Distinctiveness between host/invader |
High: Millions of coding point mutations between invader and native species |
Low: <1000 coding point mutations between tumor and normal cells |
Lower treatment specificity and success against cancer than treatments against mammalian island invaders. |
Genetic diversity among similarly treated species |
Genetic differences are high: millions of coding mutations between different species. |
Genetic differences are low: <100,000 coding germline differences between patients and <1000 coding mutations between patient tumor / germline. |
Treatment response varies little between mammalian species but varies much between different cancer types. |
Invader intrapopulation heterogeneity |
Low: small populations (~103 for rats on most islands) and low mutation rates |
High: large number of cells (~109) and high mutation rates |
Cancers have more opportunities for evolution of resistance. |
Invader environment interactions |
Decoupling of invader genetics and ecological environment |
Primary tumor genetics evolve in a fixed microenvironment, followed by decoupling at metastasis. |
Microenvironment may be more targetable in cancer, especially for primary tumors. Rats are robust across island environments. |