the Perturbation of the Dynamics of Metastatic Tumors Induced by Surgery and Acute Inflammation

Department of Hematology and Medical Oncology, Hospital Morales Meseguer, Murcia, Spain
Received: 4 January 2011; in revised form: 17 February 2011 / Accepted: 22 February 2011 / Published: 2 March 2011
PDF Full-text Download PDF Full-Text [776 KB, Updated Version, uploaded 7 March 2011 13:06 CET]
The original version is still available [788 KB, uploaded 2 March 2011 09:28 CET]
Abstract: Surgery has contributed to unveil a tumor behavior that is difficult to reconcile with the models of tumorigenesis based on gradualism. The postsurgical patterns of progression include unexpected features such as distant interactions and variable rhythms. The underlying evidence can be summarized as follows: (1) the resection of the primary tumor is able to accelerate the evolution of micrometastasis in early stages, and (2) the outcome is transiently opposed in advanced tumors. The objective of this paper is to give some insight into tumorigenesis and surgery-related effects, by applying the concepts of the evolutionary theory in those tumor behaviors that gompertzian and tissular-centered models are unable to explain. According to this view, tumors are the consequence of natural selection operating at the somatic level, which is the basic mechanism of tumorigenesis, notwithstanding the complementary role of the intrinsic constrictions of complex networks. A tumor is a complicated phenomenon that entails growth, evolution and development simultaneously. So, an evo-devo perspective can explain how and why tumor subclones are able to translate competition from a metabolic level into neoangiogenesis and the immune response. The paper proposes that distant interactions are an extension of the ecological events at the local level. This notion explains the evolutionary basis for tumor dormancy, and warns against the teleological view of tumorigenesis as a process directed towards the maximization of a concrete trait such as aggressiveness.
Keywords: surgery; neoangiogenesis; immune system; evolution; complexity; tumor dormancy

Article Statistics

Load and display the download statistics.

Citations to this Article

Cite This Article

MDPI and ACS Style

Carmona Bayonas, A. An Evolutionary Explanation for the Perturbation of the Dynamics of Metastatic Tumors Induced by Surgery and Acute Inflammation. Cancers 2011, 3, 945-970.

AMA Style

Carmona Bayonas A. An Evolutionary Explanation for the Perturbation of the Dynamics of Metastatic Tumors Induced by Surgery and Acute Inflammation. Cancers. 2011; 3(1):945-970.

Chicago/Turabian Style

Carmona Bayonas, Alberto. 2011. "An Evolutionary Explanation for the Perturbation of the Dynamics of Metastatic Tumors Induced by Surgery and Acute Inflammation." Cancers 3, no. 1: 945-970.

Cancers EISSN 2072-6694 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert