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A recipe for chaos: extrachromosomal DNA and the hallmarks of cancer

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Item Type:Review
Title:A recipe for chaos: extrachromosomal DNA and the hallmarks of cancer
Creators Name:Wong, Ivy Tsz-Lo, Bailey, Chris, Wu, Sihan, Henssen, Anton G., Cravatt, Benjamin F., Chen, Zhijian J., Bafna, Vineet, Jamal-Hanjani, Mariam, Swanton, Charlie, Chang, Howard Y. and Mischel, Paul S.
Abstract:Some aggressive cancers exhibit a level of rapid genome change and therapy resistance that is difficult to explain. Research over the past decade has shown that extrachromosomal DNA (ecDNA) can be the cause. When oncogenic genetic elements untether from chromosomes and no longer follow Mendelian inheritance, genomic chaos and accelerated evolution ensue, generating unique ecDNA biology and non-traditional therapeutic vulnerabilities distinct from traditional mutation-targeting approaches. Here, we put forward a holistic view where ecDNA is integrated into the broader Hallmarks of Cancer framework to better understand the problem and chart a path forward.
Keywords:DNA, Mutation, Neoplasms, Animals
Source:Cell
ISSN:0092-8674
Publisher:Cell Press
Volume:189
Number:8
Page Range:2307-2321
Date:16 April 2026
Official Publication:https://doi.org/10.1016/j.cell.2026.03.011
PubMed:View item in PubMed

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