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Hessey S, Pich O, Huebner A, Puttick C, Lombardelli C, Moore D, McGranahan N, Zaccaria S, Swanton C, Jamal-Hanjani M. 2MO Tracking immunoediting from early to late-stage lung cancer. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Lucas O, Ward S, Zaidi R, Hill M, Lim E, Zhai H, Jamal-Hanjani M, Kanu N, Swanton C, Zaccaria S. 7MO Measuring proliferation rates of distinct tumour clones using single-cell DNA sequencing. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Hynds R, Huebner A, Pearce D, Pich O, Akarca A, Moore D, Ward S, Hill M, Jamal-Hanjani M, Marafioti T, McGranahan N, Swanton C. 3MO Genomic evolution of non-small cell lung cancer during the establishment and propagation of patient-derived xenograft models. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Swanton C, Hill W, Lim E, Lee C, Weeden C, Augustine M, Chen K, Kuan FC, Marongiu F, Rodrigues F, Cha H, Jacks T, Luchtenborg M, Malanchi I, Downward J, Carlsten C, Hackshaw A, Litchfield K, DeGregori J, Jamal-Hanjani M. LBA1 Mechanism of action and an actionable inflammatory axis for air pollution induced non-small cell lung cancer: Towards molecular cancer prevention. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.08.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Jamal-Hanjani M. ES27.03 Genomic Heterogeneity. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.01.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Zhai H, Moore D, Jamal-Hanjani M. Inactivation of RB1 and histological transformation in EGFR-mutant lung adenocarcinoma. Ann Oncol 2020; 31:169-170. [PMID: 31959334 DOI: 10.1016/j.annonc.2019.12.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Accepted: 12/12/2019] [Indexed: 01/12/2023] Open
Affiliation(s)
- H Zhai
- Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, UK
| | - D Moore
- Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, UK; Department of Pathology, University College London Hospitals NHS Foundation Trust, London, UK
| | - M Jamal-Hanjani
- Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, UK; Department of Medical Oncology, University College London Hospitals NHS Foundation Trust, London, UK.
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Lindsay CR, Jamal-Hanjani M, Forster M, Blackhall F. KRAS: Reasons for optimism in lung cancer. Eur J Cancer 2018; 99:20-27. [PMID: 29894909 DOI: 10.1016/j.ejca.2018.05.001] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2017] [Revised: 03/21/2018] [Accepted: 05/13/2018] [Indexed: 01/07/2023]
Abstract
Despite being the most frequent gain-of-function genetic alteration in human cancer, KRAS mutation has to date offered only limited potential as a prognostic and predictive biomarker. Results from the phase III SELECT-1 trial in non-small cell lung cancer (NSCLC) recently added to a number of historical and more contemporary disappointments in targeting KRAS mutant disease, including farnesyl transferase inhibition and synthetic lethality partners such as STK33. This narrative review uses the context of these previous failures to demonstrate how the knowledge gained from these experiences can be used as a platform for exciting advances in NSCLC on the horizon. It now seems clear that mutational subtype (most commonly G12C) of individual mutations is of greater relevance than the categorical evaluation of KRAS mutation presence or otherwise. A number of direct small molecules targeted to these subtypes are in development and have shown promising biological activity, with some in the late stages of preclinical validation.
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Affiliation(s)
- C R Lindsay
- Division of Molecular and Clinical Cancer Sciences, University of Manchester, Manchester, UK; Department of Medical Oncology, The Christie NHS Foundation Trust, Wilmslow Road, Manchester, M20 4BX, UK; Cancer Research UK Lung Cancer Centre of Excellence, London and Manchester, UK.
