Dominant mechanisms of primary resistance differ from dominant mechanisms of secondary resistance to targeted therapies
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Intrinsic resistance alterations are dominantly located downstream or upstream of a targeted protein.

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Acquired resistance alterations dominantly involve lesions in a targeted protein or target-like proteins.

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Intrinsic resistance evolves as a stochastic process early during tumorogenesis.

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Acquired resistance evolves as a therapy-directed and adaptive selection of alterations.

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Intrinsic and acquired resistance alterations should be pursued on a different panel of biomarkers.

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