TY - JOUR A1 - Pfohl, Ulrike A1 - Pflaume, Alina A1 - Regenbrecht, Manuela A1 - Finkler, Sabine A1 - Adelmann, Quirin Graf A1 - Reinhard, Christoph A1 - Regenbrecht, Christian René Alexander A1 - Wedeken, Lena T1 - Precision oncology beyond genomics: the future is here - it is just not evenly distributed T2 - Cells N2 - Cancer is a multifactorial disease with increasing incidence. There are more than 100 different cancer types, defined by location, cell of origin, and genomic alterations that influence oncogenesis and therapeutic response. This heterogeneity between tumors of different patients and also the heterogeneity within the same patient’s tumor pose an enormous challenge to cancer treatment. In this review, we explore tumor heterogeneity on the longitudinal and the latitudinal axis, reviewing current and future approaches to study this heterogeneity and their potential to support oncologists in tailoring a patient’s treatment regimen. We highlight how the ideal of precision oncology is reaching far beyond the knowledge of genetic variants to inform clinical practice and discuss the technologies and strategies already available to improve our understanding and management of heterogeneity in cancer treatment. We will focus on integrating multi-omics technologies with suitable in vitro models and their proficiency in mimicking endogenous tumor heterogeneity. KW - intra-tumor heterogeneity KW - multi-omics technology KW - cancer models KW - patient-derived organoids KW - personalized oncology Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/62504 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-625046 SN - 2073-4409 VL - 10 IS - 4, art. 928 SP - 1 EP - 17 PB - MDPI CY - Basel ER -