| | - M Jamal-Hanjani
- Cancer Research UK Lung Cancer Centre of Excellence, London and Manchester, UK; Department of Oncology, University College of London Hospital and UCL Cancer Institute, London, UK
| | - M Forster
- Cancer Research UK Lung Cancer Centre of Excellence, London and Manchester, UK; Department of Oncology, University College of London Hospital and UCL Cancer Institute, London, UK
| | - F Blackhall
- Division of Molecular and Clinical Cancer Sciences, University of Manchester, Manchester, UK; Department of Medical Oncology, The Christie NHS Foundation Trust, Wilmslow Road, Manchester, M20 4BX, UK; Cancer Research UK Lung Cancer Centre of Excellence, London and Manchester, UK
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Joshi K, Reading J, Ismail M, Oakes T, Rosenthal R, Uddin I, Jamal-Hanjani M, McGranahan N, Wong Y, Furness A, Aissa A, Werner Sunderland M, Georgiou A, Veeriah S, Czyzewska-Khan J, Marafioti T, Peggs K, Swanton C, Chain B, Quezada S. Deciphering the intra-tumoural T cell receptor repertoire in patients with NSCLC within the lung TRACERx study. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx712.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Jamal-Hanjani M, Wilson GA, Horswell S, Mitter R, Sakarya O, Constantin T, Salari R, Kirkizlar E, Sigurjonsson S, Pelham R, Kareht S, Zimmermann B, Swanton C. Detection of ubiquitous and heterogeneous mutations in cell-free DNA from patients with early-stage non-small-cell lung cancer. Ann Oncol 2016; 27:862-7. [PMID: 26823523 DOI: 10.1093/annonc/mdw037] [Citation(s) in RCA: 123] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2015] [Accepted: 01/19/2016] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND The aim of this pilot study was to assess whether both ubiquitous and heterogeneous somatic mutations could be detected in cell-free DNA (cfDNA) from patients with early-stage non-small-cell lung cancer (NSCLC). PATIENTS AND METHODS Three stage I and one stage II primary NSCLC tumors were subjected to multiregion whole-exome sequencing (WES) and validated with AmpliSeq. A subset of ubiquitous and heterogeneous single-nucleotide variants (SNVs) were chosen. Multiplexed PCR using custom-designed primers, coupled with next-generation sequencing (mPCR-NGS), was used to detect these SNVs in both tumor DNA and cfDNA isolated from plasma obtained before surgical resection of the tumors. The limit of detection for each assay was determined using cfDNA from 48 presumed-normal healthy volunteers. RESULTS Tumor DNA and plasma-derived cfDNA was successfully amplified and sequenced for 37/50 (74%) SNVs using the mPCR-NGS method. Twenty-five (68%) were ubiquitous and 12 (32%) were heterogeneous SNVs. Variant detection by mPCR-NGS and WES-AmpliSeq in tumor tissue was well correlated (R(2) = 0.8722, P < 0.0001). Sixteen (43%) out of 37 SNVs were detected in cfDNA. Twelve of these were ubiquitous SNVs with a variant allele frequency (VAF) range of 0.15-23.25%, and four of these were heterogeneous SNVs with a VAF range of 0.28-1.71%. There was a statistically significant linear relationship between the VAFs for tumor and cfDNA (R(2) = 0.5144; P = 0.0018). For all four patients, at least two variants were detected in plasma. The estimated number of copies of variant DNA present in each sample ranged from 5 to 524. The average number of variant copies required for detection (VCRD) was 3.16 (range: 0.2-7.6 copies). CONCLUSIONS The mPCR-NGS method revealed intratumor heterogeneity in early-stage NSCLC tumors, and was able to detect both ubiquitous and heterogeneous SNVs in cfDNA. Further validation of mPCR-NGS in cfDNA is required to define its potential use in clinical practice.
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Affiliation(s)
- M Jamal-Hanjani
- Translational Cancer Therapeutics Laboratory, Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London
| | - G A Wilson
- Translational Cancer Therapeutics Laboratory, Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London Translational Cancer Therapeutics Laboratory, The Francis Crick Institute, London
| | - S Horswell
- Department of Bioinformatics and Biostatistics, The Francis Crick Institute, London, UK
| | - R Mitter
- Department of Bioinformatics and Biostatistics, The Francis Crick Institute, London, UK
| | - O Sakarya
- Department of Bioinformatics and Biostatistics, The Francis Crick Institute, London, UK
| | | | | | | | | | | | | | | | - C Swanton
- Translational Cancer Therapeutics Laboratory, Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London Translational Cancer Therapeutics Laboratory, The Francis Crick Institute, London
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Gasson S, Bliss J, Jamal-Hanjani M, Krebs M, Swanton C, Wilcox M. The Value of Patient and Public Involvement in Trial Design and Development. Clin Oncol (R Coll Radiol) 2015; 27:747-9. [PMID: 26184690 DOI: 10.1016/j.clon.2015.06.020] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Accepted: 06/25/2015] [Indexed: 10/23/2022]
Affiliation(s)
- S Gasson
- Independent Cancer Patients' Voice, London, UK.
