Defects in bipolar spindle assembly and spindle assembly checkpoint function explain CIN in only a small subset of aneuploid tumor cells, leaving the underlying causes of CIN in most aneuploid cells undetermined. This indicates that alternative mechanisms beyond these well-characterized mitotic defects must account for chromosome missegregation in the majority of CIN tumor cells. [@thompson_examining_2008]

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Multiple lines of evidence establish that chromosomal instability in cells with supernumerary centrosomes arises independently of the classic mitotic defects historically assumed to drive chromosome segregation errors, such as multipolar divisions or spindle assembly checkpoint failure. The mechanistic relationship centers on merotelic kinetochore-microtubule attachments that accumulate during a transient multipolar spindle intermediate state before centrosomes cluster to enable bipolar division, with these merotelic errors persisting into anaphase and causing elevated lagging chromosome frequencies even when cells complete ostensibly normal bipolar divisions. This pathway demonstrates that extra centrosomes promote chromosome missegregation through a subtle attachment defect rather than through overt structural catastrophes like multipolar divisions, which are rare and typically produce inviable progeny insufficient to account for observed chromosomal instability rates. The key unresolved aspect is whether this merotely-driven chromosomal instability mechanism operates uniformly across different cellular contexts, particularly given that chromosome missegregation alone is insufficient for aneuploid cell propagation without additional phenotypic adaptations that remain incompletely characterized.

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