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Table 1 Routes to escape from targeted therapy in cancer

From: Nothing in cancer makes sense except…

• Genetic variation

i. ‘Target’ segregated in sub-clones, not truncal

ii. ‘Target’ mutated and impervious to drugs

• Epigenetic plasticity

i. Inhibited target bypassed by signal redundancy in network

ii. Quiescent/dormant stem cells intrinsically resistant