| | - J Bliss
- Institute of Cancer Research, London, UK
| | | | - M Krebs
- The University of Manchester and The Christie NHS Foundation Trust, Manchester, UK
| | - C Swanton
- Institute of Cancer Research, London, UK; The Francis Crick Institute, London, UK
| | - M Wilcox
- Independent Cancer Patients' Voice, London, UK
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Jamal-Hanjani M, A'Hern R, Birkbak NJ, Gorman P, Grönroos E, Ngang S, Nicola P, Rahman L, Thanopoulou E, Kelly G, Ellis P, Barrett-Lee P, Johnston SRD, Bliss J, Roylance R, Swanton C. Extreme chromosomal instability forecasts improved outcome in ER-negative breast cancer: a prospective validation cohort study from the TACT trial. Ann Oncol 2015; 26:1340-6. [PMID: 26003169 DOI: 10.1093/annonc/mdv178] [Citation(s) in RCA: 49] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2015] [Accepted: 03/28/2015] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND Chromosomal instability (CIN) has been shown to be associated with drug resistance and poor clinical outcome in several cancer types. However, in oestrogen receptor (ER)-negative breast cancer we have previously demonstrated that extreme CIN is associated with improved clinical outcome, consistent with a negative impact of CIN on tumour fitness and growth. The aim of this current study was to validate this finding using previously defined CIN thresholds in a much larger prospective cohort from a randomised, controlled, clinical trial. PATIENTS AND METHODS As a surrogate measurement of CIN, dual centromeric fluorescence in situ hybridisation was performed for both chromosomes 2 and 15 on 1173 tumours from the breast cancer TACT trial (CRUK01/001). Each tumour was scored manually and the mean percentage of cells deviating from the modal centromere number was used to define four CIN groups (MCD1-4), where tumours in the MCD4 group were defined as having extreme CIN. RESULTS In a multivariate analysis of disease-free survival, with a median follow-up of 91 months, increasing CIN was associated with improved outcome in patients with ER-negative cancer (P trend = 0.03). A similar pattern was seen in ER-negative/HER2-negative cancers (Ptrend = 0.007). CONCLUSIONS This prospective validation cohort study further substantiated the association between extreme CIN and improved outcome in ER-negative breast cancers. Identifying such patients with extreme CIN may help distinguish good from poor prognostic groups, and therefore support treatment and risk stratification in this aggressive breast cancer subtype.
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Affiliation(s)
- M Jamal-Hanjani
- Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London
| | - R A'Hern
- ICR-CTSU, Division of Clinical Studies, The Institute of Cancer Research, London
| | - N J Birkbak
- Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London The Francis Crick Institute, 44 Lincoln's Inn Fields, London
| | - P Gorman
- Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London
| | - E Grönroos
- The Francis Crick Institute, 44 Lincoln's Inn Fields, London
| | - S Ngang
- Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London
| | - P Nicola
- Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London
| | - L Rahman
- Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London
| | - E Thanopoulou
- The Francis Crick Institute, 44 Lincoln's Inn Fields, London
| | - G Kelly
- The Francis Crick Institute, 44 Lincoln's Inn Fields, London
| | - P Ellis
- Guy's and St Thomas' NHS Trust, London
| | | | | | - J Bliss
- ICR-CTSU, Division of Clinical Studies, The Institute of Cancer Research, London
| | - R Roylance
- Barts Cancer Institute, Queen Mary University of London, London, UK
| | - C Swanton
- Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London The Francis Crick Institute, 44 Lincoln's Inn Fields, London
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Jamal-Hanjani M, Wilson G, De Bruin E, McGranahan N, Mitter R, Salm M, Wedge D, Rowan A, Campbell P, Swanton C. Evolution of the Genomic Landscape in Non-Small Cell Lung Cancer. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu438.44] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Jamal-hanjani M, Beharry N, Samol J. . West J Med 2011; 342:d4024-d4024. [DOI: 10.1136/bmj.d4024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Cafferkey C, Jamal-Hanjani M, Beesley S, Cominos M, Sevitt T, Taylor H, Burcombe R, Shah R. A Kent and Medway Cancer Network (KMCN) audit of second-line treatment for non-small cell lung cancer. Lung Cancer 2010. [DOI: 10.1016/s0169-5002(10)70022-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Ullah MZ, Pericleous M, Jamal-Hanjani M, Pereira B, Snooks SJ, Keshtgar M, Davidson T. Is the incidence of breast cancer among Asian women living in the UK, higher at a younger age than that of the Caucasian women? Cancer Res 2009. [DOI: 10.1158/0008-5472.sabcs-5011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Abstract #5011
Introduction: The South Asian population comprises 3% of total UK population. An observational study showed that the Asian women living in the London boroughs of Redbridge and Camden present at a younger age with breast cancer than their Caucasian counterpart. This raises the question as to whether or not an earlier intervention with breast screening would be beneficial for this group.
