Beruflich Dokumente
Kultur Dokumente
Review
MA 02142, USA
*Correspondence: dh@epfl.ch (D.H.), weinberg@wi.mit.edu (R.A.W.)
DOI 10.1016/j.cell.2011.02.013
The hallmarks of cancer comprise six biological capabilities acquired during the multistep develop-
ment of human tumors. The hallmarks constitute an organizing principle for rationalizing the
complexities of neoplastic disease. They include sustaining proliferative signaling, evading growth
suppressors, resisting cell death, enabling replicative immortality, inducing angiogenesis, and acti-
vating invasion and metastasis. Underlying these hallmarks are genome instability, which generates
the genetic diversity that expedites their acquisition, and inflammation, which fosters multiple hall-
mark functions. Conceptual progress in the last decade has added two emerging hallmarks of
potential generality to this list—reprogramming of energy metabolism and evading immune
destruction. In addition to cancer cells, tumors exhibit another dimension of complexity: they
contain a repertoire of recruited, ostensibly normal cells that contribute to the acquisition of hall-
mark traits by creating the ‘‘tumor microenvironment.’’ Recognition of the widespread applicability
of these concepts will increasingly affect the development of new means to treat human cancer.
circuit can be segmented into distinct subcircuits, each of which ENABLING CHARACTERISTICS AND EMERGING
is specialized to support a discrete cell-biological property in HALLMARKS
normal cells and is reprogrammed in order to implement
a hallmark capability in cancer cells (Figure 2). Only a subset of We have defined the hallmarks of cancer as acquired functional
hallmark capabilities are addressed in this figure, either because capabilities that allow cancer cells to survive, proliferate, and
their underlying control circuits remain poorly understood or disseminate; these functions are acquired in different tumor
because they overlap extensively with those portrayed here. types via distinct mechanisms and at various times during the
An additional dimension of complexity involves considerable course of multistep tumorigenesis. Their acquisition is made
interconnections and thus crosstalk between the individual sub- possible by two enabling characteristics. Most prominent is the
circuits. For example, certain oncogenic events can affect development of genomic instability in cancer cells, which
multiple capabilities, as illustrated by the diverse effects that generates random mutations including chromosomal rearrange-
prominent oncogenes, such as mutant RAS and upregulated ments; among these are the rare genetic changes that can
MYC, have on multiple hallmark capabilities (e.g., proliferative orchestrate hallmark capabilities. A second enabling character-
signaling, energy metabolism, angiogenesis, invasion, and istic involves the inflammatory state of premalignant and frankly
survival). We anticipate that future renditions of this integrated malignant lesions that is driven by cells of the immune system,
circuit will encompass subcircuits and associated hallmark some of which serve to promote tumor progression through
capabilities that are still not addressed here. various means.