https://m2.mtmt.hu/ hun 2026-09-22 03:53 JournalArticle 35462433 VALIDATED true Export Date: 04 May 2026; Cited By: 170; Correspondence Address: M. Jamal-Hanjani; Cancer Metastasis Laboratory, University College London Cancer Institute, London, United Kingdom; email: m.jamal-hanjani@ucl.ac.uk; N. McGranahan; Cancer Genome Evolution Research Group, Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, United Kingdom; email: nicholas.mcgranahan.10@ucl.ac.uk; C. Swanton; Cancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, United Kingdom; email: Charles.Swanton@crick.ac.uk; CODEN: NATUA; 0 false 2026-06-14T21:02:37.731+0000 2026-05-04T06:18:46.837+0000 2024-10-16T10:11:42.671+0000 true 10015544 Csajbók Edit /api/admin/10015544 Admin true 10015544 2026-05-04T06:18:46.734+0000 2024-10-16T10:14:31.549+0000 true 10015544 Csajbók Edit /api/admin/10015544 Admin true 10015544 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000359 Study Group true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000359 Sokszerzős vagy csoportos szerzőségű szakcikk SubType 104 true 10000359 true 1 /api/category/1 Category true 1 Al Bakir, Maise The evolution of non-small cell lung cancer metastases in TRACERx. true true /api/journal/3308 REVIEWED true false 3308 false 3308 true 0028-0836 1476-4687 Journal FOREIGN 616 7957 534 542 534 9 2023 Metastatic disease is responsible for the majority of cancer-related deaths1. We report the longitudinal evolutionary analysis of 126 non-small cell lung cancer (NSCLC) tumours from 421 prospectively recruited patients in TRACERx who developed metastatic disease, compared with a control cohort of 144 non-metastatic tumours. In 25% of cases, metastases diverged early, before the last clonal sweep in the primary tumour, and early divergence was enriched for patients who were smokers at the time of initial diagnosis. Simulations suggested that early metastatic divergence more frequently occurred at smaller tumour diameters (less than 8 mm). Single-region primary tumour sampling resulted in 83% of late divergence cases being misclassified as early, highlighting the importance of extensive primary tumour sampling. Polyclonal dissemination, which was associated with extrathoracic disease recurrence, was found in 32% of cases. Primary lymph node disease contributed to metastatic relapse in less than 20% of cases, representing a hallmark of metastatic potential rather than a route to subsequent recurrences/disease progression. Metastasis-seeding subclones exhibited subclonal expansions within primary tumours, probably reflecting positive selection. Our findings highlight the importance of selection in metastatic clone evolution within untreated primary tumours, the distinction between monoclonal versus polyclonal seeding in dictating site of recurrence, the limitations of current radiological screening approaches for early diverging tumours and the need to develop strategies to target metastasis-seeding subclones before relapse. true 2024 true true true false false NONE 2026-06-14 false 129 3 129 108 2 129 129 129 52 129 129 108 108 108 21 0 129 108 129 108 0 10 10 Folyóiratcikk Journal Article 24 129 Könyvrészlet Chapter in Book 25 0 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 0 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 0 Egyéb Miscellaneous 29 0 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet Chapter in Book 25 0 0 0 Könyv Book 23 0 0 0 Egyéb konferenciaközlemény Conference paper 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Jamal-Hanjani; Cancer Metastasis Laboratory, University College London Cancer Institute, London, United Kingdom; email: m.jamal-hanjani@ucl.ac.uk; N. McGranahan; Cancer Genome Evolution Research Group, Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, United Kingdom; email:...</pre> </div></div>