 Methods: To verify our study, we audited two centres in these London boroughs. The patients with breast cancer from areas with a higher concentration of women of South Asian ethnic origin have been audited from January 2000 to December 2007 (Total 9 years). The borough of Redbridge has an Asian population of 25% from a total of 240,000 residents and Camden has an Asian population of 10.4% from a total of 198,000 residents. Data was collected from the breast units and from patient databases of King George Hospital and Royal Free hospital, London, UK.
 Results: A total of 1314(513+801) patients presented with breast cancer from January 2000 to December 2004 at King George Hospital and from January 2002 to December 2007 at Royal Free Hospital. 147(11.18%) of these patients were of South Asian origin (Indian, Pakistani, Bangladeshi, Sri Lankan) and 1149 (87.44%) were Caucasian. The age at which breast cancer was presented for the Caucasian population ranges from 25 to 99 years with a mean of 65.16 in contrast to the age for the Asian population which ranges from 31 to 78 years with a mean of 54.04.
 Conclusions: The finding of a lower mean age of incidence of breast cancer amongst South Asian women in Redbridge and Camden raises the increased possibility of breast cancer occurring among younger women of the South Asian population in general, compared to Caucasian women living in the United Kingdom. The evidence of a generally younger age of presentation of breast cancer in Asian women living in the UK suggests that more awareness of this condition is needed amongst this group. Therefore, an earlier breast screening programme will possibly increase the chances of early detection of breast cancer among this group of patients.
Citation Information: Cancer Res 2009;69(2 Suppl):Abstract nr 5011.
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Affiliation(s)
- MZ Ullah
- 2 Breast and General Surgery, Royal Free Hospital, Hamstead Heath, London, United Kingdom
| | - M Pericleous
- 2 Breast and General Surgery, Royal Free Hospital, Hamstead Heath, London, United Kingdom
| | - M Jamal-Hanjani
- 1 Breast and General Surgery, King George Hospital, Goodmayes, Greater London, United Kingdom
| | - B Pereira
- 2 Breast and General Surgery, Royal Free Hospital, Hamstead Heath, London, United Kingdom
| | - SJ Snooks
- 1 Breast and General Surgery, King George Hospital, Goodmayes, Greater London, United Kingdom
| | - M Keshtgar
- 2 Breast and General Surgery, Royal Free Hospital, Hamstead Heath, London, United Kingdom
| | - T Davidson
- 2 Breast and General Surgery, Royal Free Hospital, Hamstead Heath, London, United Kingdom
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Abstract
Totally extra-peritoneal (TEP) laparoscopic repair of an inguinalhernia involves the creation of an extra-peritoneal space by blunt dissection or the use of commercial balloons. This new technique demonstrates the use of a device to create this extra-peritoneal space, without the need for any commercial balloons. The extra-peritoneal space was created using a glove-balloon. A total of 107 consecutive TEP repairs were carried out using the glove-balloon technique, these included ten bilateral and 17 recurrent inguinal hernias. This method is simple, cost-effective and easy to teach.
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Affiliation(s)
- M Z Ullah
- Department of Surgery, King George Hospital, Barley Lane, Goodmayes, Essex.
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