This rogue DNA is called extrachromosomal DNA, or ecDNA, and it is found in roughly 1 in 6 human cancers. ecDNA consists of circular pieces of DNA that sit outside normal chromosomes and drive the amplification of cancer-causing genes.
The presence of ecDNA has been linked to faster tumor growth, resistance to treatment and poorer survival—but scientists haven’t been clear on how cancer cells keep this unstable DNA intact.