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Hannigan A, Smith P, Kalna G, Lo Nigro C, Orange C, O’Brien DI, Shah R, Syed N, Spender LC, Herrera B, Thurlow JK, Lattanzio L, Monteverde M, Maurer ME, Buffa FM, Mann J, Chu DC, West CM, Patridge M, Oien KA, Cooper JA, Frame MC, Harris AL, Hiller L, Nicholson LJ, Gasco M, Crook T, Inman GJ. Epigenetic downregulation of human disabled homolog 2 switches TGF-beta from a tumor suppressor to a tumor promoter. J Clin Invest 2010; 120:2842-57. [PMID: 20592473 PMCID: PMC2912175 DOI: 10.1172/jci36125] [Citation(s) in RCA: 76] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2009] [Accepted: 05/12/2010] [Indexed: 12/22/2022] Open
Abstract
The cytokine TGF-beta acts as a tumor suppressor in normal epithelial cells and during the early stages of tumorigenesis. During malignant progression, cancer cells can switch their response to TGF-beta and use this cytokine as a potent oncogenic factor; however, the mechanistic basis for this is poorly understood. Here we demonstrate that downregulation of disabled homolog 2 (DAB2) gene expression via promoter methylation frequently occurs in human squamous cell carcinomas (SCCs) and acts as an independent predictor of metastasis and poor prognosis. Retrospective microarray analysis in an independent data set indicated that low levels of DAB2 and high levels of TGFB2 expression correlate with poor prognosis. Immunohistochemistry, reexpression, genetic knockout, and RNAi silencing studies demonstrated that downregulation of DAB2 expression modulated the TGF-beta/Smad pathway. Simultaneously, DAB2 downregulation abrogated TGF-beta tumor suppressor function, while enabling TGF-beta tumor-promoting activities. Downregulation of DAB2 blocked TGF-beta-mediated inhibition of cell proliferation and migration and enabled TGF-beta to promote cell motility, anchorage-independent growth, and tumor growth in vivo. Our data indicate that DAB2 acts as a tumor suppressor by dictating tumor cell TGF-beta responses, identify a biomarker for SCC progression, and suggest a means to stratify patients with advanced SCC who may benefit clinically from anti-TGF-beta therapies.
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Affiliation(s)
- Adèle Hannigan
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Paul Smith
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Gabriela Kalna
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Cristiana Lo Nigro
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Clare Orange
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Darren I. O’Brien
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Reshma Shah
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Nelofer Syed
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Lindsay C. Spender
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Blanca Herrera
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Johanna K. Thurlow
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Laura Lattanzio
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Martino Monteverde
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Meghan E. Maurer
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Francesca M. Buffa
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Jelena Mann
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - David C.K. Chu
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Catharine M.L. West
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Max Patridge
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Karin A. Oien
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Jonathan A. Cooper
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Margaret C. Frame
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Adrian L. Harris
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Louise Hiller
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Linda J. Nicholson
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Milena Gasco
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Tim Crook
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
| | - Gareth J. Inman
- The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, United Kingdom.
Cancer Genetics and Epigenetics Laboratory, Breakthrough Breast Cancer, Institute for Cancer Research, London, United Kingdom.
Department of Medical Oncology, Ospedale Santa Croce e Carle, Cuneo, Italy.
Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Glasgow, United Kingdom.
Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cancer Research UK (CRUK) Molecular Oncology Laboratories, The Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
The University of Georgia College of Pharmacy, Athens, Georgia, USA.
Translational Radiobiology, School of Cancer and Enabling Sciences, Christie Hospital NHS Trust, Manchester, United Kingdom.
Department of Oral and Maxillofacial Surgery, Kings College London, Guy’s, King’s and St. Thomas’ Hospitals, London, United Kingdom.
Institute of Genetics and Molecular Medicine, Medical Research Council Human Genetics Unit, Western General Hospital, Edinburgh, United Kingdom.
Warwick Medical School Clinical Trials Unit, University of Warwick, Coventry, United Kingdom.
King’s College London School of Medicine, Cancer Studies Division, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom
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